Exam #2 Flashcards

1
Q

Anterior Cervical 1

  • location
  • position
A

Location: Lateral aspect of the transverse process of C1
Position: RA

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2
Q

Ant Cervical 2-6

  • location
  • position
A

Location: anterolateral aspect of the corresponding anterior tubercle of the transverse process
Postion: F SARA

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3
Q

Ant Cervical 7

  • location
  • position
A

Location: clavicular attachment of the SCM
Postion: F STRA

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4
Q

Ant Cervical 8

  • location
  • position
A

Location: sternal attachment of the SCM on the medial end of the clavicle
Postion: F SARA

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5
Q

Cardiac Sympathetics

A

T1-6 with synapses in upper thoracic and cervical chain

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6
Q

Sympathetic Supply to Upper Extremity Vasculature

A

T2 to T8 levels

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7
Q

Sympathetic Supply to Lower Extremity Vasculature

A

T11 to L2 levels

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8
Q

Myocardium, Thyroid, Esophagus, Bronchus chapman point

  • Ant
  • Post
A

Anterior: 2nd intercostal space near sternum

Posterior: Midway between the spinous process and tips of the transverse process at T2

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9
Q

Upper Lung
chapman point
-Ant
-Post

A

Anterior: 3rd intercostal space near sternum

Posterior: Midway between the spinous processes and tips of the transverse processes of T3 and T4

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10
Q

Lower lung
chapman point
-Ant
-Post

A

Anterior: 4th intercostal space near sternum

Posterior: Midway between the spinous processes and tips of the transverse processes of T4 and T5

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11
Q

Adrenal gland
chapman point
-Ant
-Post

A

Anterior: 1” Lateral and 2” Superior to Umbilicus Ipsilaterally

Posterior: Intertransverse Spaces of T11 and T12 Ipsilaterally Midway Between Spinous and Transverse Processes

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12
Q

kidney
chapman point
-Ant
-Post

A

Anterior: 1” Lateral and 1” Superior to Umbilicus Ipsilaterally

Posterior: Intertransverse Spaces Midway Between Spines and Transverse Tips of T12-L1

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13
Q

Cardiac parasympathetics

A

CN X (Vagus nerve): OA, C1, C2 somatic dysfunction can affect CN X

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14
Q

Do not use cardiac lymphatic pump techniques on patients

A

Congestive Heart Failure (decompensated),

Acute Myocardial Infarction

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15
Q

Do not treat cardiac in supine position

A

Congestive Heart Failure

COPD

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16
Q

Chapman reflex Myocardium (MI)

  • ant
  • post
A

anteriorly: 2nd intercostal space near sternum
posteriorly: between T2 and T3

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17
Q

Anterior infarct- somatic diagnosis

A

T2-T3

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18
Q

Inferior wall somatic diagnosis

A

T3-T5, C2

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19
Q

…. associated with supraventricular tachyarrhythmia due to sympathetic nervous system

A

Right pectoralis major trigger point 5th intercostal space (ICS)

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20
Q

somatic dysfunction pattern for hypertension

A

C6
T2
T6

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21
Q

THIS IS WHERE ACE INHIBITORS WOULD WORK

A

(T10-T11)

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22
Q

Rib raising done for a short period of time (less than 2 minutes)

A

will usually stimulate the sympathetic effects. For example, bronchodilation

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23
Q

Rib raising done for a longer period of time (greater than 2 minutes)

A

will usually lessen the sympathetic effects

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24
Q

Diaphragm Biomechanically

A

Where the thoracoabdominal diaphragm attaches: lower ribs, thoraco-lumbar junction, T10-L3 are examples

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25
Q

pump-handle ribs

A

Ribs 1-5

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26
Q

bucket-handle motion ribs

A

Ribs 6-12

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27
Q

Acute asthmatic attack must address

A
  • Oxygen
  • Medications (β2 agonists, Anticholinergic, Steroids)
  • Nebulizers
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28
Q

steroids for extended periods of can lead to

A

osteoporosis
diabetes mellitus
adrenal insufficiency

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29
Q

Bucket handle best palpated

A

mid-axillary

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30
Q

B.I.T.E

A

Bottom Rib is key rib in Inhalation dysfunction

Top Rib is key rib in Exhalation dysfunction

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31
Q

Exhaled ribs are prominent

A

posteriorly

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32
Q

Inhaled ribs are prominent

A

anteriorly

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33
Q

Anterior Rib Counterstrain Points are associated with (rib)

A

Exhalation Rib Somatic Dysfunction

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34
Q

Posterior Rib Counterstrain Points are associated with (rib)

A

Inhalation Rib Somatic Dysfunction

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35
Q

AR1-2 Counterstrain

A

Laying down STRT

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36
Q

AR3-10 Counterstrain

A

Sitting up STRT

-doc leg on opposite side of dysfunction

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37
Q

PR1 counterstrain

A

sitting up STRT

-doc leg on same side of dysfunction

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38
Q

PR2-10 counterstrain

A

sitting up SARA

-doc leg on same side as dysfunction

39
Q

Type II thoracic HVLA position and push angle

A

smiley face

40
Q

Type I thoracic HVLA position and push angle

A

frowny face

41
Q

Flexed type II HVLA

A

Physician places left thenar eminence (caudad hand) under the posterior transverse process of the dysfunctional segment
-push down

42
Q

Ext type II HVLA

A

Physician places left thenar eminence (caudad hand) on the right transverse process below the dysfunctional segment
-45 degree angle

43
Q

Exhalation Dysfunction Ribs 1 – 10 physician contacts the key rib

A

posteriorly at the rib angle

44
Q
Rib 1: 
Rib 2:
Ribs 3 – 5: 
Ribs 6 – 8:  
Ribs 9 – 11: 
Rib 12: 
-muscle 
**if muscle becomes hypertonic can cause inhalation dysfunction
A
Rib 1: Anterior and mid scalene 
Rib 2: Posterior Scalene
Ribs 3 – 5: Pectoralis Minor
Ribs 6 – 8: Serratus anterior 
Ribs 9 – 11: Latissimus Dorsi 
Rib 12: Quadratus Lumborum
45
Q
Rib 1: 
Rib 2:
Ribs 3 – 5: 
Ribs 6 – 8:  
Ribs 9 – 11: 
Rib 12:
**muscle energy motion
A

Rib 1: anterior
Rib 2: rotate head away and ask patient to rotate ant
Ribs 3 – 5: pushes their elbow to their contralateral ASIS
Ribs 6 – 8: pushes their elbow toward the ceiling/ or ipsilateral ASIS
Ribs 9 – 11: ADduct their arm
Rib 12:

46
Q

Rib 1 HVLA

A

sidebend the cervical spine towards the dysfunctional rib and rotates head away from dysfunctional rib

47
Q

Rib HVLA 2-10

A

Place thenar eminence (fulcrum) on posterior aspect of rib angle instead of transverse process

48
Q

Displacement

A

getting yelled at by boss then coming home and yelling at husband

49
Q

Reaction formation

A

replacing a warded off idea or feeling w an emphasis on it opposite (having lustful thought so enter monastery)

50
Q

Sublimation

A

replacing an unacceptable with with a course of action that I like will but socially acceptable (getting angry and playing golf)

51
Q

Repression vs Suppression

A

Repression: unconscious
Suppression: conscious

52
Q

Dissociative Fuge

A

reversible amnesia for personal identity, including the memories, personalities, and other identifiable characteristics

53
Q

Antisocial Age

A

evidence of actions occurring since age 15 but not diagnosable until age 18

54
Q

Avoidant personality disorder

A

would like to have a relationship but are afraid to

55
Q

mean age of onset for GAD

A

30

56
Q

Hoarding average age of symptoms start

A

13

57
Q

PTSD drugs

A

SSRI and Pozosin

58
Q

Acute distress disorder vs PTSD

A

ADS: symptoms leave over time w PTSD they do not

59
Q

Acute distress disorder diagnosis days

A

symptoms for at least 3 days

60
Q

conversion disorder

A

college student becomes blind every Monday but clears up right before weekend

  • physiological stressor present
  • issue can be disproven w tests
61
Q

Benzos not metabolized by liver

A

Oxazepam
Temazepam
Lorazepam

62
Q

Buspirone MOA, use, pharmacodynamics

A

MOA: Partial 5-HT1a agonist
Use: GAD
Pharmacodynamics: slow onset

63
Q

Benzos suffix and MOA

A

-am

GABA agonist

64
Q

what is given for performance anxiety

A

Beta blocker

65
Q

anti nightmare drug

A

Prazosin - alpha 1 adrenergic receptor antagonist

66
Q

Bulimia treatment

A

fluoxitine

67
Q

Stanine

A

score 1-9

68
Q

Reliability

A

test consistency and reproducibly of the test over time

69
Q

Validity

A

the test measures what it is suppose to measure

70
Q

Dyspareunia

A

pain during intercourse

71
Q

Frotteuristic Disorder

A

touching/rubbing against unsuspecting people

72
Q

Sexual Masochism vs. Sexual Sadism

A

Masochism: victim
Sadism: perpetrator

73
Q

Voyeuristic disorder

A

peeping tom

74
Q

reward center of brain

A

Nucleus accumbens

75
Q

4 medical ethics

A

autonomy - patient has control of their body
beneficence - always do good
nonmaleficence - do no harm
justice - fairness

76
Q

Criterion-referenced tests

A

measure the number of correct responses based on a specific, often minimum ‘criterion’ of what is expected to pass the exam. expressed in a percentage correct out of the total

77
Q

4 steps of the Psychological assessment process

A

General functioning
Intellectual functioning
Memoring functioning
Content of thought

78
Q

Transference

A

patient redirects their feeling from significant other or person to their life to the physician
-patient putting a physician in a paternal/maternal role

79
Q

Counter Transference

A

occurs when a physician redirects their feelings onto a patient
-A physician treating a patient who reminds him of his mother who is very dependent on him and transfers his feelings becoming very prescriptive, discounting the patient’s questions about treatments.

80
Q

NSTEMI EKG

A

depression

T inversion

81
Q

treatment for prinzmetal angina

A

ca channel blockers and nitrites

82
Q

shallow breathing bc pain on deep inspiration

A

pleural disease

83
Q

inc tactile fremitus

A

consolidation (lobar pneumonia)

84
Q
obstructive grade
mild
moderate
severe 
very severe
A

mild: 100-80
moderate: 50-79
severe: 30-49
very severe: <30

85
Q
restrictive grade
mild
moderate
severe 
very severe
A

mild: >80
moderate: 60-80
severe: 50-60
very severe: <50

86
Q

projection

A

cheating husband says wife is cheating

87
Q

dissociative identity disorder

A

multiple personality disorder

88
Q

Schizotypical

A

willy Wonka

89
Q

> 50% of Schizotypicals have at least one major depressive episode

A

major depressive episode

90
Q

Borderline behavior therapy treatment

A

dialectical behavioral therapy

-think Brittany spears

91
Q

anxiety is controlled by the

A

limbic system

92
Q

bulimia behaviors must occur on average

A

once per week for three months

93
Q

Somatic Symptoms disorders

A

focus on physical symptoms that cannot by scientifically explained

94
Q

transference vs countertransference

A

transference: patient -> clinician
countertransference: clinician -> patient