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COMLEX 2 > OMM > Flashcards

OMM Flashcards

1
Q

Which two bones articulating mediate the primary respiratory mechanism?

A

Sphenoid and Occipital bones that make up the SBS

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2
Q

Why is Cervical HVLA contraindicated for RA patient?

A

Weak transverse lig of dens can cause Atlanto-axial subluxation

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3
Q

Which areas should you treat first?

A
  1. Upper Thoracic
  2. Upper Rib
  3. OA
  4. Cervical spine
  5. Peripheral out to extremities
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4
Q

Chapman points:
Retina
Nasal Sinuses
Ears

A

Retina: Lateral humerus neck
Nasal Sinuses: Below proximal 1/3 clavicle
Ears: Above proximal 1/3 clavicle

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5
Q

Chapman points:
Pharynx
Larynx
Neck

A

Pharynx: Manubrium junction below 1st rib
Larynx: 2nd rib superior aspect
Neck: Humerus at medial aspect

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6
Q

Chapman points:
Heart, Bronchus, Esophagus, Thyroid
Upper Lung
Lower Lung

A

Heart, Bronchus, Esophagus, Thyroid: 2nd ICS

Upper Lung: 3rd ICS

Lower Lung: 4th ICS

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7
Q 
Chapman points:
Pylorus
Stomach acid, peristalsis
Liver
Gallbladder
A

Pylorus: Sternum
Stomach acid, peristalsis: Left 5th, 6th ICS
Liver: Right 5th ICS
Gallbladder: Right 6th ICS

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8
Q

Chapman Points:
Spleen
Pancreas

A

Spleen: Left 7th ICS
Pancreas: Right 7th ICS

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9
Q

Chapman Points:
Adrenals
Kidneys
Small Intestine

A

Adrenals: Anterior: 2” above, 1” lateral to umbilicus; Posterior: T11-T12 between spinous and trans. processes

Kidneys: Anterior: 1” above, 1” lateral to umbilicus;
Posterior: T12-L1 between spinous and trans. processes

Small intestine: 7th-9th ICS bilaterally

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10
Q

Chapman Points:
Intestinal peristalsis
Appendix:

A

Intestinal peristalsis: between Iliac crest and Gr. Trochanter

Appendix: Anterior: Tip Rib 12;
Posterior: Tip of T11 trans. process

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11
Q 
Chapman Points: 
Cecum
Transverse 1/3 Colon
Transverse 2/3 Colon
Sigmoid
Rectum
A 
Cecum: Right hip
Transverse 1/3 Colon: Right knee
Transverse 2/3 Colon: Left knee
Sigmoid: Left hip
Rectum: Medial femur
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12
Q

Chapman Points:
Bladder
Prostate, Vagina
Urethra

A

Bladder: Periumbilicus
Prostate, Vagina: Sacral sulcus
Urethra: 2cm lateral to pubic symphysis

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13
Q

Still Technique: procedure

A

Ease
Compress
Barrier

(Still Technique is “EC”, but FPR is “NiCE”)

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14
Q

FPR: procedure

A

Neutral
Compress
Ease

(Still Technique is “EC”, but FPR is “NiCE”)

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15
Q

Ant. Lumbar Tenderpoints:
L1:
L2-L4:
L5:

Tx?

A

L1: medial to ASIS
L2-L4: on the AiiS
L5: Lateral to pubic symphysis

Tx: supine, flex hip and knees, rotate away

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16
Q

posterior Lumbar Tenderpoints:

location?

Tx?

A

Either side of that level’s spinous processes

Tx: prone, extend hip, sidebend away

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17
Q

Thoracic Rule of 3’s

A

T1-T3: spinous process = transverse process

T4-T6: spinous process 1/2 way down between TP of adjacent vertebrae

T7-T9: spinous process at level of next vertebra’s TP

T10-T12: spinous process = transverse process

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18
Q

Freyette’s Law 1

v.

Freyette’s Law 2

A

N, SLRR (opposite) - group curve

v.

F/E, SRRR (same) - individual vertebra

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19
Q

Scoliosis COBB angles and complications

A

5-15: Mild

20-45: Moderate [Tx. Start bracing]

> 50: Respiratory compromise

> 75: Cardiac compromise

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20
Q

Superior Facet Orientation:

Cervical
Thoracic
Lumbar

A

“BUMBLBM”

BUM

BUL

BM

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21
Q

What techniques are indirect and passive?

A

Counterstrain, FPR

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22
Q

What techniques are direct and passive?

A

Cranial, HVLA, Lymphatics, Chapman

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23
Q

What techniques are direct and active?

A

ME (post isometric relaxation and reciprocal inhibition)

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24
Q

Rib Motions:

1-5
6-10
11, 12

A

1-5: pump
6-10: bucket
11, 12: caliper

25
Q

Rib mm’s:

1
2
3-5
6-9
10-11
12
A

1: anterior and middle scalenes
2: posterior scalene
3-5: pec minor
6-9: serratus anterior
10-11: latissimus dorsi
12: quadratus lumborum

26
Q

What lines form Ferguson’s Lumbosacral angle?

A

formed between a line across the plane of the superior margin of S1 and a horizontal line

27
Q

Short Leg Syndrome

results in?

How is the Ferguson’s Lumbosacral angle affected?

A

results in sacral base unleveling
vertebral sidebending and rotation
innominate rotation

increases lumbosacral angle

28
Q

Guidelines for Heel Lift

Fragile pt?

Flexible pt?

Max heel lift possible?

A

If pt. is fragile: start with 1/16” (1.6 mm) and increase by that much every 2 weeks

If pt. is flexible: start with 1/8” (3.2 mm) and increase by that much every 2 weeks

Max heel lift possible: 1/2”

29
Q

How does Rib Raising work?

What conditions is it good for?

A

↑ rib excursion to normalize Sympathetics

Asthma, viral pneumonia

30
Q

Grading of Spondylolisthesis

1
2
3
4
5
A

1: 25% slipped forward
2: 50%
3: 75%
4: 100%
5: Spondylolisthesis

31
Q

What happens to sacral base during inhalation/craniosacral flexion?

A

Extends/counternutates

32
Q

What happens to sacral base during exhalation/craniosacral extension?

A

Flexes/nutates

33
Q

Left on Left

A

Seated R
Sulcus R
ILA L
Spring (-)

34
Q

Left on Right

A

Seated L
Sulcus R
ILA L
Spring (+)

35
Q

Right on Right

A

Seated L
Sulcus L
ILA R
Spring (-)

36
Q

Right on Left

A

Seated R
Sulcus L
ILA R
Spring (+)

37
Q

Unilateral Extension L

A

Seated L
Sulcus R
ILA R
Spring (+)

38
Q

Unilateral Extension R

A

Seated R
Sulcus L
ILA L
Spring (+)

39
Q

Radial head motion

A

Pronate –> Posterior

Supinate –> Anterior

40
Q

Tx. Anterior Fibular Head

A

AIIP

Invert, IntRot, Plantarflex

41
Q

Tx. Posterior Fibular Head

A

PEED

Evert, ExtRot, Dorsiflex

42
Q

What happens to fibular head when you dorsiflex the foot? When you plantarflex the foot?

A

Dorsiflex –> Fibular head moves forward

Plantarflex –> Fibular head moves backward

43
Q

What is the Q angle?

What is the Q angle in Coxa Vara?

Q angle in Coxa Valga?

A

Angle between neck and femur shaft

Vara: 135

44
Q

What are the components of Primary Respiratory Mechanism?

A
  1. Brain and spinal cord have inherent motility
  2. CSF fluctuates
  3. Intracranial and intraspinal membranes’ movement
  4. Cranial bones articular mobility
  5. Sacrum’s involuntary movement
45
Q

CranioRhythmic Impulse (CRI) normal value?

What makes it decrease?
Increase?

A

[10-14 cycles/min]

Decreased by stress, depression, chronic fatigue, infection, SBS compression

Increased by exercise, systemic fever, after CV4 technique

46
Q

Placement of fingers in vault hold

A

Index: Gr. wing sphenoid
Middle: Pre-auricular Temporal bone
Ring: Mastoid process of Temporal bone
Pinky: Occiput squamous portion

47
Q

What are the dural attachments?

A

Foramen magnum
C2
C3
S2: posterior superior portion (allows for sacral counternutation)

48
Q

What happens during Craniosacral Flexion?

A

Midline bones flex
AP diameter ↓
Paired bones ExtRot
Sacral base extends (counternutates)

49
Q

What happens during Craniosacral Extension?

A

Midline bones extend
AP diameter ↑
Paired bones IntRot
Sacral base flexes (nutates)

50
Q

What nerve is treated in Condylar Decompression?

A

CN XII

51
Q

What segment of the sacrum allows the firm attachment of the dura mater to move into counternutation during the flexion phase of craniosacral motion?

A

posterior superior portion of S2

52
Q

What bones make up the sphenobasilar synchondrosis (SBS)?

A

articulation between the sphenoid and occiput

53
Q

Tx. of choice for Fibromyalgia

A

Counterstrain

54
Q

Superior vertical strain

A

sphenoid base moves superiorly causing index fingers to move inferiorly. Occiput base moves inferiorly and so do 5th fingers move inferiorly. Hands ulnar deviate.

55
Q

What levels are viscerosomatic reflexes from dysfunctions of the head and neck associated with?

A

T1-T4

56
Q

At what axis does innominate rotation occur?

A

Inferior transverse axis

57
Q

If the greater wing of the sphenoid is greater on the left, what is the most likely cranial strain pattern?

A

Torsion

58
Q

What happens to AP diameter and Transverse diameter during cranial flexion?

A

AP decreases
Transverse increases

(opposite is true during cranial extension)

COMLEX 2 (19 decks)

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