COMLEX OMM Flashcards

1
Q

Primary motions of the following regions of the C-spine

OA
AA
C2-7

A

OA: flexion/extension

AA: rotation

C2-7: side-bending

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2
Q

Short-leg syndrome treatment

A

Lift to the level of the sacral base. Start by 1/8” and increase by 1/16” each 2 weeks.

In elderly, start with 1/16”. With trauma, replace full length.

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3
Q

Pump handle ribs

A

T1-5

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4
Q

Bucket handle ribs

A

T6-10

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5
Q

Muscle target: rib 1

A

Anterior/middle scalene mm.

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6
Q

Muscle target: rib 2

A

Posterior scalene m.

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7
Q

Muscle target: ribs 3-5

A

Pectoralis minor m.

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8
Q

Muscle target: ribs 6-8

A

Serratus anterior m.

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9
Q

Muscle target: ribs 9-11

A

Latissimus dorsi m.

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10
Q

Muscle target: rib 12

A

Quadratus lumborum m.

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11
Q

Sacral axes motion:

Superior transverse axis
Middle transverse axis
Inferior transverse axis

A

Superior transverse axis: respiratory

Middle transverse axis: postural (F/E)

Inferior transverse axis: LE motion

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12
Q

Radial head dysfunctions

A

Anterior RH associated with supination

Posterior RH associated with pronation

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13
Q

Increased Q angle

Decreased Q angle

A

Increased: genu valgus

Decreased: genu varus

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14
Q

3 paired motions/phases of cranial flexion

A

Inhalation
ER of paired structures
Counternutation

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15
Q

3 paired motions/phases of cranial extension

A

Exhalation
IR of paired structures
Nutation

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16
Q

Axes: lateral strain

A

2 vertical axes

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17
Q

Axes: vertical strain

A

2 transverse axes

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18
Q

Axes: torsion

A

1 AP axis

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19
Q

Axes: SB/rotation

A
1 AP (same)
2 vertical (opposite)
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20
Q

Anterior cervical CS

A

AC1: Ra

AC2-6: FSaRa

AC7: FStRa

AC8: FSaRa

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21
Q

Posterior cervical CS

A

PC1 inion: FStRa

PC1 occiput: ESaRa

PC2: ESaRa

PC3: FSaRa

PC4-8: ESaRa

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22
Q

Anterior thoracic CS

A

AT1-6: F

AT7-12: FStRa

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23
Q

Posterior lumbar CS

A

PL1-5: ESaRa

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24
Q

Anterior lumbar CS (and locations)

A

AL1 (ASIS): FStRa

AL2 (medial AIIS): FSaRt
AL3 (lateral AIIS): FSaRt
AL4 (inferior AIIS): FSaRt

AL5 (pubic symphysis): FSaRa

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25
Q

Anterior ribs CS

Posterior ribs CS

A

Anterior: FStRt

Posterior:
PR1: ESaRt
PR2-10: FSaRa

26
Q

Eyes CP

A

Surgical neck of humerus

27
Q

Middle ear CP

A

Superior to proximal 1/3 of clavicle

28
Q

Nasal sinuses CP

A

Below proximal 1/3 of clavicle

29
Q

Pharynx CP

A

Below 1st rib/manubrium jct.

30
Q

Larynx CP

A

2-3 cm. lateral to strenocostal jct.

31
Q

Tonsils CP

A

1st ICS

32
Q

Tongue CP

A

On 2nd rib

33
Q

Appendix CP (A vs. P)

A

Ant.: tip of 12th rib

Post.: TP of T11

34
Q

Increased carrying angle

Decreased carrying angle

A

> 15 deg. = cubitus valgus and abduction of ulna

<3 deg. = cubitus varus and adduction of ulna

35
Q

What type of mechanics do compensation of forward vs. backward torsions follow?

A

Forward: type 1 (N SR same)

Backward: type 2 (F/E SR opposite)

36
Q

VS head/neck

A

T1-4

37
Q

VS heart

A

T1-5

38
Q

VS lungs

A

T2-7

39
Q

VS esophagus

A

T2-8

40
Q

VS upper GI, middle GI, lower GI, appendix

A

Upper: T5-9
Middle: T10-11
Lower: T12-L2
Appendix: T12

41
Q

VS kidney

A

T10-11

42
Q

VS adrenals

A

T10

43
Q

VS upper ureter, lower ureter

A

Upper ureter: T10-11

Lower ureter: T12-L1

44
Q

VS bladder

A

T11-L2

45
Q

VS gonads

A

T10-11

46
Q

VS uterus/cervix

A

T10-L2

47
Q

VS erectile tissues

A

T11-L2

48
Q

SNS nerve and ganglion: upper GI

A

Greater splanchnic n.

Celiac ganglion

49
Q

SNS nerve and ganglion: middle GI

A

Lesser splanchnic n.

Superior mesenteric ganglion

50
Q

SNS nerve and ganglion: lower GI

A

Least splanchnic n.

Inferior mesenteric ganglion

51
Q

VS prostate

A

T12-L2

52
Q

VS UE, LE

A

UE: T2-8

LE: T11-L2

53
Q

PSNS of GI

A

CN X until distal half of transverse colon

Pelvic splanchnic n. past distal half of transverse colon

54
Q

Fibular head mechanics

A

Posterior fibular head is paired with supination (adduction, PF, inversion)

Anterior fibular head is paired with pronation (abduction, DF, eversion)

55
Q

CS and location: psoas m.

A

2/3 from ASIS to midline; F St

56
Q

CS and location: iliacus m.

A

1/3 from ASIS to midline; F ER w/ knees flexed

57
Q

CS and location: low ilium

A

Anterior and superior aspect of pubic ramus; IL flexion

58
Q

CS and location: inguinal

A

Lateral to pubic tubercle; F Add IR

59
Q

CS and location: piriformis m.

A

Anywhere from lateral sacrum to greater trochantor; F Abd

60
Q

CS and location: UPL5, LPL5

A

UPL5: superior PSIS; E Add IR/ER

LPL5: inferior PSIS; F Add IR

61
Q

CS and location: gluteus medius m.

A

2/3 from PSIS to TFL; E Abd ER