6. NECK REGION€¦ · 6. NECK REGION Which of the following is INCORRECT regarding the “Window...

5
6. NECK REGION Which of the following is INCORRECT regarding the “Window of Sky” points? A. The primary indication for the “Window of Sky” points is Rebellious Qi (cough, asthma, SOB, vomiting, etc) B. All the points except four are situated on the neck C. Seven out of these ten points contain the word ‘Heaven (Tian)’ in their name (headache, dizziness, red face, etc) D. They move the Yin to the upper body and move the Yang to the lower body (psychoͲemotional disorders, etc) Handbook p.146 Which of the following does NOT belong to “Window of Sky” points? A. ST9 B. LI18 C. SI16 D. LU2 SIDE FRONT BACK NOT ON NECK ST9 LI18 SI16 SI17 SJ16 RN22 DU16 UB10 Insertion: Mastoid process Origin: Sternum (manubrium) + Clavicle (medial third) What is the origin of the SCM? A. Sternum + Clavicle B. Clavicle + Mastoid process C. Sternum + Mastoid process D. Mastoid process The accessory nerve (CN XI) is a cranial nerve that innervates: A. Sternocleidomastoid B. Trapezius C. Sternocleidomastoid and Trapezius D. Supraspinatus and Infraspinatus CN XI testing y Test by asking the patient to shrug the shoulders ї y Test by turning the face to the opposite side ї POINTS BY REGION Page 1 (c) HB Kim, www.AcupunctureMedia.com

Transcript of 6. NECK REGION€¦ · 6. NECK REGION Which of the following is INCORRECT regarding the “Window...

Page 1: 6. NECK REGION€¦ · 6. NECK REGION Which of the following is INCORRECT regarding the “Window of Sky” points? A. The primary indication for the “Window of Sky” points is

6. NECK REGION

Which of the following is INCORRECT regarding the “Window of Sky” points?A. The primary indication for the “Window of Sky” points is Rebellious Qi (cough, asthma, SOB, vomiting, etc)

B. All the points except four are situated on the neckC. Seven out of these ten points contain the word ‘Heaven (Tian)’ in their name (headache, dizziness, red face, etc)

D. They move the Yin to the upper body and move the Yang to the lower body (psycho emotional disorders, etc)

Handbook p.146

Which of the following does NOT belong to “Window of Sky” points?A. ST9B. LI18C. SI16D. LU2

SIDE FRONT BACK NOT ON NECKST9 LI18 SI16 SI17 SJ16 RN22 DU16 UB10

Insertion: Mastoid process

Origin: Sternum (manubrium) + Clavicle (medial third)

What is the origin of the SCM?A. Sternum + ClavicleB. Clavicle + Mastoid processC. Sternum + Mastoid processD. Mastoid process

The accessory nerve (CN XI) is a cranial nerve that innervates:A. SternocleidomastoidB. TrapeziusC. Sternocleidomastoid and TrapeziusD. Supraspinatus and Infraspinatus

CN XI testingTest by asking the patient to shrug the shouldersTest by turning the face to the opposite side

POINTS BY REGION Page 1

(c) HB Kim, www.AcupunctureMedia.com

Page 2: 6. NECK REGION€¦ · 6. NECK REGION Which of the following is INCORRECT regarding the “Window of Sky” points? A. The primary indication for the “Window of Sky” points is

What is the function of the SCM (sternocleidomastoid) muscle?A. Ipsilateral flexion + Ipsilateral rotationB. Contralateral flexion + Contralateral rotationC. Contralateral flexion + Ipsilateral rotationD. Ipsilateral flexion + Contralateral rotation

Congenital Torticollis (“Wry Neck”)The incidence of congenital muscular torticollis is about one per 250 live births, with 75% involving the right side.Persistent torticollis remains in 10% to 20% of children.The most common cause of congenital torticollis is fibrosis of the SCM.The head is tilted laterally toward one shoulder, with the chin rotated away from that shoulder:

In a child with right torticollis, the head is tilted to the ____ shoulder with the chin rotated to the ____.In a child with left torticollis, the head is tilted to the ____ shoulder with the chin rotated to the ____.

Mainstay of treatment is to stretch the contracted SCM 15 to 29 times per session, 4 6 times a day (at every diaperchange).

With a right torticollis, tilt the child’s head to the ____ (left ear toward left shoulder) and rotate the face to the____ (chin to right shoulder).With a left torticollis, tilt the child’s head to the ____ (right ear toward right shoulder) and rotate the face to the____ (chin to left shoulder).

Which of the following extra points indicates a stiff neck?A. Luo ZhenB. Jian Nei LingC. Jia Cheng JiangD. Huan Zhong

Which of the following points is NOT located on the anterior border of the SCM?A. SI17B. SI16C. ST9D. ST10

Which of the following points is NOT located on the posterior border of the SCM?A. SJ16B. SI16C. ST11D. LI17

Which of the following points is located between the sternal head and the clavicular head of the SCM?A. SJ16B. SI18C. ST10D. LI18

ANTERIOR TO THE SCM

BETWEEN TWO HEADS OF THE SCM

POSTERIOR TO THE SCM

POINTS BY REGION Page 2

(c) HB Kim, www.AcupunctureMedia.com

Page 3: 6. NECK REGION€¦ · 6. NECK REGION Which of the following is INCORRECT regarding the “Window of Sky” points? A. The primary indication for the “Window of Sky” points is

Match the points to the correct acu anatomy.

ST9 jugular vein

ST12 carotid artery

LI17 brachial plexus

HT1 axillary nerve

LI15 axillary artery

DU16 medulla oblongata

ST12 is crossed by:A. All Yang channels + Yin QiaoB. All Yang channels except UB + Yin QiaoC. UBD. Yin Qiao

Which of the following points will allow the patient to forget troubling thoughts, fall asleep and can be usedduring hypnotherapy for PTSD treatment? (Clinical Only)A. GB12B. SJ17C. SI16D. LI18

An Mian

An Mian ( , Peaceful sleep) is an extra point that treats insomnia, vertigo, headache, palpitations, mentaldisorders and hysteria. It is located at the midpoint between _______ and _______.A. SJ17, GB12B. SI17, GB20C. SJ17, GB20D. RN1, DU1

POINTS BY REGION Page 3

(c) HB Kim, www.AcupunctureMedia.com

Page 4: 6. NECK REGION€¦ · 6. NECK REGION Which of the following is INCORRECT regarding the “Window of Sky” points? A. The primary indication for the “Window of Sky” points is

7. SHOULDER REGION AND LATERAL UPPER ARM

Which of the following extra points has the location and the indication provided in chart below?Location midway between the end of the anterior axillary fold and LI15 and indicates pain in the shoulder and armIndication pain in the shoulder and arm, paralysis of the upper extremities

A. Bai LaoB. Jian Qian (a.k.a. Jian Nei Ling)C. Yao QiD. Pi Gen

What is the location of the crossing point of the Large Intestine and YangQiao (Yang Heel vessel)?A. When the arm is in full abduction, in the depression appearing at the

anterior border of the acromioclavicular jointB. Posterior & inferior to the acromion, in the depression about 1 cun

posterior to LI15 when the arm is abducted

LI15 SJ14anterior to the acromion posterior to the acromion

The Rotator Cuff is a common name for the group of 4 distinct muscles and their tendons, which providestrength and stability during motion to the shoulder complex. Which of the following muscles does NOTbelong to the Rotator Cuff?A. SupraspinatusB. InfraspinatusC. SubscapularisD. Deltoid

S I t S

The rotator cuff muscles include all of the following EXCEPT:A. SupraspinatusB. InfraspinatusC. Teres majorD. Subscapularis

POINTS BY REGION Page 4

(c) HB Kim, www.AcupunctureMedia.com

Page 5: 6. NECK REGION€¦ · 6. NECK REGION Which of the following is INCORRECT regarding the “Window of Sky” points? A. The primary indication for the “Window of Sky” points is

Which of the following points belongs to the “Window of sky points”?A. LU1B. LU2C. LU3D. LU4

_________ (Tian Fu , Celestial Storehouse) _________ (Tian Chi , Celestial Pond)

3 cun below the end of the axillary fold,on the radial side of m. biceps brachii

In the 4th intercostal space, 1 cun lateralto the nipple

The combination of LI11 + SP10 + UB40 can be used for which of the following?A. UrticariaB. ErysipelasC. Herpes zosterD. All of the above

Urticaria a.k.a. Hives, a common skin rash triggered by many things including certain foods, medications, and stress

Erysipelas bacterial infection, affects the upper layers of the skin vs. Cellulitis affects the deeper tissue

Herpes zoster a.k.a. Shingles, reactivation of the chickenpox virus in the body, causing a painful rash

LI11 ( , Quchi) is one of the foremost points on the body to clear heat and fire. LI11 is the LEASTeffective for which of the following?A. Organ HeatB. Blood HeatC. Damp HeatD. Wind HeatE. Deficiency Heat

+Address

Where is the Fire?

LI11 Point Pairs ( , Dui Xue)

Organ Heat Blood Heat Damp Heat Phlegm Heat Wind Heat

Ying Spring Points SP10 SP9 ST40 DU14

LV__ HT__ ST__ LU__

POINTS BY REGION Page 5

(c) HB Kim, www.AcupunctureMedia.com