Fellows CIS

Question 1

supraspinatus tenderpoint

Answer 1

supraspinatous fossa (muscle belly)

treat in abduction, flexion, external rotation

Question 2

superior migration of right hueral head toward right acromion –>

Answer 2

impingement (space between the undersurface of the acromion and hte superior aspect of the hueral head)

Maximally narrowed with arm abducted

Question 3

spencer’s order

Answer 3

Eat Fried Chicken To Add Ab Inches

adduction and external rotation at the same time
traction- is distraction

Question 4

how to treat nursemaid’s elbow

Answer 4

closed reduction with foreearm supination and elbow flexion:

immobilize the elbow and palpate the region of hte radial head
apply axial compmression at the wrist while supinating the forearm and flexing the elbow

Question 5

still technique for posterior radial head

Answer 5

maintain posterior pressure on the radial head, place the forearm in pronation, add compression, take forearm into supination

Question 6

test for malingering?

Answer 6

Hoover sign

put hand on good leg, ask them to lift bad leg. Should feel good leg make an attempt.

Question 7

left short leg. Early finding?

Answer 7

tenderness over left iliolumbar ligament

Question 8

scoliotic curve sidebent left and rotated right –> What with scapula?

Answer 8

inferior left inferior angle of scapula

Question 9

right short leg –> ? pelvis? and other stuff?

Answer 9

pelvic side shift left

Group curve sidebends away from the short leg
long leg is internally rotated and the foot is pronated
Innominate is anterior on the short side

Question 10

Compensatory S schaped scoliosis

Answer 10

chornic posutral compensation for a short limb

most inferior verteebrae in the group curve remain sidebent away from teh short limb

2ndary compensatory curve develops more superiorly that sidebends the opposite way

Question 11

strained adductors. fascial lines–> what else?

Answer 11

longus coli and the tib/fib interosseous membrane

Question 12

muscle imbalance

Answer 12

disturbance of function

afferent activity to cord, brainstem, cortex

efferent pathway to alpha motor neuron–> contraction

muscle spindles adapt–> ongoing aberrant muscle tone

Question 13

important aspects of correcting muscle imbalance?

Answer 13

1. proprioceptive balance
2. stretch facilitated muscles
3. re-educate/ strengthen the weak ones (teach correct muscle firing patterns)

Question 14

craniosacral: index finger on right more superior than left, pinky is inferior to left. dx?

Answer 14

Right torsion

Question 15

cranio: oth index fingers go superior, both pinkies go inferior. dx?

Answer 15

inferior vertical shear

whichever way your wrists go is the shear

Question 16

difficulty dorsiflexing the foot and ankle. What else?

Answer 16

anterior talus

Question 17

first osteopathic school founded when?

Answer 17

1892

Question 18

greater wings symetrically rise during cranial extension. Most likely cranial strain?

Answer 18

inferior vertical strain

Question 19

appendix chapman’s point

Answer 19

tip of 12th rib

Question 20

appendix facilitated segment

Answer 20

T12

Question 21

dura mater connection from foramen magnum to sacrum is

Answer 21

core link

Question 22

manic depression associated with what cranium issue?

Answer 22

SBS compression