Unit TWO Exam Questions

Question 1

T/F Extra-segmental inputs is a category that has less value for shoulder problems but can be included when appropriate – BC the shoulder is a very structural region with complex biomechanics and neuromechanics. But the CNS, like any other condition, can contribute to the control of inflammation and of the somato-sensory cortex processing of the sensory signals coming from the shoulder.

Answer 1

True

Question 2

T/F The use of electricity is an important part of every treatment, even though we may not know precisely the nerve endings we are affecting. The shoulder blue print consists of strategically located inputs: 4 inputs, anteriorly, posteriorly, superiorly and distally. The electricity can assist with pain modulation over a broad portion of the affected area.

Answer 2

True

Question 3

The classical point SI-16, inserted 1 cm in depth, coincides with what important main neurofunctional target that helps with the structural blueprint of shoulder?

Answer 3

Cervical Plexus and all of its cutaneous branches

Question 4

T/F The BP of the shoulder is targeting the main neurostructures and adding elements that improve the biomechanics.

Answer 4

True

Question 5

The reflex vascular sympathetic levels for the shoulder are:

Answer 5

T1-T4

Question 6

T/F
When picking a target on the infraspinatus muscle, it is best to choose the most medial aspect of the muscle

Answer 6

False

Question 7

What is a capsular point for the glenohumeral joint?

Answer 7

SI-10

Question 8

The common extensor tendon of the elbow serves as the origin for:

Answer 8

Extensor carpi radialis brevis

Extensor digitorum

Extensor carpi ulnaris

Question 9

The elbow joint is innervated in part by the cutaneous nerve branches that overly the skin in that region. One of these cutaneous nerves is the lateral antebrachial cutaneous nerve, which is a branch of which of the following:

Answer 9

Musculocutaneous nerve

Question 10

T/F Tenoperiosteal pecking with an acupuncture needle can be used at the proximal attachment of common extensor tendon to stimulate local cellular activity to help with lateral epicondylopathy.

Answer 10

True

Question 11

Which nerve is located approximately 3 fingers distal to the lateral epicondyle, between the extensor carpi radials brevis and the supinator?

Answer 11

Posterior interosseous nerve

Question 12

Which point would serve to modulate both the sympathetic nervous system as well as the radial nerve in the treatment of lateral elbow pain?

Answer 12

LI-4

Question 13

T/F Median nerve-related problems can often be metabolic in nature.

Answer 13

True

Question 14

Using acupuncture needles, we can affect :

Answer 14

Perineural space

Question 15

T/F Direct electrical stimulation of the distal median nerve is advised in median nerve-related pain problems.

Answer 15

False

Question 16

T/F Visceral motor output has fibres which travel through with the sympathetic fibres and some which travel with the vagus nerve.

Answer 16

True

Question 17

The Sympathetic Nervous System is considered:

Answer 17

Catabolic

Question 18

The sympathetic trunk runs bilaterally alongside:

Answer 18

Paraspinals T1-L2

Question 19

To influence the heart and lungs one can needle at the following levels paraspinally:

Answer 19

T1-T6

Question 20

T/F Two points that can be used to influence the hypothalamus and elevate mood are GV20 and GV24.5.

Answer 20

True

Question 21

If you only had 1 needle to treat a vascular headache, what point would you choose?

Answer 21

GV-14

Question 22

When treating a patient who suffers from dry mouth, the sympathetic innervation and thereby a good treatment target comes from which spinal levels?

Answer 22

T1-T4

Question 23

In order to modulate the adrenal glands to increase tissue perfusion in the lower body, which of the following spinal segments is most effective?

Answer 23

T8-L1

Question 24

Which point is thought to have the most influence on the hypothalamus?

Answer 24

GV-24.5

Question 25

When needling the lateral neck what structure should we particularly take note of avoiding?

Answer 25

Subclavicular Artery

Question 26

When needling a point on or close to the SCM what precautions should we take?

Answer 26

Do not insert needle more than 5mm

Stay on posterior aspect/belly of the muscle

Do not needle anterior of the muscle

Avoid needling this if you are not comfortable with the anatomy of it

Question 27

T/F The most common treatment position for lateral neck treatment would be the lateral recumbent position.

Answer 27

True

Question 28

What point goes through the nuchal and interspinous ligament, and is found between the EOP and the atlas

Answer 28

GV-16

Question 29

T/F The cervical facet technique should be done quickly, less than 10 seconds.

Answer 29

False

Question 30

What traditional acupuncture point is landmarked as halfway between the bicep aponeurosis and the lateral epicondyle?

Answer 30

LI-11

Question 31

T/F LI-11 targets both the radial nerve as well as lateral brachial cutaneous nerve.

Answer 31

True

Question 32

Which acupuncture point is used to access the supinator muscle?

Answer 32

LI-10

Question 33

T/F The ulnar nerve supplies the hypothenar muscles and all the intrinsic muscles of the hand, except the thenar muscles.

Answer 33

True

Question 34

SI-3 can be used to treat:

Answer 34

Ulnar nerve territory

Median nerve territory

Question 35

What chest wall muscle attaches to the coracoid process and is the final/deepest target of acupuncture point LU-1?

Answer 35

Pec minor

Question 36

Capsular points LI-15 & TH-14 are landmarked by the muscle borders of which muscles?

Answer 36

Anterior-Middle-Posterior Deltoid Heads

Question 37

The posterior axillary fold superior depression, located approximately one finger breadth inferior to spine of scapula is the landmark for which point? 

Answer 37

SI-10

Question 38

Acupuncture of GB-21 targets the number one trigger point found on people by lifting and pinching mid belly of which muscle?

Answer 38

UFT

Question 39

When needling TH-15’, the end feel should be:

Answer 39

Hard

Question 40

Which nerve(s) can be modulated when needling TH-15’?

Answer 40

Dorsal scapular

Spinal accessory

Question 41

When needling SI-12, what cervical segment is predominately modulated?

Answer 41

C5

Question 42

SI-9 is located at the junction of which 2 muscles? *** I think they meant SI-9

Answer 42

Long head triceps + Teres Major

Question 43

T/F The region that is the highest risk of Pneumothorax is above T6.

Answer 43

False

Question 44

The Posterior Primary Rami in the Thoracic spine are located:

Answer 44

1.5 cm from the Spinous process at a depth of 2 cm

Question 45

T/F Distal inputs are classified as neurofunction and neuromechanical.

Answer 45

True

Question 46

The Gut-Brain axis is connected via:

Answer 46

The vagus nerve

B
The sympathetic nerves

Question 47

Which of the following points influences gastric motility?

Answer 47

ST-36

ST-25