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Exam 1 Key Dates/Ideas/People Flashcards

1
Q

Who was William G Anderson?

A

African American guy who was big in Civil Rights Mvnt; Associate dean of KCOM, AOA president 1994-1995 and on board of trustees for 20 yrs

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2
Q

When was the Flexner report?

A

1910

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3
Q

What do you see in alport syndrome?

A

deafness

kidney disease

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4
Q

What is dynamic flexibility?

A

ROM athlete can achieve at speed w/out external force

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5
Q

How can the pt be positioned for metacarpophalangeal joint SD ART and proximal and distal Interphangeal joing SD ART?

A

seated, standing, or supine

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6
Q

What is the pressure in ST techniques like in relation to MFR?

A

harder pressure in ST - also do repetitive and rhythmic while MFR is not

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7
Q

What is gun stock deformity?

A

lower arm comes in close to body

-15 degrees

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8
Q

What are relative contraindications of MFR?

A

infection of ST or bone
fracture, avulsion, or dislocation
metastatic disease
ST injuries: thermal, hematoma, open wound
Post-op pt w wound dehiscence
rheumatologic condition w/ instability of cervical spine
DVT or anticoagulation therapy

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9
Q

What is significant about uncompensatory pattern?

A

usually symptomatic

could indicate an injury

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10
Q

For thoracic prone pressure w/ counterpressure, which hand is on the opposite side?

A

pt prone
caudad hand on opposite side
cephalad hand on side closest to you

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11
Q

What are joint mobilization methods?

A 
direct
indirect
combined
physiological
exaggeration
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12
Q

What is SC ABduction?

A

scapular elevation mvt –> inferior mvt of SC joint

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13
Q

What are ST absolute contraindications?

A 
fracture or dislocation
neuro entrapment syndromes
vascular compromise
local malignancy or infection
bleeding disorder
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14
Q

What are the landmarks included in gravitational line?

A

external auditory canal
acromion
greater trochanter
anterior medial malleolus

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15
Q

What is newton’s third law?

A

When two bodies interact, the force exerted by
one is equal in magnitude and opposite in
direction to the forces exerted by the other.’

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16
Q

When did AT Still’s children die?

A

1864
2 from spinal meningitis
1 from pneumonia

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17
Q

From 2009-2010, how many DO schools had minority students?

A

40%

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18
Q

What is Sherrington’s Law?

A

When a muscle receives a nerve impulse to contract, its antagonists, simultaneously, receive an impulse to relax

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19
Q

Who was the first person to use eye movements as a form of MET? When?

A

TJ Ruddy, DO

Publishes Ruddy’s Rapid Rhythmic Resistive Duction in 1914

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20
Q

What is somatic dysfunction of the ulnohumeral joint usually?

A

primary

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21
Q

How is pt positioned for lumbar: paraspinal perpendicular stretch?

A

lateral recumbent w/ side to be treated facing up

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22
Q

What is the force of contraction in joint mobilization using muscle force?

A

maximal muscle contraction that can be resisted by physician

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23
Q

What is meningeal fascia?

A

surrounds nervous system

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24
Q

What is somatic dysfunction of the radioulnar joint?

A

secondary to something else

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25
What is SC extension?
retract scapula back --> anterior glide of clavicle at SC joint
26
What is excessive cubitus valgus?
hand bent out too much, arm looks like an L | 30 degrees
27
What is cubitus varus?
almost no angle to elbow; arm straight at side
28
What is isolytic lengthening used for?
lengthen a muscle shortened by contracture and fibrosis
29
What is a hard end feel usually indicative of?
somatic dysfunction
30
What systems do somatic dysfunctions have an effect on and is affected by those body systems?
nervous system fluid dynamics biomechanics visceral
31
When did the flag of osteopathy fly?
June 22, 1874 at 10 am
32
What are the 5 models of osteopathic treatment?
``` postural structural (biomechanical) neurologic bioenergy (metabolic) respiratory - circulatory behavioral (organ systems can be considered as 6th possible) ```
33
Who was Ronald Blank, DO?
Surgeon General 1996-2000
34
What is SC ADduction?
shoulder depression --> superior SC joint motion
35
What was AMOPS and when was it founded?
Association of Military Osteopathic Physicians and Surgeons | 1977
36
When assessing the cervical region, at what location do you monitor for linkage of the thoracic spine?
btw transverse processes of C7 and T1 bilaterally
37
What is concentric isotonic contraction?
contraction of a muscle with approximation of origin and insertion curl part of the biceps curl
38
When were DOs first drafted as medical officers?
1967
39
What is axial and appendicular fascia?
deep to pannicular fascia; surrounds all muscles | periosteum and peritendon
40
When did the American School of Osteopathy open?
1892
41
What is SC elevated/Adducted SD ART?
Pt supine w/ neck fully flexed resting against Dr's chest Dr puts thumb over sternal end of clavicle --> inferior pressure inhale and exhale --> spring clavicle
42
When did the AMA label DOs a cult?
1922
43
What is wrist isotonic MET?
cross thumbs over palm pt flexes and dr applies pressure w/ both thumbs in a lateral direction physician lightens force slowly to allow pt to overcome physician's force 2-3X until SD alleviated
44
Who was the first female dean of a medical school, MD or DO?
Barbara Ross-Lee | Ohio U DO school
45
What are the 4 fascial layers?
pannicular fascia axial and appendicular fascia meningeal fascia visceral fascia
46
Factors influencing muscle energy for doctor
don't control joint position in relation to restriction don't provide counterforce in correct direction don't give accurate instructions move to new joint position too soon after pt stops contracting
47
Whose work laid foundation for MET to be taught at DO schools?
Fred Mitchell - 1959 Graduate Chicago wrote abt MET as early as 1948, taught courses in 1950s-1960s 1970 taught course in Iowa to 6 ppl --> all became DO school faculty
48
How is tissue release often felt?
warmth softening increased compliance/ROM
49
What is the most common compensatory pattern?
L/R/L/R | 80% of people have it
50
What is post-isometric relaxation?
muscle contraction --> increased tension in golgi tendon organ --> inhibition of muscle contraction
51
Who was the first flag officer DO in the medical corps? When did he accomplish this?
Louis H Eske | 1983
52
What is pannicular fascia?
Outermost layer of fascia derived from somatic mesenchyme & surrounds entire body with exception of the orifices outer layer = adipose inner layer = membranous and adherent to outer
53
What are the transverse restrictors?
Tentorium cerebelli Thoracic Inlet Thoracolumbar Diaphragm Pelvic Diaphragm
54
What is a functional unit of the spine?
2 vertebrae, associated disc, neurovasculature, and other soft tissues
55
SC Elevated/ADducted SD MET
pt supine w/ affected arm laying off table arm extended and internally rotated one hand on proximal clavicular head pt instructed to raise are against dr's hand toward ceiling, etc
56
What are minor criteria of Ehler-Danlos?
Beighton score 1-3 | a bunch of other things
57
What are goals of ST?
- stretch myofascial structures - improve tissue nutrition, oxygenation and removal of waste - return symmetry and normalize tone - set fascia free - normalize neuro activity - improve abnormal somato-somatic and somato-visceral reflexes
58
What kind of contraction is required in isotonic procedures?
hard to maximal contraction
59
What is an abrupt end feel usually indicative of?
osteoarthritis or hinge joint
60
What is Hooke's law?
“The strain (deformation) placed on an elastic body is in proportion to the stress (force) placed upon it.”
61
What is hysteresis?
energy lost in a tissue btw loading and unloading
62
When did Mamie Johnston Join KCU faculty? When did she retire?
1919 | 1981
63
What is the acronym to remember for the radial head?
SAPP Supination = Anterior proximal radial head Pronation = Posterior proximal radial head
64
What is isometric contraction?
contraction of muscle so there is no mvmt/change in muscle length
65
What is SC Flexion?
move shoulder forward --> Posterior glide of clavicle at SC joint
66
How is fascia analogous to a diety in the body?
omnipresent omnipotent omniscient
67
What are major criteria of Ehler-Danlos?
Beighton score > 4 | arthralgia for longer than 3 months or in 4 or more joints
68
What are the absolute contraindications of MFR?
no pt consent | no somatic dysfunction
69
What are absolute contraindications of MFR?
lack of pt consent | absence of Somatic dysfunction
70
What is isolytic contraction?
non physiologic | attempted concentric contraction w/ external force causing separation of origin and insertion
71
What are ST relative contraindications?
severe osteoporosis | acute injuries
72
What is Menkes disease?
copper deficiency | see kinky hair, growth deficiency, deterioration of nervous system
73
What do you see in osteogenesis imperfecta?
blue sclera, multiple fractures
74
What are absolute contraindications of articulatory technique?
``` fracture or dislocation neuro entrapment syndromes vascular compromise local malignancy local infection bleeding disorders ```
75
What is Wolff's Law?
``` • “Bone will develop according to the under stresses placed upon it.” • This concept extends to fascia, too. ```
76
What are the transition zones of the spine?
OA, C1, C2 C7/T1 T12/L1 L5/Sacrum
77
When was the cholera outbreak of london? Who traced the source?
1854 | John Snow
78
What is NOWPA? When was it founded?
National Osteopathic Women Physician Association 1988 Note: OWNA founded 1920s
79
When is crossed extensor reflex used? | what is the force of contraction?
when muscles are so severely injured, they can't be touched --> contract one flexor and contralateral flexor should relax and extensor contracts ounces of pressure
80
What kind of contraction is required in isometric procedures?
light to moderate
81
When did Missouri grant DO licences?
1897
82
What was AT Stills highest rank in the military? | When did he serve?
Major | 1861-1864
83
What is static flexibility?
max ROM a joint can achieve w/ an externally applied force
84
What is the normal angle for ulnohumeral ADduction and ABduction?
5 degrees for both
85
What is the force of contraction for reciprocal inhibition?
ounces, not pounds
86
How does the physician move in figure 8 wrist articulation
repetitively until somatic dysfunction is alleviated (in figure 8 motion)
87
What is INR?
Integrated Neuromuscular Release
88
For evaluating or treating elbow adduction or abduction? how is the elbow bent?
flexed at 30 degree angle
89
If you fall supine, what kind of somatic dysfunction occurs to the proximal radial head?
anterior radial head dysfunction
90
What is visceral fascia?
Surrounds the body cavities (pleural, | pericardial & peritoneum
91
If you fall prone, what kind of somatic disfunction usually happens to the proximal radial head?
posterior radial head SD
92
What is the normal carrying angle of the elbow?
males: 5-10 degrees females: 10-15 degrees
93
Factors influencing muscle energy for pt
Contract too hard contract in wrong direction contract too short dont relax properly
94
Elbow extension somatic dysfunction MET/ART?
want to flex further | either MET or ART
95
What is the counterforce like in isotonic procedures?
permits controlled motion
96
What is the requirement for a diagnosis of Ehler Danlos?
``` -- Two major criteria –One major plus two minor criteria –Four minor criteria –Two minor criteria and unequivocally affected first degree relative in family history ```
97
What is isokinetic strengthening?
let pt win | sustained gentle pressure (10-20 lbs)
98
What is a crisp end feel usually indicative of?
Involuntary muscle guarding (pinched nerve)
99
What is eccentric isotonic contraction?
contraction of a muscle w/ separation of origin and insertion relaxation phase of a bicep curl
100
What is the relative contraindication of articulatory technique?
vertebral artery compromise - avoid combo of rotation and extension in the c spine
101
What are the motions of valgus testing?
ulnar abduction wrist adduction ulnar deviation
102
What are the motions of varus testing?
ulnar adduction wrist abduction radial deviation
103
What year did AT Still coin the term Osteopathy?
1885
104
When were the first OS hospitals approved for internships?
1936
105
When was there the first approval for osteopathic residencies?
1947

Sophia's OS Stuff (7 decks)

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