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ECOS IV > Midterm Extra Info > Flashcards

Midterm Extra Info Flashcards

1
Q

CRI rate

A

10-14 BPM

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2
Q

CRI direction

A

linear and symmetric

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3
Q

CRI characteristics (RRADS)

A

Rate, Rhythm, Amplitude, Direction, Strength

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4
Q

Function of dural folds (falx cerebri/cerebelli and tentorium cerebelli) in cranial movement

A

act as reciprocal tension membranes, springing the cranial bones

storing energy in flexion (stretch) and releasing in extension (rebound)

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5
Q

SBS flexion/inhalation

A

Sphenoid rotates anteriorly,
Occiput rotates posteriorly

head gets shorter and wider

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6
Q

SBS extension/exhalation

A

Sphenoid rotates posteriorly,
Occiput rotates anteriorly

head gets longer and narrower

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7
Q

Sacral motion in SBS flexion

A

counternutation : dural pull, sacral base moves posterior

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8
Q

Sacral motion in SBS extension

A

nutation : dural release, sacral base moves anterior

*moves towards the nuts

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9
Q

CNs that travel thru the optic canal (1)

A

Optic

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10
Q

CNs that travel thru the superior orbital fisure (4)

A

Oculomotor
Trochlear
V1 (opthalamic)
Abducens

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11
Q

CNs that travel thru the foramen rotundum (1)

A

V2 (maxillary)

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12
Q

CNs that travel thru the foramen ovale (1)

A

V3 (mandibular)

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13
Q

CNs that travel thru the internal acoustic meatus (2)

A

Facial

Vestibulocochlear

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14
Q

CNs that travel thru the jugular foramen (3)

A

Glossopharyngeal
Vagus
Accessory

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15
Q

SBS joint type

A

synchondrosis of hyaline cartilage

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16
Q

Paired bones in cranial motion (3)

A

Frontal, Parietals, Temporals

flexion and extension

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17
Q

Paired cranial bone movement in flexion

A

EXternal rotation in flEXion

flexternal

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18
Q

Paired cranial bone movement in extension

A

internal rotation

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19
Q

Ethmoid movement in cranial motion

A

rotates same direction as occiput (vowels move together)

  • moves like a gear against the sphenoid
  • sphenoid rotates forward in flexion, so ethmoid/occiput rotate backward
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20
Q

Vomer movement in cranial motion

A

rotates same direction as sphenoid (consonants move together)

*sphenoid rotates forward in flexion, so vomer rotates forward

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21
Q

Doc who invented cranial omm

A

William Garner Sutherland

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22
Q

Rotation axis of midline bones (occiuput, sphenoid, ethmoid, vomer)

A

transverse axis (F/E)

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23
Q

Rotation axis of paired bones

A

saggital axis (IR/ER)

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24
Q

Cranial vault contact

A 
Thumbs: Frontal
Index: Greater wing sphenoid
Middle: Anterior to ear
Ring: Mastoid process
Pinky: Occiput
Palms: Parietals
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25
Q

Frontal occipital contact

A

Top hand: thumb and index finger on opposite greater sphenoid wings

Bottom hand cradles occiput

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26
Q

Becker contact

A

thumbs on greater sphenoid wings

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27
Q

Left Torsion

A

Saggital axis (opposite)

Air hands: rotate opposite directions w/

Lt index going up, Rt index going down

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28
Q

Right Torsion

A

Saggital axis (opposite directions)

Air hands: rotate opposite directions w/

Rt index going up, Lt index going down

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29
Q

Right Sidebending Rotation

A

Saggital axis (same), 2x vertical axes (opposite)

Air hands: spread and scrunch

Rt hand gets wider, Lt hand gets narrower

*named based on wide side

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30
Q

Left Sidebending Rotation

A

Saggital axis (same), 2x vertical axes (opposite)

Air hands: spread and scrunch

Lt hand gets wider, Rt hand gets narrower

*named based on wide side

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31
Q

Superior Vertical Strain

A

Parallel transverse axes (same)

Air hands: rotate same direction

Lt and Rt hand rotate forward

*named for base of sphenoid movement

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32
Q

Inferior Vertical Strain

A

Parallel transverse axes (same)

Air hands: rotate same direction

Lt and Rt hand rotate backward

*named for base of sphenoid movement

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33
Q

Left Lateral Strain

A

Parallel vertical axes (same)

Air hands: parallelogram

Pinkies shift Lt, Index fingers shift Rt

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34
Q

Right Lateral Strain

A

Parallel vertical axes (same)

Air hands: parallelogram

Pinkies shift Rt, Index fingers shift Lt

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35
Q

Strain pattern caused by trauma at the temporal bone (DIRECTLY AT THE LEVEL OF THE SBS)

A

Sidebending rotation strain

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36
Q

Strain pattern caused by trauma at the pterion or asterion (anterior or posterior to the SBS)

A

Lateral strain

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37
Q

Strain pattern caused by downward force on top of the frontal bone, or upward force at the occiput

A

Inferior strain

*both would cause the base of the sphenoid to move (relatively) inferiorly

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38
Q

Strain pattern caused by upward force on the mandible, or downward force at the saggital suture (parietal bones)

A

Superior strain

*both would cause the base of the sphenoid to move (relatively) superiorly

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39
Q

Strain pattern caused by rotational force anterior or posterior to the SBS

A

Torsion strain

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40
Q

Rotator cuff special tests

A

empty can, apprehension, drop arm

41
Q

Shoulder impingement special tests

A

Neer, painful arc, hawkins

42
Q

AC joint pathology special test

A

cross arm

43
Q

Inhaled rib MET/ART

A

Push bottom rib down into exhalation

44
Q

Rib 1-2 Exhaled MET/ART

A

pt hand on forehead, flex head against force

Rib 1 = ant/mid scalene
Rib 2= post scalene

45
Q

Rib 3-5 Exhaled MET/ART

A

pt arm above head and pull down against force

Rib 3-5 = pec minor

46
Q

Rib 6-8 Exhaled MET/ART

A

pt cross arm and push elbow towards ceiling

Rib 6-8 = serratus anterior

47
Q

Rib 9-10 Exhaled MET/ART

A

pt force elbow behind them

Rib 9-10 = lat dorsi

48
Q

Rib 11-12 Exhaled MET/ART

A

pt scrunch back (sidebend), physician push rib up

Rib 11-12 = quad lumb

49
Q

Spencer Technique

A
  1. E
  2. F
  3. compression circumduction
  4. traction circumduction
  5. Add/ER or Abduction
  6. IR
  7. traction inferior glide
50
Q

AC joint dx

A

step off = superior clavicle
step on = inferior clavicle
also assess ER/IR

Tx w/ circulatory sweep or ER/IR MET

51
Q

SC joint dx (clavicular head)

A

shrug = abduction = inferior/caudal movement
lowered shoulders = adduction = superior/cephalad movement

shoulder protraction = flexion = posterior movement
shoulder retraction = extension = anterior movement

52
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

53
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

54
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

55
Q

Radial Head movement

A

Radial head moves posterior with pronation

anterior with supination

56
Q

Fibular head movement

A

Fibular head moves posterior with plantarflexion (also inversion)

moves anterior with dorsiflexion

57
Q

Viscerosomatic Levels:

Head/Neck/Upper esophagus

A

T1-5

58
Q

Viscerosomatic Levels:

Heart

A

T1-6

59
Q

Viscerosomatic Levels:

Lungs

A

T1-7

60
Q

Viscerosomatic Levels:

Upper GI

A

T5-10

61
Q

Viscerosomatic Levels:

SI and Ascending colon

A

T9-11

62
Q

Viscerosomatic Levels:

Ascending/Transverse colon

A

T10-11

63
Q

Viscerosomatic Levels:

Descending/Sigmoid colon/rectum

A

T12-L2

64
Q

Viscerosomatic Levels:

Adrenals

A

T5-10

65
Q

Viscerosomatic Levels:

GU and Ureters

A

T10-L2

66
Q

Viscerosomatic Levels:

Upper extremities

A

T2-7

67
Q

Viscerosomatic Levels:

Lower Extremities

A

T11-12

68
Q

Cranial technique that increases CRI amplitude

A

CV4

69
Q

CV4 tx

A

thenar eminences on the occiput
encourage extension of occiput (anterior rotation)
hold still point

70
Q

HA dx?

Bilateral tight/achy/band-like pain that radiates from cervical region
Due to trauma, strain, sedentary life, TRIGGR POINT

A

Tension HA (most common)

71
Q

Smoking cessation helps reduce number of what type of HA?

A

Tension HA

72
Q

HA dx?

Unilateral throbbing/burning pain
May have aura, N, photo/phonophobia
Triggered by stress, hormones, sleep dist, etc

A

Migraine

73
Q

Tx for medication rebound HA (most commonly due to use of chronic pain meds)

A

discontinue med

74
Q

Tx for tension HA

A

biofeedback, NSAIDs

75
Q

Tx for Migraines

A

biofeedback, triptans, propalolol

76
Q

Tx for Cluster HA

A

Triptans, Oxygen

77
Q

ADC VANDALISM for inpatient admission

A 
Admit to
Dx
Condition
Vitals
Allergies
Nursing instructions
Diet
Activity
Labs
IV fluids
Special instructions
Medication/Monitoring
78
Q

How to avoid anchoring bias

A

dont get hooked on first thing heard from referring physician, do HPI and PE yourself

79
Q

How to document assessment

A

order of importance

80
Q

TMJ BLT worse while opening

A

compress mandible and push laterally to point of ease

81
Q

TMJ BLT worse while closing

A

open mandible and push laterally to point of ease

82
Q

Masseter CS

A

pt relax jaw, translate TOWARD tenderpoint

83
Q

Medial pterygoid CS

A

TP on medial part of angle of mandible

translate AWAT from tenderpoint

84
Q

Temporalis/masseter/medial pterygoid MET for lateral deviation

A

RB is opposite of side of deviation, pt force toward side of deviation

*i.e. left deviation = cant go right = right sided RB
doc force right, pt force left

85
Q

Temporalis/masseter/medial pterygoid MET for S curve deviation

A

depress jaw to engage RB, have pt try to close

*these muscles close the jaw, so direct barrier will be found with opening jaw

86
Q

Lateral pterygoid/digastrics/mylohyid/geniohyoid MET for S curve deviation

A

close jaw to engage RB, have pt try to open

*these muscles open the jaw, so direct barrier will be found with closing jaw

87
Q

Diagnostic criteria for FMS

A

Diffuse pain + >3 months + no other explanation

88
Q

Tx for FMS

A

amytriptyline, gabatentin, cyclobenzaprine, tramadol, duloxetine, milnacipran, cannabinoids, Vitamin D (only if low)

exercise, proper sleep

OMT (mainly indirect txs)

89
Q

Categories of nerve injuries

focal damage to myelin fibers, sheath remains intact

A

1 degree (neuropraxia)

90
Q

Categories of nerve injuries

injury to axon itself with myelin remaining intact

A

2nd degree (axonotmesis)

91
Q

Categories of nerve injuries

disruption of axon + endoneurium

A

3rd degree neurotemesis

92
Q

Categories of nerve injuries

disruption of axon + endoneurium + perineurium

A

4th degree neurotemesis

93
Q

Categories of nerve injuries

disruption of axon + endoneurium + perineurium + epineurium

A

5th degree neurotemesis

94
Q

Peripheral nerve damage

broken proximal humerus, triceps dysfuntion, decreased sensation over dorsum of hand

A

radial nerve damage/entrapment

95
Q

Peripheral nerve damage

repetitive hand motions at job, nighttime numbness of digits 1-3

A

median nerve entrapment (carpal tunnel)

other medial n compressions can cause medial forarm pain and weak pronation

96
Q

Peripheral nerve damage

parasthesia to 4th and 5th digits

A

ulnar nerve entrapment/damage

97
Q

Peripheral nerve damage

pain in proximal lateral leg, foot drop with slapping gait

A

fibular n compression

98
Q

Peripheral nerve damage

pain over dorsum of foot with extensor digitorum weakness

A

deep fibular nerve (anterior tarsal tunnel syndrome)

99
Q

Peripheral nerve damage

plantar foot weakness and decreased sensation

A

posterior tibial nerve (tarsal tunnel syndrome)

ECOS IV (10 decks)

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