Practice Test Geeks(ACC) Acupuncture Certification for Chiropractors Practice Test

ACC Cheat Sheet 2026

The 30 highest-yield ACC facts, distilled from real exam questions. Print it, save it as a PDF, or study it here β€” free, no sign-up.

200 questions
180 min time limit
75.00% to pass
  1. In the TCM Eight Principles, which pairing describes the thermal or energetic nature of a disease? β†’ Hot and Cold
  2. Which acupoint on the Gallbladder channel is the influential point of the marrow (Sui)? β†’ GB 39 (Xuanzhong)
  3. According to the principles of acupuncture point selection, which strategy uses a distal point on the same channel as the affected area to treat that area? β†’ Distal point selection along the same channel
  4. Which standard is the primary reference for infection control practices used by acupuncture practitioners in the United States? β†’ CDC Standard Precautions and the OSHA Bloodborne Pathogens Standard
  5. A patient presents with chronic pelvic pain. Which acupuncture points are most relevant for this presentation in TCM practice? β†’ CV 3, CV 4, SP 6, SP 9, BL 32
  6. Which acupoint is located 1 cun directly above GB 20, in the depression between the trapezius and sternocleidomastoid muscles? β†’ GV 16 (Fengfu)
  7. When using the Balance Method (Dr. Tan's approach) for right wrist pain, which contralateral mirror area would be treated? β†’ Left ankle
  8. According to TCM theory, which organ 'opens to the ears'? β†’ Kidney
  9. Which acupoint is the Back-Shu of the Kidney? β†’ BL 23
  10. Which acupuncture point is known as the 'command point' for the back and is frequently used for acute low back pain? β†’ BL 40 (Weizhong)
  11. The TCM principle of treating 'Cold disorders with Hot methods and Hot disorders with Cold methods' exemplifies: β†’ The principle of using contrary treatment
  12. In the 'lifting and thrusting' (提插, tΓ­ chā) technique, which action is considered tonifying? β†’ Heavy thrusting with gentle lifting
  13. When recapping a used acupuncture needle is unavoidable, which technique is acceptable? β†’ One-handed scoop technique using the cap on a flat surface
  14. Which of the following acupoints is located at the midpoint between the medial malleolus and the Achilles tendon? β†’ KD 3 (Taixi)
  15. A 55-year-old patient with cancer-related pain is receiving chemotherapy. Which acupuncture consideration is most important? β†’ Check platelet count and avoid needling lymphedema-affected or compromised limbs
  16. Which acupoint is the influential (Hui) point of the Blood? β†’ BL 17 (Geshu)
  17. Which meridian provides the internal pathway connection that allows the Spleen meridian to influence the Heart? β†’ The Spleen divergent channel ascends to reach the Heart
  18. The 'asking' portion of the Four Examinations most critically involves: β†’ The Ten Questions (Shi Wen)
  19. Bloodletting (wet cupping or lancet technique) at acupuncture points is contraindicated in patients with which condition? β†’ Coagulation disorders or anticoagulant therapy
  20. A practitioner accidentally needles too deep at CV-17 and the patient develops sudden chest pain and dyspnea. What complication should be suspected first? β†’ Pneumothorax
  21. Which extraordinary vessel is described as the 'sea of the twelve meridians' and regulates Qi and blood in all channels? β†’ Chong Mai (Penetrating Vessel)
  22. Foot reflexology zones divide the plantar surface into ten longitudinal zones; how many zones correspond to each half of the body? β†’ Five
  23. What is the rationale for allowing the alcohol swab to dry completely before needle insertion? β†’ Wet alcohol can be carried into tissue and cause irritation or interfere with antisepsis
  24. Which needle insertion technique involves a slow, gradual advancement through tissue while rotating the needle? β†’ Screwing insertion
  25. Which meridian travels through the axilla and runs along the medial aspect of the upper arm between the Lung and Heart meridians? β†’ Pericardium
  26. What is the primary function of the Heart (Xin) in TCM? β†’ Governs blood and houses the mind (Shen)
  27. Which extraordinary vessel is primarily responsible for regulating the Yin meridians of the body? β†’ Ren Mai (Conception Vessel)
  28. Which Fu organ receives food and begins the digestive process by 'rotting and ripening' its contents? β†’ Stomach
  29. At which acupuncture point does the Stomach meridian originate on the face? β†’ ST-1 (Chengqi)
  30. Which type of moxa is most suitable for direct moxibustion with scarring? β†’ Highly refined moxa wool (pure mugwort)
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