5 Written Questions
5 Matching Questions
- What is the pathway of parasympathetic innervation to nasal cavity/sinuses? Start from the nucleus in the CNS. Include spinal levels if applicable and where the preganglionic and postganglionic fibers/cell bodies are.
- Describe the lymph flow of the lungs from the subpleura to the subclavian vein (hint: SLP -> ILV -> Follows B, A and V -> B (H) N -> IT (C) N -> STN -> BLT -> SV
- What did Washington find out about chapman's points and the lung?
- Nitric oxide mediates what NANC?
- What is the pathway of sympathetic innervation to nasal cavity/sinuses? Start from where the fibers exit the CNS. Include spinal levels if applicable and where the preganglionic and postganglionic fibers/cell bodies are.
- a i-NANC (inhibitory Non-Adrenergi non-cholinergic innervation)
- b Parasympathetics (preganglionic) arise from the superior salivatory nucleus and join the facial nerve (CN VII). as they pass throught the geniculate ganglion they jump onto the greater petrosal nerve, then the nerve of pterygoid canal where they synaps in the pterygopalatine (sphenopalatine) ganglion. From there, parasympathetic post-ganglionic fibers spread out to the nasal cavity/sinuses.
- c Subpleural Lymphatic Plexus Interlobular Lymph Vessels Follows Bronchi, Arteries and Veins Bronchopulmonary (Hilar) Nodes Inferior Tracheobronchial (Carinal) Nodes Superior Tracheobronchial Nodes Bronchomediastinal Lymph Trunk Subclavian Vein
- d Yup, Pts with pneumonia have predictable chapman's pts related to the lung
- e T1-3 preganglionic to sympathetic trunk, where they travel up to the superior cervical ganglion, where the synapse, then tavel up the carotid plexus (now post ganglionic) to the Sphenopalatine nerves then out to the sinuses and nasal cavity
5 Multiple Choice Questions
- increased mucus production, plasma extravasation, and stimulates inflammatory and immune cells via NK1 receptor interaction
- Substance-P and NKA (Neurokinin-A
- Tachykinins are produced by inflammatory cells such as alveolar macrophages, lymphocytes, dendritic cells, eosinophils, and neutrophils
- Dysfunctional M2 receptors
1. FEV (Forced expiratory flow)
2. VC (Vital Capacity)
3. ERV (Expiratory reserve vol)
4. Airway resistance
1. TLC (Total Lung Capacity)
2. RV (Residual vol)
3. Subjectively improved breathing
5 True/False Questions
VIP (vasoactive intestinal peptide) mediates what NANC? → T2-6
Where would you expect to see tart changes if you had dysfunction in the lungs? → T1-6
What effect would balloon kyphoplasty have on pain, FVC, and MVV? → Reduce pain
Increase FVC MVV
According to Noll OMT made what worse 30 min post Tx? → i-NANC (inhibitory Non-Adrenergi non-cholinergic innervation)
What kind of NANC are mediated by sensory neuropeptides from non-myelinated c-fibers that releaseTachykinins? → 1. OMT decreases mortality and morbidity
2. OMT increases peak expiratory flow rate