Ob pt

Question 1

describe the Seated Forward-Leaning Thoracic Spine Articulator

Answer 1

Low Velocity MINIMAL Amplitude

Question 2

Increased ___ outflow constricts larger lymph vessels, resulting in fluid backup.

Answer 2

Increased synmpathetic outflow

Question 3

Effect of preganacy on rheumatoid arthritis pts

Answer 3

increased cortisol or increased alpha glycoprotien = improved sx

Question 4

Effect of preganacy on ankylosing spondylitis pts

Answer 4

aggravated by pregnancy due to increased SI joint stress

Question 5

Are bulging discs or herniated discs more common in LBP in pregnancy?

Answer 5

bulging discs

Question 6

Radicular pain that accompanies LBP in pregnancy presents as parasthesis in ___ and ___ nerve distribution

Answer 6

ilioinguinal and genitofemoral nerve distribution

Question 7

What type of pain do high levels of relaxin cause?

Answer 7

Posterior pelvic pain - relaxation of ligaments

Question 8

compression of the lateral femoral cutaneous nerve - why and what is this called?

Answer 8

meralgia parasthetica, dt fluid retention in pregnancy.

Question 9

Why does delayed back pain at night occur in pregnancy?

Answer 9

Increased venous return when mom lies down and edema that accumulated in LE during the day moves back into vessels. Fetus compresses the IVC.
STAGNATE hypoxia of neural and vertebral tissues.
All result in LBP!

Question 10

What hormone widens the pubic symphysis and increases mobility of SI joints?

Answer 10

relaxin

Question 11

What hormone increases circumference/widens subcostal angle/superiorly pushes diaphragm?

Answer 11

progesterone

Question 12

Model of osteopathic tx:

focuses on postural/structural aspects

Answer 12

biomechanical

Question 13

Model of osteopathic tx:

focuses on NS influence

Answer 13

neruological

Question 14

Model of osteopathic tx:

focuses on using MSK system to affect arterial, venous, blood flow

Answer 14

respiratory/circulatory

Question 15

Model of osteopathic tx:

focuses on free flow of inherent energies of body

Answer 15

bioenergy

Question 16

Model of osteopathic tx:

effect of touch on pt

Answer 16

psychobehavioral

Question 17

define hyperemesis gravidarum. OMM to what levels?

Answer 17

morning sickness so bad she loses 5% of body weight

tx C2 and T5-9

Question 18

These occur in what trimester: More sacral dysfunctions, increased lumbar lordosis, compensatory increase in thoracic kyphosis

Answer 18

2nd TM (14-26wks)

Question 19

increased thoracic kyphosis causes increased SD where?

Answer 19

cervical SD

Question 20

avoid cranial OMM in __ trimester

Answer 20

3rd (may provoke uterine cxns)

Question 21

What trimester do you:
adress edema
viscerosomatics
pelvic diaphragm release for constipation

Answer 21

3rd

Question 22

T5-9 are viscerosomatic levels for…

Answer 22

upper GI

Question 23

T10-L2 are viscerosomatic levels for…

Answer 23

adrenals and ovaries

Question 24

soft tissue or MFR to what area may help regulate uterine cxns via sympathetic outflow?

Answer 24

thoracic spine

Question 25

Postpartum, tx is best when?

Answer 25

while relaxin is still on board (PP day 2)

Question 26

What two modalities/areas best tx postpartum day 2?

Answer 26

SI joint articulation and sacral mechanics

Question 27

heel raise does what to BP and HR?

Answer 27

increases BP and decreases HR

Question 28

how does scoliosis affect pregnancy?

Answer 28

Curvatures will not increase (thoracic kyphosis/lumbar lordosis), resulting in development of more pain.

Question 29

premature rupture of membranes and premature labor are ___CI of OMM during pregnancy

Answer 29

relative CI of OMM during pregnancy