exam I Flashcards

1
Q

parasympathetics

A

CN III, VII, IX, X
sacral segement S2-4
long preganglionic
Ach pre and post

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2
Q

sympathetisc

A

T1-L2

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3
Q

somato-somatic reflex

A

DTRs
withrdrawl reflex
gallbladder referred pain to right shoulder

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4
Q

viscero-visceral reflex

A

gut distention -> gut contracton

baroreceptor reflex

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5
Q

viscero-somatic

A

cardiac disease -> somatic dysfunction T1-5 RSL

usually type II

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6
Q

faciliation

A

indicates an area of impariment or restriction develops a lower threshold for irritation and dysfunction when other structures are stimulated

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7
Q

pupils

A

CNIII

T1-4

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8
Q

sinuses

A

CNVII

T1-4

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9
Q

carotid body, sinus

A

CNIX

T1-4

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10
Q

lacrimal, salivary glands

A

CNVII, IX

T1-4

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11
Q

trachea, bronchi

A

CNX

T1-6

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12
Q

heart

A

X

T1-6

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13
Q

upper extremity

A

T2-6

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14
Q

lungs, visceral pleura

A

X

T1-6

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15
Q

esophagus

A

X

T1-6

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16
Q

gallbladder

A

X

T5, R

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17
Q

stomach

A

X

T5-9L

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18
Q

liver

A

X

T5 R

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19
Q

spleen

A

X

T7L

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20
Q

pancreas

A

X

T10-11

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21
Q

adrenal glands

A

X

T10-11

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22
Q

small intestines

A

X

T10-11

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23
Q

ascending, transverse colon

A

T10-11

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24
Q

urinary bladder

A

T12-L2

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25
kidneys
T10-L11
26
urerters-proximal
T10-11
27
testes/ovaries
T10-11
28
uterus
T10-L2
29
lower extremity
T10-L3
30
appendix
T12
31
ureters-distal
T12-L2
32
descending, sigmoid, and rectum
T12-L2
33
prostate
T12-L2
34
T1-4
pupils sinuses carotid body, sinus lacrimal and salivary glands
35
T1-6
``` trachea bronchi heart lungs visceral pleura esophagus ```
36
T10-11
``` adrenal galnds small intestines ascending, transverse colon kidneys proximal ureters testes/ovaries ```
37
T12-L2
descending, sigmoid colon rectum prostate
38
dumbbells
``` parasympathetics diarrhea/defecation urination meiosis bradycardia bronchospasm emesis lacrimation salivation ```
39
somato-visceral
spinal manipultaion -> changes HR, BP, and sympathetic activity to kidney and adrenal medulla
40
jones points
tender points finger tip size, discrete, small , tense, edematous no referred pain or radiation usually in tendinous attachments or mm belly counterstrain
41
travells points
trigger points hyperirritable spot w/hypersensitive palpable nodules referred pain in taut band w/in skeletal m treat w/ inhibitory soft tissue, deep massage, injuection, isometric MET, vapocoolant spray w/myofascial stretch
42
chapman's points
GANGLIFORM CONTRACTION may block lymph drainage part of viscero-somatic reflex for diagnosis for influencing fluid flow for visceral function through peripheral nervous system
43
chapman's points diagnosis/treat
small, smooth, firm, discrete nodules in fixed anatomical locations (feels like a pea) usually paired anterior and posteriorly often tender, but don't radiate treatment- firm circular pressure 10-30 sec
44
C5
deltoid shared innervation of biceps biceps reflex lateral arm and shoulder sensory
45
C6
shared innervation of biceps wrist extensors brachioradialis reflex lateral forearm and digits 1 and 2
46
C7
finger extensors triceps reflex middle finger sensory
47
C8
finger flexors | medial forearm and digits 4 and 5
48
T1
interossei | medial forearm sensory
49
boney structures of thoracic outlet
spina column first rib sternum clavicle
50
structures passes thru thoracic outlet
brachial plexus subclavian a subclavian v
51
compression points leading to thoracic outlet syndrome
scalenes- btwn middle and anterior pec minor and rib cage costoclavicular articulation
52
tests for thoracic outlet syndrome
``` adsons roos cervical foramina compression test aka spurlings maneuver maximal cervical compression test hyperabduction test ```
53
places of ulnar n compression
epicondylar groove cubital fossa guyons canal
54
tests for ulnar nerve entrapment
``` tinels elbow flexion pressure test flexion + pressure test palpation ```
55
LBP above the knee
``` most likely non-specific muscular or ligamentous somatic dysfunction degenerative disease fracture spondylolysis ```
56
LBP radiates below knee
radiculopathy spinal stenosis cauda equina syndrome associated piriformis syndrome
57
protruded disc
annulus intact
58
extruded
thru annulus, but posterior longitudinal ligament maintains disc w/in vertebral space
59
sequestered disc
free to roam spinal channel
60
L4
tibialis anterior patellar tendon reflex medial foot
61
L5
extensor digitorum longus | middle of anterior foot
62
S1
fibularis longus achilles tendon reflex lateral foot
63
type II mechanics
involve single segements | induced by short restrictors (rotatores, semispinalis, multifidis mm)
64
type I mechanics
compensatory, multiple vertebrae SB predominate induced by long restrictor mm - longissimus mm, iliocostalis
65
lat dorsi
thoracolumbar fascia iliac crest, and spinous processes of T7-12 intertubercular groove of humerus
66
Quadratus lumborum
iliolumbar ligament and iliac crest L1-4 transverse processes and rib 12 functionally considered posterior inferior extension of diaphragm
67
iliospoas
vertebral bodies and transverse processes of lumbar spine | lesser trochanter of femur
68
fusion of innominate
begins at age 16 | ends around 25
69
3 movements of innominate
rotation (ant/post) flaring (lateral/medial) shearing (superior/inferior)
70
physiologic movements of innominate
rotaion (ant/post) | flaring (lat/med)
71
non-physiologic mvmts of innominate
shearing (sup/inf)
72
standing flexion test
laterality of dysfunction | positive on right= right innominante somatic dysfuncton
73
ant/post rotation
inferior transverse axis of sacrum
74
extension of hip
anterior rotation
75
flexion of hip
posterior rotation
76
diagnostic criteria of anteriorly rotated innominate
+ standing flexion test ipsilateral ASIS inferior PSIS superior inferior pubes ipsilateral
77
etiology of anteriorly rotated innominate
tight quads, leg length discrepency
78
diagnosis posterior rotated innominate
``` + standing flex test ipsilateral ASIS superior PSIS inferior superior pubes ipsilateral inguinal/groin pain medial knee pain (due to sartorius dysfunction) ```
79
innominate medial flare
``` + standing flex test- ipsilateral ASIS medial PSIS lateral pelvic or sacroiliac joint tender sacroiliac and inguinal ligaments and pubic symphisis ```
80
innominate lateral flare
``` standing flex test- ipsilateral ASIS lateral PSIS medial pevic sacroiiac pain tender sacroiliac and inguinal ligaments ```
81
innominate superior shear
``` + standing flex test ipsilateral ASIS and PSIS and pubic tubercle superior pelvic pain TART tender at ipsilateral SI and pubes ```
82
innominate inferior shear
``` + standing flex test ipsilateral ASIS and PSIS and pubic tubercle inferior pelvic pain TART tender at ipsilateral SI and pubes ```
83
pubic symphysis superior shear
``` + standing flex test ipsilateral ASIS and PSIS level Ipsilateral pubic tubercle superior pelvic pain or pubic arch pain TART ipsilateral pubes ```
84
pubic symphysis inferior shear
``` + standing flex test ipsilateral ASIS and PSIS level Ipsilateral pubic tubercle inferior pelvic pain or pubic arch pain hypertonic adductors TART ipsilateral pubes ```
85
pubic symphysis compresssion
+ standing flex test ipsilateral ASIS level ASIS and PSIS level ipsilateral pubiv tubercle level but very tender pelvic pain or pubic arch pain, TART, very tender