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CHC Exam Handbook

for the credential

Certified Classical Homeopath (CCH)

This document contains important information on the examination step in the certification
process for homeopathic practitioners in the United States and Canada.

Council for Homeopathic Certification (CHC)


Last updated March 9, 2015

CHC Exam Handbook


Page 1 of 52

Our Mission
To advance the homeopathic profession by certifying individuals who meet and maintain a recognized
standard of professional and ethical competence in classical homeopathy and to assist the general public in
choosing appropriately qualified homeopaths.

Our Vision
We envision a healthcare system that encompasses certified classical homeopathic practitioners to be
accessible to all.

Ethics Guidelines
The CHC considers its Code of Professional Ethics for homeopaths foundational for homeopathic practice,
providing a framework for making ethical decisions and fulfilling responsibilities to the public, colleagues and
the profession. The CHCs mission of public protection supports a standard for conduct of excellence that all
certified homeopaths have a responsibility to read, understand, and adhere to.
Ethical standards and behavior for the profession of homeopathy are considered the bedrock of homeopathic
care. Each CHC certificant represents the homeopathic profession in the eyes of the public, and is expected
to uphold the highest standards of professional conduct as described in the CHC Code of Professional Ethics
and Patient/Client Rights within the Health Care Setting. As an applicant for certification and as a fully certified
practitioner, you pledge to uphold these ethical standards in your practice and in all interactions with clients.

Benefits of Certification
CHC Certification represents a significant professional achievement. Earning the CCH credential makes an
important statement about your proficiency and competence in homeopathic practice to clients, other
practitioners and the profession:
Earning and maintaining the CCH credential in good standing provides the following benefits and privileges:
Attests to your proficiency as a classical homeopath to patients and other practitioners using a known
standard the CCH credential
Encourages practitioners who would refer patients to a homeopath in your area to choose you due to
confidence in your demonstrated skill
Inclusion in a national directory of certified homeopaths, helping you to build your practice
Qualifies professional homeopaths to apply for registered membership with the North American Society of
Homeopaths
Qualifies you for participation in insurance and provider networks which require the CCH credential
Strengthens the public view of our profession through acknowledgement of a national standard
Eligible for consideration for nomination to the Board of Directors of the CHC
Eligible for consideration for CHC Task Force or Committee

Non-Discrimination Policy
The CHC does not discriminate on the basis of race, color, age, gender, sexual orientation, political or
religious beliefs, handicap, marital status, national origin or ancestry.

Council for Homeopathic Certification (CHC)


Last updated March 9, 2015

CHC Exam Handbook


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Council for Homeopathic Certification

Table of Contents
This packet is designed to provide the applicant with an overview of the examination itself. Additional
information, including requirements for certification, is available on the CHC website.
The following sections are included in this document:
Exam Sections and Timing ............................................................................................. 4
Proctoring Guidelines ...................................................................................................... 5
Exam Grading ................................................................................................................. 5
Exam Retakes ................................................................................................................ 5
Core Competencies for Homeopaths .............................................................................. 6
List of Reference Books for Study................................................................................. 12
List of Remedies for Study ............................................................................................ 13
Sample Theoretical Exams ........................................................................................... 14
Philosophy Exam ............................................................................................... 15
Materia Medica Exam ........................................................................................ 16
Repertory Exam ................................................................................................ 25
Health Sciences Exam ...................................................................................... 27
Sample Theoretical Exam Answers ................................................................... 33
Sample Case Analysis Exam and Answer..................................................................... 43

Council for Homeopathic Certification (CHC)


Last updated March 9, 2015

CHC Exam Handbook


Page 3 of 52

Exam Sections and Timing


The written exam tests factual knowledge and clinical application of homeopathy and health sciences in five
sections. The proctor will give you each section of the exam individually with a specific time limit. You may take
rest breaks and a lunch break between sections. Each section is scored independently and 70% is the passing
grade for each section. The exam sections are as follows:

Health Sciences Exam: 70 questions/90 minutes Format = multiple choice


The goal of this section is to verify health sciences knowledge adequate for practice. Questions
cover common signs, symptoms and terminology of diseases that are likely to be encountered by
the average practitioner in the consulting room. You will also be asked questions to show that you
recognize potentially serious or life threatening conditions, and demonstrate good medico-legal
judgment concerning them. The health sciences exam is not required for candidates who have met
the health sciences exemption.

Homeopathic Philosophy Exam: 40 questions/35 minutes Format = multiple choice


The goal of this section is to verify factual knowledge of core tenets of philosophy according to
Hahnemann and other masters of the profession. Questions are drawn from the Organon and other
homeopathic reference texts from the 'List of Reference Books for Study' found in this handbook.

Homeopathic Materia Medica Exam: 50 questions/60 minutes Format = multiple choice


The goal of this section is to verify factual knowledge of common homeopathic remedies from the
'List of Remedies for Study' in this handbook. Questions cover keynotes and affinities as well as
broader themes. Some are written as collections of remedy facts; others are written in the context of
small case vignettes.

Homeopathic Repertory Exam: 38 questions/60 minutes Format = fill in the blank


The goal of this section is to verify working knowledge of the content and structure of the repertory.
Each question is a symptom in the words of a client; candidates answer with one appropriate rubric
for the symptom given (combinations are not accepted). This portion of the exam is open book; the
candidate can use any repertory in book form. Computer repertories are not allowed.

Case Analysis Exam: 2 written cases/2 hours total Format = fill in the blank
The goal of this section is to verify analytical skills with ability to apply factual knowledge of
homeopathic philosophy, materia medica, repertory and health sciences. For each case, the
candidate will be asked to list characteristic features or themes of the case, identify applicable
rubrics, repertorize the case, identify reasonable remedy choices, discuss the remedies considered,
and justify a final remedy choice. A repertorization chart is required to be submitted for each case.
This section of the exam is open book; any text, computer reference materials and software can be
used, however, no internet, texting, or phone calls. Although not required, candidates can type their
responses to the questions and print them for the proctor to return with test papers, rather than
writing by hand.
Each case is worth 100 points, and you must pass 2 cases in order to achieve an overall pass on
this section. If you pass one case, and fail the other, you need only pass one case upon retake in
order to achieve an overall pass.

Council for Homeopathic Certification (CHC)


Last updated March 9, 2015

CHC Exam Handbook


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General Information
Proctoring Guidelines
Candidates are responsible for arranging for a proctor in their own area and paying any associated fees.
Acceptable proctors are college testing centers, libraries, or educational coaching facilities such as Sylvan
Learning Center. The exam must be given at the proctors facility, and the proctor must agree to the rules
outlined on the Proctor Agreement. The proctor cannot be associated with homeopathy in any way.
The exam packet will be sent directly to the proctor approximately one week prior to exam day. The proctor
will administer the exams in accordance with the instructions provided, and should return the exam
immediately using the pre-paid return envelope provided.
You will need to show ID and sign a non-disclosure form at the proctoring facility prior to taking the exam.

Exam Grading
Exams are graded through the CHC office. Passing score for each exam section is 70%. Points are accrued
for questions answered correctly; there is no penalty for questions answered incorrectly. Any multiple choice
question with more than one indicated answer is marked incorrect.
For the Repertory section, candidates may have written multiple answers for a given question. Appropriately
accurate responses will accrue points; only one correct answer will be counted per question. No combining of
rubrics is allowed. Combined rubrics or rubrics written in incomplete format (such as omitting section name)
will be counted as incorrect, even when otherwise accurate.
Case Analysis exam is graded on a point system, comparing the responses to the questions for each case to
appropriate/reasonable answers, and accruing pints for reasonable responses. Points accrued must be a
minimum of 70% of total possible points in order to pass. There are two cases in this exam; cases are graded
independently of each other. To pass this exam section, two cases must be passed. If the candidate passes
one case the first time, retakes the exam, and passes one case the second time, then this section is
considered passed because two cases have been passed.
The CHC office sends email notification of results as soon as they are available, usually within 6-8 weeks.

Exam Retakes
Candidates are encouraged to retake any failed exam section at the next available exam date. There is a fee
for each exam retake, and a new proctor agreement is required. Retake Application and fee schedule are
available for download from the CHC website.

Council for Homeopathic Certification (CHC)


Last updated March 9, 2015

CHC Exam Handbook


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Core Competencies for Homeopaths


This chart describes the core competencies for homeopaths and how they are evaluated in the homeopathic
certification process.

Competency

How it is evaluated

Philosophy
P I. Classical homeopathy
A. Law of similars

Multiple choice exam

B. Totality of symptoms forms a remedy picture

Demonstration of use in exam


cases

C. Remedy chosen by matching picture of symptom to remedy


D. Single remedy given at one time

Demonstration of use in
submitted cases

E. Minimum dose given

Oral interview

P II. Hahnemann - Organon / Chronic Diseases


A. Nature of disease and cure Aph 1 81

Multiple choice exam

B. Case taking Aph 82 - 104

Demonstration of use in exam


cases

C. Provings Aph 105 - 145


D. Treatment of disease / nature of symptoms Aph 146 - 203

Demonstration of use in
submitted cases

E. Chronic miasms Aph 204-209, Chronic Diseases (theoretical)

Oral interview

F. States and mental / emotional disease Aph 210 - 230


G. Case Management Aph. 245 263
P III. Pharmacy - Organon guidelines Aph 264-271
A. How remedies are made

Multiple choice exam

B. Potency designations
C. Primary and Seconday action of remedies
P IV. Posology Organon guidelines Aph 272 - 285
A. Potency selection

Multiple choice exam

B. Methods of administration

Demonstration of use in exam


cases

C. Frequency of repetition
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CHC Exam Handbook


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Demonstration of use in
submitted cases
P V. Vithoulkas Science of Homeopathy
A. Mental Emotional Physical Planes

Multiple choice exam

B. Hierarchy of symptoms

Demonstration of use in exam


cases

C. Evaluation of patient response to remedy

Demonstration of use in
submitted cases
P VI. Kent Lectures on Homeopathic Philosophy
A. Second prescription

Multiple choice exam

B. Evaluation of patient response to remedy

Demonstration of use in exam


cases

C. Prognosis
D. Nature of disease and cure

Demonstration of use in
submitted cases

P VII. Roberts Principles and Art of Cure by Homeopathy


A. Nature of disease and cure

Multiple choice exam

B. Case taking

Demonstration of use in exam


cases

C. Case management
Demonstration of use in
submitted cases

Health Sciences
H I. Recognition of health
A. Anatomy / Physiology

Multiple choice exam

B. Normal functioning
H II. Recognition of disease
A. Common disease signs and symptoms

Multiple choice exam

B. Serious chronic illness indications

Demonstration of use in exam


cases

C. Life threatening / medical emergency conditions

Demonstration of use in
Council for Homeopathic Certification (CHC)
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CHC Exam Handbook


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D. Reportable illnesses

submitted cases

Materia Medica
M I. Polychrests
A. Primary indicators, keynotes, describing state

Multiple choice exam

B. Characteristic symptom combinations, concomitants

Demonstration of use in exam


cases

C. Etiologies
D. Modalities, SRPs, Sensations

Demonstration of use in
submitted cases

E. Characteristic pathology, physiological affiliations


F. Miasmatic affiliations
G. Contraindications
M II. Less Common Remedies
A. Primary indicators, keynotes
B. Characteristic symptom combinations, concomitants
C. Range of action

Multiple choice exam


Demonstration of use in exam
cases
Demonstration of use in
submitted cases

M III. Remedy Associations


A. Chronic / Acute relationships

Multiple choice exam

B. Common complementary relationships

Demonstration of use in exam


cases

C. Inimicals
D. Analogue relationships between kingdoms

Demonstration of use in
submitted cases

Repertory
R I. Knowledge of Repertory
A. Structure

Multiple choice or fill in the


blank exam

B. Content
Demonstration of use in exam
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CHC Exam Handbook


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C. Meaning of rubrics, vocabulary of repertory


D. Grade

cases
Demonstration of use in
submitted cases

E. Representation of remedies in the repertory (over-, under-)


R II.

Selection of Rubrics from a Case

A. Derivation of case factors to rubrics

Demonstration of use in exam


cases

B. Sets of rubrics: creating a set that covers the case


C. Appropriate choices to accurately describe symptoms

R III.

Demonstration of use in
submitted cases

Repertorization to determine result set of remedies

A.

Process of repertorization

B.

Result Sets full and partial matches of likely remedies

Demonstration of use in exam

cases
Demonstration of use in

C. Use of confirmation rubrics not included in repertorization

submitted cases

Case Analysis
A I. Taking a case
A. Observation / Perception: accurate recognition

Multiple choice exam

B. Projection and bias: reading into the case

Demonstration of use in exam


cases

C. Accurate note taking in patients words


D. Recognition of typical pathological symptoms

Demonstration of use in
submitted cases

E. Recognition of miasmatic patterns

Oral interview

F.

Recognition of common signs and symptoms of disease in


order to identify individualizing features

G. Recognition of indications for referral for potentially serious or


urgent conditions
H. Recognition of etiology
A II. Organization and Prioritization of Information
A. Identify themes in a case / pattern recognition of the state
Council for Homeopathic Certification (CHC)
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Demonstration of use in exam


CHC Exam Handbook
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B. Prioritization for individualization and hierarchy of symptoms


C. Recognizing current acute case vs. overall chronic case

cases
Demonstration of use in
submitted cases
Oral interview

Repertorization see section R above


A III. Differentials of remedies considered
A. Comparison of remedies with facts in case

Demonstration of use in exam


cases

B. Identify confirmations and contraindications


C. Differentials free of unsubstantiated bias about remedies

Demonstration of use in
submitted cases

D. Importance of modalities, SRPs, sensations and locations

Oral interview

E. Tie-breaking when there are multiple good options:


consideration of miasm, kingdom, synthetic remedy , etc.
A IV. Final remedy selection
A.

Remedy choice

B.

Potency

C.

Method of administration

Demonstration of use in exam


cases
Demonstration of use in
submitted cases
Oral interview

Case Management
C I.

Interpretation of reaction to remedy

A. Hahnemann Organon Aph 249 - 256

Multiple choice exam

B. Kents Lectures evaluate reaction, likely prognosis

Demonstration of use in exam


cases

C. Vithoulkas writings evaluate reaction, indication of cure


D. Herrings Laws of Cure, direction of cure

Demonstration of use in
submitted cases

E. Prognosis

Oral interview

C II. Client Management


A.

Antidoting factors

Council for Homeopathic Certification (CHC)


Last updated March 9, 2015

Multiple choice exam


CHC Exam Handbook
Page 10 of 52

Demonstration of use in exam


cases

B.

Maintaining causes / obstacles to cure

C.

Aggravation and proving

D.

Suppression

Demonstration of use in
submitted cases

E.

Management of acutes within chronic cases

Oral interview

F.

Indications for referral / mentoring on a case

Ethics
E I.

Professional Ethics

A. CHC Code of Professional Ethics

Oral interview

B. Patient / Client Rights within the Healthcare Setting

Council for Homeopathic Certification (CHC)


Last updated March 9, 2015

CHC Exam Handbook


Page 11 of 52

List of Reference Books for Study


Philosophy
Hahnemann: Organon of Medicine, 5th & 6th Editions
Hahnemann: Chronic Diseases, Theoretical Part
Kent: Lectures on Homeopathic Philosophy
Roberts: The Principles and Art of Cure by Homeopathy
Vithoulkas: The Science of Homeopathy

Materia Medica
Boericke: Materia Medica With Repertory
Clarke, J.H.: Dictionary of Practical Materia Medica
Cummings & Ullman: Everybody's Guide to Homeopathic Medicine
Gibson, D.: First Aid Homeopathy in Accidents & Injuries
Kent: Lectures on Homeopathic Materia Medica
Kruzel: The Homeopathic Emergency Guide
Morrison, R.: Desktop Guide
Vermeulen: Synoptic Materia Medica
Vermeulen: Concordant Materia Medica

Repertory and Language


Kent: Repertory
Schroyens: Synthesis Repertory
van Zandvoort: Complete Repertory
Yasgur: Dictionary of Homeopathic Medical Terminology

Ethics
CHC Code of Professional Ethics
Patient / Client Rights within the Health Care Setting

Health Sciences
Seller, R.: Differential Diagnosis of Common Complaints
The Merck Manual of Medical Information, Home Edition
Thibodeau / Patton: The Human Body in Health & Disease
American Red Cross: Standard First Aid & Personal Safety
Kumar, Cotran, Robbins, Robbins Basic Pathology, W.B. Saunders, 6th ed., 1997.

Council for Homeopathic Certification (CHC)


Last updated March 9, 2015

CHC Exam Handbook


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List of Remedies for Study


Aconitum napellus
Aethusa
Agaricus
Allium cepa
Aloe
Alumina
Anacardium
Antimonium crudum
Antimonium tart.
Apis
Argentum metallicum
Argentum nitricum
Arnica
Arsenicum album
Arsenicum iodatum
Asafoetida
Asarum
Aurum
Badiaga
Baptisia
Baryta carbonica
Belladonna
Bellis perennis
Berberis
Borax
Bromium
Bryonia
Cactus
Calcarea carbonica
Calcarea flourica
Calcarea phosphorica
Calcarea sulphurica
Calendula
Camphora
Cannibus indica
Cantharis
Capsicum
Carbo animalis
Carbo vegetabilis
Caulophyllum
Causticum

Chamomilla
Chelidonium
China officinalis
Cicuta
Cimicifuga
Cocculus
Coccus cacti
Coffea
Colchicum
Colocynthis
Conium
Crocus sativus
Crotalus horridus
Cuprum
Cyclamen
Digitalis
Drosera
Dulcamara
Elaps
Equisetum
Eupatorium perf.
Euphrasia
Ferrum
Ferrum phos.
Flouricum acidum
Gambogia
Gelsemium
Glonoinum
Graphites
Hamamelis
Helleborus
Hepar sulph.
Hyoscyamus
Hypericum
Ignatia
Iodum
Ipecacuanha
Iris versicolor

Council for Homeopathic Certification (CHC)


Last updated March 9, 2015

Kali bichromicum
Kali bromatum
Kali carbonicum
Kali phosphoricum
Kali sulphuricum
Kreosotum
Lac caninum
Lachesis
Latrodectus mactans
Laurocerasus
Ledum
Lillium tigrinum
Lobelia inflata
Lycopodium
Lyssin
Magnesia carbonica
Magnesia muriatica
Magnesia phosphorica
Mancinella
Medorrhinum
Mercurius
Mercurius corr.
Mercurius iod. flavus
Mercurius iod. ruber
Mezereum
Naja
Natrum arsenicum
Natrum carbonicum
Natrum muriaticum
Natrum phosphoricum
Natrum sulphuricum
Nitricum acidum
Nux moschata
Nux vomica

Phosphorus
Phytolacca
Platina
Plumbum
Podophyllum
Psorinum
Pulsatilla
Pyrogenium
Ranunculus bulbosa
Rhus toxicodendron
Rumex crispus
Ruta graveolens
Sabadilla
Sabina
Sambucus nigra
Sanguinaria
Sarsparilla
Sepia
Silica
Spigelia
Spongia tosta
Stannum
Staphysagria
Stramonium
Sulphur
Sulphuricum acidum
Symphytum
Syphilinum
Tabacum
Tarentula cubensis
Tarentual hispanica
Thuja
Tuberculinum
Urtica urens

Opium
Palladium
Petroleum
Phosphoricum acidum

Veratrum album
Viburnum
Zincum metallicum

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Sample Theoretical Exams


How to use this sample exam packet:
This sample exam packet is proportional to the actual test in questions/length. In every other way it resembles
the actual test as closely as possible: it contains the same instructions, the same balance of levels of difficulty
(easy, moderate, difficult), the same distribution of topics according to the core competencies of homeopaths,
and the same kinds of questions.
You may wish to use this test to practice for the real exam, creating a simulated test situation including privacy
and timing; or you may wish simply to study the questions one by one. Answers are provided at the end of the
section, along with explanations and references for the answers.
In the pages ahead, you will find each section marked with a banner, letting you know the number of questions
and the time allowed for it. Set a timer so that you will know when your time limit is reached.
When you are finished with all of the sections, turn to the answers listed at the end of this section and score
your exam.
Be sure to allow yourself the proper amount of uninterrupted time to complete each section of this sample
exam.

Council for Homeopathic Certification (CHC)


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CHC Exam Handbook


Page 14 of 52

Turn the page to begin


Council for Homeopathic Certification
Sample Examination

Philosophy
22 Questions
20 Minutes
Closed book

Topics included in this section:


1.
2.
3.
4.
5.
6.
7.

Council for Homeopathic Certification (CHC)


Last updated March 9, 2015

Writings by Hahnemann, Kent, Vithoulkas, Roberts


Concepts of Classical Homeopathy
Nature of Disease and Cure
Provings
Miasms
Posology / Homeopathic Pharmacy
Case Taking, Analysis and Management

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Instructions: For each question there is one correct or best answer. Circle the letter of that answer.
1) According to Hahnemann, the removal of all symptoms from a person brings about
A)
B)
C)
D)

The emergence of miasmatic layers


Indications of suppression from inappropriate treatments
Restoration of health
Palliation through use of homeopathic similars

2) The vital force can be defined as


A)
B)
C)
D)

The soul
The energy that denotes the difference between living and nonliving things
The dynamic principle that keeps the parts of an organism working together in health
The aspect of the individual that makes them unique

3) Hahnemann describes cravings of acutely ill patients as


A)
B)
C)
D)

Desire for things that give palliative relief


Desire for things that aggravate or maintain the disease state
Inimical to the action of homeopathic remedies
Obstacles to cure

4) According to homeopathic principles, disease originates from


A)
B)
C)
D)

The basic fluids of blood and bile which are the primary emanations of the psoric miasm
The pernicious weakness caused by unhealthy and immoderate lifestyle
Specific inherited weaknesses exacerbated by the shocks and stresses of life
The derangement of the spirit-like power that animates the organism

5) According to Vithoulkas, in The Science of Homeopathy, predisposing weakness of the defense mechanism is
affected fundamentally by
A)
B)
C)
D)

The individual's freedom on the mental, emotional, and physical levels


Venereal diseases contracted by one or both of an individuals parents
Hereditary influences, strong infectious diseases, and previous treatments and vaccinations
Lifestyle factors whose cumulative stresses break down the ability of the immune system

6) The physiological effect of a drug on the body, such as the insensibility to pain and blissed out state introduced
by opiates, is followed by a response from the vital force, such as the hyper-acute sensitivity that comes
afterward. This is an example of
A)
B)
C)
D)

The dynamic principle


Maintaining causes and obstacles to cure
Primary and secondary action
An acute condition

7) A 10M potency of Belladonna is made by


A)
B)
C)
D)

Mother tincture is diluted in a 1:1000 ratio and succussed, repeated 10 times


Mother tincture is diluted in a 1:100 ratio and succussed, repeated 1,000 times
Mother tincture is diluted in a 1:10 ratio and succussed, repeated 10,000 times
Mother tincture is diluted in a 1:100 ratio and succussed, repeated 10,000 times

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8) According to Roberts, in The Principles and Art of Cure by Homeopathy, which miasm is most likely to manifest
with structural and organic changes, as opposed to complaints of function and sensation?
A)
B)
C)
D)

Psora
Syphilitic
Sycotic
Hydrophobinic

9) A homeopathic proving is carried out to


A)
B)
C)
D)

Establish the efficacy of homeopathy


Rouse the vital force to achieve curative action in proving participants
Identify the symptoms associated with a remedy
Create symptoms in individuals who do not respond to remedies

10) In any given epidemic, there are some who fall ill and others who do not. Which of the following concepts
explains why not everyone gets sick in an epidemic?
A)
B)
C)
D)

Those not infected were not exposed


Those not infected were too weak to contract the disease
Those not infected were not susceptible
Those not infected used hygiene to prevent communication of germs

11) Hahnemann believed that there are predispositions to specific patterns of illness that are underlying causes of
chronic disease. He called these
A)
B)
C)
D)

Nosodes
Genus epidemicus
Exanthemata
Miasms

12) Substances that are not soluble in water or alcohol are potentized using
A)
B)
C)
D)

Attenuation
Trituration
Succussion
Dilution

13) Rheumatism, substance abuse, overproduction of mucous and formation of polyps are most characteristic of
which miasm?
A)
B)
C)
D)

Sycotic
Syphilitic
Psoric
Tubercular

14) According to homeopathic philosophy, organic tissue change is


A)
B)
C)
D)

The precipitating cause of disease


The end result of disease
The only discernible aspect of disease
The disease itself

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15) Characteristic symptoms of a remedy are recorded in the repertory in varying type fonts that represent grade of
the symptom. The grade denotes
A)
B)
C)
D)

Intensity of the symptom when it occurs


Frequency of occurrence of the symptom
Relative likelihood that the remedy is indicated
Whether the symptom was identified during proving, clinical use, or both

16) If a patient describes in the follow up interview that there was no aggravation of the main complaint but he / she
has felt a definite improvement since, what is the correct prognosis?
A)
B)
C)
D)

The remedy is incorrect as an aggravation always has to occur


The remedy is partially similar, and a new more similar remedy needs to be found
The remedy is correct, but was given in too low a potency
The remedy is correct, indicating the right remedy and potency

17) Miasmatic influences should be strongly considered in cases when


A)
B)
C)
D)

Well indicated remedies fail to act or to hold


The vital force creates a confused symptom picture
The patient is extremely sensitive to remedies
The patient has an aggravation that needs to be antidoted

18) According to Kent, which statement is most accurate about a second prescription?
A)
B)
C)
D)

The homeopath should always change the remedy if the symptoms have changed
The second prescription is the prescription after the one that has acted
It is best to give the complementary remedy on the second dose
If the first remedy has stopped acting, the same remedy should be given in a higher potency

19) Hahnemann directed the use of one remedy at a time because


A)
B)
C)
D)

It is impossible to predict how multiple remedy substances affect each others action
Remedies prepared in combination are unstable and cannot be kept for long periods of time
When needing a higher potency, it is unclear which remedy to increase in potency
Combination remedies are difficult and time consuming to prepare

20) The Tubercular miasm has which characteristic set of symptoms associated with it?
A)
B)
C)
D)

Aggravation from bright lights, urinary tract symptoms, issues of abuse or aggression
Necrosis, ulceration, pain in long bones
Respiratory weakness, discontented restlessness, chronic or easily taken colds
Hay fever, skin rashes, gastro-intestinal weakness

21) In a chronic case with only functional symptoms, there is an immediate brief amelioration for 4 days, followed by
an aggravation for 3 days, and then no further amelioration for the next month. No antidoting influence was
noted. What is the correct evaluation at this point?
A)
B)
C)
D)

The remedy was only superficially indicated


The remedy is correct, but given in too high a potency
The remedy is correct, but given in too low a potency
The remedy must have been antidoted and needs to be repeated

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22) A remedy has acted well in different potencies for a long period of time, and there are now only a few symptoms
remaining, which do not indicate any particular remedy. If these symptoms are troubling the patient and a
remedy is still needed, what is the best course of action?
A)
B)
C)
D)

Give a complementary remedy


Look for an appropriate nosode that fits the case
Wait until more symptoms appear
Give the same remedy again, in a higher potency

End of Philosophy Exam.

STOP

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Council for Homeopathic Certification
Sample Examination

MATERIA MEDICA
20 Questions
20 Minutes
Closed book

Topics included in this section:


1.
2.
3.
4.
5.
6.

Primary Indicators and Keynotes


Concomitants
Etiologies
Miasmatic Affiliations
Contraindications
Remedy Relationships
7. Differentials

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Instructions: For each question there is one correct or best answer. Circle the letter of that answer.
1. It is said that Pulsatilla is the acute remedy when which one is the chronic?
A)
B)
C)
D)

Kali sulphuricum
Sepia
Cyclamen
Silica

2. "Constriction as if bandaged" is a sensation found in which two remedies?


A)
B)
C)
D)

Cactus and Platina


Argentum nitricum and Pulsatilla
Cactus and Argentum nitricum
Pulsatilla and Platina

3. You are considering Lachesis for a woman with hypertension arising during menopause. Which of the following
symptoms would you consider to be a contra-indication?
A)
B)
C)
D)

She has a history of alcoholism


Her skin bruises easily
Morning is her best time of day
She had painful menstrual periods, with premenstrual irritability

4. The source of Lac Caninum is


A)
B)
C)
D)

An animal
A mineral
A plant
A disease product

5. Which remedy would be most appropriate for acute treatment of a non-healing, suppurating wound from a skin
laceration?
A)
B)
C)
D)

Ruta graveolens
Gambogia
Arnica
Hepar sulphuricum

6. You see a patient for an acute, a severe case of the flu. She has a clear runny nose, deep body aches and
pains all over, periodic vomiting, and a moderate fever. She is restless but feels better lying still. Her lower
back hurts a great deal. She is thirsty for cold drinks especially during a chill. The flu came on yesterday
morning when she woke up, and today it was bad from 7 until 9 AM, then a bit better. Which remedy is hers?
A)
B)
C)
D)

Arsenicum album
Bryonia
Eupatorium perf.
Pyrogenium

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7. A recent amputee is troubled by terrible phantom limb pain that he describes as horrible, shooting but fine and
thin, like a thread going up my leg. He feels markedly worse in a warm room. Which remedy is most likely to
help?
A)
B)
C)
D)

Hypericum
Antimonium Crudum
Allium Cepa
Staphysagria

8. For a patient in an acute, debilitating episode of vomiting, diarrhea of green stool, and prostration that began
after drinking milk, which remedy would you consider?
A)
B)
C)
D)

Ipecacuanha
Aethusa
Lobelia Inflata
Veratrum Album

9. The babys mouth has many apthous ulcers, and she clings to her mother, fearful to be lowered into her crib.
A)
B)
C)
D)

Badiaga
Calcarea Flourica
Podophyllum
Borax

10. His back pain is better from hot and worse from cold applications. He is restless, and has a red triangle on tip of
his tongue.
A)
B)
C)
D)

Phosphorus
Rhus toxicodendron
Tuberculinum
Ruta graveolens

11. Syphilitic remedies have which of the following characteristic most in common?
A)
B)
C)
D)

Overproduction of mucous
Weariness and prostration
Inability to metabolize minerals
Destruction of tissue

12. He was extremely weak, out of breath even with the slightest exertion, barely able to speak, and he had an
empty, hollow feeling in his chest.
A)
B)
C)
D)

Laurocerasus
Phosphoricum acidum
Stannum
Tuberculinum

13. She reports prosopalgia, worse on the right side, aggravated by cold air, which improved substantially when she
used hot rollers to curl her hair.
A)
B)
C)
D)

Magnesia phosphorica
Spigelia
Platina
Kalmia

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14. A 37-year-old woman has a history of bursting pain in the right ovary during her menses, made better by lying
on her right side. She reports that she easily becomes irritable and is often jealous of her husband.
A)
B)
C)
D)

Lachesis
Belladonna
Ranunculus bulbosa
Apis

15. Badiaga is best known for


A)
B)
C)
D)

A cough with mucous that flies from the mouth and nose
Dullness and stupor with a dusky pallor of the skin
Awkwardness with a tendency to drop things
Stony hardness of the glands and asthma

16. A 15-year-old boy, who is quite overweight, says his favorite food is chicken. His eyes are overly sensitive to
light, and he gets cracks in the corners of his mouth and in the crook of his left elbow. He does not do well at
school, as his concentration is poor.
A)
B)
C)
D)

Antimonium crudum
Graphites
Sulphur
Nitricum acidum

17. He has vomiting and diarrhea that he attributes to food poisoning, and feels a burning pain in his stomach and
abdomen. He wants to be around other people, and feels fearful when alone. He is very thirsty. You are
considering the remedies Phosphorus and Arsenicum album. Which of the following symptoms is most helpful
in your differentiation?
A)
B)
C)
D)

He is thirsty
He is restless
Vomiting returns as soon as drinks warm in his stomach
He feels better with a warm water bottle on his abdomen

18. She suffers from panic attacks prior to going out in public. She gets chills that run up and down her spine and
she feels weak. The challenges of the world seem entirely too much for her to handle.
A)
B)
C)
D)

Helleborus
Gelsemium
Argentum nitricum
Lycopodium

19. Her sea-sickness was unrelenting, causing her to feel dizzy, and forcing her to lie still as the boat rocked. She
vomited each time she got up, then briefly felt better. She started fixedly at a single spot on the wall so that she
did not have to watch the shoreline rolling by.
A)
B)
C)
D)

Cocculus
Conium
Ipecacuanha
Colchicum

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20. Hahnemann notes a triad of remedies in Sulphur, Lycopodium and Calcarea Carbonica. These remedies follow
each other well in a specific cycle. What is the order of the remedies?
A)
B)
C)
D)

Lycopodium, Sulphur, Calcarea carbonica


Sulphur, Lycopodium, Sulphur, Calcarea carbonica
Sulphur, Lycopodium, Calcarea Carbonica
Sulphur, Calcarea Carbonica, Lycopodium

End of Materia Medica Exam.

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Council for Homeopathic Certification
Sample Examination

Repertory
18 Questions
30 Minutes
Open book
Any repertory book can be used.
Computer repertory software cannot be used.

Topics included in this section:


1. Repertory rubrics
2. Homeopathic vocabulary
3. Condition / symptom recognition

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Instructions: You are allowed one repertory book to use for this section; computerized repertories are not
allowed. Please note the repertory you are using. For each of the symptoms listed below, note your best
choice of rubric for that symptom. Do not combine rubrics. Be sure to write rubrics in full, correct format
including the section.
Which repertory are you using? ___________________________________________
1.

I got so angry I lost control and bashed in a door.

2.

She talked nonstop for 3 hours.

3.

My eyes seem to be permanently bloodshot.

4.

I get hives all over my belly.

5.

Regardless of his passion, he was unable to maintain an erection.

6.

I have a strong cough that has made my ribs very sore.

7.

I am not sure I will ever get better.

8.

He is obsessed with the color blue it is all he ever talks of.

9.

I bruise easily from every bump.

10.

I have a pain in my kidneys that I feel whenever I walk.

11.

My left ear always looks red, but the right one is normal.

12.

One eye usually looks out to the far right, while the other is properly focused forward.

13.

When I wake up at night I feel very thirsty and have to get a drink.

14.

I almost black out whenever I stand up.

15.

My feet get icy cold.

16.

She staggers and falls to the left.

17.

His voice has a permanent, quite strong nasal quality to it.

18.

I have a horrible hangover headache.

End of Repertory Exam.

STOP
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Council for Homeopathic Certification
Sample Examination

HEALTH SCIENCES
24 Questions
30 Minutes
Closed book

Questions in this section fall into these categories:


1.
2.
3.
4.
5.

Signs and Symptoms of Disease


Clinical exam & assessment (observational only)
Condition not needing medical referral
Condition needing non-emergency medical referral
Condition needing emergency medical referral

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Instructions: For each question there is one correct or best answer. Circle the letter of that answer.
1. The most common risk factor associated with stroke is:
A)
B)
C)
D)

Old age
Migraine headaches
Hypertension
Smoking

2. A 69-year-old man complains of acute onset of left sided facial pain. You observe that he has difficulty closing
the left eye, which is tearing. He also has pain in his left ear. These symptoms have developed over the past 8
hours. He has been previously healthy, has not had this condition before, and is not taking any medication.
The most likely diagnosis is:
A)
B)
C)
D)

Multiple Sclerosis
Bells Palsy
Temporal arteritis
Meningitis

3. Your 65-year-old piano teacher client with severe tendonitis of the wrists has responded very well to
Phosphorus. Today she calls you wondering what to do: she is having a menstrual period with bright red
bleeding for 2 days. There is no pain and she otherwise feels great. She also reports now that her menopause
was brought on at age 45 when the doctor gave her hormones to stop her heavy bleeding. Your best course of
action is:
A) Reassure her that the bleeding is likely to be a proving symptom of the remedy and it will clear up on its
own eventually
B) Give phosphorus in a higher potency since it worked well before but she is now having a noteworthy
symptom of Phosphorus
C) Advise her to schedule an appointment with her gynecologist this week
D) Advise her to dial 911 or arrange to be taken to her local emergency room at once
4. A 19-year-old female who has been diagnosed with pelvic inflammatory disease (PID) is experiencing fever,
vomiting and abdominal pain. The pathogen commonly associated with PID is:
A)
B)
C)
D)

Giardia
Chlamydia trachomatis
Candida albicans
Human papilloma virus (HPV)

5. Your client is a 55-year-old male who consulted you last year when he was experiencing irregular heart
rhythms. He was getting episodes of shortness of breath and slight weakness, and all of these symptoms
improved and disappeared with homeopathic care. Today he returns after a 6 month break, and you notice that
he is having trouble speaking, slurring his words. He notes that his heart rhythm seems of be off again, that
when he takes his pulse, the rhythm is variable and fast. His balance seems to be unsteady when he walks.
Your most URGENT concern in this situation is that your client be evaluated for:
A)
B)
C)
D)

Senile dementia
Arrhythmia has created a blood clot which has gone to his brain
Congestive heart failure
Diabetes

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6. A 54-year-old man tells you that he has experienced repeated episodes of abdominal pain and that his urine
has been brownish-colored for two or three weeks. The last episode of pain was several days ago and presently
he is in no distress. What is your most appropriate response?
A)
B)
C)
D)

Advise that he seek medical evaluation within the next few days
Tell him that the pain and urine coloration can safely be ignored
Send him immediately to an emergency medical facility
Advise him to drinks two glasses of wine nightly for medicinal purposes

7. A 31-year-old woman has experienced some hair loss since the delivery of her baby several weeks ago. The
pregnancy, delivery, and gynecologic follow up were all unremarkable. She adds that she has experienced
panic attacks on occasion, and desires homeopathic treatment. What is your most appropriate course of
action?
A)
B)
C)
D)

Refer her immediately to an emergency medical facility


Advise her that she needs to see a physician within the next few days
Proceed with homeopathic management
Advise her to ignore the problems

8. The hypochondriac region lies where?


A)
B)
C)
D)

Upper abdomen, below the ribs


Around the umbilicus
Over the stomach
Over the appendix

9. A mother brings her 5-yearold daughter to see you because of itching for several days. You observe that the
child has red bumps, crusts, and pustules all over her body, including the head. What would you advise the
mother?
A)
B)
C)
D)

The child will probably recover in a day


The child may have a terminal illness
The child may have ingested a poison
The child may be contagious

10. An elderly woman calls you because her husband just passed a large amount of blood with a bowel
movement. He then fainted and was unconscious for a few minutes. Presently he is conscious but seems very
weak. What would you advise the client?
A)
B)
C)
D)

Call for emergency medical help


Bring him to your office at her convenience
Take him to his physician within a day or two
Abstain from food and drink until he is feeling better

11. You observe that a 70-year-old woman in no distress has shaking of her hands and arms, which are resting in
her lap. What would you conclude?
A)
B)
C)
D)

She may have Parkinsons disease


She may be anemic
She may need to have an EKG
She may have osteoporosis

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12. Your client calls to report that he has just vomited what looks like coffee grounds. He has been feeling very
fatigued for the past week, but is also working 16 hour days to finish a big project. He admits he has been
drinking many cups of coffee each day. Your best course of action is to advise him:
A)
B)
C)
D)

His work related stress is affecting his stomach, so drink a lot of fluids for the next day or two
Stop drinking any coffee and see if the stomach symptoms resolve
Seek prompt medical evaluation as he may be having gastric bleeding
To come to your office to have his case taken and receive a homeopathic remedy

13. A 72-year-old man tells you that his blood pressure on the grocery store machine was 220 over 135. He
rechecked it at two more stores and found it to be about the same. He feels okay except for a mild headache.
What is your best response?
A)
B)
C)
D)

Tell him to take a brisk walk, then recheck the blood pressure
Advise him to seek medical care without delay
Have him set up an appointment to see you in a week
Ask him to recheck the blood pressure at a couple more stores

14. A 21-year-old woman takes off her shoes to show you her feet. One side of her left great toenail is red and
swollen with slight exudate. What would you conclude?
A)
B)
C)
D)

She probably needs a tetanus booster


Her problem should resolve quickly
She has an ingrown toenail
Her feet probably stay moist

15. Which of the following is a parasitic infection of the skin?


A)
B)
C)
D)

Wart
Poison ivy
Ringworm
Pediculosis

16. An x-ray report of a right lower lung field calcified granuloma is indicative of
A)
B)
C)
D)

Possible active TB
Steroid use
Old lung infection
Smoking

17. A 46-year-old man has been under your homeopathic care for eight months because of abdominal pain and
weight loss. The pain has been mild, but has not lessened, and the weight loss has continued despite
treatment; he has lost twenty-five pounds since you first saw him, from 190 to 165. What is your best approach
at this point?
A)
B)
C)
D)

Advise him that a change in remedy is needed


Advise him to seek emergency medical care
Advise him to increase unsaturated fat in his diet
Advise him to seek non-emergency medical evaluation

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18. A client tells you that her Pap test was normal. What might you tell her?
A)
B)
C)
D)

The Pap test is an effective screen for cervical, uterine, and ovarian cancer
The Pap test is an effective screen for uterine and ovarian, but not cervical cancer
The Pap test is an effective screen for cervical and ovarian, but not uterine cancer
The Pap test is an effective screen for cervical, but not uterine or ovarian cancer

19. A 51-year-old man remarks that he is just back from a vacation in Hawaii. He has experienced some sharp
chest pain, worse on breathing, but adds that it is not severe. His main concern is the soreness in his right leg. It
is a bit tender to the touch and even swollen somewhat, he says. What is your best course of action?
A)
B)
C)
D)

Advise him to remain off the leg for a week and apply cold packs
Advise him that he may have a serious condition requiring urgent medical care
Advise him to begin increasing his fluid intake and increase daily walking
Advise him that the symptoms will likely resolve with his next remedy

20. Likely symptoms of a black widow spider bite include:


A)
B)
C)
D)

Muscle cramps and spasm


Skin rash
Bulls eye lesion at site of the bite
Fever

21. A 42-year-old woman complains of pain in the right upper quadrant of her abdomen which feels crampy. This
pain occurs 1 2 hours after meals, and is worse when eating fats. She is otherwise healthy. She is 5 feet 2
inches tall and weighs 165 pounds. The most likely diagnosis is:
A)
B)
C)
D)

Ovarian cyst
Cholelithiasis
Esophageal reflux
Peptic ulcer

22. Your 60-year-old client has been taking Lasix, a prescription diuretic, for mild congestive heart failure for several
months when she came today for a first constitutional consultation. Her chief complaint is that she gets frequent
cramps and spasms in her legs at night. She also must get up several times each night to urinate. Your most
appropriate course of action is to:
A)
B)
C)
D)

Give her the best indicated remedy based on her full case, and consider electrolyte supplementation
Advise her to limit fluids, drinking only the minimum necessary
Refer for prompt neurological evaluation
Advise her to stop taking Lasix

23. A 35-year-old woman consults you, reporting that she has had diarrhea for over three weeks. She has noticed
blood and mucous in the stool. She has occasional abdominal cramps, but is otherwise feeling well. What
would you do?
A)
B)
C)
D)

Advise her that she should avoid dairy products


Advise her to seek emergency medical evaluation
Advise her that the blood is of no serious consequence
Advise her that she may need medical evaluation in the near future

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24. A client who has been consulting you for homeopathic care initially presented with a diagnosis of thyroiditis and
initially had a low TSH blood test, which is now normal. What would you conclude?
A)
B)
C)
D)

The normal TSH is likely a result of homeopathic care


The TSH needs to be repeated because it will likely drop again
Normalization of the low TSH is a natural phase of thyroiditis
The TSH blood test has no bearing on her condition

End of Health Sciences Exam.

STOP

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Philosophy Exam
Answer Key
1.

C Explanation: The removal of symptoms equals the removal of disease and restoration of health.
Aphorism 8, 17 - Organon

2.

C Explanation: The vital force is the dynamic principle that animates each person and supports health.
Aphorism 9, 10 - Organon

3.

4.

D Explanation: Hahnemann states that all disease starts on the level of the vital force. Aphorism 11 Organon

5.

C Explanation: According to Vithoulkas, in The Science of Homeopathy, p 129, hereditary influences,


diseases and allopathic intervention affect susceptibility.

6.

C Explanation: Hahnemann discusses the creation of opposing symptoms from the vital force in response
to a drug stimulus in Aphorisms 112 115.

7.

D Explanation: M potencies are made by using a 1:100 dilution ratio and succussion in repetitions of 1000.
A 1M potency is 1000 repetitions, a 10M potency is 10,000 repetitions.

8.

9.

C Explanation: Provings are done to identify the symptoms that a homeopathic remedy can elicit, and
therefore can cure when they appear in ill persons. Aphorisms 121 142 Organon

10.

C Explanation: No disease can take hold unless there is susceptibility in the individual. Aphorism 31
Organon

11.

D Explanation: Hahnemann discusses miasms as predisposition to specific patterns of disease that


underlie chronic illness in The Chronic Diseases.

12.

Explanation: Hahnemann recommends that non-soluble substances be triturated for the first 3
attenuations, and then can be diluted thereafter. Aphorisms 269 - 279

13.

Explanation: These are features of the sycotic miasm.

14.

Explanation: When disease begins, it occurs on the level of the vital force. The un-tuned vital force
eventually manifests symptoms on the physical level. The physical changes to tissues are the end result
of the disease process rather than a precipitating cause or the disease itself. Writings by Hahnemann,
Vithoulkas, Kent, Roberts.

15.

Explanation: Grade denotes the frequency of occurrence of a symptom in either provings or clinical use,
or a combination of the two.

16.

D Explanation: The remedy was correct. See Appendix A in Vithoulkas Science of Homeopathy.

17.

Explanation: Hahnemann observes that acutely ill patients often desire substances that will palliate their
condition. Aphorism 262 263 - Organon

Explanation: Structural and organic pathology is most characteristic of Syphilitic miasm.

Explanation: Miasms are indicated when well chosen remedies fail to act or to hold.

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18.

Explanation: The second prescription is the one to be made after a remedy that has acted, no matter how
many remedies were given previously. See Kents Lectures on Homeopathic Philosophy, p. 238

19.

Explanation: It is not possible to tell how the action of the remedies in the combination will hinder or alter
each others actions. Aphorism 273 274 Organon

20.

C Explanation: The tubercular miasm is indicated by respiratory weakness, restlessness, and tendency to
take colds. The other options describe the hydrophobinum, syphilitic and psoric miasms.

21.

22.

D Explanation: The same remedy should be given again. See Kent, Lectures on Homeopathic Philosophy
pg. 271

Explanation: amelioration followed by aggravation is not a favorable scenario according to Kent and
Vithoulkas. Repeating the remedy in a different potency is unlikely to produce good results in this
situation. As no antidoting influence was noted, the most likely scenario is that the remedy acted
superficially.

End of Philosophy Exam answers.

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Materia Medica Exam


Answer Key
1.

D Explanation: Silica is considered a chronic of Pulsatilla. See Clarkes Dictionary of Practical materia
Medica discussion of Pulsatilla

2.

3.

C Explanation: Lachesis typically has aggravation during sleep or on waking. A patient needing Lachesis
would be unlikely to state that morning is her best time of day. See Morrisons Desktop Guide discussion
of Lachesis.

4.

5.

D Explanation: Hepar sulph covers suppurating wounds that are slow to heal. Arnica is contra-indicated for
skin lacerations. Ruta covers wounds that are slow to heal, but neither are included in the rubric
GENERALITIES, Wounds, suppurating.

6.

C Explanation: Eupatorium is the only remedy of the options given with an aggravation time of 7 9 am.
The desire for cold drinks during chill is a keynote. See Morrisons Desktop Guide discussion of
Eupatorium perfoliatum.

7.

C Explanation: Most of these remedies are indicated in phantom pain after amputation, however, Allium
cepa is the only remedy listed that has thread like pains. See Boerickes Materia Medica discussion of
Allium cepa.

8.

9.

D Explanation: Borax is noted for canker sores, clinging and fear of downward motion.

10.

11.

D Explanation: Syphillitic remedies in general share a destructive characteristic, with a tendency toward
necrosis and ulceration.

12.

C Explanation: Stannum is a remedy with extreme weakness, < slight exertion, with a hollow feeling in the
chest. The other remedies listed do not have this characteristic sensation. See Morrisons Desktop Guide
discussion of Stannum.

13.

14.

D Explanation: Apis mellifica is indicated. Lachesis has a stronger tendency to be left sided, so is less
indicated in a right sided pain. Belladonna covers the pain, but not the jealousy. Gallic acid has the
irritability and jealousy, but is not indicated in ovarian pain.

Explanation: Cactus and Platina appear in repertory rubrics for constriction as if bandaged.

Explanation: Lac defloratum is made from skimmed milk; it is an animal product remedy. See Boerickes
Materia Medica discussion of Lac defloratum.

Explanation: Aethusa has drinking milk as an etiology for vomiting and diarrhea, and has green stools.
This can be severe enough to leave the patient prostrate. The remaining remedies in the list do not share
the etiology of drinking milk.

Explanation: All of these remedies are restless, and share the modalities of pain < cold, > heat. Ruta
lacks the discoloration on the tip of the tongue (a Rhus tox keynote).

Explanation: Magnesia phosphorica is indicated. All these remedies have facial neuralgia. Spigelia
doesnt share the aggravation from cold. Platina and Kalmia are aggravated by cold, but not improved
from warmth.

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15.

Explanation: Badiaga is known for its cough symptom of mucous that flies from the mouth. The
remaining responses are keynotes for Baptisia, Bovista, and Bromium. See Boerickes Materia Medica
discussion of Badiaga.

16.

Explanation: All of these remedies have obesity, fissures, difficult concentration and photophobia.
Graphites is indicated by the affinity of skin problems in the bodys fold and flexures such as an elbow,
left sided symptoms and desire for chicken.

17.

C Explanation: Both Arsenicum and Phosphorus are thirsty, restless and better from warm applications.
Phosphorus has a keynote of vomiting from fluids as they become warm in the stomach. See Morrisons
Desktop Guide discussion of Phosphorus.

18.

Explanation: Gelsemium is the only one of these remedies with the keynote symptom of chills that run up
and down the spine. See Boerickes Materia Medica disccusion of Gelsemium.

19.

Explanation: Cocculus covers all of these symptoms. Conium has the vertigo, but not nausea from
motion aggravated by watching objects go by. Ipecacuanha is unrelieved by vomiting. Colchicums
nausea is elicited by odors, especially food, rather than motion.

20.

D Explanation: Calcarea follows Sulphur and should not be followed by Sulphur. Lycopodium acts with
special benefit after the other two remedies. See Boerickes Materia Medica discussions of these three
remedies.

End of Materia Medica Exam answers.

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Repertory Exam
Answer Key
There is more than one possible answer for many repertory questions. Answers other than the ones predicted
will be considered with an evaluation of how well they match the symptoms. In some cases multiple answers
have been indicated here to show that any of those options would be accepted. Multiple options are divided with a
slash.
1. MIND, Rage, striking with
MIND, Violent deeds, rage, leading to
MIND, Anger, violent
2. MIND, Loquacity
3. EYES, Injected / Ecchymosis
4. ABDOMEN, Eruptions, urticaria
SKIN, Eruptions, urticaria
5. MALE GENITALIA, Erections, incomplete / troublesome / wanting
MALE GENITALIA, Sexual, passion without erection
6. CHEST, Pain, sore, coughing from
7. MIND, Doubtful, recovery of
8. MIND, Monomania
9. GENERALITIES, Injuries, extravasations, with
SKIN, Ecchymoses
10. KIDNEYS, Pain, walking, while
11. EAR, Discoloration, redness, one-sided
12. EYE, Strabismus / Divergent
13. STOMACH, Thirst, night, waking on
14. GENERALITIES, Faintness, rising on
15. EXTREMETIES, Coldness, foot, icy cold
16. VERTIGO, Fall, to the left
17. LARYNX and TRACHEA, Voice, nasal
18. HEAD, Pain, spirituous liquors, from

End of Repertory Exam answers.

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Health Sciences Exam


Answer Key
Each answer is associated with a level of difficulty and a category of question.
1.

C This is an easy question in the category of Pathology Signs and Symptoms of Disease. Hypertension is
the factor most strongly associated with stroke. Smoking, migraine headaches and old age are lesser
factors, as are diabetes, oral contraceptive use, and heart disease.

2.

3.

C This is an easy question in the category of Condition needing non-emergency referral. The practitioner
may have opinions about the reappearance of menstrual bleeding in relationship to the homeopathic
remedy given. Regardless of these, it is still prudent to refer the client for an assessment and diagnosis
given the unusual circumstance of menses returning in a woman who is 20 years post-menopausal.

4.

This is a moderately difficult question in the Condition needing emergency medical referral category. PID
(pelvic inflammatory disease) is most commonly associated with Chlamydia infection. Candida albicans is
associated with vaginitis. Giardia is a gastro-intestinal parasite. HPV is a virus that produces warts and is
recognized as a precursor for cervical cancer (carcinoma-in-situ).

5.

This is an easy question in the Conditions needing emergency medical referral category. The client with
history and recent return of heart arrhythmia which could predispose formation of a clot is exhibiting signs
and symptoms (slurred speech, loss of balance) of stroke.

6.

This is a moderately difficult question in the Condition needing non-emergency medical referral category.
Answer D is wrong because this man is likely to have liver involvement and alcohol can be detrimental to
the liver. Answer B is similarly incorrect because his condition must not be ignored. However, he is in no
immediate danger or distress, so answer C is not the best response, although it is not false. One of the
most important things we are attempting to evaluate with this section of the exam is your overall
sense of appropriateness in referring or not referring for medical evaluation and care. We do
realize that there will always be some people who do not agree with our choice of response, but
we are trying to seek as much of a consensus as possible.

7.

C This is a moderately difficult question in the Condition not needing medical referral category. Neither hair
loss nor panic attacks are likely to be life-threatening, so emergency or urgent medical care is not needed,
eliminating answers A and B. On the other hand, it is not wise to ignore the problems, so D is not correct.
Some might argue that this woman may have hypothyroidism, so needs medical referral. But an option for
non-urgent medical referral is not given; hence C is still the correct answer, and you can refer her for
thyroid testing at your convenience. Note that the best answer is not necessarily what you would do
in your practice. It is the best answer of the options given.

8.

9.

D This is a moderately difficult question in the Clinical exam and assessment category. This child has
chicken pox, which can be determined with a high degree of confidence by only observing the skin lesions
(concurrent red bumps or papules, vesicles or blisters, pus bumps or pustules, and scabs or crusts).

This is a moderately difficult question in the category of Clinical exam and assessment. Bells palsy is
consistent with unilateral facial neuralgia with lachrymation and difficulty closing the eye. Meningitis and
temporal arteritis may cause severe headaches, but are less likely to be felt in the face and ear. There
may be eye symptoms associated with multiple sclerosis, but these are more likely to affect the optic
nerve rather than the eyelid. Note: For some questions there may be more than one answer that is
technically true, but you are to select the best answer.

This is an easy question in the anatomy and physiology category. The hypochondriac regions are below
the ribs and cartilage, one region on the right side, another on the left side of the abdomen.

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While the other answers may or may not be true, they are not most appropriate.
10.

This is a moderately difficult question in the category of Condition needing emergency medical referral.
Any answer involving delay is not appropriate because of the GI bleeding and loss of consciousness, so B
and C are not correct. While D is true, it does not address the need for urgent medical care, so is
incorrect.

11.

This is a moderately difficult question in the category of Clinical exam and assessment. While anemia and
heart disease might be associated with a tremor, the most likely cause in a female in no distress is
Parkinsons disease. There is no relation to osteoporosis.

12.

C This is an easy question in the Conditions needing medical referral category. The appearance of vomitus
like coffee grounds suggests gastric bleeding and the client needs medical evaluation.

13.

14.

C This is an easy question in the category of Clinical exam and assessment category. This is a common
presentation for an ingrown toenail that has been present for more than a few days. It is not likely to
resolve on its own, although it might, so B is not the best answer. A 21 year old is not likely to need a
tetanus booster, since most schools require one at 14-16 years of age, with a booster advised every ten
years thereafter, so A is not the best answer. Moisture is associated with fungus of the feet, but not
necessarily ingrown toenails, so D is not correct.

15.

D This is an easy question in the category of Condition not needing medical referral. The key here is not the
category, but recognition of pediculosis (lice infestation, of head or pubic area or body). Ringworm sounds
like an infestation with worms, but is a fungal infection.

16.

C This is a difficult question in the category of Pathology Signs and Symptoms of Disease. A calcified
granuloma is an old infection that the body has walled off. It could represent old TB, which is more
common in the upper lobes, but is not a sign of active disease.

17.

D This is a moderately difficult question in the category of Condition needing non-emergency medical care.
The care required is not immediately urgent because he is in no distress and the condition has been
present for several months. Although some purists may choose to use homeopathy and nothing else,
medico-legally the best course of action in this case is to recommend medical evaluation, and to
document that recommendation on the clients chart. (Whether or not the client chooses to seek such
evaluation is a separate issue.) This way you are ethically and medico-legally in a more comfortable
position. In answering the questions, do not assume that the client has indicated he or she desires
only homeopathic care. When deciding whether a condition requires emergency medical care,
consider whether there is immediate danger to the patients health, as well as how long the
condition has been present. This is often more difficult than it seems, but we will try to present
situations where the vast majority of clinicians would agree. However, there will be times when
some clinicians will disagree with our conclusion out of their own personal experience, and we
understand that.

18.

D This is a moderately difficult question in the category of Medical tests. The Pap test does effectively
screen for cervical cancer, screens but not effectively for uterine cancer, and screens very poorly for
ovarian cancer.

This is a moderately difficult question in the category of Condition needing emergency medical referral.
The standard of medical care regards a blood pressure level this high as needing urgent care. Although
you, as a homeopath, may elect to treat this client and see if he responds in a short while, this option is
not listed. Of the options listed, only B involves no undue delay in getting medical care. In considering
such questions, it is helpful for you to decide whether the condition described is urgent and
requires emergency medical care, and if so, then eliminate answers that involve delay, regardless
of what you personally might do in your own practice.

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19.

This is a difficult question in the category of Condition needing emergency medical referral. The key here
is to recognize signs and symptoms of possible thrombo-phlebitis in the leg with pulmonary embolus
(blood clot) to the lungs. This man has flown on an airplane for a number of hours, which predisposes one
to such a condition. The sharp chest pain may indicate that he has had a small embolus. (A large embolus
would cause greater respiratory distress.) We would not anticipate that every exam candidate would
recognize this situation; that is why it is in the difficult category. Cold compresses might aggravate the
clotting, so A is not correct. Answer C is not a good choice because it involves delay. Answer D may be
true, but is not the best answer because it does not address the urgency of the situation.

20.

This is a moderately difficult question in the category of Condition requiring non-emergency medical
referral, although many cases may be managed by homeopathy alone, while severe cases may need
urgent referral. It is not necessary to know the category of the question in order to answer it
correctly. We have developed these categories in order to help us learn to consistently consider
whether referral is indicated. Black widow spider bites are likely to produce muscle spasm and
cramping. The remaining symptoms are typical of the bite of the brown recluse spider.

21.

This is an easy question in the category Condition requiring non-emergency medical referral, although
such cases can often be managed by homeopathy alone. The primary reason for such referral would be
for more definitive diagnosis. Abdominal pain after eating and obesity are the factors presented; these are
most consistent with cholelithiasis.

22.

This is a moderate question in the Clinical exam and assessment category. It is likely that the client's
symptoms are a result of the medication. Proceeding with selection of a best indicated homeopathic
remedy, taking into account that the client's presenting symptoms are not actual expressions of the vital
force, and consideration of mineral supplementation to support healthy electrolyte balance is the
appropriate course of action. Note: There are no circumstances in which it is appropriate for a nonlicensed homeopath to advise the client to stop taking any medication prescribed by his / her
physician.

23.

D This is a difficult question in the category of Condition needing non-emergency medical referral. Answer
A, to avoid dairy, may be technically true, but it is not the best answer. The duration of the diarrhea, with
the presence of blood, makes a condition such as ulcerative colitis more likely, which is why a medical
evaluation may be needed. The condition should not be ignored. She is in no immediate distress, so
emergency referral is not indicated. Note: In answering the test questions, assume that you are
functioning as strictly a homeopath. Thus, even though you may be a physician and may be
medically evaluating this patients problem concurrently with providing homeopathic care, you
still answer as though you were strictly the homeopath: Advise her that she may need medical
evaluation in the near future.

24.

C This is a difficult question in the category of Condition needing non-emergency medical referral. In the
initial phase of a thyroiditis the TSH may be low because the thyroid gland is dumping excess thyroid
hormone into the blood stream. Subsequently the TSH may normalize, then increase because the
inflamed thyroid gland cannot produce enough thyroid hormone. If you do not realize this, you might
conclude that the homeopathic treatment was responsible for the change. This is an example where
knowledge of the natural history of an illness is important to know.

End of Health Sciences Exam answers.

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Sample Case Analysis Exam


How to use this sample exam:
The case provided in this sample test is equivalent to an actual exam case. This is provided for you to review and
analyze. The analysis is written as a series of short answers to specific questions. In the actual exam, the
response must be written on the forms provided, or can be typed / printed if a computer and printer are available. In
this sample exam, you will write your answers and then compare them to the sample answers given. Take care to
manage your time well.
Candidates can lose valuable time in recounting the facts of the case as part of their answers. Be sure to respond
with short answer phrases or a sentence, showing your perceptions and prioritization of information that
individualizes the facts of the case. The reviewers are already familiar with the case; a summary giving your
thoughts about what was important in the case (rather than the actual facts of the case), where you saw the center
of gravity, and the rubrics and remedies that are applicable with supporting reasons are needed.
The reviewers need to see that you observed the important features of the case, and prioritized them in a
reasonable way, separating what was common or less important from what was characteristic and crucial to the
case. Note keynotes and themes you observe, characteristic miasmatic patterns or etiology, or strong indicators
that are likely to affect prognosis. Be sure to indicate what seemed most important to you.
Rubrics selected should be accurate, representative, and written in correct format. It is acceptable to use combined
rubrics, and these should be denoted with a + sign between rubrics. Combined rubrics are considered as one
answer.
The remedy choices noted should be remedies that you would seriously consider for the case, and the final remedy
choice should be one that you can justify as superior to the other remedies considered. These should be options
that would have arisen from the rubrics selected, or if not, as in the case of a remedy that is not well represented in
the repertory, this should be noted in the final list of reasons.
The final question should have reasons given which justify the final remedy choice and provide a well thought out
remedy differential for the chosen remedies. It is important to articulate an in-depth knowledge of materia medica
here. It is also important to show how the chosen remedy better applies as compared with other remedies
considered as possibilities for the case.
When the reviewers look at a case answer, these are some of the questions that are asked:

Did the candidate see the main features, the themes and keynotes that the case offered? Did they see
things that were actually projection into the case of their own ideas, unsubstantiated by what the subject
stated? Or were there important things in the case that were ignored or missed? Was there an appropriate
prioritization of information? Were minor or common factors emphasized while neglecting more
characteristic features? Was there unsubstantiated theorizing regarding the dynamics of the case?

Did the candidate translate those features, themes and keynotes into accurate rubrics that, as a whole,
accurately reflected the case? Did the candidate include rubrics for minor points and leave out major
features? Were there rubrics that were not accurate for the feature they were chosen to represent? Were
many rubrics chosen about just one feature, overemphasizing that feature? Were all of the rubrics large,
general rubrics that failed to individualize the case, or was there an excessive number of rubrics? Did the
candidate rely heavily on easy-to-find but largely irrelevant rubrics such as food desires and body
temperature?
Did the remedies that the candidate considered seem reasonable from the themes and rubrics that were
stated? Were there more reasonable remedies that would have been likely to arise from the rubric listed, but

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were not considered without any explanation as to why? If the candidate argued strongly for a particular
etiology or miasm in the case, are the remedies being considered characteristic of that etiology or miasm?
From beginning list of themes through rubrics, likely remedies and final justification, does the case analysis
all fit together?
The CHC acknowledges that there are many different ways of analyzing a case, and all of these can be successful.
We expect the submitted analysis to be within the realm of classical homeopathy, and any method in this realm can
be used as long as it is well explained and well justified.
As you compare your answers to the example answers included here, be sure to note how well you explained your
thought process. View your case answer from the eyes of the reviewers. You are strongly encouraged to ask a
colleague to review your work and compare it to the example answers. Learn from the critique so that you will be
able to write effective answers for the actual exam.
Allow yourself 1 hour of uninterrupted time to complete the case. In the actual exam, be sure to divide your
time appropriately between the two cases.
DO NOT PUT YOUR NAME ON YOUR ANSWER SHEET in the actual exam, use the file number provided on
the exam coversheet as indicated in the instructions. This maintains anonymity for the reviewers.

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Name: ____________________________

File #:(will be provided on actual exam)


(use this number on case exam answer forms)

Turn the page to begin


Council for Homeopathic Certification
Sample Examination

Cases
Section
1 Hour
Open book
Allowable materials include:
homeopathic books and notes, computer software
Use of internet or communication devices is forbidden.

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CHC Sample Case Analysis Exam


One Case

Time Allotment: 1 Hour Total

This is an open book exam.


This sample packet includes 1 case. Following each case, is a summary form with a
series of questions requiring short answers. The questions are the same for each
case. Write the file number from the cover sheet on the summary form for each case,
but DO NOT write your name on the answer form.
There is a 1 hour time limit for this case exam. The actual exam will be 2 cases in 2
hours and you may divide the time between the 2 cases as you need.
Your answers need to be legible. If you require additional space, please use a
separate sheet of paper, or the back of the answer sheet, rather than trying to squeeze
everything into the space provided.
You do not have to write on the answer sheet given. You can use your computer to
type your answers. Make sure to write the questions as stated, and include your file
number from the front page (provided on the actual exam), and DO NOT list your
name on the answer sheet.
As stated in previous documentation, the reviewers are never looking for a specific
"right" answer, only for a reasonable one that shows good analytical thought and
understanding of homeopathic philosophy, materia medica and case assessment.
Please keep this in mind as you analyze this case.

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Sample Case
28-year-old, dark hair and eyes, slightly overweight young woman for an initial homeopathic consultation. She arrives with
a notepad, the first page filled with numbered reminders of what she would like to say. She sits rigidly in the chair, seems
very organized and attentive to detail. Her work is with children and their families as a social worker for a private
organization.
Main complaint of allergies, IBS of 10 years duration, and anxiety. She is seeking homeopathic treatment to stop allergy
medications and weekly allergy injections, reduce the use of antibiotics for her recurrent sinus infections, and reduce her
IBS symptoms.
In her own words: I have been seeing an allergist for the past 5 years, taking shots for my allergies every 2 weeks for the
first couple of years, now Im up to weekly shots with no relief. The doctor wants me to begin twice a week shots. The
nurse at his office suggested I try homeopathy, especially since Ive been complaining to her that medication keeps being
added, yet I still have no relief from the allergies. Now I have asthma symptoms as well, its exercise induced, which
started a year ago! Im on Zyrtec at night and Touro LA in the mornings, eye drops, and recently the doctor added an
inhaler for asthma. I dont like the side effects of these drugs. Ive been on and off antibiotics for over a year. The cost of
all these meds is getting prohibitive; $250.00 per month out of pocket, the insurance pays the rest. I could understand the
cost if I were getting some relief.
My allergies are worse than everI used to have seasonal hay fever, but now the allergies are year round, and worse
during the summer or in damp or rainy weather. My nose is stuffed up all the time and when I do have a discharge it
makes my nose and the area over my lips red and sore. My eyes tear a lot, I get headaches weekly and they are worse
premenstrually. The headaches are in my forehead over each eye; they come on after lunch and last the rest of the day
and night. Sometimes I wake up with them and every morning I have puffy eyelids just under my eyebrows.
I feel like there is one continuous health problem after another the last few years. I have always exercised and taken care
of myself, now the idea of my health going bad at such an early age is upsetting. I try not to let things bother me, but I do
find myself dwelling on the problems I have and what to do about them. I am even worse about work issues.
I have Irritable Bowel Syndrome, it is somewhat relieved by Acacia and fiber; it is worse from stress, especially at work. I
have to be very careful with the food I eat, I really like sweets but they disagree. I stay away from raw fruit/veggies, if I eat
them on an empty stomach the bloating and gas is very bad. I have a bowel movement once every 2-3 days; its very
painful with cramping in my stomach, mucous too lots, and fatigue afterwards. There are times when the stool recedes
and stays there until the next time I go.
Meat is a turnoff for me; Im vegetarian but eat some cheese and yogurt. I love dark chocoIate and sweets but get a lot of
gas; it gets backed up and my stomach is distended every day. Lots of gas, both ways, especially after I eat. I have
trouble with constipation too, I have to do a lot of straining and sometimes it goes back.
Sometimes, if things get too out of control I get pains in my stomach. If my boss adds paperwork or reports that I havent
been told about, or scheduling is changed I get frazzled and feel out of control. I get anxious and need to stop, close my
eyes, talk to myself and take a few deep breaths to get back into my routine. Once I do that my stomach subsides.
It is stressful when I argue with my husband, yet when he is away on business I hate it because I like having someone
around to talk to. When I am frustrated I find that we argue more, yet, at work I am better able to hold it in than at home,
even though work is full of stress.
She characterizes herself as a calm, caring person who believes duty to family, and friends comes first. I have the same
idea about my work, I take it seriously and I keep my life in my date portfolio, I have back-up on my computer.
I wake up usually between 3 and 4 AM. Its hard to go back to sleep after that. It is difficult for me to get to sleep initially,
Im chilly most of the time and at night I really have to bundle up. I feel tired and fatigued when I wake and I trudge through
the day.

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Case Exam Summary Form Case 1

File number (from cover sheet) ____________________

Repertory Used: _____________________________


Please answer the following questions. Point value is listed for each section, with a maximum of 100 possible points.
List 6 symptoms or themes that you feel most clearly represent the case. (24 pts)
1.

2.

3.

4.

5.

6.

List a minimum of 5 and a maximum of 8 corresponding rubrics or rubric combinations based on the symptoms
or themes you have noted. Enter a (+) sign between each rubric combination. (20 pts)
Note if using repertorization chart provided, rubrics can be written on chart instead of below.
1.
2.
3.
4.
5.
6.
7.
8.

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Attach the repertorization results (chart) from the rubrics listed above. This may be completed by hand using a
repertorization sheet or by completing a repertorization chart with a computer software program. Please identify
the program if using a computer. (20 pts)
Software program:___________
List 3 reasoned remedy choices for the case based on the symptoms/themes and your repertorization. Write
either the remedy name or the repertory abbreviation for each remedy below. (12 pts)
1.
2.
3.

Choose the one remedy you think is indicated most clearly in light of the options you have considered. (4 pts)
1.

Provide a well thought out remedy differential for the three best-fit remedies for this case that support your
remedy choice. (20 pts)

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Repertorization Chart

Case 1

Rubrics from case:


1.
2.
3.
4.

5.
6.
7.
8.
1

acon
aeth
agar
all-c
aloe
alum
anac
ant-c
ant-t
apis
arg-m
arg-n
arn
ars-a
ars-i
asaf
asar
aur
bad
bapt
bar-c
bell
bell-p
berb
bor
brom
bry
cact
calc-c
calc-f
calc-p
calc-s
calen
camph
cann-i
canth
caps
carb-an
carb-v
caul
caust
cham
chel
chin
cic
cimic
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Last updated March 9, 2015

Tot

cocc
coc-c
coff
colch
coloc
con
croc
crot-h
cupr
cycl
dig
dros
dulc
elaps
equis
eup-per
euph
ferr
ferr-p
fl-ac
gamb
gels
glon
graph
ham
hell
hep
hyos
hyper
ign
iod
ip
iris
kali-bi
kali-br
kali-c
kali-p
kali-s
kreos
lac-c
CHC Exam Handbook
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Tot

lach
lat-m
laur
led
lil-t
lob
lyc
lyss
mag-c
mag-m
mag-p
manc
med
merc
merc-c
merc-i-f
merc-i-r
mez
naja
nat-a
nat-c
nat-m
nat-p
nat-s
nit-ac
nux-m
nux-v
op
pall
petr
ph-ac
pos
phyt
plat
plb

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tot

podo
psor
puls
pyrog
ran-b
rhus-t
rumex
ruta
sabad
sabin
samb
sang
sars
sep
sil
spig
spong
stan
staph
stram
sulph
sul-ac
syph
symph
tab
tarent-c
tarent-h
thuja
tub
urt-u
verat
vib
zinc

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tot

Case Analysis Exam


Answer Key
Case Exam Summary Form

File number (from cover sheet) _______________

Repertory Used: Synthesis 9.1 (RADAR - Millennium View)


Please answer the following questions. Point value is listed for each section, with a maximum of 100
possible points.
List 6 symptoms or themes that you feel most clearly represent the case (24 pts)
1. Allergies/Asthma: Puffy eyelids on waking; HA forehead over each eye; eyes tear; nose chronic stuffed;
discharge from nose red, sore over lips.
2. Anxiety/Stress: Concerned about health going bad at an early age (Exercises, takes care of herself);brings
list to consultation; work stressful; arguing with husband stressful; anxiety over healthcare coverage.
3. M/E: Responsible; dwells on problems; prepared with list; attentive to detail; organized; sits rigidly in chair.
4. GI/IBS: Dislikes meat; vegetarian (does eat cheese, yogurt); desires sweets, but agg. by them; gas (flatus
and burping); stomach distended; constipated, strains, stool hard.
5. Relationships: Argues with husband < frustrated; likes his company (someone to talk to)
6. Sleep: Wakes 3-5 a.m., hard to go back to sleep; difficulty going to sleep; if body parts are outside covers,
cold, cant fall asleep; chilly < night; noise irritating; tired upon waking.
List 5-8 corresponding rubrics or rubric combinations based on the symptoms or themes you have
noted. Enter a (+) sign between each rubric combination. (20 pts)
1. Mind, Responsibility, taking responsibility too seriously (26)
2. Mind, Anxiety, health, about, own health, ones (84)
3. Eye, Swelling, Lids, Upper (51)
4. Nose, Discharge, excoriating (135)
5. Sleep, waking, night, midnight, after 3 h (74)
6. Generals, Food and Drinks, meat, aversion (167)
7. Generals, Seasons, summer, agg. (71)
8. Generals, Cold, becoming, agg. (130)
Note: This list does not represent all possible rubrics that may suit the case. The number of remedies identified for
each rubric do not need to be recorded. However, please note that no large rubrics have been selected for the
repertorization.
Example rubrics fitting the case that are considered too large to help differentiate are the following:
Mind, Quarrelsome (196)
Generals, Food and Drinks, sweets, desire (207)
Rectum, constipation, ineffectual urging and straining (250)
Mind, sensitive noise to (224) + Generals, noises, agg. (71) Combined = 229

Attach the repertorization results (chart) from the rubrics listed above. This may be completed by hand
using the repertorization sheet provided or by completing a repertorization chart with a computer
software program. Please identify the program if using a computer. (20 pts)
Software program: RADAR

Council for Homeopathic Certification (CHC)


Last updated March 9, 2015

CHC Exam Handbook


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List 3 reasoned remedy choices for the case based on the symptoms/themes and your repertorization.
Write either the remedy name or the repertory abbreviation for each remedy below. (12 pts)
1. Kali-c
2. Ars
3. Lyc
Choose the one remedy you think is indicated most clearly in light of the options you have considered.
(4 pts)
1. Kali-c
Provide a well thought out remedy differential for the three best-fit remedies for this case that support
your remedy choice. (20 pts)
The three remedies that warrant consideration in this case are the top three remedies from the
repertorization: Kali carbonicum (Kali-c), Arsenicum album (Ars) and Lycopodium (Lyc).
Please note: the best three remedy choices are not necessarily the top three remedies produced by the
repertorization.
1. Ars: This womans anxiety seems to stem from a sense of responsibility, conscientiousness and duty and less
about time or scheduling of time (Ars). Ars has the symptoms of fastidiousness due to anxiety and insecurity,
anxiety about health, desire for company, swelling about the eyes (often lower lids, however), periodic
headaches, gastritis and chilliness, agg. by cold (Morrison). The agg. time for Ars is also generally 1-2 a.m.
while this persons agg time is 3-5 a.m. The desire for fat would also argue against a remedy in which someone
is averse to eating meat. I also believe this woman to have a psora preponderance whose remedies include:
Calc-c, Lyc and Kali-c (Banerjea), which fit more closely to her symptom picture and all have strong affinity with
respiratory and gastrointestinal systems.
2. Lyc: Lycopodium was difficult to differentiate in this case: flatulence, exacting, need to hold onto ideas and
expectations, anticipatory apprehensions (Murphy), and aversion to meat (Kent) as well as anxiety about health,
< 3-4 am, irritability morning on waking (Vermeulen); craving sweets, distended abdomen (Morrison) fit the
symptoms of her case well. (While Vermeulen identifies the < 3-4 a.m. agg., Morrison indicates the agg. time for
Lyc as 4-8 or 3-7 p.m. which is not evident in this case.) However, she does not have the quiet strength,
confidence, nor detachment seen in those needing this remedy (Boger, Coulter). She also does not
demonstrate helplessness, or the shunning of responsibilities noted by Vermeulen.
3. Kali-c: Those needing Kali Carb are dogmatic, have rigidity both mentally and physically with an inability to
relax. Conventionality, responsibility, seriousness, rigidly adhering to rules, irritability with an urge to quarrel
(Bailey, Morrison) are all part of this womans repertoire. Her anxiety is met with the typical Kali pursuit of rules.
She demonstrates a strong sense of duty (doing what has to be done) and averse to solitude (Vermeulen) as
well as irritability and anxiety with fear when alone (Phatak).
The physicals of Kali Carb suit this woman remarkably: great desire for sweets (Watson) edema around the
eyes, catarrhal congestive headaches, sinusitis, chronic catarrh of nose, sensitivity to noise, flatus, constipation
(Clarke, Vitoulkas Viva, Farrington, Vermeulen, Boericke). Chilly < cold, < 2-4 a.m., swelling of the eylids,
desires sweets, waking at night, especially 2-4 a.m., sleeplessness without cause (Morrison); very chilly, craving
for sweets, < at beginning of sleep, swollen upper lids, excessive flatulence (Vermeulen); thin-blooded and cold
persons, numbness or coldness of single parts, < cold, eyelids swollen, stools difficult - hard lumps, abdomen
distended, nose obstruction, awakes 2-4 a.m. with nearly all complaints (Phatak). The 2-4 agg time is a strong
differentiating symptom for Kali-c.
Kali-c is the best fit for this case.

Note: Citing 2-3 reputable sources is sufficient.


Council for Homeopathic Certification (CHC)
Last updated March 9, 2015

CHC Exam Handbook


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This repertorization chart was printed using Radar, as indicated in the answer sheet above. You do
not need to have a computerized repertory. You can use the hand written repertorization chart
included in the exam packet.

Council for Homeopathic Certification (CHC)


Last updated March 9, 2015

CHC Exam Handbook


Page 52 of 52