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OPP 2 > Exam I > Flashcards

Exam I Flashcards

1
Q

For ANY disease state, the patient must be before performing OMT

A

STABLE

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2
Q

somatic dysfunction can occur anywhere in the body at

A

sympathetic levels
parasympathetic levels
soma

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3
Q

viscero somatic reflexes occur at

A

sympathetic and parasympethetic levels

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4
Q

facilitated segments ONLY occur at

A

sympathetics (red)

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5
Q

convexity to the right = side bending to the

A

left

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6
Q

greatest motion in the thoracic spine is

A

rotation

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7
Q

least motion in the thoracic spine is

A

extension

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8
Q

how is rib 10 categorized

A

typical or atrypical

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9
Q

what is the muscle in the back most likely involved with type II dysfunction

A

rotatores

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10
Q

Anterior T1-T6 counterstrain tender points are treated with

A

flexion

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11
Q

people with COPD are more likely to have a ______ diaphragm and diminished _______ ____ ______

A

flattened; zone of appostion

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12
Q

what does treatment of a COPD patient improve

A

diaphragmatic excursion which improves the pressure gradient between abdominal cavity and thoracic, which improves lymphatic flow

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13
Q

which direction do vertebral bodies tend to rotate

A

the side of dysfunciton

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14
Q

if you have LLL pneumonia, which way do you expect the vertebrae to rotate

A

left

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15
Q

if you have cholecystititis, which way will the vertebrae rotate

A

right

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16
Q

movement in a transverse plane about a vertical axis

A

rotation

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17
Q

movement in a coronal plane about an anterior-posterior axis

A

side bending

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18
Q

anterior movement in a sagittal plane about a transverse axis

A

flexion

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19
Q

posterior movement in a sagittal plane about a transverse axis

A

extension

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20
Q

T2 N SLRR is an example of what law

A

fryette law 1

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21
Q

is there a sagittal component in fryette type I

A

NOI

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22
Q

In type I, side bending ______ rotation

A

preceedes

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23
Q

In a type I dysfunction, side bending occurs ______ the convexity

A

towards

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24
Q

in type II, rotation _____ side bending

A

precedes

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25
Q

Type II usally applies to how many vertebrae

A

one

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26
Q

T4 E SLRL is what type

A

type II

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27
Q

where do the spinous processes of T1-3 project

A

posteriorly, spinous process is in the same plane as the transverse process of the vertebrae

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28
Q

where do the spinous process of T4-6 project

A

downward, the tip of the spinous processs is in a plane halfway between the vertebrae’s transverse process and the transverse process below it

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29
Q

where do the spinous process of T7-9 project

A

moderately downward, spinous process is in a plane with the transverse process below it

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30
Q

what rule of 3 does T10 follow

A

T7-9

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31
Q

what rule of 3 does T11 follow

A

T4-6

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32
Q

what rule of 3 does T12 follow

A

T1-3

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33
Q

an indirect technique takes the dysfunction into the the position of ______

A

injury

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34
Q

what technique uses compressive, tractional, torsional component

A

indirect

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35
Q

what technique uses external forces

A

direct

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36
Q

Counterstrain, FPR, BLT, functional technique are all examples of

A

indirect techniques

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37
Q

describe FPR

A
  • indirect technique
  • body in neutral position
  • compression applied to shorten muscle, muscle fibers and place area into ease of motion
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38
Q

where are the three hiatus at on the diaphragm

A

IVC -8
Esophagus- 10
Aoprta- 12

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39
Q

what is the bony attachment of the diaphragm

A

there is none

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40
Q

soft tissue, articulatory, ME, HVLA, springing art all examples of

A

Direct Techniques

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41
Q

Orientation of superior facets

A

BUM, BL, BM

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42
Q

orinetation of inferior facets

A

AIL, AIM, AL

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43
Q

what leads to tissue texture changes such as hypertonicity, moisture, erythema, etc.

A

post ganglionic sympathetic fibers

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44
Q

what are the sympathetic levels of the head and neck

A

T1-T4

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45
Q

what are the sympathetic levels of the heart

A

T1-T5/6

46
Q

what are the respiratory sympathetic levels

A

T1-T7

47
Q

what are the sympathetic levels of the esophagus

A

T2-T8

48
Q

what are the sympathetic levels of the upper GI tract

A

T5-T9

49
Q

what are the sympathetic levels of the middle GI

A

T10-T11

50
Q

what are the sympathetic levels of the lower GI tract

A

T12-L2

51
Q

what are the sympathetic levels of the arms

A

T2-T8

52
Q

what are the sympathetic levels of the legs

A

T11-L2

53
Q

what is the parasympathetics to the ovaries/kidneys

A

both vagus nerve and S2-S4

54
Q

what is the order from top to bottom of the collateral ganglia

A

celiac, super mes, inf mes

55
Q

where is the sympathetic preganglionics

A

T5-L2

56
Q

where is the celiac post ganglion

A

T5-T9 (stomach, gallbladder)

57
Q

where is the sup m,es ganglion

A

T10-T11

58
Q

where is the inf mes ganglion

A

T12-L2 (sigmoid)

59
Q

where does the greater splanchnic nerves originate

A

T5-T9

60
Q

where does the lesser splanchnic nerves originate

A

T10-T11 (appendix

61
Q

where does the least splanchnic and lumbar splanchnic originate

A

T12; L1-L2

62
Q

where is mcburney’s point

A

tip of right 12th rib; appendicitis

63
Q

what has to be treated before any other lympohatic treatment

A

thoracic outlet syndrome

64
Q

you have to open myofascial pathways at the ______ _____

A

transition zones

65
Q

Anterior cervical fascia release
Thoracic inlet myofascial release
Pectoral Traction
are examples of

A

transition zones

66
Q

what is the effects lymphatics have on the diaphragm

A

flattening

67
Q

what are the effects of COPD on the diaphragm

A

restriction

  • flattened (diminished zone of apposition)
  • decreased lymphatic drainage
68
Q

which ribs are pump handle

A

ribs 1-5

69
Q

what ribs are bucket handle

A

6-10

70
Q

what ribs are caliper

A

ribs 11, 12

71
Q

pump handle ribs move in predominantly what plane and where are they best palpated

A

anterior/superior (sagittal)

mid clavicular

72
Q

where do bucket handle ribs move and where are they best palpated

A

laterally (coronal)

mid-axillary

73
Q

inhaled ribs are prominent

A

anterior

74
Q

anterior rib counterstrain points are associated with ______ rib somatic dysfunciton

A

exhaled

75
Q

patients pain increases with inhales indicates

A

exhalation rib somatic dysfunciton

76
Q

Flexion occurs in what plane

A

Saggy tail

77
Q

Flexion occurs in what axis

A

Transverse

78
Q

What is done first in FPR

A

Put in neutral position

79
Q

What ganglia is associated with gastritis

A

Celiac

80
Q

What ganglia associated with cholecystis

A

Celiac

81
Q

What ganglia associated with appendicitis

A

Superior messenteric

82
Q

Which nerve gastritis

A

Greater splanchnic

83
Q

Which nerve scholecystis

A

Greater splanchnic

84
Q

Which nerve appendicits

A

Lesser splanchnic

85
Q

Which levels associated with gastritis

A

T5-T9

86
Q

Which levels associates with cholecystis

A

T5-T9

87
Q

Which levels are associated with appendicits

A

T10-T11

88
Q

Which levels are associated with sigmoid colon

A

T12-L2

89
Q

What ganglia are ass. With sigmoid colon

A

Inf messenteric

90
Q

What nerve ass. With sigmoid colon

A

Least and lumbar splanchnic

91
Q

Anterrior counter strain is for what dysfunction

A

Exhalation

92
Q

What attaches to rib 1

A

Ant and mid scalene

93
Q

Posterior CS is for what type of dysfunciton

A

Inhalation

94
Q

What attaches to rib 2

A

Post scalene

95
Q

What attaches to ribs 3-5

A

Pec minor

96
Q

What attaches to ribs 6-8

A

Serratus anterior

97
Q

What attaches to ribs 9-11

A

Last Doris

98
Q

What attaches to rib 12

A

Quad

99
Q

What are the common entrapment sites

A
  1. Scalene triangle
  2. Costoclavicular space
  3. Sbcoracoid space
100
Q

If a patient experiences pain in exhalation, what is the dysfunction

A

Inhalation, bottom rib

101
Q

What muscle attaches to the 10 rib

A

Lat Dorsi

102
Q

What attaches the 5 rib

A

Pec minor

103
Q

Where is the Chapman point LLL pneumonia

A

Between T4-T5

104
Q

Bucket handle motion is best palpated at

A

Mid auxiliary line

105
Q

Pump handle is best palpated at

A

Mid clavicular line

106
Q

On a physical exam ribs 3-7 were prominent posteriorly on the right. What is the key rib in this group dysfunction

A

3

107
Q

Somatic dysfunction affecting the thoracic-abdominal neurologically would be found at

A

C3, C4, C5

108
Q

Which somatic dysfunction may be contributing to symptoms by decreasing the biomechanical efficiency of the respiratory diaphragm

A

T12- L3 neutral, side bent right, rotated left

109
Q

Cholecystitis would have tissue texture abnormalities located at which level

A

T7-T9 on right

110
Q

Appendicitis is associated with which ganglion

A

Inf messenteric

111
Q

Facilitation in the sigmoid colon would be most closely associated with which nerve

A

Least splanchnic

OPP 2 (3 decks)

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