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OPP OMSII > Block 3 > Flashcards

Block 3 Flashcards

1
Q

What are the finger positions for the vault hold?

A

Index finger over great wings of sphenoid
Middle finger anterior to ear on temporal w/ tip touching zygomatic process
Ring finger near asterion (junction of temporal, parietal and occiput) aproximating mastoid process
Little finger on squamous portion of occiput
Thumbs off head

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2
Q

What is happening to the sacrum with SBS rising in flexion?

A

sacrum is counternutating along its superior transverse axis

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3
Q

what is happening to the sacrum with SBS falling in extension?

A

sacrum is nutating along its superior transverse axis

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4
Q

Anatomically what does it mean to have flexion at the SBS?

A

sphenoid is flexing forward, moving counterclockwise around its transverse axis
this allows the SBS to rise
Occipit is moving clockwise around its transverse axis

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5
Q

Anatomically what does it mean to have extension at the SBS?

A

sphenoid is extending backward, moving clockwise around its transverse axis

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6
Q

is cranial flexion/extension a physiologic strain pattern?

A

yes

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7
Q

what are the axes in flexion/extension?

A

2 transverse axes

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8
Q

what is happening with your phantom hands with cranial flexion?

A

away from you and they get wider

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9
Q

what is happening with your phantom hands with cranial extension

A

towards you and your fingers get closer together

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10
Q

are vertical strain patterns physiologic or non physiologic?

A

non physiologic

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11
Q

what primarily causes vertical strains?

A

trauma

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12
Q

what is a vertical strain?

A

when the sphenoid and occiput are moving in the same direction around its transverse axis

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13
Q

what axes are associated with vertical strain?

A

2 transverse axes

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14
Q

where is the transverse axis of the sphenoid?

A

Across sphenosquamous pivots of the sphenoid

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15
Q

where is the transverse axis of the occiput?

A

Just above the jugular processes of the occiput

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16
Q

what is happening anatomically with a superior vertical strain?

A

Sphenoid base moves superior relative to the occiput base
Sphenoid in flexion
Occiput in extension
Temporals in internal rotation

both moving counterclockwise around their axes

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17
Q

what is happening anatomically with an inferior vertical strain?

A

Sphenoid base moves inferior relative to occiput base
Sphenoid in extension
Occiput in flexion
Temporals in external rotation

both moving clockwise around the axes

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18
Q

what is the palpatory experience for a superior vertical strain?

A

forefinger moves down and away
little fingers move superiorly

**both hands are rotating down and away

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19
Q

what is the palpatory experience for an inferior vertical strain?

A

forefinger moves superiorly
little finger moves inferiorly

**both hands up and towards you

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20
Q

How many axes are associated with torsion?

A

1- AP from nasion to opisthion

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21
Q

is a torsion a physiologic or non physiologic strain pattern?

A

physiologic

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22
Q

how do you name torsion patterns?

A

named for the most cephalad forefinger or greater wing of the sphenoid

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23
Q

when can a torsion strain happen?

A

trauma or just other pulls on the body

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24
Q

palpatory experience with a torsion?

A

One hand seems to rotate posteriorly or towards the operator :
the index finger moves superiorly (cephalad)
little finger moves inferiorly (caudad)
While the other hand rotates anteriorly or away from the operator
forefinger goes inferiorly (caudad)
little finger goes superiorly (cephalad)

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25
Q

is a lateral strain physiologic or non physiologic?

A

non physiologic

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26
Q

what are the axes associated with lateral strain patterns?

A

2 vertical axes
through the body of the sphenoid
through the foramen magnum of the occiput

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27
Q

what is the palpatory experience for a lateral strain?

A

hand form a parallelogram

Your forefingers shift to one side, while your little fingers shift to the opposite side

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28
Q

what do your fingers do for a left lateral strain?

A

Forefingers shift lateral to the right (sphenoid base turns to the left), and the little fingers shift to the left (occipital base turns to the right)
The lateral shear occurs with the sphenoid base to the left and the occipital base to the right

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29
Q

what do your fingers do for a right lateral strain?

A

Forefingers shift lateral to the left (sphenoid base turns to the right), and the little fingers shift to the right (occipital base turns to the left).
The lateral shear occurs with the sphenoid base to the right and the occipital base to the left.

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30
Q

what is happening anatomically for a lateral strain pattern?

A

Sphenoid base shears L or R
Both bones move in the same direction around these axes, as a result of a lateral shearing force at the SBS base, with a resultant shearing-like motion, and the sphenoid relatively to the right or left of the base of the occiput

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31
Q

is a sidebending rotation strain pattern physiologic or non physiologic?

A

physiologic

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32
Q

how do you name the sidebending rotation

A

named for the sign of convexity which also moves inferiorly

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33
Q

what are the axes of motion for a sidebending rotation strain?

A

1 AP axis-rotation

2 vertical axes-sidebending

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34
Q

what is happening anatomically for a sidebending rotation strain pattern?

A

The sphenoid and the occiput rotate in opposite directions each around it’s own vertical axis.
The sphenoid and the occiput rotate in the same direction around the AP axis.

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35
Q

what are the palpatory findings for right sidebending rotation?

A

Right hand is spread wider, moves inferior, and has an externally rotated temporal bone. The right head feels fuller in the right hand

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36
Q

what are the palpatory findings for a left sidebending rotation?

A

Left hand is spread wider, moves inferior, and has an externally rotated temporal bone. The left head feels fuller in the left hand

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37
Q

when does a lateral strain usually occur?

A

after trauma

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38
Q

what is the axis associated with SBS compression?

A

AP axis

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39
Q

palpatory experience for SBS compression?

A

Hard, rigid, “cement like” head with little or no cranial flexion and extension.

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40
Q

compression strain patterns usually occur after what?

A

trauma

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41
Q

what are the physiologic strain patterns?

A

torsion
flexion/extenstion
sidebending rotations

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42
Q

what are the non physiologic strain patterns?

A

lateral
vertical
SBS compression

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43
Q

is compression a physiologic or non physiologic strain pattern?

A

non physiologic

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44
Q

who is most effected by tmj?

A

women in child bearing years

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45
Q

what are the 3 classifications of tmj?

A 
myofascial pain syndrome (psychophysiologic)
internal derangement (malposition of disc)
degenerative joint disease (organic change)
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46
Q

what type of joint is the tmj?

A

synovial

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47
Q

what muscle connects to the tmj?

A

lateral pterygoid

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48
Q

where is the articular disc of the tmj located

A

between the condyle and the glenoid fossa

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49
Q

where does the disc attach ant. and post.?

A

ant- joint capsule

post- bilaminar zone

50
Q

what are the upper and lower layers of the bilaminer zone made out of?

A

upper- elastin-stretchable

lower-collagen-limits disc motion

51
Q

What is the function of the masseter muscle?

A

jaw closure

52
Q

what are the connection points for the superficial masseter?

A

zygomatic arch

angle and lower ramus

53
Q

what are the connection points for the deep masseter?

A

zygomatic arch

coronoid process and upper ramus

54
Q

which muscle trigger point can be confused with sinusitis?

A

superficial masseter

55
Q

which muscle has the trigger symptoms upper teeth pain, lower teeth pain, and maxillary pain?

A

superficial masseter

56
Q

which muscle has the trigger symptoms of ear pain, reduced opening and tinnitus?

A

deep portion

57
Q

which muscles form the masticatory sling?

A

masseter and medial pterygoid

58
Q

where does the superior division of the lateral pterygoid arise from?

A

great wing of the sphenoid to neck of condyle and articular disc

59
Q

where does the inferior division of the lateral pterygoid arise from?

A

lateral pterygoid plate to neck of the condyle

60
Q

what are the major functions of the superior lateral pterygoid?

A

maintains relationship of condyle and disc w/ jaw closure

lateral motion of jaw

61
Q

what are the major function of the inferior lateral pterygoid?

A

movement of condyle anteriorly w/ jaw opening

lateral motion of jaw

62
Q

which muscle has the trigger point s/s:

reduced opening, altered occlusion, maxillary region pain, tmj pain, clicking

A

lateral pterygoid

63
Q

which muscle has the trigger point s/s:
mouth and throat pain
painful swallowing
stuffiness in ear

A

medial pterygoid

64
Q

what is the function of the medial pterygoid?

A

closure of jaw

and deviation to one side

65
Q

where does the medial pterygoid arise from?

A

lateral pterygoid plate to medial aspect of the jaw angle

66
Q

where does the temporalis m. arise from?

A

temporal fossa to coronoid process

67
Q

what is the function of temporalis?

A

closure of the jaw

68
Q

which muscle has the trigger point s/s:

zig-zag deviation pattern, headache, upper teeth pain

A

temporalis

69
Q

what is the range for a normal jaw opening?

A

50 mm

70
Q

what is a hypomobile jaw? hypermobile jaw?

A

30mm

70 mm

71
Q

what is the most common symptom of tmj dysfunction?

A

dull achey pain in tmj region

72
Q

s/s of tmj loss of integrity

A

pain, reduced/asymmetric opening, clicking, malocclusion

73
Q

tmj dysfunction most commonly caused by?

A

poor coordination and spasm of maticatory muscles

74
Q

tmj loss of integrity commonly caused by?

A

internal joint derangement

75
Q

which way does the jaw usually deviate?

A

towards the affected side

76
Q

what is jaw deflection

A

when the jaw opens to one side then returns to middle

77
Q

when can the jaw deviate to the opposite side of dysfunction?

A

if the medial pterygoid is involved

78
Q

how does a closed lock occur?

A

when disc prevents condyle from moving anteriorly

79
Q

what is the key symptom of serious joint derangement?

A

reduced range of motion

80
Q

what bones does the temporalis m. cover?

A

sphenoid, frontal, temporal and parietal

81
Q

ear pain can be reffered from which two m.?

A

temporalis and masseter

82
Q

which m. is associated with eustachian tube dysfunction?

A

rectus capitus lateralis

83
Q

what is the SNS for the head and neck?

A

T1-4

84
Q

what is the PNS for the head and neck?

A

CN 3, 7, 9, 10

85
Q

ant and post chapman’s points for the retina and conjunctiva?

A

ant: upper lateral humerus
post: posterolateral occiput

86
Q

ant and post chapmans for middle ear

A

ant: sup. aspect of clavicle (junct of R1 and clavicle)
post: TP of C1

87
Q

ant and post chapmans for nasal sinuses

A

anterior R1 where it crosses under the clavicle

TP C1

88
Q

ant and post chapmans for sinuses

A

ant: sup aspect of R2 just medial to MC line
post: C2 between TP and SP

89
Q

ant and post chapmans for pharynx

A

ant: R1 at sternal attachment
post: C2 between SP and TP

90
Q

ant and post chapmans for tonsils

A

ant: R1-2 intercostal space at sternal border
post: NONE

91
Q

ant and post chapmans for tongue

A

ant: sternal border, between R1-2 (inf. to tonsillar chapmans)
post: C2 between SP and TP

92
Q

if the occiput is in extension what are the paired bones doing? in flexion?

A

internal rotation

external rotation

93
Q

what happens to the sacrum when there is a flexion strain pattern? extension strain pattern?

A

counternutation

nutation

94
Q

what motion is rib 1-5?

A

pump handle

95
Q

what motion is rib 6-10?

A

bucket handle

96
Q

what motion is rib 11-12?

A

caliper motion

97
Q

what does exhalation somatic dysfunction (inhalation restriction) mean?

A

that the rib is stuck in exhalation so its the top rib

98
Q

what does inhalation somatic dysfunction (exhalation restriction) mean?

A

stuck in inhalation so bottom rib stuck

99
Q

what does L5 do when the sacrum is extended?

A

L5 is Type II

will be rotated opposite the sacrum

100
Q

what does L5 do when the sacrum is flexed?

A

L5 is Type I

will be rotated opposite the sacrum

101
Q

chapmans for prostate?

A

ant: lateral aspect of femur
post: between L5 and PSIS

102
Q

chapmans for uterus?

A

ant: where ramus and ishium meet
post: L5 TP

103
Q

chapmans for ovaries?

A

ant: sup. pubic ramus, lateral to symphysis
post: T10-T11 intertransverse space

104
Q

chapmans for urethra?

A

ant: sup. pubic ramus, lateral to symphysis
post: L3 TP

105
Q

chapmans for bladder?

A

ant: periumbilical
post: L2 TP

106
Q

small intestine viscerosomatics?

A

SNS:T9-T11
PNS: vagus

107
Q

kidney viscerosomatics?

A

SNS: T10-L1
PNS: vagus

108
Q

Ureters viscerosomatics?

A

SNS: T10-L2
PNS: vagus and SN2-4

109
Q

urinary bladder viscerosomatics?

A

SNS: T10-L1
PNS: S2-4

110
Q

ovary/testes viscerosomatics?

A

SNS: T10-T11
PNS: S2-4

111
Q

ascening colon viscerosomatics?

A

SNS: T10-T12
PNS: vagus

112
Q

descending colon, sigmoid colon and rectum viscerosomatics?

A

L1-2

S2-4

113
Q

prostate viscerosomatics?

A

L1-L2

S2-4

114
Q

vas deferens viscerosomatics?

A

T10-L1

S2-4

115
Q

uterus viscerosomatics?

A

T10-L2

S2-4

116
Q

fallopian tubes viscerosomatics?

A

T10-L2

S2-4

117
Q

rostral floor of the v4?

A

pons

118
Q

caudal roof of v4?

A

cerebellum

119
Q

lateral contacts of v4?

A

middle cerebellar peduncles

120
Q

contraindications to cv4?

A

epileptic seizures, encephalitis

121
Q

which nerves pass through the jugular foramen

A

9, 10, 11

122
Q

what nerves traverse the cavernous sinuses?

A

CN 3,4,5 and internal carotid artery

OPP OMSII (2 decks)

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