Chapman’s Reflexes OSCE

Question 1

Anterior and posterior Chapman’s points for the arms

Answer 1

Anterior = none

Posterior = superior medial border of scapula, C2 lateral to spinous process

Question 2

Anterior and posterior Chapman’s points for the legs

Answer 2

None

Question 3

Anterior and posterior Chapman’s points for the spleen

Answer 3

Anterior = between ribs 7-8 at the costochondral junction on the left

Posterior = lateral to T7 on the left

Question 4

Anterior and posterior Chapman’s points for the tonsils

Answer 4

Anterior = between ribs 1-2 just lateral to the manubrium

Posterior = none

Question 5

Anterior and posterior Chapman’s points for esophagus

Answer 5

Anterior = between ribs 2-3 parasternally

Posterior = lateral to T2 spinous process

Question 6

Anterior and posterior Chapman’s points for stomach

Answer 6

Anterior = between rib 5-6 and 6-7 at costochondral junction on the left

Posterior = lateral to T5 and T6 spinous process on the left

Question 7

Anterior and posterior Chapman’s points for liver

Answer 7

Anterior = between rib 5/6 and 6/7 at costochondral junction on the right

Posterior = lateral to T5 and T6 spinous process on the right

Question 8

Anterior and posterior Chapman’s points for gallbladder

Answer 8

Anterior = between rib 5/6 and 6/7 at costochondral junction on the right

Posterior = lateral to T6 spinous process on the right

Question 9

Anterior and posterior Chapman’s points for pancreas

Answer 9

Anterior = between ribs 7-8 at costochondral junction on the right

Posterior = lateral to T7 spinous process on the right

Question 10

Anterior and posterior Chapman’s points for small intestine

Answer 10

Anterior = between ribs 8/9, 9/10, and 10/11 bilaterally at costochondral junctions

Posterior = lateral to T8, T9, and T10 spinous processes

Question 11

Anterior and posterior Chapman’s points for appendix

Answer 11

Anterior = tip of 12th rib on the right

Posterior = lateral to T12 on the right

Question 12

Anterior and posterior Chapman’s points for intestinal peristalsis

Answer 12

Anterior = lateral to AIIS bilaterally

Posterior = superior surface of rib 11, medial to rib angle

Question 13

Anterior and posterior Chapman’s points for colon

Answer 13

Anterior = IT band (cecum at right greater trochanter, hepatic flexure just above right knee)

Posterior = transverse processes of L2, L3, and L4

Question 14

Anterior and posterior Chapman’s points for rectum

Answer 14

Anterior= none

Posterior = posterior-lateral sacrum halfway between sacral sulcus and ILA

Question 15

Anterior and posterior Chapman’s points for bronchus

Answer 15

Anterior = rib 2/3 intercostal space at sternal border

Posterior = lateral to spinous process of T2

Question 16

Anterior and posterior Chapman’s points for upper lung

Answer 16

Anterior = rib 3/4 intercostal space at sternal border

Posterior = lateral spinous process of T3

Question 17

Anterior and posterior Chapman’s points for lower lung

Answer 17

Anterior = rib 4/5 intercostal space at sternal border

Posterior = lateral spinous process of T4

Question 18

Anterior and posterior Chapman’s points for myocardium

Answer 18

Anterior = rib 2/3 intercostal space parasternally

Posterior = superior border of T3 (lateral to spinous process)

Question 19

Anterior and posterior Chapman’s points for adrenals

Answer 19

Anterior = 2 cm superior and 2 cm lateral to umbilicus

Posterior = lateral to spinous process of T11

Question 20

Anterior and posterior Chapman’s points for kidneys

Answer 20

Anterior = anterior abdominal wall 1 cm superior/lateral to umbilicus

Posterior = lateral to spinous process of L1

Question 21

Anterior and posterior Chapman’s points for ureters

Answer 21

Anterior = none

Posterior = transverse process of L2

Question 22

Anterior and posterior Chapman’s points for bladder

Answer 22

Anterior = umbilicus

Posterior = transverse process of L3

Question 23

Anterior and posterior Chapman’s points for prostate

Answer 23

Anterior = posterior aspect IT band

Posterior = S1

Question 24

Anterior and posterior Chapman’s points for urethra

Answer 24

Anterior = superior surface of pubic bone

Posterior = none

Question 25

Anterior and posterior Chapman’s points for seminal vesicles

Answer 25

Anterior = none Posterior = anterior/superior surface of PSIS and posterior femoral head

Question 26

Anterior and posterior Chapman’s points for uterus

Answer 26

Anterior = 2 cm lateral (from midline) to inferior pubic bone Posterior = posterior transverse process of L5; sacral sulcus

Question 27

Anterior and posterior Chapman’s points for ovaries

Answer 27

Anterior = pubic tubercle Posterior = inferolateral portion of T10

Question 28

Anterior and posterior Chapman’s points for broad ligament

Answer 28

Anterior = posterior aspect of IT band Posterior = sacral sulcus

Question 29

Anterior and posterior Chapman’s points for vagina

Answer 29

Anterior = none Posterior = sacral sulcus

Question 30

Anterior and posterior Chapman’s points for fallopian tubes

Answer 30

Anterior = none Posterior = posterior femoral head; superomedial to PSIS

Question 31

Anterior and posterior Chapman’s points for thyroid

Answer 31

Anterior = rib 2/3 intercostal space at parasternal border Posterior = lateral to spinous process of T2

Question 32

Anterior and posterior Chapman’s points for middle ear

Answer 32

Anterior = superior, medial 1/3 of clavicle Posterior = occiput 2 cm lateral from midline

Question 33

Anterior and posterior Chapman’s points for sinuses

Answer 33

Anterior = superior border of rib 2, inferior medial clavicle Posterior = below occiput, lateral to spinous process of C2

Question 34

Anterior and posterior Chapman’s points for larynx

Answer 34

Anterior = on rib 2 at costochondral junction Posterior = lateral to spinous process of C2

Question 35

Anterior and posterior Chapman’s points for tonsils

Answer 35

Anterior = between ribs 1 and 2 just lateral to manubrium Posterior = none