100+ Free Integrated Chinese-Western Assistant Practitioner (China) Practice Questions

Integrated TCM-Western Foundations (中西医结合基础)

Core scientific and theoretical foundations of both medical paradigms: (1) TCM Basic Theory (中医基础理论): Yin-Yang and Five Elements dynamics, Zang-Fu organ physiological functions and systemic interactions (Heart, Lung, Spleen, Liver, Kidney), Qi-Blood-Body Fluids generation, distribution, and pathological derangements, six climatic pathogens (六淫), seven emotions (七情), internal organ disharmonies, and constitution theory; (2) Chinese Materia Medica (中药学): Four natures and five flavors (四气五味), channel tropism (归经), ascending/descending/floating/sinking (升降浮沉), herb processing (炮制), Seven Relations of herbal combinations (七情配伍), Eighteen Incompatibilities (十八反), Nineteen Counteractions (十九畏), pregnancy contraindications, and clinical actions of key herbs (exterior-releasing, heat-clearing, purgative, dampness-resolving, interior-warming, qi-regulating, blood-invigorating, tonifying, astringent); (3) TCM Formulae (方剂学): Monarch, Minister, Assistant, Guide hierarchy (君臣佐使), formula modification principles, indications, actions, and contraindications of classic representative prescriptions (e.g., Mahuang Tang, Yin Qiao San, Bai Hu Tang, Xiao Chai Hu Tang, Si Ni Tang, Bu Zhong Yi Qi Tang, Liu Wei Di Huang Wan, Xue Fu Zhu Yu Tang); (4) Western Pharmacology (药理学): Pharmacodynamics (receptor theory, agonists, antagonists), pharmacokinetics (absorption, distribution, hepatic CYP metabolism, renal elimination), and therapeutic mechanisms, adverse drug reactions, contraindications, and clinical monitoring for major drug classes (beta-blockers, ACE inhibitors, calcium channel blockers, diuretics, cardiac glycosides, antiarrhythmics, antibiotics, glucocorticoids, hypoglycemics, NSAIDs, bronchodilators, proton pump inhibitors).

Integrated Clinical Internal Medicine (中西医结合内科学)

Comprehensive clinical management synthesizing Western diagnostic criteria, laboratory/imaging confirmation, Western standard pharmacotherapy, and TCM pattern differentiation (辨证论治) with targeted herbal formulas: (1) Respiratory System: Chronic Obstructive Pulmonary Disease (COPD / 慢性阻塞性肺疾病), Bronchial Asthma (支气管哮喘), Community-Acquired Pneumonia (社区获得性肺炎), Chronic Cor Pulmonale (慢性肺源性心脏病), and Acute Respiratory Failure; (2) Circulatory System: Heart Failure (心力衰竭 - systolic vs diastolic, NYHA functional classes, Yang deficiency with water retention, Qi deficiency and blood stasis), Essential Hypertension (原发性高血压 - Liver Yang rising, Phlegm-dampness stagnation, Yin-Yang deficiency), Coronary Artery Disease / Angina Pectoris / Acute Myocardial Infarction (冠心病/心绞痛/急性心肌梗死 - Cold stagnation in Heart channels, Heart blood stasis, Qi-Yin deficiency), and Common Cardiac Arrhythmias (premature beats, atrial fibrillation); (3) Digestive System: Gastroesophageal Reflux Disease (GERD), Chronic Gastritis (慢性胃炎), Peptic Ulcer Disease (消化性溃疡), Ulcerative Colitis (溃疡性结肠炎), Liver Cirrhosis (肝硬化 - ascites, portal hypertension, Spleen-Kidney Yang deficiency, Damp-heat accumulation), Hepatic Encephalopathy, and Acute Pancreatitis (急性胰腺炎); (4) Urinary System: Acute and Chronic Glomerulonephritis (肾小球肾炎), Nephrotic Syndrome (肾病综合征), Urinary Tract Infection / Pyelonephritis (尿路感染/肾盂肾炎), and Chronic Kidney Disease / Renal Failure (慢性肾衰竭); (5) Hematologic System: Iron Deficiency Anemia (缺铁性贫血), Aplastic Anemia (再生障碍性贫血), Idiopathic Thrombocytopenic Purpura (ITP), and Acute Leukemias; (6) Endocrine & Metabolic System: Type 2 Diabetes Mellitus (2型糖尿病 - Xiao Ke pattern differentiation: Upper, Middle, Lower wasting-thirst), Diabetic Ketoacidosis, Hyperthyroidism / Graves' Disease (甲状腺功能亢进症 - Liver Qi stagnation transforming into fire, Qi-Yin deficiency), and Hyperuricemia / Gout (痛风); (7) Rheumatic & Connective Tissue Diseases: Rheumatoid Arthritis (类风湿关节炎 - Bi syndrome / 风寒湿痹, 湿热痹, 尪痹) and Systemic Lupus Erythematosus (SLE); (8) Neurological System: Acute Cerebrovascular Diseases (Ischemic Stroke / 脑梗死 and Intracerebral Hemorrhage / 脑出血 - Wind-phlegm blocking collaterals, Liver-Kidney Yin deficiency, Qi deficiency and blood stasis), Transient Ischemic Attack (TIA), and Parkinson's Disease; (9) Infectious Diseases: Viral Hepatitis (Hepatitis B / 乙型病毒性肝炎 serology, cirrhosis transformation, damp-heat in Liver-Gallbladder), Pulmonary Tuberculosis (肺结核 - Yin deficiency with fire flourishing), Bacillary Dysentery, and Epidemic Hemorrhagic Fever (HFRS).

Integrated Clinical Surgery, Ob/Gyn & Pediatrics (中西医结合外科学、妇科学、儿科学与针灸学)

Integrated surgical, obstetrical, gynecological, pediatric, and acupuncture care: (1) Integrated Surgery (外科学): Fluid and electrolyte resuscitation, surgical shock (hypovolemic, septic), systemic inflammatory response syndrome (SIRS), perioperative evaluation, surgical site infection prophylaxis, acute appendicitis (阑尾炎 - Intestinal Abscess / 肠痈: Da Huang Mu Dan Tang), acute cholecystitis and gallstones (胆囊炎与胆石症 - Damp-heat in Liver-Gallbladder), acute intestinal obstruction (肠梗阻 - Qi stagnation and blood stasis, bowel purgation), breast disorders (Acute Mastitis / 乳痈 - Gua Lou Niu Bang Tang, Fibroadenoma, Breast Cancer screening), superficial soft tissue infections (furuncle, carbuncle, erysipelas / 丹毒), peripheral vascular diseases (Thromboangiitis Obliterans / 脱疽: Si Miao Yong An Tang, DVT), and anorectal disorders (hemorrhoids, anal fissure, perianal abscess); (2) Integrated Obstetrics & Gynecology (妇科学): Female reproductive endocrinology, normal menstrual cycle, Abnormal Uterine Bleeding (AUB / 崩漏 - Spleen deficiency, Blood heat, Blood stasis), Dysmenorrhea (痛经 - Qi stagnation with blood stasis, Cold stagnation with blood stasis: Shao Fu Zhu Yu Tang), Pelvic Inflammatory Disease (PID / 盆腔炎性疾病), Ectopic Pregnancy (异位妊娠 - non-ruptured vs ruptured shock, Gong Wai Yun Fang), Gestational Hypertension / Preeclampsia (子痫前期), and Postpartum complications (postpartum hemorrhage, lochiostasis / 产后恶露不绝, postpartum fever); (3) Integrated Pediatrics (儿科学): Pediatric physical growth milestones (weight, height, fontanelle closure, tooth eruption), physiological characteristics (immature Zang organs, rapid growth, easy cold and easy heat), Pediatric Pneumonia (小儿肺炎喘嗽 - Wind-heat invading Lung, Phlegm-heat closing Lung: Ma Xing Shi Gan Tang combined with Ting Li Da Zao Xie Fei Tang), Pediatric Diarrhea (小儿泄泻 - Damp-heat diarrhea: Ge Gen Huang Qin Huang Lian Tang; Spleen deficiency diarrhea: Shen Ling Bai Zhu San), Neonatal Jaundice (新生儿黄疸 - physiological vs pathological, Damp-heat in Yang Ming: Yin Chen Hao Tang), Acute Glomerulonephritis in Children (小儿急性肾小球肾炎), Childhood Exanthems (Measles / 麻疹, Chickenpox / 水痘, Hand-Foot-Mouth Disease / 手足口病), and Infantile Convulsions (小儿惊风 - acute vs chronic); (4) Acupuncture & Moxibustion (针灸学): Twelve Principal Meridians and Eight Extraordinary Vessels pathways, specific acupoint classifications (Five Shu points, Yuan-source points, Luo-connecting points, Back-Shu points, Front-Mu points, Eight Confluent points, Lower He-sea points), precise anatomical location and needle insertion safety (danger zones: Lieque, Fengchi, Tiantu, Feishu), and classic acupuncture treatments for acute pain, facial palsy (面瘫), stroke hemiplegia, insomnia, headache, and epigastric pain.

Diagnostics & Medical Humanities (诊断学基础与医学人文)

Biomedical diagnostics, TCM diagnostic methods, medical ethics, and statutory healthcare regulations: (1) Western Symptomatology & Physical Examination (诊断学基础): Evaluation of fever curves (continuous, remittent, intermittent), chest pain characteristics, dyspnea types (inspiratory, expiratory, mixed), cyanosis, jaundice (hemolytic, hepatocellular, obstructive), edema (cardiac, renal, hepatic), lymph node enlargement, chest lung sounds (vesicular, bronchial, crackles, wheezes), cardiac examination (precordial heave, thrill, heart sounds S1/S2, murmurs, pericardial friction rub), abdominal examination (organ palpation, rebound tenderness, shifting dullness), and nervous system reflexes (deep tendon reflexes, Babinski sign, meningeal signs: Kernig, Brudzinski, neck stiffness); (2) Laboratory Diagnostics & Imaging: Complete blood count (CBC differential, microcytic/macrocytic anemia indices), coagulation profiles (PT/INR, APTT), urinalysis (proteinuria, RBC casts, WBCs), liver function tests (ALT, AST, total/direct bilirubin, albumin), renal function tests (serum creatinine, BUN, eGFR), cardiac biomarkers (Troponin I/T, CK-MB, BNP/NT-proBNP), 12-Lead Electrocardiogram (normal waves P-QRS-T, axis, chamber enlargement, myocardial ischemia/infarction ST-T changes, bundle branch blocks, arrhythmias: PVCs, VT, AFib, AV block), and chest X-ray/CT essentials (lobar consolidation, pneumothorax, pleural effusion, pulmonary edema); (3) TCM Diagnostics (中医诊断学): Four Diagnostic methods (望闻问切) - tongue inspection (body color, shape, coating color and quality), pulse palpation (floating, deep, rapid, slow, slippery, wiry, thin, choppy), inquiry (chills and fever, sweating, head/body pain, stools and urine), and Eight Principles differentiation (Yin/Yang, Exterior/Interior, Cold/Heat, Deficiency/Excess); (4) Medical Ethics (医学伦理学): Core ethical principles (beneficence, non-maleficence, autonomy/respect, justice), doctor-patient communication, informed consent doctrine, patient confidentiality, medical paternalism vs client autonomy, clinical research ethics, and end-of-life palliative care; (5) PRC Health Laws & Regulations (卫生法规): PRC Physicians Law (中华人民共和国医师法 - qualification, registration, scope of practice, rights and duties, emergency treatment duty, medical record management, prohibition of kickbacks), PRC Law on Prevention and Treatment of Infectious Diseases (传染病防治法 - Categories A, B, C, statutory reporting timelines, isolation measures), Medical Malpractice Handling Regulations (医疗事故处理条例 - technical appraisals, negligence grading, liability allocation), Prescription Management Measures (处方管理办法 - prescription validity, color coding, maximum duration, narcotic/psychotropic prescriptions), and Emergency Response Law for Public Health Incidents.