M2T3 OMM Midterm Flashcards by Gregory Skedros

A 54 year old male experiences deep, throbbing groin pain and back pain with walking. The pain radiates to the lateral thigh and is relieved when he lies flat with his hips flexed. The most likely diagnosis is ________.

Psoas spasm

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Conclusion from the immediate affects of OMT in the elderly with COPD study?

“Results suggest an overall worsening of air trapping during the 30 minutes immediately following one multi-technique OMT session relative to the sham group.”

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During elbow pronation, the radial head glides ________.

Posteriorly (pronation posterior)

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Shoulder extension range of motion is approximately ________ degrees.

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The two joints of the knee are the ________ and the ________.

Tibiofemoral, patellofemoral

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A 64 year old man experiences acute, deep throbbing groin pain with walking (and sometimes at night), and radiation to the lateral thigh. The most likely diagnosis is ________.

Osteonecrosis

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Normal flexion and abduction of the shoulder range of motion is approximately ________ degrees.

180

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The treatment plan for shoulder problems is based off the ________ exam.

Musculoskeletal

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The most common somatic dysfunction of the sternoclavicuar joint results in a clavicle that is ________ and ________ on the sternum.

Anterior, superior

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The Trendenlenberg test assesses for weakness in the ________ muscle.

Gluteus medius

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The most common cause of hip pain in children 3-10 years old is ________.

Transient synovitis

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Which two tests are used to help aid in the diagnosis of a rotator cuff tear (specifically the supraspinatus)?

Jobe’s (empty can), Drop Arm

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Tenderness in the anatomical snuffbox after a fall on an outstretched hand indicates a ________ fracture.

Scaphoid

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A positive grind test at the carpometacarpal joint of the thumb indicates ________.

Osteoarthritis

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IT band syndrome can be ameliorated by strengthening the ________ muscle.

Gluteus medius

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During elbow extension, the radial head glides ________ on the capitulum.

Posteriorly

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Posterior hip or butt pain can be referred from a dysfunction at the _______ joint.

Sacroiliac

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The ________ meniscus is larger than the ________ meniscus.

Medial, lateral

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A positive ________’s test is a sign of DeQuervain’s Tenosynovitis.

Finklestein

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A labral tear or SLAP tear can be diagnosed with the use of ________’s test.

O’brien

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A 30 year old female experiences acute hip and butt pain. The pain is deep and throbbing and radiates down the posterior thigh. Sitting exacerbates the pain. The most likely diagnosis is ________.

Piriformis syndrome

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Adhesive capsulitis can be effectively treated with ________, an osteopathic technique.

Spencer technique

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The wrist can move approximately ________ degrees in flexion and extension, ________ degrees in pronation and supination, ________ degrees in ulnar deviation, and ________ degrees in radial deviation.

60-80, 80-90, 30, 20

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________’s test is used to help diagnose possible cervical neural impingement.

Spurling

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Falling forward onto the palm of an outstretched hand results in the distal radius moving more ________.

Anterior (this would result in the radial head moving posterior as well)

A baseball pitcher or golfer can develop ________ elbow pain due to strain on this side of the elbow.

Medial

The reason the tibia externally rotates in extension is due to three factors. What are they?

1. Shape of the medial femoral condyle2. Tension of the ACL3. Lateral pull of the quads

Shoulder adduction range of motion is approximately ________ degrees.

The ________ ligament is the strongest ligament in the body and limits excessive hip ________.

Iliofemoral, extension

When performing a musculoskeletal/structural examination address ________ first and then ________. Work from ________ to ________.

Autonomics, lymphatics, central, peripheral

The tibia normally externally rotates ________ degrees in the last 15 degrees of full extension. This locks the knee while standing and decreases work.

During elbow flexion, the radial head glides ________ on the capitulum.

Anteriorly

During elbow supination, the radial head glides ________.

Anteriorly

When the radial head is stuck in the posterior position, the ability to ________ (motion) is restricted.

Supinate

The anatomical snuffbox is formed by the ________ medially, and the ________ and ________ laterally.

Extensor pollicis longus, extensor pollicis brevis, abductor pollicis longus

Which chronic condition is more likely to be associated with adhesive capsulitis when compared to others?

Diabetes

The most common cause of lateral elbow pain is ________. This can be due to an inappropriate backhand swing in tennis or repetitive motions.

Lateral epicondylitis

The long head of the biceps femoris is innervated by the tibial nerve, however, the short head is innervated by the ________ nerve.

Common fibular

For every ________ degrees of abduction measured at the glenohumeral joint, ________ degree is from the scapulothoracic joint.

3, 1

The patella moves ________ (direction) during full flexion via sliding articulation.

Caudally

The ligaments of the knee provide ________ whereas the menisci’s function are mainly ________.

Stability, shock absorbers

________ presents as a painless knee bucking or instability that is often due to prior past injury.

Chronic ACL insufficiency

When treating COPD, the levels of sympathetic innervation that should be focused on are from ________.

T2-T6

The Q-angle is measured from two lines. The first is from the ________ to the patella, and the second is from the patella to the ________. A larger Q-angle means you are more prone to tension in the ________.

ASIS, tibial tuberosity, IT band

Patellofemoral pain syndrome is most often caused by a weak ________ muscle and leads to lateral patellar tracking out of the groove.

Vastus medialis

Kienbock’s disease is osteonecrosis of the ________.

Lunate

A positive Thomas test indicates a tight ________ or ________.

Hip, quad

Apley’s compression test is used to help diagnose a ________ injury.

Meniscus

Which two tests are used to aid in the diagnosis of subacromial impingement?

Neer, Hawkins Kennedy

Tachyarrythmias can help be addressed by focusing on sympathetic outflow to which levels?

T1-T2, ribs 1, 2

Supination and pronation occur at the ________ with a total range of approximately ________ degrees.

Radioulnar, 180

A 27 year old male experiences a moderate dull pain around the PSIS. The pain is associated with low back pain and worsens with prolonged sitting. The most likely diagnosis is ________.

SI joint pain referral

Pronation of the ankle will result in the fibular head gliding ________.

If the distal radius is anterior, that means that the radial head has to be ________.

Posterior (think of it like a seesaw, only one side can be anterior or posterior at a time)

Shoulder external rotation range of motion is approximately ________ degrees and internal rotation range of motion is approximately ________ degrees.

90, 80

The most common somatic dysfunction of the AC joint results in a clavicle that is ________ and ________ on the acromion.

Superior, lateral

Normal gait requires at least ________ degrees of range of motion at the knee.

Falling backward onto the palm of an extended arm results in the radial head moving ________.

Anteriorly (the distal radius would move posteriorly in this case)

Plica are normal embryologic remnants in the knee. ________ (location) plica are the most often to become symptomatic.

Medial

________ is the special test to help diagnose AC separation.

Cross Arm Adductor

For a patient in a hospital bed, raising the head of the bed to 45-60 degrees, flexing the hips, and bending the knees is known as ________’s position.

Fowler

A scaphoid fracture may not appear on an X-ray until ________ weeks later. It is important to catch because a fracture there can lead to ________.

1-2, avascular necrosis

Conclusion of the postoperative ileus study?

“OMT applied after a major gastrointestinal operation is associated with decreased time to flatus and decreased postoperative hospital LOS.”

The ________ test and ________ test are used to assess for pain in the intertubercular groove. Both can help diagnose a biceps tendon rupture.

Yergason, Speed

________’s position promotes a decrease in musculoskeletal tension, enhanced baroreflex, influences vagus nerve activity, increases drainage post abdominal surgery, and facilitates respiratory effort.

Fowler

A 34 year old female experiences lateral localized hip pain, which is worse when lying on the affected side and tender to palpation. The most likely diagnosis is ________.

Trochanteric bursitis

DeQuervain’s Tenosynovitis is inflammation of the tendons and sheaths of the ________ and ________ muscles.

Extensor pollicis brevis, abductor pollicis longus

Flexion and extension occurs at the ________ joint. Flexion has approximately ________ degrees of motion and extension has approximately ________ degrees of motion.

Ulnohumeral, 145-150, 5-10

Supination of the ankle will result in the fibular head gliding ________.

Posteriorly

Sympathetic levels (and therefore potential facilitated segments) for the upper extremities are ________.

T1-T5

A 24 year old runner experiences lateral thigh and knee pain. The pain is exacerbated by repetitive flexion and affects their gait. The most likely diagnosis is ________. ________’s test would most likely be positive.

IT band syndrome, Ober

Upper Cross Syndrome leads to poor shoulder mechanics and can eventually cause a ________ tear due to subacromial impingement.

Supraspinatus

Conclusion for the Stable Ischemic Heart Disease (ACCEL) study?

“PCI did not reduce death, MI, or other major CV events when added to OMT.”

O’Donohue’s unhappy triad consists of a tear of the ________, ________, and the ________.

ACL, MCL, medial meniscus

The most common cause of hip pain in adults is ________ of the hip joint.

Osteoarthritis

Conclusion of the OMT effectiveness in severe COPD study?

“...suggests that OMT + pulmonary rehabilitation may improve exercise capacity and reduce RV in severely impaired COPD patients with respect to pulmonary rehabilitation alone.”

Conclusion for the Multicenter Osteopathic Pneumonia Study in the Elderly (MOPSE) trial?

“...significant reductions in length of stay, duration of intravenous antibiotics, and respiratory failure or death when OMT was compared to conventional care only.”