Comprehensive Osteopathic Medical Licensing Examination (COMLEX USA) Practice

Chapman’s reflex for otitis media is typically located at which anatomical position?

1. 1st rib

2. 2nd rib

3. Clavicle

4. Scapula

The correct answer is: 1st rib

The correct anatomical position for Chapman’s reflex associated with otitis media is located at the 1st rib. Chapman’s points, or reflex points, are specific areas on the body that correspond to various visceral organs and conditions. The 1st rib is the designated location for otitis media, reflecting an association with the ear and its drainage pathways. In terms of anatomy, the 1st rib relates closely to the upper respiratory system and the structures connected to the ear, including the Eustachian tube. Otitis media, an infection or inflammation of the middle ear, often ties back to issues with drainage and ventilation of the ear, which can be influenced by the adjacent structures innervated in this region. Therefore, palpating the 1st rib can reveal tension or changes in these reflex points, aiding in diagnosing and addressing the sympathetic and parasympathetic relationships involved with ear pathologies. The other options, such as the 2nd rib, clavicle, and scapula, do not correspond to the specific reflex point for otitis media. While they may be associated with other conditions or anatomical relationships, they are not relevant for this particular diagnosis. Understanding this helps in identifying and treating conditions related to the ear using osteopathic