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OMM > Fall 2014 Exam 1 > Flashcards

Fall 2014 Exam 1 Flashcards

1
Q

What anatomical structures form the TMJ jiont?

A

head of mandible (biconcave) and

mandibular fossa of temporal bone (saddle)

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2
Q

What structres does the stylomandibular ligament connect?

A

angle of mandible

styloid process

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3
Q

What muscel draws the articular disk anteriorly when the mouth is depressed?

A

lateral pterygoid

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4
Q

Which muscles depress the mandible?

A

digastric

suprahyoid

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5
Q

Which muscles closes the jaw?

A

temporalis
masseter
medial pterygoid

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6
Q

What are exampels of intracapsular probelms of the TMJ?

A 
infection
RA
osteoarthritis
gouty arthritis
metastatic cancer
disk displacements
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7
Q

What are the different classes for dental malocclusions?

A

1: molars fine, problem elsewhere
2a: overbite
2b: large overbite
3: underbite

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8
Q

What does an upper molar extraction do to the TMJ?

A

Pulls maxilla inferior and lateral

tempral bone compressed into occiput

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9
Q

What does a lower molar extraction do to the TMJ?

A

opposite mandibular joint becomes inferior

increased sphenomandibular strain

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10
Q

What sign could you see in a hypocalcemic patient?

A

Chovik’s sign when the TMJ is tapped

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11
Q

What might a click in TMJ indicate?

A 
adhesions
irregualr muscle action
disc tear
osteoarthritis
occlusional imbalance
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12
Q

What is the prgression og symptoms in TMJ?

A
  1. opening lcick
  2. closing click (reciprocal)
  3. inabilty to open jaw
  4. inability to close
  5. crepitus/grating
  6. fusion (ankylosis)
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13
Q

What percent of the population suffers from TMJ?

A

20%

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14
Q

What is the normla range of excursion?

A

3-6 cm openeing

1-2 cm laterally

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15
Q

If the mouth first deviates to the left, which side has the dysfunction?

A

The left side

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16
Q

What is Eagle’s syndrome?

A

elongated styloid process

aka stylohyoid syndrome

17
Q

What do you use to treat acute traume in TMJ?

A

ice (not heat)

18
Q

What are some meds effective against TMJ?

A

muscle relaxants
Tricyclics
given at night for a month after pain is gone

19
Q

Where does most of the venous drainage of the head go through?

A

internal jugular v

20
Q

What is Tic douloreaux?

A

dysfunction of CN V2

temporalis/sphenoid/maxilla/ mandible probelm

21
Q

Eyelid spasms is frequently seen with wchich bone problme?

A

temporral

22
Q

Bells palsy is associated with which cranial bone problem?

A

internally rotated temporal bone

23
Q

At what levels are the superior, middle, and inferior cervical anglia?

A

superior: C2
middle: C6
inferior: C7

24
Q

what are the midline bones of the cranium?

A

sphenoid, vomer, ethmoid, occiput

25
Q

Which of the pired bones is NOT influenced by the sphenoid bone?

A

mandible

26
Q

Which sinuses are absent at birth?

A

frontal and sphenoid sinuses

27
Q

what is the ethmoid sinus innervtaed by?

A

ophthalmic nerve (CNV1)

28
Q

what pitch ringing would you hear with internal and external rotation of temporal bone?

A

internal: high pitched
external: low roar

29
Q

When does resp developemtn begin?

A

day 22 gestation

30
Q

When does the first round of lung branching occur?

A

5th week gestation

31
Q

Which ribs exhibit both pump and bucket handle motion?

A

ribs 1-10

32
Q

What other structures follow the aorta through the aortic hiatus in the diaphragm?

A

cisterna chyli

and lymphatics

33
Q

Where are VS reflexes most palpable for respiratory dysfynction?

A

rib angle

34
Q

Where is the asthma/bronchomotor reflex?

A

T2 left

35
Q

Where is the bronchial mucosa reflex?

A

T2-3 often right

36
Q

What are the 3 areas that impact somatic dysfucntion?

A

neural
circulatory
mechanical

37
Q

What genetic disorder can cause COPD?

A

a1-antitrypsin def.

38
Q

What is the OLD picture in COPD?

A

pink buffer

blue Bloater

OMM (6 decks)

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