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OMM Flashcards

1
Q

nerve injured in masectomy

A

thoracodorsal - latissiumus dorsi

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2
Q

long thoracic innervates

A

serratus anterior

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3
Q

mimics carpal tunnel syndrome but pain is worse during the day and there is negative phalens test

A

pronator teres syndrome

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4
Q

insertion of supraspinatous

A

greater tubercle of the humerus

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5
Q

most common injury to rotator cuff

A

insertion of supraspinatous muscle

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6
Q

severe, burning pain at site of injury with nail and hair growth, muscle spasm and restricted mobility

A

complex regional pain syndrome type 1

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7
Q

saddle anesthesia, bowel, bladder incontinence

A

cauda equina syndrome

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8
Q

brittle nails, diminished hair growth, edema, thick joints, associated nerve injury

A

complex regional pain syndrome type 2

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9
Q

paresthesia of the lateral calf, foot drop

A

common fibular n (peroneal) problem or posterior fibular head

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10
Q

sympathetics to LE

A

T10-L2

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11
Q

major motion of OA

A

sidebending

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12
Q

major motion of AA

A

rotation

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13
Q

major motion of C2-7

A

SB, rotation, F/E

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14
Q

posterior chapman point appendix

A

TP of T11

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15
Q

anterior chapman point appendix

A

tip of the 12th rib

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16
Q

what is effected in dequrvains tenosynovitis

A

abductor pollicis longus and extensor pollicis brevis

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17
Q

quadriceps activation test is + for

A

PCL tear

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18
Q

most common cause of knee pain in athletes (often long distance runners)

A

IT band

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19
Q

must rule out this before dx of psoas syndrome in young girl

A

salphingitis

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20
Q

protrusion of peritoneum through spermatic cord, lateral to inferior epigastric artery

A

indirect inguinal hernia

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21
Q

hernia through floor of inguinal canal due to weak abdominis aponeurosis, medial to inferior epigastric artery

A

direct inguinal hernia (MDs LIe)

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22
Q

bulge in thigh next to groin, inferior to inguinal ligament and protruding through inguinal ring

A

femoral hernia

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23
Q

stomach displaced above the diaphragm, most common cause of gerd

A

hiatal hernia

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24
Q

axis and motion of ribs 1-5

A

transverse, pump handle

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25
Q

axis and motion of ribs 6-10

A

A-P, bucket handle

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26
Q

axis and motion of ribs 11 and 12

A

vertical, caliper

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27
Q

special test for stenosis of cervical foramina

A

spurlings test

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28
Q

spurlings test

A

extend, SB C-spine to side you are testing, and compress

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29
Q

erb-duchenes palsy (waiters tip)

A

upper trunk C5-6 arm at side, internally rotated, forearm PRONATED

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30
Q

in vault hold fingertips move superior and pinkies move inferior

A

inferior vertical strain

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31
Q

lateral strain pattern axis

A

2 vertical axes

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32
Q

axis of torsion cranial

A

1 A-P axis

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33
Q

Felx/extension axis of cranial

A

2 transverse axes

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34
Q

most common site of spondylolisthesis

A

L4-5

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35
Q

chapman point for myocardium

A

2nd intercostal space on the left

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36
Q

bone conduction greater than air conduction with rinne

A

conductive hearing loss (middle ear fluid, cerumen)

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37
Q

air conduction greater than bone conduction with rinne

A

sensorineural (inner ear, cholea, auditory nerve)

38
Q

L1 dysfuction plus opposite piriformis dysfunction

A

psoas syndrome

39
Q

OMM to treat IBS

A

superior mesenteric ganglion pressure

40
Q

dec sympathetics associated with post op illeus

A

paraspinal inhibition to L1

41
Q

test for TOS

A

Adsons test

42
Q

falling forward on outstretched hand results in what radial head dysfunction

A

posterior radial head

SAPP - supination anterior head, pronation is posterior

43
Q

Tx for infants with poor suckling

A

condylar decompression

44
Q

degenerative changes within and between vertebral bodies (most often degenerative disks), often causes lipping of the verebra

A

spondylosis

45
Q

anterior slippage of one vertebra onto another (step-off sign). lateral x-ray needed

A

spondylolisthesis

46
Q

fracture of the pars interarticularis, oblique x-ray needed

A

spondylolysis (often occurs in adolescent athletes)

47
Q

shoulder pain associated with inflamed gallbladder caused by

A

phrenic n due to irritated diaphragm

48
Q

chapmans point for the larynx

A

second rib

49
Q

chapmans point for the middle ear

A

superior aspect of the clavicle

50
Q

anterior wedging of vertebra

A

osteoperosis

51
Q

Cobb angle for scoliosis needed for surgery

A

greater than 45 degrees

52
Q

Cobb angle needed for bracing

A

between 20-45 degrees

53
Q

gluteus medius action/failure in trendeleburg gait

A

hip abduction

54
Q

management of meniscal tear

A

rest, ice, compression, elevation and NSAIDs (RICE)

55
Q

joint line tenderness + popping w/ knee flexion

A

meniscal tear

56
Q

the affected innominant is rotated which way in short leg syndrome and sidebending which way

A

anterior rotation with sidebending away from lesion

57
Q

viscerosomatic area of lungs

A

T2-7

58
Q

viscerosomatic of head and neck

A

T1-5

59
Q

sympathetics to phrenic nerve

A

C3-5 on right

60
Q

cardiac rate/rhythm sympathetic

A

T1-2

61
Q

cardiac rate/rhythm parasympathetic

A

C2 left

62
Q

descending colon/rectum PS

A

S2-4

63
Q

kidney sympathetics

A

T9-L1

64
Q

urethra sympathetics

A

T11-L2

65
Q

Bladder and ureters

A

T10-L3

66
Q

proximal ureter PS

A

occiput, C1, C2

67
Q

distal ureter PS

A

S2-4

68
Q

bladder PS

A

S2-4

69
Q

external genitalia symp

A

T12

70
Q

ovaries/testies symp

A

T10-11

71
Q

uterus symp

A

T9-L2

72
Q

all genital PS

A

S2-4

73
Q

pituitary symp

A

C1, C2

74
Q

pituitary PS

A

cranial

75
Q

thyroid symp

A

T2

76
Q

thyroid PS

A

C2

77
Q

adrenals symp

A

T8-10

78
Q

L1 tender point anterior

A

medial to ASIS

79
Q

L2 tender point anterior

A

medial to AIIS

80
Q

L3 tender point anterior

A

superior to AIIS (double check??)

81
Q

L4 tender point anterior

A

inferior to AIIS

82
Q

L5 tender point anterior

A

1 cm lateral to pubic symphysis

83
Q

Tx for ankylosis spondylitis

A

1st line: NSAIDS (indomethacin)

2nd line: sulfasalazine or TNF-alpha (enteracept)

84
Q

internal rotator of arm in rotator cuff

A

subscapularis

85
Q

pes planus with inc Q-angle

A

genu valgus - women with weak vastus medialis

86
Q

colles fracture is what wrist bone

A

radius

87
Q

external rotator of arm in rotator cuff

A

teres minor and infraspinatous

88
Q

set up for adsons test

A

extend neck, rotate toward side being tested and abduct arm to 90 degrees

89
Q

sacral torsion and L5

A

when L5 is neutral the sacrum is in forward torsion, when L5 is a type II the sacrum in backward torsion. The direction of L5 sidebending is same as sacral axis (L5 RrSr sacrum is left on right)

90
Q

attachments of the dura mater

A

foramen magnum, C2, C3, S2

91
Q

unrelenting wrist pain 1 week after soft cast

A

get MRI - scaphoid fractures can be missed on Xray

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