01 Purpose and scope
The Pan-Canadian entry-level examinations assess competencies required for safe, competent and ethical entry-level practice. Eligibility is determined by each provincial regulator.
02 Acupuncturists examination format
| Component | Time | Questions | Question types |
|---|---|---|---|
| Multiple-choice (MC) | 2.5 hours | 125 including up to 10% experimental items | Independent multiple-choice questions |
| Clinical case (CC) | 2.5 hours | 40 including up to 10% experimental items | Case-based and independent multiple-choice and multiple-select questions |
Scoring essentials
- Each component contributes 50% of the total mark.
- Each question is worth up to one mark; no penalty for incorrect or missed answers.
- Multiple-select questions can receive partial marks, but selecting more responses than requested results in zero for that item.
- Experimental items are unscored and not identified, so answer every question.
03 Acupuncturists examination blueprint
The following are approximate blueprint ranges, not fixed question counts for every administration.
Multiple-choice component
Clinical-case component
Diagnostics and treatment account for about 36–46%, TCM foundations 29–39%, biomedicine 8–12%, safety 6–10%, and interpersonal/professional competencies 5–9%. Most items emphasize application and clinical reasoning.
04 Build a study plan
Cover every practice area, then use wrong-answer data to strengthen weak areas.
Use the tutorial and sample test after booking to learn bookmarking, review and response controls.
Flag uncertain items, avoid overspending time on one question, and answer every item.
05 Registration and booking
- Apply through your provincial regulator and obtain approval.
- After approval, choose the administration date and provide first and second preferred locations.
- Booking confirmation is generally emailed 2–4 weeks before the exam; follow your official notice.
- If confirmation has not arrived within two weeks of the exam, contact CARB-TCMPA.
06 Exam-day essentials
- Arrive at least 30 minutes early. A 1–29 minute late arrival may be admitted without extra time; 30 minutes or more is not admitted.
- Bring valid, non-expired government-issued photo identification.
- Personal items, phones, smart watches, notes, books, dictionaries and translation software are prohibited.
- The centre supplies a writing utensil and one blank sheet; a clear label-free water bottle may be allowed subject to venue approval.
- The timer continues during the permitted washroom break; report technical issues immediately.
- Do not record, remove, discuss or distribute examination questions or answers.
07 Results, rewrites and appeals
Scores from both components are combined and compared with the passing standard. Results are generally issued about 8–10 weeks after the exam by mail or through a secure portal, not by phone or fax.
Rewrite limits and any additional education requirements are determined by the provincial regulator. Each rewrite requires a new registration and fee.
08 Clinical cases and question styles
Clinical cases commonly provide demographics, chief complaint, history, findings, possible test results, initial treatment and follow-up information. Questions test differentiation, safety screening and treatment decisions.
Cognitive-level ranges
| Component | Remembering | Comprehension & application | Analysis & interpretation |
|---|---|---|---|
| MC | 20–30% | 35–50% | 20–30% |
| CC | 10–15% | 35–55% | 35–55% |
09 Common examination terminology
TCM concepts are commonly capitalized while biomedical organs or diseases use lowercase. For example, Liver can indicate the TCM system while liver refers to the anatomical organ.
| English | Pin Yin | 中文 | Study focus |
|---|---|---|---|
| Constitution | Ti Zhi | 体质 | Individual constitution |
| Organ Theories | Zang Xiang | 藏象 | Zang-Fu functions |
| Qi, Blood, Body Fluid, Essence, Spirit | Qi, Xue, Jin Ye, Jing, Shen | 气、血、津液、精、神 | Fundamental substances |
| Five Elements Theory | Wu Xing | 五行学说 | Five-phase relationships |
| Etiology / Pathogenesis | Bing Yin / Bing Ji | 病因/病机 | Cause and mechanism |
| Treatment Principles | Zhi Ze | 治疗原则 | Treatment strategy |
| Inspection | Wang Zhen | 望诊 | Observation and tongue |
| Auscultation and Olfaction | Wen Zhen | 闻诊 | Listening and smelling |
| Inquiry | Wen Zhen | 问诊 | History taking |
| Palpation | Qie Zhen | 切诊 | Pulse and palpation |
| Eight Principles Differentiation | Ba Gang Bian Zheng | 八纲辨证 | Eight principles |
| Organ Differentiation | Zang Fu Bian Zheng | 脏腑辨证 | Zang-Fu patterns |
| Six Stages Differentiation | Liu Jing Bian Zheng | 六经辨证 | Six stages |
| Four Levels Differentiation | Wei Qi Ying Xue | 卫气营血辨证 | Warm-disease levels |
| Triple Energizer Differentiation | San Jiao Bian Zheng | 三焦辨证 | Triple Energizer |
| Meridians and Collaterals | Jing Luo | 经络 | Channels and collaterals |
| Acupuncture Point | Shu Xue | 腧穴 | Point location and actions |
| Five Transporting Points | Wu Shu Xue | 五输穴 | Five Shu points |
| Source / Connecting / Cleft Points | Yuan / Luo / Xi Xue | 原穴/络穴/郄穴 | Special-point categories |
| Back-Shu / Front-Mu Points | Bei Shu / Mu Xue | 背俞穴/募穴 | Zang-Fu related points |
| Lower He-Sea Points | Xia He Xue | 下合穴 | Fu organ points |
| Eight Confluent / Influential Points | Ba Mai Jiao Hui / Ba Hui Xue | 八脉交会穴/八会穴 | Extraordinary vessels and tissues |
| Moxibustion / Cupping / Scraping | Ai Jiu / Ba Guan / Gua Sha | 艾灸/拔罐/刮痧 | Technique and safety |
10 Tongue and pulse terminology
Tongue body
light red 淡红 Dan Hongpale 淡 Danred 红 Hongcrimson 绛 Jiangblue-purple 青紫 Qing Zienlarged 胖大 Pang Dathin 瘦薄 Shou Bospotted 点 Dianprickly 刺 Cicracked 裂纹 Lie Wenteeth-marked 齿印 Chi Yinflaccid 痿软 Wei Ruanstiff 强硬 Qiang Yingdeviated 歪斜 Wai Xietrembling 颤动 Chan Dong
Tongue coating
white 白 Baiyellow 黄 Huanggray-black 灰黑 Hui Heithick 厚 Houthin 薄 Bomoist 润 Runslippery 滑 Huadry 燥 Zaogreasy 腻 Nicurdy 腐 Fupeeled 剥 Bogeographic 地图舌 Ditu Shemirror-like 镜面舌 Jingmian She
Pulse qualities
| Pin Yin | English | 中文 | Dimension |
|---|---|---|---|
| Fu / Chen | Floating / Deep | 浮/沉 | Depth |
| Chi / Shuo | Slow / Rapid | 迟/数 | Rate |
| Xu / Shi | Deficient / Excessive | 虚/实 | Fullness |
| Hua / Se | Slippery / Choppy | 滑/涩 | Fluency |
| Xuan / Jin | Wiry / Tight | 弦/紧 | Tension |
| Xi / Da | Thready / Large | 细/大 | Width |
| Ruo / Wei | Weak / Feeble | 弱/微 | Strength |
| Cu / Jie / Dai | Skipping / Knotted / Intermittent | 促/结/代 | Rhythm |
| Chang / Duan | Long / Short | 长/短 | Length |
11 Standard acupuncture nomenclature
| English | Pin Yin | 中文 |
|---|---|---|
| Meridian / Collateral | Jing / Luo | 经/络 |
| Main / Extra Meridian | Zheng Jing / Qi Jing | 正经/奇经 |
| Meridian / Extraordinary Point | Jing Xue / Qi Xue | 经穴/奇穴 |
| Needle Handle / Root | Zhen Bing / Zhen Gen | 针柄/针根 |
| Needle Body / Tip | Zhen Ti / Zhen Jian | 针体/针尖 |
| B-cun | Gudu Fen Cun | 骨度分寸 |
| F-cun | Shouzhi Tongshen Cun | 手指同身寸 |
Key B-cun measurements: manubrium to end of sternum 9; sternum to umbilicus 8; umbilicus to pubic symphysis 5; medial malleolus to ground 3; greater trochanter to knee 19; knee to lateral malleolus 16.
12 Conditions and pattern scope
The appendix standardizes condition terminology; not every item appears on every exam. Review presentation, red flags, differentiation, referral and acupuncture principles.
13 What does the acupuncture examination actually test?
14 Complete TCM condition glossary — Chinese & English
The complete 186-condition Appendix K list is grouped into six disciplines. Search in Chinese, English or pinyin. Select the Chinese name for the Chinese study page, or the English name for the English-language page.
Internal Medicine Internal Medicine49 items
External Medicine External Medicine39 items
Gynecology Gynecology31 items
Pediatrics Pediatrics25 items
Orthopedics and Traumatology Orthopedics and Traumatology22 items
Ophthalmology and Otorhinolaryngology Ophthalmology and Otorhinolaryngology20 items
No matching conditions. Try another Chinese or English name, or pinyin.
15 Core differentiation-system comparison
Questions commonly provide symptoms, tongue/pulse and course, then ask for location, nature, pattern, principle or progression. The following is a minimum working level.
Six Stages Differentiation 六经辨证
| Stage | 中文 | Core recognition | Common comparison |
|---|---|---|---|
| Tai Yang | 太阳 | Exterior; aversion to cold, fever, stiff neck/back, floating pulse | Wind-strike with sweat vs cold damage without sweat |
| Yang Ming | 阳明 | Interior heat/excess; high fever, sweat, thirst, surging pulse or constipation | Channel pattern vs bowel-organ pattern |
| Shao Yang | 少阳 | Half-exterior/half-interior; alternating chills/fever, hypochondrial fullness, bitter taste, wiry pulse | Compare Tai Yang exterior and Yang Ming interior heat |
| Tai Yin | 太阴 | Spleen Yang deficiency-cold; fullness, poor appetite, diarrhea, little thirst | Compare Yang Ming bowel excess |
| Shao Yin | 少阴 | Heart/Kidney deficiency; cold or heat transformation | Cold transformation vs Yin-deficiency heat |
| Jue Yin | 厥阴 | Cold-heat complex, upper/lower disharmony and reversal | True/false cold-heat and reversal patterns |
Four Levels 卫气营血辨证
| Level | 中文 | Typical direction | Tongue, pulse and course |
|---|---|---|---|
| Wei | 卫分 | Warm pathogen at exterior; fever, slight aversion, thirst | Red tip/edges, floating-rapid pulse |
| Qi | 气分 | Interior exuberant heat; high fever, sweat, thirst | Red tongue/yellow coat, forceful rapid pulse |
| Ying | 营分 | Heat enters nutritive level; worse at night, agitation or altered consciousness | Crimson tongue/scant coat, thready rapid pulse |
| Xue | 血分 | Heat agitates blood/wind; bleeding, eruptions, convulsions | Deep-crimson or purple-dark tongue |
Triple Energizer and other systems
16 Biomedical conditions — complete bilingual list & study links
All 54 biomedical conditions and acute clinical presentations are organized into nine groups. Click a Chinese condition name for the Chinese study guide, or an English condition name for the English study guide.
Infections & parasites 一、感染与寄生虫9 items
Respiratory system 二、呼吸系统6 items
Cardiovascular system 三、心血管系统8 items
Digestive system 四、消化系统7 items
Urinary system 五、泌尿系统3 items
Hematologic system 六、血液系统4 items
Endocrine system 七、内分泌2 items
Nervous system 八、神经系统8 items
Acute clinical conditions 九、急性临床情况7 items
No matching conditions. Try another Chinese or English term.
17 Safety & professional practice study guide
Study safety, communication, professionalism and practice management topic by topic, then apply them to related cases. Browse the directory publicly, register free for all study notes, and unlock linked CASE practice with an active paid membership.
44 topics · Public directory · Free notes with registration
01SafetyMC 5–9% · Clinical case 6–10%22
Risk assessment and the chain of infection
Hand hygiene and personal hygiene
PPE and contact, droplet and airborne precautions
Sterile needles and the clean field
Skin preparation, retention and needle counts
Sharps and biomedical waste
Cleaning, disinfection and sterilization
Sterilization monitoring and failed cycles
Needlestick injury and blood exposure
Anatomical hazards in needling
Fainting and altered consciousness
Stuck, bent and broken needles
Pneumothorax, visceral and neurological injury
Bleeding, hematoma and anticoagulants
Electroacupuncture and electrical safety
Moxibustion, heated needles and burns
Cupping, gua sha and skin integrity
Pregnancy, children and vulnerable patients
Clinic environment, home visits and falls
Fire, evacuation and power failure
Chemical hazards and workplace safety
Red flags, incident records and safety improvement
02Communication, professionalism & practice managementInterpersonal skills & professionalism: MC and case 5–9%22
Informed consent and withdrawal
Capacity, minors and substitute decision-makers
Sensitive areas, draping and express consent
Accessible and trauma-informed communication
Culture, religion and accommodation
Privacy, confidentiality and breaches
Clinical records, SOAP and student involvement
Corrections, retention and transfer of records
Fees, receipts, insurance and packages
Advertising, titles and social media
Boundaries, gifts and conflicts of interest
Preventing sexual abuse and inappropriate contact
Scope, competence and practitioner fitness
Collaboration, referral and ending care
Disclosure, complaints and professional response
Mandatory reports, self-reports and confidentiality
The College, Council and Registration Committee
Complaints, ICRC and external review
Misconduct, incompetence and incapacity
Quality assurance, patient relations and executive roles
Fines, costs, compensation and funding
Deadlines, appeals and reinstatement
No topics found. Try another keyword.
18 Detailed study checklist by domain
This is not a prediction list. It converts the blueprint into an actionable checklist. For each item, be able to explain it, recognize it in a case, compare close options and identify safety limits.
19 How to study the herb and formula appendices
The official appendices standardize herb and formula names; they are not full action charts. Link each name to category, core action, representative use, contraindications and higher-risk substances.
Selected materia medica names
| Pin Yin | 中文 | Pharmaceutical / common English | Study cue |
|---|---|---|---|
| Ren Shen | 人参 | Radix Ginseng | Qi tonic; compare related tonics |
| Huang Qi | 黄芪 | Radix Astragali | Qi, lifting, exterior and fluid actions |
| Dang Gui | 当归 | Radix Angelicae Sinensis | Blood tonifying vs moving contexts |
| Sheng Di Huang | 生地黄 | Radix Rehmanniae | Compare with Shu Di Huang |
| Ma Huang | 麻黄 | Herba Ephedrae | Release exterior; contraindications and risk |
| Fu Zi | 附子 | Radix Aconiti Lateralis Praeparata | Processing, toxicity and preparation safety |
| Ban Xia | 半夏 | Rhizoma Pinelliae | Phlegm, counterflow and raw-product toxicity |
| Gan Cao | 甘草 | Radix Glycyrrhizae | Harmonizing; dose and interaction awareness |
| Dan Shen | 丹参 | Radix Salviae Miltiorrhizae | Blood movement; bleeding/anticoagulants |
| Tian Ma | 天麻 | Rhizoma Gastrodiae | Wind, spasm and vertigo contexts |
Selected formula names
| Pin Yin | 中文 | Official English name | Comparison cue |
|---|---|---|---|
| Gui Zhi Tang | 桂枝汤 | Cinnamon Twig Decoction | Compare exterior deficiency/excess |
| Ma Huang Tang | 麻黄汤 | Ephedra Decoction | Absence of sweat, wheeze and cautions |
| Si Jun Zi Tang | 四君子汤 | Four-Gentleman Decoction | Core Qi-deficiency formula |
| Si Wu Tang | 四物汤 | Four-Substance Decoction | Blood deficiency and modifications |
| Liu Wei Di Huang Wan | 六味地黄丸 | Six-Ingredient Pill with Rehmannia | Kidney Yin and derivative formulae |
| Jin Gui Shen Qi Wan | 金匮肾气丸 | Kidney Qi Pill from the Golden Cabinet | Compare Kidney Yin/Yang presentation |
| Long Dan Xie Gan Tang | 龙胆泻肝汤 | Gentiana Decoction to Drain the Liver | Liver/Gallbladder fire and damp-heat |
| Ban Xia Xie Xin Tang | 半夏泻心汤 | Pinellia Decoction to Drain the Epigastrium | Cold-heat complex and focal distention |
20 Biomedical, emergency and professional vocabulary
| English | 中文 | Recognition cue |
|---|---|---|
| Informed consent | 知情同意 | Capacity, disclosure, understanding and voluntariness |
| Confidentiality / privacy | 保密/隐私 | Minimum disclosure and legal exceptions |
| Mandatory reporting | 强制报告 | Recognize legally reportable situations |
| Professional boundary | 专业界限 | Power imbalance, dual roles and sexual boundaries |
| Standard of practice | 执业标准 | Minimum professional expectations |
| Contraindication / precaution | 禁忌证/注意事项 | Do not perform vs modify/monitor |
| Adverse event | 不良事件 | Recognize, manage, document and follow up |
| Syncope | 晕厥/晕针 | Stop, position, vitals and escalation |
| Pneumothorax | 气胸 | Post-needling chest pain and dyspnea |
| Anaphylaxis | 过敏性休克 | Airway, breathing and circulation emergency |
| Cerebrovascular accident / stroke | 脑血管意外/中风 | Sudden neurologic deficit; emergency response |
| Myocardial infarction | 心肌梗死 | Chest pain, radiation, sweating and emergency care |
| Anticoagulant | 抗凝药 | Bleeding and bruising risk |
| Immunocompromised | 免疫功能低下 | Infection risk and technique modification |
| Referral / emergency referral | 转诊/急诊转送 | Outside scope or red flags |
21 Final checklist
- Eligibility approved by regulator
- Registration name matches ID
- Location and room confirmed
- Delivery-platform tutorial completed
- MC and multiple-select scoring understood
- All blueprint areas reviewed
- Travel planned for 30-minute early arrival
- Prohibited-item and break rules understood
