3/20/21 Flashcards

1
Q

Who gets a Rh anti-D immunoglobulin injection (rhogam) during pregnancy?

A

All Rh D neg (-) pregnant women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When in pregnancy does a Rh D neg (-) mother get the anti-d immunoglobulins?

A

at 28 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the dose of Rh anti-d immunoglobulin for Rh D negative mother?

A

300 mcg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

If an Rh D neg (-) mother has an event that could cause fetal-maternal bleeding, what is the treatment?

A

Rh anti-d immunoglobulin 300 mcg within 72 hours of event

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

A Rh D positive (+) infant is born to a Rh D neg (-) mother, what is the appropriate treatment?

A

Rh anti-d immunoglobulin 300 mcg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

You treat 2 body regions with OMT, what is the CPT code?

A

for 1-2 regions the code is 98925

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

You treat 4 body regions with OMT, what is the CPT code?

A

for 3-4 body regions the code is 98926

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

You treat 5 body regions with OMT, what is the CPT code?

A

for 5-6 body regions the code is 98927

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

You treat 8 body regions with OMT, what is the CPT code?

A

for 7-8 body regions the code is 98928

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

You treat 10 body regions with OMT, what is the CPT code?

A

for 9-10 body regions the code is 98929

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the typical presentation of peritonsillar abscess

A

sore throat, fever, “hot potato” or muffled voice, drooling, trismus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the classic exam findings of peritonsillar abscess

A

enlarged and fluctuant tonsil with deviation of the uvula to the opposite side

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What studies are needed to diagnose a peritonsillar abscess?

A

none – clinical diagnosis, may use US if needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Treatment for peritonsillar abscess

A

needle aspiration, antibiotics (Augmentin or Clindamycin) x 14 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the recommended breast screening guidelines from the USPSTF?

A

The USPSTF recommends biennial screening mammography for women aged 50 to 74 years.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is a junctional rhythm?

A

no P waves seen before the QRS complexes; instead, they occur either simultaneously with the QRS complexes or more commonly are retrograde
When Rate > 100 bpm called junctional tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Mobitz type I second degree AV block

A

progressive PR interval prolongation precedes a non-conducted P wave

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Mobitz type II second degree AV block

A

PR interval remains unchanged prior to a P wave that fails to conduct to the ventricles.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
OMT findings:
Positive standing flexion test on the right and restricted compression test at ASIS on the right
Right inferior ASIS
Right superior PSIS
Right tight quadriceps
A

Right anterior innominate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q
OMT findings:
Positive standing flexion test on the left and restricted compression test at ASIS on the left
Left superior ASIS
Left inferior PSIS
Left tight hamstrings
A

Left posterior innominate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

OMT findings:
Positive standing flexion test on the left and restricted compression of the ASIS on the left
ASIS and PSIS are superior on the left

A

Left superior innominate shear (upslip)

22
Q

OMT findings:
Positive standing flexion test on the right and restricted compression of the ASIS on the right
ASIS and PSIS more inferior on the right

A

Right inferior innominate shear (downslip)

23
Q

What is a sacral torsion?

A

sacral rotation on an oblique axis with somatic dysfunction at L5

24
Q
Sacral torsion (sacral rotation on an oblique axis):
When L5 is sidebent the oblique axis is on the \_\_\_\_\_ side of sidebending
A

SAME

25
Q
Sacral torsion (sacral rotation on an oblique axis):
When L5 is rotated the sacrum rotates the \_\_\_\_\_\_\_direction on an oblique axis.
A

Opposite

26
Q
Sacral torsion (sacral rotation on an oblique axis):
The seated flexion test is found on the \_\_\_\_\_ side of the oblique axis
A

Opposite

27
Q
OMT findings:
positive seated flexion test on the right 
right sulcus deeper
left ILA inferior and posterior
Lumbar sidebending to left
L5 rotated to the right
A

Left on Left oblique axis

28
Q
OMT findings:
positive seated flexion test on the left 
left sulcus deeper
right ILA inferior and posterior
Lumbar sidebending to right
L5 rotated to the left
A

Right rotation on a right oblique axis

29
Q
OMT findings:
positive seated flexion test on the right
right sulcus is shallow
left ILA is anterior and superior
Lumbar sidebending to the left
L5 is rotated to the left
A

right rotation on a left oblique axis

30
Q
OMT findings:
positive seated flexion test on the left
left sulcus is shallow
right ILA anterior and superior
lumbar sidebending to the right
L5 is rotated to the right
A

Left rotation on a right oblique axis

31
Q
OMT findings:
negative seated flexion test
negative standing flexion test
right and left sacral sulci are deep
ILAs shallow bilaterally
increased lumbar curve
A

bilateral sacral flexion

32
Q

What is a common sacral somatic dysfuntion in a post-partum patient?

A

bilateral sacral flexion

33
Q
OMT findings
negative seated flexion test
negative standing flexion test
right and left shallow sulci
decreased lumbar curve
A

bilateral sacral extension

34
Q
OMT findings:
positive seated flexion test on the left
left sulcus is deeper
left ILA is significantly inferior
left ILA is slightly posterior
A

left unilateral sacral flexion

35
Q
OMT findings:
positive seated flexion test on the right
right sulcus is deeper
right ILA is significantly inferior
right ILA is slightly posterior
A

right unilateral sacral flexion

36
Q
OMT findings:
positive seated flexion test on the left
positive lumbosacral spring test
positive backward bending test
left sulcus is shallow
left ILA is superior
left ILA slightly anterior
A

left unilateral sacral extension

37
Q
OMT findings:
positive seated flexion test on the right
positive lumbosacral spring test
positive backward bending test
right sulcus is shallow
right ILA is superior
right ILA slightly anterior
A

right unilateral sacral extension

38
Q

OMT findings:
right sulci and right ILA are shallow
left sulci and left ILA are deep

A

right sacral margin posterior

39
Q

OMT findings:
left sulci and left ILA are shallow
right sulci and right ILA are deep

A

left sacral margin posterior

40
Q

When L5 and sacral somatic dysfunction are present, which location do you treat first?

A

L5

41
Q

What lumbar somatic dysfunction is anticipated with a psoas syndrome?

A

L1 or L2 flexed, sidebent and rotated to the same side as the contracture.

42
Q

Key rib to treat in exhalation dysfunction of ribs

A

Top rib

BITE = bottom inhalation – top exhalation

43
Q

Key rib to treat for inhalation dysfunction of ribs

A

Bottom rib

BITE = bottom inhalation – top exhalation

44
Q

What is the exit from the cranium for CN X - vagus

A

jugular foramen

45
Q

What somatic dysfunction can affect the vagus (CN X)

A

temporal, occiput, OA, AA, C2

46
Q

What are the symptoms of somatic dysfunction affecting the vagus (CN X) nerve

A

headaches, arrhythmias, GI upset, respiratory problems

47
Q

What is the name of CN VIII?

A

vestibulocochlear nerve

48
Q

Dysfunction of CN VIII can cause what symptoms?

A

tinnitus, vertigo, hearing loss

49
Q

What is the name of CN XII (12)?

A

hypoglossal nerve

50
Q

What somatic dysfunction can affect the hypoglossal nerrve (CN XII)?

A

occiput dysfunction

51
Q

Poor suckling in a newborn may be caused by what somatic dysfunction?

A

condylar / occipital dysfunction affect the hypoglossal nerve