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OPP > Final Mega Review > Flashcards

Final Mega Review Flashcards

1
Q

TART Changes

A

Tissue Texture Changes Asymmetry Restriction of Motion Tenderness

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2
Q

AT Still Flung the Banner of Osteopathy

A

1874

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3
Q

AT Still Born

A

1828

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4
Q

AT Still Died

A

1917

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5
Q

First Osteopathic Medical School Started in

A

1892

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6
Q

Vermont First State to License DO

A

1896

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7
Q

Loss Of California

A

1962

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8
Q

5 Classic Osteopathic Methods

A

Biomechanical Structure Respiratory-Circulatory Metabolic-Nutrional Neurological Behavioral-Biopsychosocial

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9
Q

Physiological Barrier

A

the barrier that the patient can actively move to

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10
Q

Anatomic Barrier

A

the barrier that the physician can take the pt to

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11
Q

Gross Motion about the Saggital Plane? Pivot?

A

Flexion/Extension Pivot: horizontal plane

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12
Q

Gross Motion about Horizontal Plane (Transverse)? Pivot?

A

rotation, vertical axis

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13
Q

Gross Motion about the Coronal Plane? Pivot?

A

sidebending, AP axis

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14
Q

Signs of Acute Tart Changes? Temp? Skin Texture/Moisture? Tension? Tenderness? Edema? Erythema Test?

A

Increased Temp Increased Moisture Cardboard hard Sharp Pain Increased Edema Increased Redness

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15
Q

Signs of Chronic Tart Changes? Temp? Skin Moisture/Text? Tension? Tenderness? Edema? Erythema Test?

A

possible decrease in temp decreased moisture, dry string-like dull achy no edema, blanching no redness

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16
Q

4 Purposes of Fascia

A

Protection, Packaging, Passageways, Posture

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17
Q

Fryette’s 1st Principle

A

spinal in neutral position rotation and sidebending will be in opposite directions

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18
Q

Fryette’s 2nd Principle

A

spine in nonneutral position rotation and sidebending will be in same direction

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19
Q

Fryette’s 3rd Principle

A

motion in one plane will affect motion in another

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20
Q

Facet Orientation

A

Cervical: BUM Thoracic: BUL Lumbar: BM back, up, lateral, medial

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21
Q

Muscle Energy Acts on…

A

Golgi tendon Organ, causing inhibition of the muscle and therefore, muscle relaxation

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22
Q

Counterstrain works by…

A

stretching the muscle spindle during contraction causing the relaxing of the muscle

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23
Q

Who invented muscle energy?

A

Fred Mitchell DO

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24
Q

Counterstrain involves…

A

myofascial tenderpoints and spontaneous tissue release

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25
Q

Who developed counterstrain?

A

Lawrence Jones, DO

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26
Q

Myofascial release Direct or Indirect? Passive or Active?

A

Direct and Indirect? Passive: performed by physician

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27
Q

Direct vs Indirect? Passive or Active?

A

Direct: go into barrier Indirect: move away from barrier Active: patient performs motions Passive: doc performs motions

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28
Q

Counterstrain Direct or Indirect? Active or passive?

A

Indirect/passive

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29
Q

Muscle Energy Direct or Indirect? Active or passive?

A

Direct/active

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30
Q

HVLA Direct or Indirect? Active or passive?

A

direct, passive

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31
Q

Treating Chapman Points

A

direct and passive

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32
Q

Ant. Scalene insertion? fxn?

A

rib 1, pump handle

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33
Q

Middle Scalene insertion? fxn?

A

rib 1, bucket handle

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34
Q

Posterior Scalene insertion? fxn?

A

rib 2, pump handle

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35
Q

Joints of Luschka Purpose? Formed by? AKA?

A

prevents the cervical vertebra from sliding backwards uncinate processes of C3-C7 uncovertebral joints

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36
Q

OA Primary Motion? Somatic Dysfunction?

A

flexion and extension Type I mechanics: rotation and sidebending to opposite sides

37
Q

Relationship between translation and sidebending? OA

A

Sidebending is opposite of the side that the vertebra translates to

38
Q

What does the deep sulcus (OA) tell you?

A

the deeper sulcus is the side the OA is rotated to

39
Q

HVLA setup for OA

A

only based on rotational component however make sure to diagnose completely, to include flexion and extension in addition to sidebending

40
Q

ME Setup for OA

A

involves all three planes: rotation, sidebending, flex/ext reverse the diagnosis

41
Q

AA motion? Diagnose

A

pure rotation, flex the head slightly

42
Q

C3-C7 Rotation/Sidebending Movement

A

Type II Mechanics: Rot + SB same side

43
Q

Primary Motion of C3-C7 in flexion? Exten?

A

In flexion: rotation In extension: sidebending

44
Q

What is the rule of 3s?

A

T1-T3 spinous processes are inline with the transverse processes T4-T6 spinous processes are half way between respective and lower vertebral transverse process T7-T9 spinous process are at the level of the lower vertebral transverse processes

T10: same as T7-T9

T11: same as T4-T6

T12: same as T1-T3

45
Q

Anatomical Mark of the Spine of the Scapula

A

T3

46
Q

Inferior Angle of the Scapula

A

T7

47
Q

Sternal Notch

A

T2

48
Q

Sternal Angle (Angle of Louis)

A

T4

49
Q

Iliac Crest

A

L4

50
Q

Main motion of the Thoracic Spine

A

Rotation

51
Q

Which ribs are atypical? Typical?

A

Atypical: 1, 2, 11, 12 (10 possible)

Typical: 3-10 (10 possible)

52
Q

Why is Rib 1 atypical?

A

only articulates with T1

53
Q

Why is Rib 2 atypical?

A

large tuberosity for the serratus anterior

54
Q

Why are ribs 11 and 12 atypical?

A

11 and 12 only articulate with their respective vertebra

55
Q

Which ribs are true, floating, false?

A

True: 1-7

False: 7-12 (not connected directly to the sternum)

Floating: 11-12

56
Q

Primary Motion of Ribs 1-5

A

Pump Handle

57
Q

Primary Motion of Ribs 6-10

A

bucket handle

58
Q

Primary Motion of Ribs 11/12

A

calipher motion

59
Q

What is an inhalation dysfunction?

A

ribs become even in inhalation

during exhalation one rib sticks up

60
Q

Exhalation Dysfunction

A

ribs are even during exhalation

during inhalation the rib does not rise (depressed)

61
Q

Key Rib

A

BITE

For inhalation dysfunction treat the bottom rib

For exhalation dysfunctions treat the top rib

62
Q

ME for Inhalation Dysfunction for First Rib

SB/Rot?

A

use MCP Joint

Sidebend towards dysfunction

rotate away

63
Q

Inhalation SD 1-5

A

knee on opposite side

sidebend towards from dys side

64
Q

Inhalation SD 6-10

A

stand of the dysfunctional side

sidebend the patient towards you

place middle finger and thumb above the affected rib

65
Q

Inhalation SD Ribs 11/12

A

Stand opposite to the dysfunction

make a smile face to relax musculature

Grab ASIS w/ caudad hand, push down w/ Cephalad hand

Push down and out on 11th Rib

66
Q

How to to treat pump handle motion of 1st rib with exhalation SD?

A

Pt places their hand on their forehead

they try to lift their head, head is straight

Pt resists the force of the Doc

67
Q

Treatment of Bucket Handlle Motion of the 1st Rib with exhalation SD

Muscle Engaged?

A

Pt turns their head away from the side of dysfunction

places hand on their head resists the force of the doc

middle scalene

68
Q

Exhal SD for 2-5 Muscle Used? Turn Head away?

A

Pec. Minor

Hand Not on forehead, held in mid air above face

69
Q

Exhal SD Ribs 6-10? Muscle Utilized?

A

Serratus Anterior

Lift arm and 45 degrees from the midline and resist the force of the doc

70
Q

Exhalation SD 6-10 Muscle Activated?

A

Doc stands opp to affected side

SB away from affected side

Activates the QL

Grab ASIS and push down and out on RIb 11

71
Q

OMT Definition

A

therapeutic use of ahnds to restore structure and function

72
Q

Why is disc hernation more likely to occur in the lumbar spine?

A

The posterior longitudinal ligament becomes more narrow,

almost 50% of original size

73
Q

Major Motion of the Lumbar Spine

A

flexion and extension

74
Q

What is a herniated nucleus pulpous? Location?

A

the herniated disc impinges on the nerve root

causes low back/leg pain

L4/L5 and L5/S1

75
Q

Psoas Syndrome Caused by? Sx? Test?

A

shortening of the Psoas Muscle

low back pain, can radiate to groin

positive Thomas Test

76
Q

Sx of Spinal Stenosis? Worsened by?

A

low back pain/leg pain

worse in extenion /physical activity

77
Q

Spondylolisthesis

A

anterior displacement of the vertebra

pain in the low back, posterior thigh

78
Q

Spondylolysis? X-Ray?

A

damage to the pars

collar of the scotty dog

79
Q

Cauda Equina Syndrome

A

compression of the cauda equina

sharp low back pain, loss of lower reflexes, loss of bowel movement

80
Q

Nomenclature of Scoliosis

A

named for the convexity

81
Q

Common Humeral Dislocation

A

Anteriorly and Inferiorly

82
Q

Winging of the Scapula

A

Long Thoracic Nerve Injury which causes weakining of the serratus Anterior

83
Q

Most Common nerve damaged in the Upper Extremity

A

Radial Nerve Damage, saturday night palsy, humeral fracture

84
Q

Radial Head Movement

Acronym

A

SAPP

supination radial head moves anteriorly

pronation head moves posteriorly

85
Q

PEED Treatment

A

Posterior Fibular Head Movement,

Externally Rotate, Evert, Dorsiflex

86
Q

Q Angle

Normal?

Valgus vs varus?

A

Lines between

Tibial Tubercle and Patella

Asis and Patella

Valgus: legs are more out laterally

Varum: legs are closer together

10-12 Degrees

87
Q

Nerve that is located behind the fibular head?

A

Common Peroneal Nerve

88
Q

Is the ankle more stable in plantarflexion or dorsiflexion?

A

dorsiflexion (there isn’t as much movement)

89
Q

Three Ligaments that Stabilize the
Ankle

A

Ant. Talofibular, Post. Talofibular, Calcaneofibular

OPP (1 decks)

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