Mixed Deck — All ACC Topics Flashcards

What is the primary goal of acupuncture in chiropractic care?

Answer: To relieve pain and promote healing

The primary goal of acupuncture in chiropractic care is to relieve pain and promote the body's natural healing processes. By targeting specific points, acupuncture can reduce inflammation, muscle tension, and nerve irritation, which are common sources of musculoskeletal pain. This complementary approach supports the chiropractic adjustments by creating a more receptive environment for healing and improving overall patient outcomes.

When treating chronic pain with acupuncture, the recommended initial treatment frequency is generally:

Answer: 2-3 times per week for 4-6 weeks before reassessment

Evidence-based acupuncture protocols for chronic pain typically recommend 2-3 sessions per week for 4-6 weeks to build cumulative effect before outcomes are assessed.

When recapping a used acupuncture needle is unavoidable, which technique is acceptable?

Answer: One-handed scoop technique using the cap on a flat surface

The one-handed scoop method minimizes needlestick risk by keeping the other hand away from the needle tip during recapping.

When applying the 'green turtle searching for a hole' (苍龟探穴, cāng guī tàn xué) technique, how many directions does the needle explore?

Answer: Four

The green turtle searching for a hole technique involves fanning the needle in four directions (anterior, posterior, left, right) to spread Qi in the local area.

Which of the following is a sign of hematoma formation at an acupuncture needle site?

Answer: Rapid localized swelling and discoloration

Hematoma presents as rapid localized swelling and discoloration due to bleeding into subcutaneous tissue after needle removal.

Which classification of acupoints refers to points that do NOT belong to any of the 14 meridians but have specific locations and indications?

Answer: Extra points (Extraordinary points)

Extra points (extraordinary points / miscellaneous points) have fixed locations and clinical indications but are not part of the 14 regular meridians.

The TCM concept of Zheng Qi (Upright Qi) most accurately refers to:

Answer: The body's defensive and restorative vitality

Zheng Qi represents the body's overall vitality and capacity to resist and recover from disease.

HT 7 (Shenmen) is located at which position on the wrist?

Answer: Ulnar end of the transverse crease of the wrist, in the depression radial to the pisiform bone

HT 7 (Shenmen) is at the ulnar end of the wrist crease, in the depression radial to the pisiform bone and ulnar to the ulnar artery.

Which acupuncture point location requires the patient to be in a specific position to safely avoid needling the spinal cord?

Answer: GV-4 (Ming Men)

GV-4 and other governing vessel points on the spine require careful depth control and proper patient positioning to avoid spinal cord injury.

An exposure control plan (ECP) in an acupuncture clinic must be reviewed and updated at minimum:

Answer: Annually

OSHA requires that ECPs be reviewed and updated at least annually and whenever new tasks or procedures are introduced.

A practitioner is treating two patients back-to-back in the same room. What CNT requirement applies to the treatment surface between patients?

Answer: Surfaces must be disinfected with an EPA-registered disinfectant between patients

All patient contact surfaces must be disinfected with an EPA-registered disinfectant between patients to prevent cross-contamination, regardless of visible soiling.

What is the primary purpose of using a guide tube during needle insertion?

Answer: To reduce insertion pain by allowing a quick tap-in technique

Guide tubes allow a swift tap insertion that minimizes pain by passing quickly through superficial pain receptors in the skin.

Which acupoint is located at the depression between the 4th and 5th metacarpal bones, proximal to the metacarpophalangeal joint?

Answer: TW 3 (Zhongzhu)

TW 3 (Zhongzhu) is located on the dorsum of the hand in the depression between the 4th and 5th metacarpal bones, proximal to the knuckle joints.

The internal pathway of the Lung channel of Hand-Taiyin is unique because it originates in which region of the body before ascending to the Lungs?

Answer: The Middle Jiao (Stomach region)

The primary channel of the Lung originates internally in the Middle Jiao, in the region of the Stomach. It then descends to connect with the Large Intestine before ascending through the diaphragm to enter the Lungs and finally emerge at LU-1 on the chest.

A patient with fibromyalgia presents with widespread pain and fatigue. Which acupuncture treatment strategy is most appropriate?

Answer: Gentle needling with few needles targeting systemic points

Fibromyalgia patients are often hypersensitive; gentle needling with fewer needles and systemic regulatory points is safer and more effective.

When considering the use of electroacupuncture (E-stim) for a new patient, which of the following represents an absolute contraindication for the treatment?

Answer: The patient has an implanted cardiac pacemaker.

The electrical current from an electroacupuncture device can interfere with the function of a cardiac pacemaker, which can lead to life-threatening cardiac events. This is considered an absolute contraindication. While caution is required for the other conditions listed (seizure history, pregnancy, internal metal), they are generally considered relative contraindications that depend on the specific location and parameters of the treatment.

Which point is the Influential Point (Hui Xue) for tendons and most indicated for tendinopathy?

Answer: GB34

GB34 (Yanglingquan) is the Influential point for tendons and sinews, making it essential for any tendon or muscle-related disorder.

A chiropractor notices a patient has pain along the medial knee, inner thigh, and into the groin. Which meridian pathway most closely matches this presentation?

Answer: Both Liver and Spleen meridians

Both the Liver and Spleen meridians travel along the medial thigh and inner knee, and the Liver encircles the genitals.

What is the purpose of wearing gloves during acupuncture treatments?

Answer: To maintain a sterile field and prevent cross-contamination

Wearing gloves during acupuncture treatments helps maintain a sterile field, prevent cross-contamination, and protect both the practitioner and the patient.

The Conception Vessel (Ren Mai) is considered the 'sea of Yin channels' and originates from which location?

Answer: The perineum (CV 1)

The Conception Vessel originates from the uterus/lower abdomen and emerges at the perineum at CV 1 (Huiyin).