CIS

Question 1

motile force lymph

Answer 1

diaphragm (bellows) and skeletal muscle motion

Question 2

lymphatic treatment order

Answer 2

1. Thoracic inlet

2. Work distal to proximal

Question 3

lungs drain to

Answer 3

the right

Question 4

treat abdominal viscera for mesenteric lifts:

Answer 4

proximal to distal

Question 5

treat ab viscera - colonic lifts

Answer 5

distal to proximal (this includes colonic milking

Question 6

contraindications to ab viscera treatments?

Answer 6

perforation
ischemia
SBO is ok if determined to be non-surgical
friable colonic tissue should avoid milking but careful lifts ok
pain with technique

Question 7

gall bladder problems. Type II somatic dysfunction where?

Answer 7

T5

Question 8

anterior chapman’s point for gallbladder?

Answer 8

Right 6th ICS

Question 9

chapmans: anterior vs posterior

Answer 9

anterior- diagnosis
posterior- treatment

but don’t worry about it.

Question 10

root of mesentery runs

Answer 10

oblique line from left L2 to right S3

right sacro-iliac joint

the sigmoid mesocolonic attachment arises on the medial aspect of the left psoas muscle, curves over the iliac vesels and ends lying over the 3rd sacral segment.

Question 11

cancer patiens with back pain

Answer 11

98% have underlying mets

Question 12

most common peds cancer

Answer 12

leukemia

Question 13

acanthosis nigricans can be a sign of

Answer 13

GI cancer

Question 14

dermatomyositis and polymyositis have a progressive proximal muscular weakness and is highly associated with

Answer 14

lung cancers

Question 15

chapman’s Point

Answer 15

gangliform contraction that may block lymphatic drainage, causing inflammation in distal tissues

Small, smooth, firm, discrete nodules in fixed anatomic location

often tender, but DON’T RADIATE

Question 16

CAP strep pneumo- what ABX?

Answer 16

Macrolide– azithromycine, clarithromycin, erythromicin

doxy

with comorbidities- fluoroquinolones

beta lactams

Question 17

set up an FPR for T8 flexed and translated to the left?

Answer 17

go to neutral (flatten the curve)

compress from shoulders

go to ease and wait 3-5 seconds (rotate and sidebend right)

Question 18

carotid sheath encloses what structures?

Answer 18

jugular vein, common carotid artery, CN X, deep cervical lymph nodes

Question 19

cardiac chapman’s point?

Answer 19

2nd intercostal space near the sternum- myocardium

Question 20

T8 ERSL. How to treat with still?

Answer 20

put them in posn of ease, compress through the dysfunctional tissues, then move into flexion, rotation, and sidebending to the right
through the restrictive barrier.

This is a direct technique, which is how it’s different from FPR

Question 21

L5 rules

Answer 21

ONLY APPLY if a SACRAL TORSION is present (axis)

ROSSA- rotates opposite, sidebends same side as axis

1. L5 sidebent, sacral oblique axis is engaged on the SAME side as the sidebending.

2- when L5 rotates, sacrum rotates opposite

physiologic sacrum will have neutral L5; pathologic sacrum will have flexed L5

If sacrum is extended, L5 is flexed

Question 22

standing vs seated flexion

Answer 22

standing- innominate

seated- sacrum

Question 23

positive seated flexion, right sulcus is deep, right ILA is posterior. sacral dx?

Answer 23

R unilateral flexion

Question 24

planes

Answer 24

coronal- clown
sagittal- saddle
transverse - separates top from bottom

Question 25

axes of primary motions of ribs 1-5, 6-10, and 11-12

Answer 25

Lateral AP Vertical

Question 26

pump handles

Answer 26

1-5 bucket- 6-10 calipers- 11-12

Question 27

Type II dysfunctions: short paraspinals

Answer 27

Deep muscles of hte back: transversospinal (semispinalis, multifidus, rotatores) intersegmental muscles (interspinalis, intertransversariii, levator costarum)