Cardio pulm DSA

Question 1

respiratory function is compromised at what degree of scoliosis

Answer 1

cobb angle >50: severe scoliosis

mild curves (5-15) can effect exercise capacity

Question 2

consequences of impaired lymphatics

Answer 2

pulm edema
ascites
hepatomegaly
peripheral edema

Question 3

hypersympathetic tone can do what to lymphatic flow?

what controls the functions of the thoracic duct?

Answer 3

decrease

thoracic duct is functionally under sympathetic control

Question 4

sympathetic innervation of Heart

Answer 4

preganglionic axons from intermediolateral column of T1-5

Question 5

where do postganglionic fibers from the sympathetic cardiac nerves converge

Answer 5

cardiac plexus

Question 6

parasympathetic innervation of heart

Answer 6

Vagus

• preganglionic axons from dorsal nucleus of the vagus n and nucleus ambiguus
• synapse at cardiac plexus

Question 7

cholinergic and adrenergic fibers passing through the cardiac plexus are most strongly concentrated in

Answer 7

SA and AV nodes

lesser extent - myocardium

Question 8

fxn of sympathetic and parasympathtic fibers on heart (HR and coronary arteries)

Answer 8

sympathetic - increase HR, coronary artery dilation

parasymp: decrease HR, coronary artery constriction

Question 9

sympathetic hyperactivity at the SA node

Answer 9

increased risk of SVT

Question 10

right vagal hyperactivity at SA node

Answer 10

sinus bradyarrhythmias

Question 11

sympathetic hyperactivity at AV node

Answer 11

increased risk of ectopic foci and V. fib

Question 12

left vagal hyperactivity at AV node

Answer 12

AV blocks

Question 13

the right half of the deep cardiac plexus supplies

Answer 13

SA node, both atria, both ventricles

Question 14

the left half of the deep cardiac plexus supplies

Answer 14

AV node

Question 15

smooth m tone is predominately controlled by

Answer 15

parasympathetics

Question 16

Goals of OMT: 5 models (neuro and resp-cir esp)

Answer 16

biomech: improve thoracic cage compliance and skeletal motion
*neuro: normalize autonomic tone
*resp-circ: maximize efficiency of diaphragm and enhance lymphatic return
Med-Ener-Imm: enhance self-regulatory and self-healing mech
behavioral: improve psychosocial components of health

Question 17

due to widespread distribution of sympathetic nervous system, what OMT can be used to decreast SVR

Answer 17

generalized paraspinal inhibition

Question 18

Hypertension - Neuro OMT goal

Answer 18

decrease sympathetic tone
paraspinal inhib
treat AA/OA

Question 19

CHF - respcir and neuro OMT goals

Answer 19

Neuro: paraspinal inhib to T1-6, subocc release (PNS), chapman points

resp-cir: rib raising to improve breathing, lymphatics

Question 20

OMT for arrhythmias should be directed toward..

Answer 20

reduction of segmental facilitation in the upper thoracics and modification of vagal tonicity

Question 21

arrythmias- neuro OMT goals

Answer 21

tx of OA, AA SD, paraspinal inhib to T1-6, chapman

Question 22

3 main goals of pneumonia tx

Answer 22

reduce congestion
reduce sympathetic hyperactivity to pulm parenchyma of lung
reduce mechanical impediments to thoracic cage respiratory motion

Question 23

Pneumonia - neuro and resp-cir OMT goals

Answer 23

Neuro: Paraspinal inhib T1-7, CV4, OA/AA to normalize parasympathetics
Resp-cir: zink patterns, rib raising, lymphatics

Question 24

what OMT technique is contraindicated in COPD patients

Answer 24

thoracic vacuum

Question 25

COPD - Met-ener-imm, neuro OMT goals

Answer 25

neuro : T1-7, OA, AA, chapman

met-ener-imm: Doming diaphragm, drugs, CPAP, o2, etc