NBCE Boards Part II - Chiropractic Practices Actual
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What is Wallenberg's syndrome - ANSWER-damage to
PICA
Dysphagia, dysarthria, ipsilateral Horner's ipsilateral loss
PTLT in face, contralateral loss PTLT in rest of body
What makes up the suboccipital triangle - ANSWER-
RCPM, OCS, OCI
What makes of the roof of the suboccipital triangle -
ANSWER-deep fascia covered by semispinalis capitis
What makes up the floor of the suboccipital triangle -
ANSWER-posterior arch of C1
What is located in the suboccipital triangle - ANSWER-
suboccipital nerves (dorsal ramus of C1) which supply
surrounding muscles of the triangle
3rd part of the vertebral artery
Suboccipital veins
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Localized pricking pain, fast type 1a fibers, mechanical
and thermal stimuli - ANSWER-specific nociceptors
Nociceptors activated only after tissue inflammation -
ANSWER-silent
Dull, burning achy pain, chemical, mechanical, thermal
stimuli, slow type c fibers - ANSWER-polymodal
nociceptors
2 motor nerve fibers - ANSWER-Aa to skeletal muscle
Ay to muscle spindles
3 sensory nerve fibers - ANSWER-Ab for VTDT
Ad for PTLT
C for pain
2 autonomic nerves - ANSWER-B - pregang
C - postgang
Touch, vibration, discriminatory touch - ANSWER-Ab
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Motor to skeletal m - ANSWER-Aa
Motor to muscle spindles - ANSWER-Ay
Fast pain, temperature, crude touch - ANSWER-Ad
RA sensory fibers - ANSWER-pacinian
Receptors
SA sensory fibers - ANSWER-muscle spindle afferents
Gtos
Free nerve endings
Responds to vibration - ANSWER-pacinian
Ruffini endings are sensitive to what - ANSWER-stretch
Free nerve endings are sensitive to what - ANSWER-
stretch, pain
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Meissners are sensitive to what - ANSWER-texture
Merkels are sensitive to what - ANSWER-pressure
Muscle spindles are sensitive to what - ANSWER-stretch
RA mechanoreceptors - ANSWER-pacinian
Free nerve endings
Meissners
SA mechanoreceptors - ANSWER-ruffini
Gtos
Merkels
Muscle spindles
1st, 2nd, decussation, 3rd order neurons:
Dorsal column - ANSWER-1. Mechanoreceptors, vibration,
touch
2. Nucleus gracilis and cuneatus
X. Medulla
3. VPL nucleus of thalamus