CAOM Flashcards
What is the T10 dermatome associated w/?
Umbilicus
What spinal segment is related to the sympathetic innervation of the ovaries?
T10-11
When is the hormone relaxin at the highest concentrations?
1st trimester
A 47-year-old female patient comes to the clinic with a history of dysmenorrhea and heavy flow. On physical examination, it is determined that she has a fibroid tumor and a hysterectomy is recommended. Pre-and postoperatively, where should you look for the viscerosomatic reflex related to pain which of the following areas?
T10-L1
A 24 year old female at 36 weeks gestation comes to the clinic complaining of low back pain. On structural exam you found L3 F RSr. You decide to perform an indirect myofascial release to help relieve muscle tension before treating the segmental this dysfunction. While you were doing, so you felt an articulation under your hands in the patient tells you that she heard a pop. The case with which this happened may be due to increased levels of?
Relaxin
On structural examination, you note an ease of translation to the left in flexion at the level of T6. If you were to use muscle energy technique to resolve this dysfunction in what direction would you direct the patient to make their effort?
T6 E SRr
They direct their effort towards the Dx
Which of the following is true regarding thoracic outlet syndrome?
Venous compression is a common problem
What is the name of the test in which the patient’s affected arm is abducted while the physician monitors the patient’s pulse and the patient turns their head toward the arm, extends the neck and takes a deep breath?
Adson’s test
Looking for thoracic outlet syndrome
Where will the T5 spinous process be located?
Halfway between the transverse process above in the transverse process below
Which spinal segment is most related to somatic or sympathetic dysfunction as seen with pneumonia, COPD or asthma?
Thoracic spine, and therefore ribs
What is the mechanism by which asthma or COPD cause a flattening of the diaphragm?
Air trapping
Stimulation of the sympathetic nervous system serving the lungs will cause?
Increased vasoconstriction within the lungs
Which of the following muscles is a muscle of inhalation?
External intercostals
In a patient with migraine, which of the following dysfunctions would be critical to address?
Temporal bone dysfunction
A 14-year-old female presents to the clinic with decreased stature, bowed legs, and a lack of sexual development. Which cranial area is likely to be affected?
Sella turcica
The zygomatic bone presented in external rotation is an expected, finding in normal CRI if the sphenoid is in what position?
Flexion
Which of the following is most likely to play a role in the maintenance of a headache?
Facial nerve
During the pregnancy, the center of gravity is maintained against the growing abdomen by?
Increased lumbar lordosis
During pregnancy, it is important to remember that prolonged supination of the pregnant patient’s body can increase the risk of?
Compression of the vena cava
In pregnancy joint laxity begins during the first trimester due to?
Relaxin
What test do you use to evaluate for hypertonicity of the psoas muscle?
Thomas test
The hormone relaxin is at it’s highest levels during what trimester?
First trimester
If the hormone relaxin is present in excess levels, how can this impact the prolongation of gestation?
Increased risk of preterm labor
Which hormone helps to increase the glomerular filtration rate during pregnancy?
Relaxin
Tell me an epidural increase the risk of pubic dysfunction in the postpartum period?
- An epidural will decrease the patient’s ability to sense pressure and pain equally across both legs
- This presents the opportunity for a symmetry to occur along the pelvis, due to the flexion required in the McRoberts position
- The flexion can be maintained an unequally as two individuals are required to hold her legs
What structures the secrete relaxin?
- Corpus luteum
- Decudua basalis
What structures, secrete progesterone?
Corpus luteum
{{BLANK}} dysfunctions of the lumbar spine are expected to be seen in a pregnant patient
Extended
A {{BLANK}} rotation of the pelvis is expected to be seen in pregnancy.
Anterior
Due to the increased load, a pregnant patient will carry what is expected to be seen with their sacrum?
Anterior rotation
What type of dysfunction do you expect to see along the cervical spine in a pregnant patient?
Increased kyphosis
What nodes are the primary lymphatic drainage points for the breast?
Axillary nodes
What are some common contraindications to OMT for a pregnant patient?
- Unexplained vaginal bleeding
- Threatened abortion
- Ectopic pregnancy
- Placenta previa or abrupta
- Preterm labor
- Prolapsed cord
- Eclampsia or severe preeclampsia
What are the primary muscles of respiration?
- Intercostal muscles
- Diaphragm
What are the secondary muscles of respiration?
- Scalenes
- Pectoralis minor
- Quadratus lumborum (attached via caliper ribs)
- Psoas (attached via MAL)
What symptom will patients suffer from with an exhaled rib?
Coughing
Inhaled ribs are common of obstructive pathologies regarding the pulmonary system. Name two pathologies in which you will see this occur.
- COPD
- Asthma
How can the depth of breathing affect the respiratory circulatory model of OMM?
- Decrease depth of breathing will lead to any Factive movement of fluids in the low pressure, circulatory system
- This results in venous and lymphatic stasis
Which thoracic inlet diagnoses can be treated with one step at HVLA?
the ones in which side bending occurs in a different direction than rotation
What is a contraindication for the side lying rib raising technique
They shoulder pathology, creating pain or discomfort for the patient
When you are evaluating a patient in the ER complaining of chest pain, you place one palm on the patient sternum and the other palm along the vertebral bodies of T3 to T7. When you can press slightly, the patient says that their pain level drops from 8/10 to 4/10. This helps to rule out which of the following differential diagnoses?
Myocardial infarction
Which muscle is responsible for the depression or opening of the mandible?
Lateral pterygoid
What is the most common position of displacement seen in TMJD?
anterior
Regarding TMJD what type of risk factors do you see?
Lifestyle, e.g., smoking jaw, injury, rheumatoid arthritis, orthodonture, stress, and neck pain
A patient comes in complaining of intermittent, sharp electric pains in the forehead and around their eyes. Sometimes this causes tearing in rhinorrhea. What is most likely cause of the symptoms and what nerve is likely the eliciting this response?
- Trigeminal neuralgia
- Ophthalmic branch (V1)
The ophthalmic branch of trigeminal enters its position out of the cranium via what hole?
Superior orbital fissure
Union of sphenoid & frontal bones
The maxillary branch of trigeminal reaches its position out of what structure of the cranium?
Foramen rotundum
Base of greater wing of sphenoid
The mandibular branch of trigeminal reaches its position via what structure of the cranium?
Foramen ovale
Greater wing of sphenoid
The facial nerve reaches its position via what hole of the cranium?
Stylomastoid foramen
Temporal bone between the mastoid and styloid processes
The glossopharyngeal nerve reaches its position via what foramen?
Jugular foramen
Temporal and occiput
The glossopharyngeal nerve which exit out of the jugular foramen, can become dysfunctional, resulting in impaired sensation along the tongue. What type of technique treating what structure can relieve this dysfunction?
The V spread technique treating the occipitomastoid suture
The hypoglossal nerve exits out of what hole of the cranium?
Foramen magnum
Occiput
The hypoglossal nerve which exit out of the skull via the foramen magnum, can become dysfunctional, which would impair the motor function of the tongue. What type of technique do you propose to treat this dysfunction?
Condylar decompression
The trapezius muscle will have what effect on the occiput?
Pull inferolaterally
The trapezius will have what effect on normal extension or flexion of the SBS?
- restricts normal extension
- stuck in flexion
The sternocleidomastoid will have what effect on the temporal bone?
Restricts motion
The sternocleidomastoid will have what effect on the SBS regarding extension and flexion?
- Restricts extension
- Favors flexion
The suboccipital triangle will have affect on the SBS regarding extension and flexion?
- Restricts extension.
- Favors flexion
The anterior cervical musculature, e.g., the longus capitis, and longus Colli will have what effect on the SBS regarding flexion and extension?
- Restricts flexion.
- Favors extension
You’re observing a preceptor form a cranial technique. They say they chose this technique because the CRI was sluggish and felt some areas of congestion in the cranium. They placed a thumb in an X pattern and gently rest the cranium on these two fingers. You know that this is above the area you would find the lambda.
What is the likely suture being influenced?
What is the name of this technique?
- Sagittal sinus.
- Dural venous sinus drainage