2018 Practitioner Exam Syllabus: Outline of Basic Diagnostics for TCM Practitioners

2018 TCM Practitioner "Diagnostic Fundamentals" Exam Syllabus

Unit 1 Symptomatology

Item 1: Fever

Key Points:

1.Causes of Fever

2.Clinical Manifestations of Fever

3.Essentials of Interrogation of Fever

Item 2: Headache

Key Points:

1. Causes of headache

2. Points of inquiry for headache

Item 3: Chest pain

Points:

1. Points of consultation for abdominal pain

Item 5: Cough and sputum

Points:

1. Differences between hemoptysis and hematemesis

Item 7: Dyspnea

Points:

1. Causes of dyspnea

2. Clinical manifestations of dyspnea

3. Clinical manifestations of edema

3. Points of inquiry of edema

Item 9: Skin and mucous membrane hemorrhage

Points:

1. > Points:

1. Causes of nausea and vomiting

2. Points of diagnosis of nausea and vomiting

Item 11: Vomiting blood and black stool

Points:

1.

Item 14: Disorders of consciousness

Points:

1. Causes of disorders of consciousness

2. Clinical manifestations of disorders of consciousness (somnolence, lethargy, coma, confusion, and delirium)

3. Symptoms accompanying disorders of consciousness

Second unit of interrogation and diagnosis

Points: contents of the questioning and diagnosis

Unit 3 Examination and Diagnosis

Item 1: Basic Examination Methods

Main Points:

1. Common methods of palpation and their scope of application and precautions

2. Methods of percussion and common percussion tones

3. Common abnormal odors of olfactory diagnosis and their clinical significance

Item 2: Examination of the Whole Body Condition

Main Points:

1.

1. Temperature measurement

2. Pulse check

3. Blood pressure measurement

4. Developmental judgment

5. Nutritional state examination

6. Consciousness state judgment

7. Facial appearance examination

8. Positional examination

9. Gait inspection

Item III. Skin examination

Points:

1. Elasticity, color, and humidity examination

2. Rash, subcutaneous hemorrhage, spider nevus, and subcutaneous nodule examination

3. Edema, subcutaneous emphysema, and hair examination

Item 6: Neck examination

Points:

1. Neck blood vessel examination

2. Thyroid examination

3. Tracheal examination

Item 7: Chest wall and thoracic examination

Main points:

1. Chest surface markings and partitions

2. Common abnormalities of the thorax

3. Chest wall vein examination

4. > Item 8: Lung and pleural examination

Main points:

1. Visual diagnosis of lungs and pleura (respiratory type, frequency, depth, rhythm)

2. Palpation of lungs and pleura (palpation of trembling, pleural friction)

3. Lungs percussion

4. Auscultation of respiratory sound (normal respiratory sound, pathological respiratory sound)

5. Rales Auscultation

6. Auscultation of pleural friction sounds

7. Auditory-phonetic examination

8. Signs of common respiratory system diseases (pulmonary solid changes, emphysema, pleural effusion, pulmonary atelectasis, and pneumothorax)

Item 9: cardiac and vascular examination

Points:

1. Visual examination of the heart (anterior region of the heart bulge, apical pulsations)

2.

2. Heart palpation (heart tremor, pericardial friction)

3. Heart percussion (heart turbid boundary)

4. Heart valve auscultation area

5. Heart rate auscultation, rhythm auscultation

6. Normal heart sounds and their production mechanism

7. Heart sound auscultation (normal heart sounds, heart sound changes, clicks, prancing heart rhythm, and open heart sound)

8. Heart tone auscultation (normal heart sound, heart sound changes, click, prancing heart rhythm, and open valve sound)

9. Heart tone auscultation (heart sound change)

10. Auscultation of heart murmurs

8. Mechanisms of heart murmurs

9. Characteristics of heart murmurs

10. Auscultation of common murmurs in various valvular regions

11. Auscultation of pericardial friction sounds

12. Vascular examination and peripheral vascular signs

13. Signs of common diseases of the circulatory system (mitral stenosis and insufficiency, aortic stenosis and insufficiency, cardiac failure and heart failure, and aortic stenosis and insufficiency)

14. The main points are:

1. Abdominal visualization (shape, respiratory movements, abdominal wall veins, gastrointestinal pattern and peristaltic waves)

2. Abdominal palpation (abdominal wall tension, tenderness and rebound pain)

3. Palpation of the intra-abdominal organs (liver, gall bladder, spleen, kidney, Bladder)

4. Normal abdominal palpable structures, abdominal mass palpation

5. Abdominal percussion (percussion sounds, liver, spleen, bladder percussion)

6. Gastric follicle tympanic area and mobile turbidity percussion

7. Abdominal auscultation (intestinal sounds, epigastric vibrating watery sounds, vascular murmur)

8. Signs of common diseases of the abdomen (acute Peritonitis, cirrhosis, portal hypertension, intestinal obstruction)

Detailed and eleven: anus, rectum examination

Main points:

1. anus, rectum visual diagnosis

2. anus, rectum diagnosis

Detailed and twelve: spine and limb examination

Main points:

1. spinal examination (curvature, mobility. pressure pain and percussion pain)

1, Spinal examination (curvature, mobility, pressure and percussion)

2. Examination of limbs and joints (morphology, motor function)

Item 13: Neurological examination

Main points:

1. Differences between central and peripheral facial nerve paralysis

2. Examination of sensory function, sensory disorders and their common types

3. Examination of motor function (muscle strength, muscle tension, voluntary movement, **). Motor function examination (muscle strength, muscle tension, involuntary movement, **** movement)

4. Differentiation between central and peripheral paralysis

5. Neurological reflex examination (superficial reflexes, deep reflexes, pathological reflexes, meningeal irritation sign)

Item 2: Thrombosis and hemostasis examination

Points:

1. Bleeding time determination

2. Platelet aggregation test

3. Coagulation factor test (activated partial thromboplastin time, prothrombin time, plasma fibrinogen)

4. Fibrinolytic activity test (D-dimer, 3P test)

5. Oral anticoagulant therapy monitoring

Item 3: Bone marrow examination

Key Points：

1. Clinical significance of bone marrow cytological examination

2. Myelodysplasia degree grading

Item 4: Laboratory examination of liver disease

Main points:

1. Protein metabolism examination (serum protein determination, serum protein electrophoresis)

2. Serum enzymes and isoenzymes (ALT, AST, ALP, γ-GT, LDH)

4. A, B, C viral hepatitis markers

Item 5: renal function tests

Key points:

1. glomerular function tests (CCr, Cr, BUN, blood β2-microglobulin, GFR)

2. tubular function tests (urinary β2-microglobulin, Morse test)

2. Blood uric acid measurement

Item 6: common biochemical tests

Key points:

1. Glucose test (blood glucose, glucose tolerance test, serum glycated hemoglobin)

2. Lipid determination

3. Electrolyte test (serum potassium, sodium, chloride, calcium, phosphorus)

4. Serum iron and its metabolites determination (serum iron, chlorine, calcium, phosphorus)

4. Metabolite determination (serum iron, iron saturation, ferritin)

Item 7: Enzymatic examination

Main points:

1. Blood and urine amylase measurement

2. Myocardial injury enzyme detection (CK, CK-MB, LDH and its isoforms)

3. Cardiac myosin detection (cTnT, cTnI)

Main points:

1. Serum immunoglobulin and complement determination

2. Infection immunity test (AS0, Fertilizer reaction)

3. Tumor marker test (AFP, CEA, CA125, PSA, CA19-9)

4. Autoantibody test (RF, ANA, ENA antibody spectrum, anti-Antibodies)

4. Autoantibody test (RF, ANA, ENA antibody spectrum, anti-double-stranded DNA antibody, ATG, ATM)

5. C-reactive protein (CRP) test

Item 9: Urine examination

Key points:

1. General character examination (urine volume, color, odor, specific gravity)

2. Chemical examination (protein, sugar, copper body)

3. Microscopic examination (cell, tube, colony count)

4. Urine sediment count

Item 10: Stool examination

Key points:

1. Stool specimen collection

2. General character examination (volume, color, character, and odor)

3. Microscopic examination (cells, parasites)

4. Chemical examination (occult blood test, bilirubin test)

5. Bacteriological examination

Item XI: sputum examination

Points:

1. sputum specimen collection method

2. general trait examination (amount, color, trait, odor)

3. microscopy

4. pathogen examination

4. p>

Item 12: Plasmapheresis fluid examination

Points:

1. Plasmapheresis fluid classification and causes of formation

2. Exudate and leakage of the points of identification

Item 13: Cerebrospinal fluid examination

Points:

1. Cerebrospinal fluid examination of the indications and contraindications

2. Cerebrospinal fluid characteristics of central nervous system diseases

Item 3: Common abnormal electrocardiogram

Key points:

1. Atrial and ventricular hypertrophy

2. Myocardial infarction and myocardial ischemia

3. Arrhythmia (sinus arrhythmia, premature beats, ectopic tachycardia, fibrillation, atrioventricular block, and preexcitation)

4. Clinical value of electrocardiogram

Unit 6 Diagnostic Imaging

Item 1: Diagnostic Ultrasound

Key Points:

1. Clinical application of diagnostic ultrasound

2. Abnormal sonograms of mitral stenosis and dilated cardiomyopathy

3. Abnormal sonograms of gallbladder stones and urinary tract stones

4. Abnormal sonograms of fatty liver and cirrhosis

Item 2: Radiologic diagnosis

Key points:

1. Characteristics and imaging principle of X-ray

2. X-ray examination methods

3. Clinical application of CT and magnetic **** vibration imaging (MRI)

4. Imaging manifestations of common respiratory diseases

5. 5. Imaging manifestations of common diseases of the circulatory system

6. Imaging of digestive system diseases and imaging manifestations of common diseases

7. Imaging manifestations of common diseases of the urinary system

8. Imaging manifestations of common diseases of the bones and joints

9. Imaging manifestations of common central nervous system diseases

Breakdown of the third: Radionuclide diagnosis

Key points:

1. organ imaging (thyroid, myocardial perfusion)

2. in vitro competitive radiographic analysis (TT3, FT3, TT4, FT4, TSH, C peptide, insulin)

Unit VII Medical Record and Diagnostic Methodology

Key points:

1. Format and content

2. Steps and principles of establishing a diagnosis

3. Diagnostic content and writing