WorksheetsMusculoskeletal Treatment Practice
Total questions: 30
Worksheet time: 15mins
What is superficial needling?
A technique that involves no needle insertion
A method of acupuncture that uses electrical stimulation
Insertion of a needle into the skin or subcutaneous tissue without penetrating the muscle layer
Insertion of a needle deep into the muscle layer
What are the indications for superficial needling?
Electrical stimulation therapy
Treatment of skin infections
Deep tissue massage
Pain management, muscle relaxation, and enhancement of local circulation
What is a contraindication for superficial needling?
Headaches
Skin infections
Chronic pain
Muscle spasms
What is essential for minimizing risks associated with superficial needling?
Avoiding patient education
Ignoring informed consent
Proper patient preparation
Using larger needles
What are some benefits of superficial needling?
Increased muscle tension
Higher risk of infection
Increased pain levels
Reduced pain and improved muscle function
Which of the following best describes the technique and application of Shallow Needling (Zhi Ci)?
The needle is inserted deeply into the muscle belly to stimulate motor points and release chronic tension.
The needle is inserted just under the skin to reach the superficial fascial layer, ideal for treating sensitive patients with superficial muscle spasms.
The needle is inserted horizontally along the dermal layer to treat skin conditions and promote circulation.
The needle is inserted into the periosteum to stimulate bone-level Qi and treat deep musculoskeletal pain.
Which statement best describes the technique and purpose of Hairline Needling (Mao Ci)?
The needle is deeply inserted into the muscle belly to directly stimulate the motor point and release chronic spasms.
The needle is inserted rapidly and shallowly into the skin, following the nerve or meridian pathway to stimulate an unresponsive motor point.
The needle is inserted into the periosteum to treat bone-level Qi stagnation and cold-induced pain.
The needle is inserted obliquely into the fascial layer to treat superficial muscle spasms and skin numbness
What best characterizes Deep Needling of the Motor Point?
The needle is inserted only into the skin’s surface to treat numbness and superficial Qi stagnation.
The needle is inserted into the fascial layer to release superficial muscle spasms without reaching the muscle belly.
The needle is inserted into the muscle layer, potentially reaching as deep as the bone, to stimulate motor points and release muscular tension.
The needle is inserted along the meridian pathway using shallow tapping to activate Qi flow toward the motor point
What is the primary characteristic of the "Green Turtle Searching for the Point" (Cang Gui Tan Xue) needling technique?
Rapid deep insertion followed by prolonged retention
Superficial insertion only, with minimal stimulation
Sequential insertion at varying depths with redirection at each clock hour
Direct insertion into the meridian with no withdrawal
Which of the following is an indication for needling the motor point near UB 54 (Zhibian)?
Shoulder impingement
Gluteus maximus spasm or strain
Elbow tendinitis
Thoracic outlet syndrome
What is the traditional use of UB 54 (Zhibian) in acupuncture?
Treating insomnia and anxiety
Regulating digestion and appetite
Easing lumbar pain, hemorrhoids, and urinary issues
Enhancing memory and concentration
Which of the following is a primary function of the biceps femoris muscle?
Flexes the hip and internally rotates the knee
Extends the knee and flexes the hip
Flexes and externally rotates the knee, and extends the hip
Abducts the thigh and stabilizes the pelvis
Which condition is most appropriately treated by needling the motor points of the biceps femoris?
Plantar fasciitis
Sciatica and biceps femoris tendinopathy
Carpal tunnel syndrome
Frozen shoulder
Where is the motor point of the short head of the biceps femoris located?
1 cun lateral from UB 37 (Yinmen)
2 cun inferior to UB 36 (Chengfu)
5 cun directly superior to UB 38 (Fuxi)
1 cun medial to UB 40 (Weiz)
What is one of the primary actions of the semitendinosus muscle?
Extends the knee and abducts the hip
Flexes and internally rotates the knee, extends the hip
Flexes the hip and externally rotates the knee
Stabilizes the lumbar spine and pelvis
Which spinal segment is associated with the Huatuojiaji point for the semitendinosus with insertion 0.5-1.5 inches?
L3
L5 and UB31
T12
S1
What is the correct needle insertion depth for the Huatuojiaji point at L5?
0.25–0.5 inches
1.5–2 inches
0.5–1.5 inches
2–3 inches
Which of the following conditions is an indication for treating the semitendinosus motor point?
Plantar fasciitis
Pes anserine tendinopathy
Carpal tunnel syndrome
Piriformis syndrome
Which spinal segments are associated with the Huatuojiaji points for the upper trapezius?
T1–T2
C3–C4
C7–T1
L1–L2
Where is the first motor point of the upper trapezius located?
Midpoint between LI 15 and LI 16
Halfway between SI 15 and SI 16 on the anterior edge of the upper trapezius fibers
2 cun lateral from GB 21
1 cun inferior to SJ 14
What is the correct needling technique for the second motor point of the upper trapezius?
Perpendicular insertion at GB 21
Oblique threading from SJ 15 to GB 21, avoiding the pleural cavity
Horizontal insertion at SI 14
Deep insertion at LI 16
Which of the following is an indication for treating the upper trapezius motor point?
Tennis elbow
Muscle tension headache affecting the temple and eye region
Plantar fasciitis
Piriformis syndrome
What is the primary function of the lower fibers of the trapezius muscle?
Elevates and protracts the scapula
Adducts and upwardly rotates the scapula
Depresses and downwardly rotates the scapula
Flexes and internally rotates the shoulder
Where is the motor point for the lower trapezius located?
2 cun lateral to the spinous process of C7
Level with the lower border of T5, two cun lateral, between UB 15 and UB 44
Midway between SI 14 and SI 15
1 cun inferior to GB 21
SI 12 (Bingfeng) is a crossing point for which meridians?
Lung, Heart, and Ren
Large Intestine, Triple Burner, Small Intestine, and Gallbladder
Spleen, Liver, and Chong
Kidney, Pericardium, and Du
Which condition is most commonly associated with supraspinatus dysfunction with pain with a rotator cuff injury?
Tennis elbow
Supraspinatus tendinopathy
Carpal tunnel syndrome
Thoracic outlet syndrome
Which condition is most commonly associated with infraspinatus dysfunction when there is pain and limited external rotation?
Tennis elbow
Infraspinatus strain and tendinopathy
Carpal tunnel syndrome
Frozen shoulder
Which nerve innervates the infraspinatus muscle?
Axillary nerve
Radial nerve
Suprascapular nerve
Musculocutaneous nerve
What is the primary function of the coracobrachialis muscle?
Abducts and externally rotates the shoulder
Adducts and flexes the shoulder
Extends and internally rotates the shoulder
Stabilizes the scapula
Which spinal segments are associated with the Huatuojiaji points for the coracobrachialis?
C4–C5
C6–C7
T1–T2
C8–T1
