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ECOS III > Midterm Cards > Flashcards

Midterm Cards Flashcards

1
Q

a limited examination of the affected body area or organ system. Simple. Straightforward. Minimal history reviewed. Low medical decision-making

A

Problem focused

*exam only affected area

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2
Q

a limited examination of the affected body area or organ system and any other symptomatic or related body area(s) or organ system(s). Low, possibly moderate, medical decision-making

A

Expanded problem focused

*exam affected area and other symptomatic or related areas

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3
Q

an extended examination of the affected body area(s) or organ system(s) and any other symptomatic or related body area(s) or organ system(s). Moderate to high medical decision-making

A

Detailed

*exam of affected areas, similar to expanded problem focused but higher level medical decision making

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4
Q

a general multi-system examination (all systems are considered except for eye or psychiatric), or complete examination of a single organ system and other symptomatic or related body area(s) or organ system(s). Moderate to high medical decision-making

A

Comprehensive

*exam of almost all systems or complete exam of single system and other related areas/systems

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5
Q

Soft Tissue

A

Direct, Passive

Repetitive 1-2 sec, hold for inhibitory

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6
Q

MFR

A

Direct or indirect, passive

Triplanar barrier, add muscle movement for INR, may add breath assist

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7
Q

MET

A

Direct, active

post iso relaxation: take to direct barrier, pt force towards neutral and physician force toward barrier, hold 3-5 sec

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8
Q

BLT

A

Indirect, passive

Triplanar indirect barrier, test respiratory phases, hold in phase of ease to air hinger, repeat and microadjust

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9
Q

FPR

A

Indirect, passive

Flatten curve (F neck or E T-spine), compress, place in triplanar indirect barrier, hold 5 sec, return to neutral

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10
Q

Still Technique

A

Indirect and Direct, passive

Place in indirect barrier, compress, move through direct barrier

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11
Q

Counterstrain

A

Indirect, passive

  1. Find tenderpoint
  2. Establish pain scale
  3. Place in 70% pain reduction position
  4. Hold 90 sec
  5. Slow return to neutral
  6. Recheck tenderpoint
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12
Q

HVLA

A

Direct, passive

Load into direct barrier, thrust through

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13
Q

OA diagnosis

A

F or E

S and R opposite

  • OA is 2 different letters so 2 different directions for S and R
    i. e. OA F RlSr
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14
Q

AA Diagnosis

A

Rotation only!

i.e. AA Rr

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15
Q

C2-7 Diagnosis

A

Type 2 Mechanics

F or E

S and R same side

i.e. C3 F SrRr

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16
Q

Type 1 Mechanics

A

Neutral

Group

Opposite S and R

(TONGO = type one neutral group opposite)

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17
Q

Type 2 Mechanics

A

F or E

Single segment

S and R same direction

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18
Q

Innominate Diagnosis

A

Lateralize with STANDING forward bend test

Check landmarks (ASIS, PSIS, medial malleolus, pubic tubercle)

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19
Q

Innominate diagnosis:

Inferior ASIS and medial malleolus
Superior PSIS

A

Anteriorly rotated innominate

*anterior rotation rolls hip forward, making the leg longer

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20
Q

Innominate diagnosis:

Superior ASIS and medial malleolus
Inferior PSIS

A

Posteriorly rotated innominate

*posterior rotation rolls hip back, making the leg shorter

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21
Q

Sacral Diagnosis

bend, spring, sphinx, respiratory

A

SEATED forward bend test to lateralize

+ Lumbar spring test = resistance to springing = E sacrum

+ Backward bend test = worsened assymetry = E sacrum

Respiratory motion = E on Inhale, F on exhale

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22
Q

Sacral torsion bases/ILAs

A

Same movement on same side
Opposite movement on opposite side

i.e. 
L base posterior
L ILA posterior
R base anterior
R ILA anterior

PA
PA

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23
Q

Sacral unilateral flexion bases/ILAs

A

Opposite movement on same side
Same movement on opposite side

i.e. 
L base posterior
L ILA anterior
R base anterior
R ILA posterior

PA
AP

24
Q

Key Rib determination

A

BITE

Bottom of group in Inspired Rib SD

Top of group in Expired Rib SD

25
Q

Inhaled Rib Dysfunction

restricted in expiration

A

It is stuck up so push it down!

Ribs 1-10: depress key rib on exhalation

Ribs 11-12: quadratus lumborum

*BITE: Inhaled SD so treat bottom rib!

26
Q

Exhaled Rib SD treatment

*restricted in inhalation

A

It is stuck down so pull it up!

Rib 1: Ant/Med scalene (pull down from forehead)
Rib 2: Post scalene (pull down from forehead)
Rib 3-5: Pec minor (adduct arm)
Rib 6-8: Serratus anterior (elbow to cieling)
Rib 9-10: Lat dorsi (elbow someone behind them)
Rib 11-12: Quad lumb

27
Q

Radial Head movement

A

Radial head moves posterior with pronation

anterior with supination

28
Q

Fibular head movement

A

Fibular head moves posterior with plantarflexion (also inversion)

moves anterior with dorsiflexion

29
Q

Viscerosomatic Levels:

Head/Neck/Upper esophagus

A

T1-5

30
Q

Viscerosomatic Levels:

Heart

A

T1-6

31
Q

Viscerosomatic Levels:

Lungs

A

T1-7

32
Q

Viscerosomatic Levels:

Upper GI

A

T5-10

33
Q

Viscerosomatic Levels:

SI and Ascending colon

A

T9-11

34
Q

Viscerosomatic Levels:

Ascending/Transverse colon

A

T10-11

35
Q

Viscerosomatic Levels:

Descending/Sigmoid colon/rectum

A

T12-L2

36
Q

Viscerosomatic Levels:

Adrenals

A

T5-10

37
Q

Viscerosomatic Levels:

GU and Ureters

A

T10-L2

38
Q

Viscerosomatic Levels:

Upper extremities

A

T2-7

39
Q

Viscerosomatic Levels:

Lower Extremities

A

T11-12

40
Q

Erysipelas vs Cellulitis vs Abscess

A

Erysipelas: superficial, well demarcated

Cellulitis: deep, poorly demarcated borders

Abscess: cellulitis with pus filled mass

41
Q

Bacteremia vs Sepsis

A

Bacteremia: bacteria in the blood

Sepsis: bacteremia w/ organ dysfunction/failure

42
Q

McMurray’s Test:

pain or clicking on EXTERNAL rotation of the tibia

A

Medial meniscus injury

43
Q

McMurray’s Test:

pain or clicking on INTERNAL rotation of the tibia

A

Lateral meniscus injury

44
Q

Definition of fever (temp)

A

> 38 C or 100.4 F

45
Q

Febrile illness for 3 weeks or longer without an etiology despite a one-week inpatient evaluation

A

Fever of unknown origin

46
Q

Sensitivity

A

Helps rule out disease

A (-) result on a sensitive test will allow you to be confident that the result is a true negative

**Leukocyte esterase is very sensitive => (-) result means WBC in urine likely not due to infection

47
Q

Specificity

A

Helps rule in disease

A (+) result on a specific test will allow you to be confident that the result is a true positive

**Nitrate is very specific => (+) result means infection very likely

48
Q

Antipyretics for fever treatment

A

APAP (mostly central)
NSAIDs (central and peripheral)
Aspirin

*NSAIDs risky in pts with liver dz

49
Q

Esophagus chapman points

A

2nd ICS parasternally

Lateral to T2 spinous process

50
Q

Stomach chapman point

A

5th and 6th ICS on the Left

Lateral to T5 and T6 spinous process on the Left

51
Q

Liver chapman point

A

5th and 6th ICS on the Right

Lateral to T5 and T6 spinous process on the Right

52
Q

Gallbladder chapman point

A

6th ICS on the Right

Lateral to T6 spinous process on the Right

53
Q

Pancreas chapman point

A

7th ICS on the Right

Lateral to T7 spinous process on the Right

54
Q

Small Intestine chapman point

A

8th, 9th, 10th ICS Bilaterally

Lateral to T8 T9 T10 spinous process Bilaterally

55
Q

Orthostatic hypotension definition

A

Sustained drop of SBP by 20 or drop of DBP by 10, 3 minutes after standing

ECOS III (4 decks)

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