Chapman's Reflex Points

Question 1

Arms

Answer 1

POSTERIOR
Superior medial border of scapula
C2 lateral to the spinous process

Question 2

Upper Extremity and Lower Extremity- Sympathetic Innervation

Answer 2

UE- T2-T7

LE- T11-L2

Question 3

Middle Ear

Answer 3

ANTERIOR
Superior, medial 1/3rd of clavicle
POSTERIOR
Occiput 2 cm lateral from midline

Question 4

Sinuses

Answer 4

ANTERIOR
superior border of rib 2; inferior medial clavicle
POSTERIOR
below occiput, lateral to spinous process of C2

Question 5

Larynx

Answer 5

ANTERIOR

on rib 2 at costochondral junction

Question 6

Tonsils

Answer 6

ANTERIOR
Between Rib 1 and 2 just lateral to the manubrium
POSTERIOR
Lateral to the C3 Spinous process

Question 7

Tongue

Answer 7

ANTERIOR

Junction of 1st rib and sternum

Question 8

Pharynx, Larynx, and Tongue

Answer 8

POSTERIOR

Lateral to the C2 Spinous Process

Question 9

HEENT Sympathetic and Parasympathetic Innervation

Answer 9

Sympathetic- T1-T5

Parasympathetic- Vagus N. (OA/AA)

Question 10

Spleen

Answer 10

ANTERIOR
Between ribs 7 and 8 at the costochondral junction on the LEFT
POSTERIOR
Lateral to T7 on the Left

Question 11

Esophagus

Answer 11

ANTERIOR
Between ribs 2 and 3 parasternally
POSTERIOR
Lateral to the T2 spinous process

Question 12

Stomach

Answer 12

ANTERIOR
LEFT; Between Ribs 5-6 and 6-7 at the costochondral junction
POSTERIOR
LEFT; lateral to the T5 and T6 spinous process

Question 13

Liver

Answer 13

ANTERIOR
RIGHT; Between ribs 5-6 and 6-7 at the costochondral junction
POSTERIOR
RIGHT; lateral to the T5 and T6 spinous process

Question 14

Pancreas

Answer 14

ANTERIOR
RIGHT; between ribs 6-7 at the costochondral junction
POSTERIOR
RIGHT; lateral to the spinous process of T7

Question 15

Small Intestine

Answer 15

ANTERIOR
Between ribs 8-11 bilateral at the costochondral junction
POSTERIOR
lateral to the spinous process of T8-T10

Question 16

Gallbladder

Answer 16

POSTERIOR

RIGHT; lateral to T6

Question 17

Intestine Peristalsis

Answer 17

ANTERIOR
Lateral to the ASIS bilaterally
POSTERIOR
Superior surface of rib 11, medial to the rib angle

Question 18

Appendix

Answer 18

ANTERIOR
Tip of the T12 rib
POSTERIOR
RIGHT; lateral to T12

Question 19

Colon

Answer 19

ANTERIOR

Anterior iliotibial Band (as if the colon were anteriorly displaced along the femurs; projected downward onto the femur)

Question 20

Rectum

Answer 20

POSTERIOR

Lateral Sacrum 1/2 way between the sacral sulcus and ILA

Question 21

Large Intestine

Answer 21

POSTERIOR

Transverse Process L2-L4

Question 22

GI Sympathetic and Parasympathetic Innervations

Answer 22

Sympathetic:
Upper GI- T5-T10
Small intestine and Ascending colon- T9-T11
Ascending and Transverse colon- T10-L2
Descending Colon and Sigmoid Colon/Rectum- T12-L2
Parasympathetic:
Upper GI- Vagus (OA/AA)
Small intestine and ascending colon- Vagus N. (OA/AA)
Ascending and Transverse Colon- Vagus N. (OA/AA)
Descending Colon and Sigmoid Colon/Rectum- S2-S4 (sacrum)

Question 23

Bronchus

Answer 23

ANTERIOR
Rib 2-3 intercostal space at sternal border
POSTERIOR
Lateral spinous process of T2

Question 24

Upper Lung

Answer 24

ANTERIOR
Rib 3-4 intercostal space at the sternal border
POSTERIOR
Lateral to the spinous process of T3

Question 25

Lower Lung

Answer 25

ANTERIOR Rib 4-5 intercostal space at the sternal border POSTERIOR Lateral to the spinous process of T4

Question 26

Pulmonary Sympathetic and Parasympathetic Innervation

Answer 26

Sympathetic- Lungs: T1-T7 Parasympathetic- Lungs: Vagus N. (OA/AA)

Question 27

Myocardium

Answer 27

ANTERIOR Ribs 2-3 intercostal space parasternally POSTERIOR Superior Border of T3 (lateral to the spinous process)

Question 28

Adrenal

Answer 28

ANTERIOR 2 cm lateral, 2 cm superior to the umbilicus POSTERIOR Lateral to the Spinous process of T11

Question 29

Heart Viscerosomatic Innervation

Answer 29

Sympathetic- T1-T6 | Parasympathetic- Vagus N. (OA/AA)

Question 30

Adrenal Viscerosomatic Innervation

Answer 30

Sympathetic- T5-T10 | Parasympathetic- Vagus N. (OA/AA)

Question 31

Kidney

Answer 31

ANTERIOR anterior abdominal wall 1 cm above/ lateral to the umbilicus POSTERIOR Lateral to the spinous process of L1

Question 32

Ureters

Answer 32

POSTERIOR | Transverse Process of L2

Question 33

Bladder

Answer 33

ANTERIOR Umbilicus POSTERIOR Transverse Process of L2

Question 34

Prostate

Answer 34

ANTERIOR ITB (posterior aspect) POSTERIOR S1

Question 35

Urethra

Answer 35

ANTERIOR | Superior surface of the pubic bone

Question 36

Seminal Vesicles

Answer 36

POSTERIOR | Superior/Medial surface of the PSIS and posterior femoral head

Question 37

GU Viscerosomatic Innervation

Answer 37

``` Sympathetic- GU: T10-L2 Ureter (Upper)- T10-T11 Ureter (Lower)- T12-L2 Parasympathetic- Upper Ureter: Vagus N. (OA/AA) Bladder: S2-S4 Lower Ureter: S2-S4 Reproductive Organs, Pelvis: S2-S4 ```

Question 38

Uterus

Answer 38

ANTERIOR 2 cm lateral (from midline) to inferior pubic bone POSTERIOR posterior-transverse process of L5; Sacral Sulcus

Question 39

Ovaries

Answer 39

ANTERIOR Pubic tubercle POSTERIOR inferolateral portion of T10

Question 40

Broad Ligament

Answer 40

ANTERIOR Iliotibial Band (posterior aspect) POSTERIOR Sacral Sulcus

Question 41

Vagina

Answer 41

POSTERIOR | Sacral Sulcus

Question 42

Fallopian Tubes

Answer 42

POSTERIOR | posterior femoral head; superomedial to PSIS

Question 43

Thyroid

Answer 43

ANTERIOR Ribs 2-3 intercostal space at parasternal border POSTERIOR Lateral to spinous process of T2