5-7 Flashcards

1
Q

Which ligament is classically tight on the side of the posterior ILA?

A

sacrotuberous (sacrum to isch tube)–they may only tell you this in the stem rather than which ILA is posterior. Remain calm.

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2
Q

What way does the sacrum move in the sphinx test?

A

anterior/flexion? the lumbar spine is extending

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3
Q

Which way does L5 rotate with respect to the sacrum in a torsion vs. a rotation?

A

sacral torsions have L5 rotating opposite and sacral rotations have L5 rotating in the same direction

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4
Q

Rate the muscle strenght of a person with weak movement without gravity

A

2 out of 5

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5
Q

Loss of function of the extensor hallucis longus may be from a lesion to this nerve root

A

L5

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6
Q

loss of the anterior tibialis may be from a loss of this nerve root, what about named nerve?

A

L4; deep peroneal

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7
Q

Loss of function of the gastronemius may imply a lesion to this nerve root

A

S1

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8
Q

LBP has a musculoskeletal etiology ____% of the time

A

97

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9
Q

Pain on a straight leg raise beyond 70 degrees implies a lesion where?

A

hip or joint

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10
Q

Pain on a straight leg raise between 35-70 degrees implies a lesion where?

A

sciatic nerve

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11
Q

If a person has a lesion to their right inferior gluteal nerve and is asked to stand on the right leg, what will happen to the left pelvis?

A

nothing, the gluteus medius is innervated by the superior gluteal nerve and so the Trendelenberg test is negative

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12
Q

What is the most common etiology of coccydynia? What is the treatment?

A

trauma; INTRA-RECTAL

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13
Q

Regarding lumbarization of S1 and sacralization of L5 ,which is more common? What % of the population?

A

sacralization of L5 is more common and occurs in 3.5% of population

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14
Q

These 2 muscles form the pelvic diaphragm

A

levator ani, pubococcygeus

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15
Q

Which vertebral levels are the superior, middle, and inferior axes of sacral motion located?

A

All are located about S2

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16
Q

Which type of motion occurs about the middle transverse axis of S2

A

postural

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17
Q

Which type of motion occurs about the inferior transverse axis of S2

A

dynamic i.e. walking

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18
Q

Which type of motion occurs around the superior transverse axis of S2

A

respiratory and cranial

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19
Q

A superior ASIS, inferior PSIS, and equal isch tubes with an ipsilaterally positive SF test implies this dysfunction

A

posterior innominate

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20
Q

How do you set up a woman who had a hip replacement for Tx of her superior shear?

A

leg abducted with EXTERNAL rotation

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21
Q

What is the treatment sequence for pelvic dysfunction according to Mitchell?

A

Treat the non-neutral (type II) thoracic and lumbar dysfunctions, treat innominate and pubic shears, treat sacroiliac dysfunction, treat iliosacral dysfunction

22
Q

A tenderpoint located 1/3 from the ASIS to the midline is for this muscle

A

iliacus

23
Q

What % of the population will experience LBP this year?

A

50%

24
Q

how do you tx acute injury to the low back

A

RICE

25
Q

Where can pain be referred to in sacroiliitis?

A

the anterior hip

26
Q

Sciatica commonly involves hypertonicity of this muscle

A

piriformis

27
Q

What usually causes lateral trochanteric bursitis?

A

Irritation of the bursa by the IT band

28
Q

What is a good Tx for ligamentous laxity

A

prolotherapy

29
Q

LBP with contemporaneous upper extremity pain may indicate spasticity of a muscle innervated by this nerve

A

thoracodorsal nerve (latissimus dorsi)

30
Q

What is the major etiology we should think of with lower extremity edema?

A

DVT

31
Q

What is an important area to target if you suspect a muscular etiology for incontinent bowel?

A

pelvic diaphragm

32
Q

Irritable bowel can be described as an imbalance between what?

A

sympathetic and parasympathetic nervous systems

33
Q

Why would you target pelvic splanchnics for an ileus?

A

Assuming the parasympathetic nerves in S2-S4 where hypoactive and causing the ileus, treating this area could improve colonic motility

34
Q

How would you go about treating a small bowel obstruction?

A

This one is a mess. If we go with Balmer’s lecture then we wouldn?t bc obstruction = contraindication. If we go with O’donnel then we target pelvic splanchnics which makes no sense because the small bowel recieves parasympathetic input from the vagus. Good luck.

35
Q

A UTI may have what structural dysfunction on palpatory exam?

A

pubic dysfunction

36
Q

An erectile dyfunction is caused by hypoactivity of this arm of the ANS and may be accompanied by this structural dysfunction

A

parasympathetics, pubic dysfunction

37
Q

Which areas should you target in an osteopathic approach to prostatitis and BPH, why?

A

pelvic diaphragm to decrease congestion

38
Q

If a male presents to you with trouble ejaculating what area should you target and why?

A

the pelvic diaphragm as blood flow is “key”

39
Q

What may you suspect in a person who comes in with persistent dominant pelvic complaints?

A

sexual abuse

40
Q

What may happen to the AP curves in a pregnant woman?

A

Exacerbation of kyphosis and lordosis

41
Q

What causes the ligamentous laxity of pregnancy?

A

hormones (relaxin)

42
Q

Why are the lymphatic’s effectivenesss decreased in pregnancy

A

because the diaphragm is messed up d/t the weird curvatures of the spine

43
Q

Why is toxemia of pregnancy a relative contraindication for OMT?

A

it reduces the seizure threshold

44
Q

When is the structural stage of pregnancy?

A

0-28 weeks

45
Q

When is the congestive stage of pregnancy?

A

28-36 weeks

46
Q

When is the preparatory stage of pregnancy?

A

Beyond 36 weeks, assess craniosacral rhythm

47
Q

What structure acts as a ball-valve in pregnancy?

A

uterus

48
Q

What hemodynamic change may occur in a supine pregnant woman

A

hypotension secondary to the ball valve obstruction of the IVC and subsequent decrease in venous return = stroke volume

49
Q

How can you induce labor?

A

CV4, or pitocin like a normal person

50
Q

What should you do prior to any lymphatic Tx?

A