Herbal Competences
Herbal Competences
Post-review Practice 7
1. What is the most acceptable dietary recommendation for a patient with a lack of appetite, weakness of the four limbs, loose stools, and edema?
A. fresh cucumbers
B. iced tea
C. rare beef
D. oatmeal
2.A 16-year-old patient presents with severe acne on the face, chest , and back. The acne is red, inflamed, and contains pus. Which one of the following formulas is most appropriate?
A. Yin Qiao San ( Honeysuckle and Forsythia Powder)
B. Wu Wei Xiao Du Yin ( Five-Ingredient Decoction to Eliminate Toxin)
C. Pu Ji Xiao Du Yin ( Universal Benefit Decoction to Eliminate Toxin)
D. Si Miao Yong An Tang ( Four-Valiant Decoction for Well-Being)
3.Which one of the following formulas most appropriately stops vomiting by clearing Liver Heat and directing rebellious Qi downward?
A. Wu Zhu Yu Tang ( Evodia Decoction)
B. Zuo Jin Wan ( Left Metal Pill)
C. Bai Tou Weng Tang ( Pulsatilla Decoction)
D. Huo Xiang Zheng Qi San ( Agastache Powder to Rectify the Qi)
4.Tian Ma Gou Teng Yin (Gastrodia and Uncaria Decoction) is indicated for:
A. facial paralysis
B. poor memory
C. manic behavior
D. blurred vision
5.A patient presents with intermittent, spasmodic abdominal pain that responds favorable to warmth and pressure, has a poor appetite, low grade fever, palpitations, cold and sore extremities with non-specific discomfort, and is irritable. Which of the following formulas would be most appropriate for this condition?
A. Da Jian Zhong Tang ( Major Construct the Middle Decoction)
B. Xiao Jian Zhong Tang ( Minor Construct the Middle Decoction)
C. Li Zhong Wan ( Regulate the Midlle Pill)
D. Dang Gui Si Ni Tang ( Tangkuei Decoction for Frigid Extremities)
6.The main function of Chuan Xiong Cha Tiao San ( Ligusticum Chuanxiong Powder to be Taken with Green Tea) is to:
A. vigorously purge Heat accumulation
B. disperse Wind and alleviate headache
C. calm the Liver and extinguish Wind
D. transform Phlegm and extinguish Wind
7.A weak and tired patient who is clearly Spleen Qi deficient presents with nausea, low appetite, watery stools, and phlegm accumulating in the chest. Which herbs when added to Si Jun Zi Tang ( Four- Gentleman Decoction) would be most appropriate?
A. Chen Pi ( Pericarpium Citri Reticulatae), Sha Ren ( Fructus Amomi)
B. Da Fu Pi ( Pericarpium Arecae Catechu), Bing Lang (Semen Arecae Catechu), and Ban Xia ( Rhizoma Pinelliae Ternatae)
C. Shen Qu ( Massa Fermentata), Mai Ya ( Fructus Hordei Vulgaris Germinantus), and Shan Zha( Fructus Crataegi)
D. Sheng Jiang ( Rhizoma Zingiberis Officinalis Recens), Zhi Shi ( Fructus Immaturus Citri Aurantii), and Dai Zhe Shi ( Haematitum)
8.According to pharmacological studies, Wu Wei Zi (Fructus Schisandrae Chinensis) is useful in the treatment of:
A. hypothyroidism
B. hypertension
C. malaria
D. hepatitis
9.A patient presents with slight dizziness, nausea, intermittent gnawing hunger, and a bitter taste in the mouth. The Patient has insomnia and anxiety with palpitations, smokes 10-15 cigarettes and drinks 2-3 beers daily. The pulse is slippery and rapid and the tongue coating is greasy and yellow. The most appropriate treatment formula is:
A. Qing Qi Hua Tan Wan ( Clear the Qi and Transform Phlegm Pill)
B. Ju Pi Zhu Ru Tang ( Tangerine Peel and Bamboo Shavings Decoction)
C. Bei Mu Gua Lou San ( Fritillaria and Trichosanthes Fruit Powder)
D. Wen Dan Tang ( Warm the Gallbladder Decoction)
10.A patient, paralyzed three years ago by a stroke, has been sneezing and coughing for three days. The patient has chills and clear nasal discharge. The most appropriate order of formulas to prescribe, one formula for the first week and a second formula subsequently, would be:
A. Xiao Huo Luo Dan ( Minor Invigorate the Collaterals Special Pill) first and Ba Zhen Tang ( Eight- Treasure Decoction ) second
B. Xiao Huo Luo Dan ( Minor Invigorate the Collaterals Special Pill) first and Ma Huang Tang ( Ephedra Decoction) second
C. Yin Qiao San ( Honeysuckle and Forsythia Powder) first and Xiao Huo Luo Dan ( Minor Invigorate the Collaterals Special Pill) second
D. Zhi Sou San ( Stop Coughing Powder) first and Xiao Huo Luo Dan ( Minor Invigorate the Collaterals Special Pill) second
11.Tian Wang Bu Xin Dan ( Emperor of Heaven’s Special Pill to Tonify the Heart) is used to treat:
A. deficiency of Spleen and Heart
B. Lung and Heart Yin deficiency
C. disharmony between Heart and Kidney
D. Heart and Kidney Yin deficiency
12.A patient complains of a cold for three days, feeling chilled and feverish, and had a runny nose and sore throat for the first two days. Today, the patient ahs alternating fever and chills, constipation with abdominal cramps, dizziness, bitter taste in the mouth, nausea, poor appetite, and a thin, yellow tongue coating. Which one of the following formulas should be used to treat this patient?
A. Bai Hu Tang ( White Tiger Decoction)
B. Xiao Chai Hu Tang ( Minor Bupleurum Decoction)
C. Da Chai Hu Tang ( Major Bupleurum Decoction)
D. Da Cheng Qi Tang ( Major Order the Qi Decoction)
13.The chief indication of using Yin Chen Hao Tang ( Artemisia Yinchenhao Decoction) is predominance of:
A. Dampness over cold
B. Cold over Dampness
C. Dampness over Heat
D. Heat over Dampness
14.Herbal substances possessing a sweet flavor have the effects of:
A. relieving constipation by purgation, softening, and resolving hard masses
B. clearing Heat, purging Fire, relaxing the bowel, eliminating Dampness
C. dispersing exopathogen, promoting the circulation of the Qi and Blood
D. nourishing, replenishing, tonifying, or enriching the different parts of the body
15.Which of the following formulas treat Damp-Heat?
A. Er Miao San ( Two-Marvel Powder)
B. Er Zhi Wan ( Two-Ultimate Pill)
C. Er Xian Tang ( Two-Immortal Decoction)
D. Er Chen Tang ( Two-Cured Decoction)
16.A patient complains of dream-disturbed and light sleep, palpitations, and forgetfulness. He always feels fatigue, weak, looks anorexic, and has sallow complexion. His tongue is pale with a thin, whitish coating and his pulse is thready and weak. The most appropriate formula is:
A. Dang Gui Bu Xue Tang ( Tangkuei Decoction to Tonify the blood)
B. Gui Pi Tang ( Restore the Spleen Decoction)
C. Dang Gui San ( Tangkuei Powder)
D. Liu Jun Zi Tang ( Six-Gentlemen Decoction)
17.A 30-year-old woman complains of painful menstruation characterized by severe cramps which is alleviated by heat, dark blood with clots, and a pale purple tongue. The most appropriate formula is:
A. Gui Zhi Fu Ling Wan ( Cinnamon Twig and Poria Pill)
B. Xue Fu Zhu Yu Tang ( Drive out Staiss in the Mansion of Blood Decoction)
C. Ban Xia Hou Po Tang ( Pinellia and Magnolia Bark Decoction)
D. Xiao Cheng Qi Tang ( Minor Order the Qi Decoction)
18.A female patient presents with dizziness, blurred vision, irregular menstruation with little flow, and dry, brittle nails. The tongue is pale and the pulse is thin. Which of the following is the most appropriate formula?
A. Gui Pi Tang ( Restore the Spleen Decoction)
B. Jin Gui Shen Qi Wan ( Kidney Qi Pill from the Golden Cabinet)
C. Si Wu Tang ( Four-Substance Decoction)
D. Liu Wei Di Huang Wan ( Six-Ingredient Pill with Rehmannia)S
19.What quality does charring add to an herb?
A. clears heat
B. stops bleeding
C. tonifies blood
D. transforms phlegm
20.When using Zhi Sou San ( Stop Coughing Powder) to treat a cough with thick, sticky sputum, which of the following herbs should be added?
A. Dan Nan Xing ( Pulvis Arisaemae Cum Felle Bovis) and Tian Ma ( Rhizoma Gastrodiae Elatae)
B. Gua Lou ( Fructus Trichosanthis) and Sang Bai Pi (Cortex Mori Albae Radicis)
C. Shu Di Huang( Radix Rehmanniae Glutinosae Gonquitae) and Shan Yao ( Radix Discoreae Oppositae)
D. Huang Qi ( Radix Astragali Membranacei) and Dang Shen ( Radix Codonopsitis Pilosulae)
21.In Bai He Gu Jin Tang ( Lily Bulb Decoction to Preserve the Metal), Jie Geng( Radix Platycodi Grandiflori) enhances the effectiveness of the formula by:
A. descending
B. ascending
C. draining
D. faciliating
22.A patient complains of diarrhea, including watery stools, nausea, and vomiting, no particular thirst, loss of appetite, and abdominal pain. Which of the following formulas is most appropriate for this patient?
A. Si Jun Zi Tang ( Four-Gentleman Decoction)
B. Bu Zhong Yi Qi Tang ( Tonify the Middle and Augment the Qi Decoction)
C. Li Zhong Wan ( Regulate the Middle Pill)
D. Si Ni Tang ( Frigid Extremities Decoction)
23.A patient presents with a headache, fever, thirst, dry cough with a small amount of viscous sputum, a red tongue with a thin, white coating and dry fur, and a floating, rapid pulse. Which of the following formulas is most appropriate for the patient?
A. Sang Ju Yin( Mulberry Leaf and Chrysanthemum Decoction)
B. Bai He Gu Jin Tang ( Lily Bulb Decoction to Preserve the Metal)
C. Sang Xing Tang ( Mulberry Leaf and Apricot Kernel Decoction)
D.Mai Men Dong Tang ( Ophiopogonis Decoction)
24.A patient suffers from abdominal pain, tenesmus, aburning sensation around the anus, and diarrhea containing more blood than pus. What would be the most appropriate treatment formula?
A. Zhen Ren Yang Zang Tang ( True Man’s Decoction to Nourish the Organs)
B. Bai Tou Weng Tang ( Pulsatilla Decoction)
C. Ge Gen Huang Lian Huang Qin Tang ( Kudzu, Coptis, and Scutellaria Decoction)
D. Zeng Ye Tang ( Increase the Fluids Decoction)
25.Which herb is most appropriate to treat a cough with yellow phlegm due to Heat in the Lung, congestion of the chest, fever, a yellow tongue coating, and a rapid pulse?
A. Huang Lian ( Rhizoma Coptidis)
B. Huang Bai ( Cortex Phellodendri)
C. Huang Qin ( Radix Scutellariae Baicalensis)
D. Huang Qi ( Radix Astragali Membranacei)
26.In Er Chen Tang ( Two Cured Decoction), which one of the following herbs is combined with Ban Xia ( Rhizoma Pinelliae Ternatae) to treat nausea due to disharmony of Stomach Qi?
A. Chen Pi ( Pericarpium Citri Reticulatae)
B. Gui Zhi ( Ramulus Cinnamomi Cassiae)
C. Xing Ren ( Semen Pruni Armeniacae)
D. Ren Shen (Radix Ginseng)
27.Which of the following are cooling, pungent herbs used to release the Exterior?
A. Jin Yin Hua( Flos Lonicerae Japonicae), Lian Qiao( Fructus Forsythiae Suspensae), Pu Gong Ying( Herba Taraxaci Mongolici cum Radice), and Ban Lan Gen(Radix Isatidis Seu Baphicacanthi)
B. Bai Hua She She Cao( Herba Hedyotidis Diffusae), Ye Ju Hua( Flos Chysanthemi Indici), Chan Tui ( Periostracum Cicadae), and Fu Ping ( Herba Lemnae seu Spirodelae)
C. Chai Hu( Radix Bupleuri), Ge Gen ( Radix Puerariae), Zhi Zi( Fructus Gardeniae Jasminoidis), and Chuan Xin Lian (Herba Andrographitis Paniculatae)
D. Bo He( Herba Menthae Haplocalycis), Sang Ye ( Foluim Mori Albae), Niu Bang Zi ( Fructus Arctii Lappae), and Dan Dou Chi ( Semen Sojae Praeparatum)
28.An 8-year-old boy presents with asthmatic wheezing and coughing, sometimes producing thick or thin yellow sputum. The tongue has a red tip and the pulse is rapid and rolling. What is the most appropriate formula?
A. Yin Qiao San (Honeysuckle and Forsythia Powder)
B. Yu Ping Feng San ( Jade Windscreen Powder)
C. Xiao Qing Long Tang ( Minor Bluegreen Dragon Decoction)
D. Ding Chuan Tang ( Arrest Wheezing Decoction)
29.One month after prolonged labor, a 43-year-old woman presents with general body aches, fever, chills and nasal congestion with a productive cough. The tongue coating is greasy and white and the pulse is floating and soggy. What would be the most appropriate formula?
A. Cong Bai Qi Wei Yin ( Scallion Decoction with Seven Ingredients)
B. Jing Fang Bai Du San ( Schizonepeta, and Ledebouriella Powder to Overcome Pathogenic Influences)
C. Jia Jian Wei Rui Tang ( Modified Polygonatum Odoratum Decoction)
D. Ren Shen Bai Du San ( Ginseng Powder to Overcome Pathogenic Influences)
30.A patient complains of insomnia, poor memory, night sweating with evening fever, agitation, fatigue, and presents with a red tongue with a thin, white coating, and an empty, thin, weak pulse. The most appropriate formula is:
A. Dang Gui Di Huang Yin ( Tangkuei and Rehmannia Decoction)
B. Gui Pi Tang ( Restore the Spleen Decoction)
C. Da Bu Yin Wan ( Great Tonify the Yin Pill)
D. Suan Zao Ren Tang ( Sour Jujube Decoction)
31.The main indication of Ma Xing Shi Gan Tang ( Ephredra, Apricot Kernel, Gypsum, and Licorice Decoction)
A. Facilitates the flow of Lung Qi, clears Heat, and calms wheezing by directing rebellious Qi downward
B. clears and disperses Warm-dryness, moistens the Lungs, and stops cough
C. drains Stomach Fire, generates fluids, and regulates thirst
D. expels Wind Dampness, disperses painful obstructions, and tonifies
32.Yin Qiao San ( Honeysuckle and Forsythia Powder):
A. clears Heat, resolves Dampness, and reduces jaundice
B. clears Heat, relives toxicidy, cools the blood, and alleviates dysenteric disorders
C. drains Heat, breaks up Blood stasis, disperses clumping, and reduces swelling
D. disperses Wind Heat, clears Heat, and relieves toxicity
33.Which of the following herbs tonifies the Kidney, fortifies Yang, clams the restless fetus, and harnesses ascendant Liver Yang?
A. Ba Ji Tian ( Radix Morindae Officinalis)
B. Yin Yang Huo ( Herba Epimedii)
C. Xian Mao ( Rhizoma Curculiginis Orchioidis)
D. Du Zhong ( Cortex Eucommiae Ulmoidis)
34.A patient complains of frequent, painful, scanty, and difficult urination for three days. The patient’s tongue coating is yellow and greasy and the pulse is slippery, rapid. The most appropriate prescription is:
A. Ba Zheng San ( Eight-Herb Powder for Rectification)
B. Zhen Wu Tang ( True Warrior Decoction)
C. Bei Xie Fen Qing Yin ( Dioscorea Hypoglauca Decoction to Separate the Clear)
D. Yin Chen Hao Tang ( Artemisia Yinchenhao Decoction)
35.A formula to strengthen the Yang of the Spleen and Kidney to stop diarrhea is:
A. Da Jian Zhong Tang ( Major Construct the Middle Decoction)
B. Si Ni San ( Frigid Extremities Powder)
C. Shen Fu Tang ( Ginseng and prepared Aconite Decoction)
D. Si Ni Tang ( Frigid Extremities Decoction)
36.Which one of the following formula can be used to treat alternate attacks of chills and fever, fullness in the chest, hypochondriac discomfort, bitterness in the mouth, thin, white tongue fur, and a wiry pulse?
A. Ban Xia Hou Po Tang ( Decoction of Pinellia and Magnolia Bark)
B. Xiao Chai Hu Tang ( Minor Bupleurum Decoction)
C. Er Chen Tang ( Two-Cured Decoction)
D. Si Jun Zi Tang ( Four-Gentlemen Decoction)
37.After a two week prescription of Zuo Gui Wan ( Restore the Left Kidney Pill), the patient complains of diarrhea and bloating. The patient’s tongue is pale and scalloped and the pulse is soft and slippery. The most likely reason for the bloating and diarrhea is that the herbal formula is too:
A. cloying
B. descending
C. dispersing
D. warming
38.Which of the following herbs are common to the formulas Xiao Cheng Qi Tang ( Minor Order the Qi Decoction) and Hou Po San Wu Tang ( Three-Substance Decoction with Magnolia Bark)?
A. Hou Po ( Cortex Magnoliae Officinalis), Zhi Shi (Fructus Immaturus Citri Aurantii), and Da Huang ( Radix et Rhizoma Rhei)
B. Hou Po ( Cortex Magnoliae Officinalis), Yi Tang ( Saccharum Granorum), and Gan Cao (Radix Glycyrrhizae Uralensis)
C. Hou Po ( Cortex Magnoliae Officinalis), Mu Xiang ( Radix Aucklandiae Lappae), and Gan Cao (Radix Glycyrrhizae Uralensis)
D. Hou Po ( Cortex Magnoliae Officinalis), Xuan Shen ( Radix Scrophulariae Ningpoensis), and Chi Shao ( Radix Paeoniae Rubrae)
39.When using Liu Wei Di Huang Wan ( Six-Ingredient Pill with Rehmannia) to treat night sweats, hot flashes, low back pain, and red ears and face, the practitioner should substitute:
A. Fu Ling( Sclerotium Poriae Cocos) with Zhu Ling ( Sclerotium Polypori Umbellati)
B. Shu Di Huang ( Radix Rehmanniae Glutinosae Conquitae) with Sheng Di Huang ( Radix Rehmanniae Glutinosae)
C. Ze Xie ( Rhizoma Alismatis Orientalis) with Gua Lou( Fructus Trichosanthis)
D. Ze Xie ( Rhizoma Alismatis Orientalis) with Wu Mei (Fructus Pruni Mume)
40. Chuan Xiong Cha Tiao San ( Ligusticum Chuanxiong Powder to be Taken with Green Tea) is indicated for a headache due to:
A. Liver Yang rising
B. Blood deficiency
C. External Wind
D. Blood stagnation
41.Gui Zhi Tang(Cinnamon Twig Decoction):
A)invigorates the Blood, transforms Blood stasis, and reduces fixed abdominal masses
B)releases the Exterior, transforms congested fluids, warms the lungs, and directs rebellious Qi downward
C)disperses Wind Heat, clears Heat, and releases toxicity
D)releases pathogenic influences from the muscle layer and regulates nurturing and protecting Qi
42.Qi Ju Di Huang Wan ( Lycium Fruit, Chrysanthemum, and Rehmannia Pill) is used for Kidney and :
A)Heart Yin deficiency
B)Liver Yin deficiency
C)Heart disharmony
D)Liver Yin deficiency with Liver Qi constraint
43.A patient presents with generalized edema, diarrhea, and urinary difficulty. The tongue coating is thick and white. Which formula is most appropriate in treating this disorder?
A) Zhu Ling Tang(Polyporus Decoction)
B)Wu Ling San(Five-Ingredient Power with Poria)
C)Ba Zheng San(Eight-Herb Powder for Rectification)
D)Bei Xie Fen Qing Yin(Dioscorea Hypoglauca Decoction to Separate the Clear)
44.Which of the following herbs clears Heat from the Heart and calms the Spirit?
A)Bai He(Bulbus Lilii)
B)Shi Chang Pu(Rhizoma Acori Graminei)
C)Shu Di Huang(Radix Rehmanniae Clutinosae Conquitae)
D)Gan Cao(Radix Glycyrrhizae Uralensis)
45.What is the differentiation in the use of Gui Pi Tang(Restore the Spleen Decoction) and Tian Wang Bu Xin Dan(Emperor of Heaven’s Special Pill to Tonify the Heart) in the treatment of insomnia?
A)one treats excess, the other treats deficiency
B)one contains calm the Spirit herbs, the other does not
C)one treats phlegm more, one treats stagnation more
D)one treats the Heart and Spleen, one treats the Heart and Kidney
46.A patient presents with prolonged menstrual bleeding, sometimes lasting all month, with pale, trickling blood. She also has a slight lack of appetite, insomnia, palpitations, fatigue, a pale tongue with a thin, white coating, and a thready, weak pulse. The most appropriate formula is: