AP Patient Assessment & Evaluation 2 — Questions and Answers
Question 1: A patient presents with a pale, lusterless complexion and fatigue. Which pattern does this most likely indicate?
- Liver Qi Stagnation
- Blood Deficiency (Correct answer)
- Yang Excess
- Phlegm Accumulation
Correct answer: Blood Deficiency
A pale, lusterless complexion combined with fatigue is a classic sign of Blood Deficiency in TCM.
Question 2: When auscultating a patient's voice, a weak and low voice most likely indicates:
- Heat in the Lungs
- Liver Fire Blazing
- Qi or Yang Deficiency (Correct answer)
- Full Heat Syndrome
Correct answer: Qi or Yang Deficiency
A weak, low voice reflects insufficient Qi or Yang to power vocalization, indicating deficiency patterns.
Question 3: Which tongue body color is associated with Cold patterns?
- Red
- Purple
- Pale (Correct answer)
- Dark red
Correct answer: Pale
A pale tongue body indicates Cold or Deficiency patterns due to reduced blood circulation to the tongue.
Question 4: A patient reports pain that is fixed, stabbing, and worse at night. This presentation suggests:
- Qi Stagnation
- Blood Stasis (Correct answer)
- Cold Obstruction
- Damp Accumulation
Correct answer: Blood Stasis
Fixed, stabbing pain that worsens at night is the hallmark of Blood Stasis in TCM diagnosis.
Question 5: In the five-phase system, which organ pair is associated with the Water element?
- Liver and Gallbladder
- Heart and Small Intestine
- Spleen and Stomach
- Kidney and Urinary Bladder (Correct answer)
Correct answer: Kidney and Urinary Bladder
The Kidney and Urinary Bladder are the Zang-Fu organs associated with the Water element.
Question 6: A greasy, thick tongue coating most commonly indicates:
- Yin Deficiency
- Blood Deficiency
- Phlegm or Damp accumulation (Correct answer)
- Exterior Wind invasion
Correct answer: Phlegm or Damp accumulation
A greasy, thick coating is a primary indicator of Phlegm or Dampness accumulating in the body.
Question 7: When assessing the Cun position of the right wrist pulse, which organ is primarily reflected?
- Liver
- Lung (Correct answer)
- Heart
- Kidney
Correct answer: Lung
In TCM pulse diagnosis, the right Cun (distal) position reflects the Lung organ.
A patient presents with a pale, lusterless complexion and fatigue.
Which pattern does this most likely indicate?