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OS II Test 2 > Chapmans Reflexes > Flashcards

Chapmans Reflexes Flashcards

1
Q

describe a monosynaptic reflex

A

primary afferent neuron
one synapse
central motor efferent neuron

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2
Q

where is the cell body in the afferent sensory neuron located

A

in the dorsal root ganlion

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3
Q

2 types of primary afferents?

A

small cell body: lightley myelinated or unmyelniated, beta afferent, crude, touch, nociceptor

Large cell body

  • myelinated alpha-afferent
  • proprioception, discrimination mechanoreceptors
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4
Q

where is the cell body of the motor efferent neuron located

A

the ventral horn of the spinal cord

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5
Q

what is a polysynaptic reflex circuit

A

utilize interneurons between afferent and motor efferents

-many modulations possible

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6
Q

nerves involved in autonomic reflex arc

A

cranial nerves
spinal nerves
splanchnic nerves

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7
Q

autonomic reflex arc: afferent nerve of relex

A

neuron to viscera/blood vessel—>cell body in dorsal root ganglia—>central process terminates in dorsal horn on:
motor efferent or interneuron

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8
Q

efferent nerve of reflex cell body location

A

in lateral horn of cord or brain stem nuclei

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9
Q

efferent nerve reflex (preganglionic) axons can be ____ or ____

A

myelinated or unmyelinated

Myelinated: terminate on ganglion neurons outside CNS
on fascia of body wall or organs

unmyelinated preganglionic axons: travel from ganglia to cell targets of visceral organs

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10
Q

ANS has _____ efferent neurons in the pathway and somatic PNS has ___

A

2,1

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11
Q

ganglionic neurons of the ANS are in 3 locations

A

1) paravertebral ganglia (symp trunk)
2) collateral ganglia (clusters along large vessels of abdominal cavity)
3) hypogastric ganglia (fasica of visceral organs of pelvis)

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12
Q

somato-somatic reflex is what?

example?

A

afferent axon from somatic structure
efferent motor to somatic structure
-may have at least 1 interneuron
-example: touch hot object

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13
Q

visceral-visceral reflex

A

sensory from viscera to cord
efferent motor to viscera via ANS

-example: distended bowel reflexing back to cause spasm in muscular layer of bowel

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14
Q

viscero-somatic/somato-visceral reflex

  • interneurons yes or no?
  • what type of pain?
A

afferent sensory axon from viscera or somatic structure
efferent motor terminates on somatic or visceral structure
-interneurons involved
-referred pain
-visceral pain referred to somatic structures (appendicitis)

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15
Q

myocardial infarction is what type of reflex with referred pain

A

viscero-somatic

  • artery clots = sensory to cord
  • output to shoulder/neck/arm/symp system = motor output
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16
Q

treatment of the spinal level will do what to the visceral problem

A

will not cure it but will decrease visceral efferents thus calming of abnormal reflexes

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17
Q

frank chapman biography

A

graduated from ASO in 1897
practiced in chattagnooga, TN
expreience in palpation led to development of reflexes

18
Q

clinical application of chapmans points

A

palpation revealed nodules (ganglioform contractions)

-points of palpation on anterior and posterior = viscerosomatc reflexes

19
Q

process of chapmans points

A

locate point by anatomy, anterior points first

  • diagnosis = anterior
  • treatment = poserior

verify by palpation
gently rotate tip of finger over point
recheck anterior points after treating posterior

20
Q

when is the treatment complete of chapman points

A

when reflex is gone

21
Q

how long to treat each point

A

10-30 seconds, less is better

22
Q

finding the anterior points sinus issue

A

approximately 3.5 inches lateral to the sternum on upper border of second rib in first intercostal space

23
Q

treating posterior point sinus issue

A

midway between spinous process and TP on CV2

24
Q

patient with pelvic pain where do you palpate and what does this check for

A

palpate IT band on lateral side of thigh

-checks prostate or broad ligament

25
Q

checking the colon
top 1/5 =
mid 3/5 =
lowest 1/5 =

A

area from greater trochanter to just above the patella
on anterolateral part of thigh

top 1/5 = cecum
mid 3/5 = ascending colon
lowest 1/5 = transverse colon

26
Q

examine points for ovaries

A

upper pubic symphysis

27
Q

groin gland examine point

A

last 2/5 of sartorius muscle

28
Q

kidney point and signs

A

inch lateral and above umbilicus

-polyuria, anuria

29
Q

adrenal point and signs

A

inch lateral and 2 inches aboveumbilicus

-fatigue, malaise, insufficient sleep

30
Q

thyroid points and signs

A

intercostal space between ribs 2-3 close to sternum

-nervousness, wt loss, tachycardia

31
Q

hepatic congestion point

A

on right midmammilary line btwn ribs 6-7

32
Q

pyloric reflexes

A

between ribs 5-6 and 6-7 on left

33
Q

splenic reflex

A

on LEFT between ribs 7-8 at intercostal cartilage

34
Q

small intestine

A

intercostal spaces
ribs 8-9 = upper
ribs 9-10 = middle
ribs 10-11 = lower

35
Q

what are the small intestine points used for

A

differential between ulcer and enteritis

36
Q

acupuncture
kidney channel-K11
-fullness in lower abdomen, dysuria

Chapman?

A

urethra reflex

urethral cystitis

37
Q

acupuncture liver 14: abdominal distension, acid regurgitation

chapman?

A

gastric hypercongestion

  • midmammilary line 6th intercostal space
  • fermentation of stomach contents
38
Q

acupuncture stomach 18: pain in chest (heartburn)

-chapman?

A

hyperacidity
midmammilary line 5th ICS
hyperchlorydria
gastric ulcer

39
Q

acupuncture abdominal lament spleen 16: indigestion, dysentery

chapman?

A

Small intestine

  • ICS 8-9,9-10,10-11
  • indigestion, enteritis
40
Q

acupuncture kidney 25: cough, asthma

chapman?

A

bronchitis

  • 2nd ICS
  • congestion in chest, bronchitis
41
Q

appendix point anterior

A

tip of 12th rib on right

42
Q

appendix posterior point

A

between TP of T11-T12

-some tenderness, but no palpable nodule

OS II Test 2 (2 decks)

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