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OPP III Exam I > General Review > Flashcards

General Review Flashcards

1
Q

inguinal ligament TP

A

Superior, lateral surface of pubic bone

Legs flexed to 90 degrees, adducted and internal rotation of affected femur

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2
Q

iliacus (psoas) TP

A

2” inferior and 2” medial from ASIS

Stand on TP side. Flex pt legs, externally rotate legs and place them on your thigh. Flex, sidebend toward the TP until resolves

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3
Q

low ilium TP

A

lateral ramus of anterior surface of pubic bone

Affected side leg flexed to 90 degrees and abducted as needed

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4
Q

lateral trochanter TP

A

Lateral surface of femor 0-15cm distal from greater trochanter in IT band

Slight flex the hip, add abduction (generally more then flexion) and internal rotation

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5
Q

posterior lateral trochanter TP

A

superior surface of posterior greater trochanter

Add in moderate amount of extension, some abduction and whole lote of external rotation until the TP resolbes

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6
Q

anterior lateral trochanter

A

5-7cm lateral and inferior to ASIS but anterior and superior to the greater trochanter

Flex hip 70-90 degrees; add abduction and external rotation until TP resolves

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7
Q

high ilium TP

A

4-5 cm lateral to PSIS

Extend affected leg and add slight abduction of thigh

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8
Q

midpole SI (ilium inflare superior, MPSI)

A

3-4 cm inferior to PSIS over SI Joint

Slight flexion of affected leg with abduction and rotation

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9
Q

Piriformis TP

A

Belly of the piriformis 8-9 cm medial and slightly superior to greater trochanter (but can be anywhere along the track of the muscle

Suspend pt’s leg off table and rest the leg on your thigh. Flex the hip to about 135 degrees, abduct slightly via the knee and internally or externally rotate the knee until the TP resolves

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10
Q

High ilium out flare (HIFO)

A

Coccyx or sacrococcygeal joint

Extend affected leg and adduct over opposite leg

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11
Q

posterior sacrum (PSI-5)

A

median crest centrally or bilaterally

Gentle anterior pressure on opposite part of sacrum from TP or attempt to bring base and apex together by cupping the sacrum and flexing your fingers

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12
Q

adrenal glands anterior and posterior chapman’s

A

Anteriorly 2” superior and 1” lateral to umbilicus

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13
Q

heart anterior and posterior CP

A

anterior rib 2

posterior T3

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14
Q

upper lung CP a/p

A

Anterior rib 3

posterior T3

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15
Q

lower lung CP a/p

A

Anterior rib 4

Posterior T4

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16
Q

kidneys anterior and posterior CP’s

A

anterior - 1” lateral of the median line and 1” superior above umbilicus

posterior - intertransverse space of T11-T12 between spinous and transverse process

17
Q

bladder anterior and posterior CP’s

A

Anterior in the periumbilical region

Posterior - upper edge of transverse process of L1-L2

18
Q

heart facilitation level

A

T1-4

19
Q

lungs, visceral pleura Viscerosomatic reflex level

A

T1-T6

20
Q

Adrenal glands facilitation level

A

T10-11

21
Q

Kidneys facilitation level

A

T10-11

22
Q

Ureters (proximal) facilitation level

A

T10-11

23
Q

Ureters (distal) facilitation level

A

T12-L1

24
Q

Bladder facilitation level

A

T12-L2

25
Q

patient has sinus tachycardia… where is the SD

A

T1-6 right side

right sided fibers pass to the right deep cardiac plexus and innervate the right heart and SA node

26
Q

patient has ventricular tachycardia or ventricular fibrillation .
where is the dysfunction

A

T1-5(6)

left side (left heart and AV node)

27
Q

anterior wall MI. where is the SD?

A

T2-3 on the left

28
Q

inferior wall MI. where is the SD?

A

dysfunction at C2 and cranial base (vagus) with inferior wall MI

29
Q

soft single murmur of short duration during systole LLSB that is prominent when she is supine.

A

innocent Stills murmur

30
Q

what are the Seven S’s that are key features of innocent murmurs

A

Sensitive (changes with child’s position or with respiration)
Short duration (not holosystolic)
Single (no associated chicks or gallops)
Small (murmur limited to a small area and nonradiating)
Soft (low amplitude)
Sweet (not harsh sounding)
Systolic (occurs during and is limited to systole)

31
Q

anterior tenderpoints for ribs….

A

flex slightly rotate and sidebend TOWARD

32
Q

posterior tenderpoints for ribs

A

Extend, rotate away and slightly sidebend away

33
Q

what are the important things in the OPP SOAP note?

A

In PMH you need to be more aware of trauma, birth, and sports hx

Also make sure to ask if they ever wore braces

Review of systems after HPI

Osteopathic section of the Objective should include the screening findings, TART changes, and diagnosed somatic dysfunctions

The procedure section is your own OMT performed (chart)

Need BOTH patient and doctors perception of improvement in procedure section

34
Q

what brings parasympathetic innervation to the kidney and upper ureter

A

vagus

35
Q

what brings parasympathetic innervation to the lower ureter and bladder

A

S2-S4

OPP III Exam I (6 decks)

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