OMM

Question 1

What nerve can be damaged by fibular head dysfunction and what clinical presentation will it have?

Answer 1

Common fibular (peroneal) nerve courses just behind the head of the fibula. Damage to common fibular nerve affects function of most anterolateral muscles of the leg causing foot drop.

Question 2

What is the difference between seated and standing flexion tests?

Answer 2

Seated flexion plants the ischial tuberosities on the table so that the sacrum does the moving. Positive findings indicate dysfunction most likely assoc. with the sacrum.

Standing allows motion of the pelvis and is therefore more of an indication of pelvis or innominate dysfunction than sacral.

Question 3

A bilateral sacral extension rotates about what axis?

Answer 3

Middle transverse axis

Question 4

Describe the motion that occurs about the sacral axes.

Answer 4

Superior transverse: respiratory and craniosacral motion
Middle transverse: postural motion
Inferior transverse: innominate rotation
Obliques: dynamic motion

Question 5

With a sacral rotation about an oblique axis, what will be the result of the seated flexion test and why?

Answer 5

Seated flexion test will be positive on the opposite side of the axis for sacral rotation about an oblique axis.
The sulcus moves anteriorly on the ilium on the opposite side of the axis and this causes sacroiliac dysfunction.

Question 6

What nerve innervates the interossei muscles of the hand?

Answer 6

Ulnar nerve

Question 7

Musculocutaneous nerve originates from what cord of the brachioplexus?

Answer 7

Lateral cord

Question 8

Radial nerve originates from which cord of the brachial plexus?

Answer 8

Posterior cord

Question 9

Axillary nerve originates form which cord of the brachial plexus?

Answer 9

Posterior cord

Question 10

Nerve innervation of teres major

Answer 10

Axillary nerve

Question 11

Innervation of infraspinatus

Answer 11

Suprascapular nerve

Question 12

Innervation of supraspinatus

Answer 12

Suprascapular nerve

Question 13

What muscles are innervated by Dorsal Scapular nerve?

Answer 13

Levator scapulae

Rhomboids

Question 14

What nerve is commonly damaged with shoulder dislocations?

Answer 14

Axillary nerve because it courses behind the humeral head and anterior/inferior dislocations stretch the nerve and damage it.

Question 15

In a classic ankle sprain, what is the associated dysfunction of the fibular head?

Answer 15

Classic sprains plantarflex, invert, and internally rotate the foot. This would cause a posterior fibular head.

Question 16

What articulations exist between the tibia and fibula?

Answer 16

There are 2 articulations:
Lower: syndesmotic
Upper: synovial

Question 17

When is craniosacral therapy contraindicated?

Answer 17

Absolute: increased intracranial pressure
Relative: patients with traumatic brain injury

Question 18

Sx of post-traumatic hydrocephalus

Answer 18

This is hydrocephaly that occurs after trauma
Presents with dementia, ataxia, urinary incontinence
Can show up some time later after the initial injury

Question 19

What is the finger placement for the vault hold?

Answer 19

Index: greater wing of sphenoid
Middle: zygomatic of temporal
Ring: mastoid
Little: occiput

Question 20

What type of reflex is a Chapman point?

Answer 20

Vicsero-somatic

However, a classic V-S reflex is a more generalized pain than the localized pain of a Chapman point

Question 21

What is the interomediolateral cell column?

Answer 21

IMCC is the lateral bud protruding from the spinal cord
It is the origin of preganglionic cells for the sympathetic nervous system
Spans from T1-L2

Question 22

What kind of ANS activity will cause lymphatic congestion in the head and neck as well as nasal mucosa dryness?

Answer 22

Increased sympathetic causes vasoconstriction leading to lymph congestion and decreased secretions in the nasal mucosa

Question 23

How does sympathetic stimulation of the kidney arterioles affect GFR?

Answer 23

SNS fibers constrict the afferent arterioles and decrease GFR

Question 24

Where do the preganglionic fibers of the kidney and ureters synapse?

Answer 24

For the kidney and upper ureters: superior mesenteric ganglion
For lower ureter: inferior mesenteric ganglion

Question 25

Where in the spinal cord do SNS fibers originate for the kidney?

Answer 25

T10-L1

Question 26

What part of ANS causes consistent peristaltic waves in the ureters?

Answer 26

PSNS

Question 27

How is the SNS related to lymph vessels?

Answer 27

Lymph vessels are innervated by PSNS and SNS though function is not completely understood. Larger lymph vessels are constricted by increased SNS tone.

Question 28

What techniques can be useful for lymphatic return?

Answer 28

Thoracic inlet release, doming of the thoracic and pelvic diaphragms, rib raising, pedal pumps, pectoral lift Remember to do the diaphragms before the pedal pump

Question 29

What is a sway back posture?

Answer 29

Hips thrust forward, almost leaning back posture, decreased lordosis of lumbar, increased curvature of cervical and thoracic, head forward

Question 30

Viscerosomatic changes from a gastric PUD would appear where?

Answer 30

T6 spine

Question 31

Viscerosomatic changes for sinusitis would be felt where?

Answer 31

T1-T3

Question 32

T4-T6 spinal levels are associated with viscerosomatic reflexes from where?

Answer 32

Lungs and esophagus

Question 33

T7-9 spinal levels are associated with viscerosomatic reflexes from where?

Answer 33

Upper GI

Question 34

T10-12 spinal levels are associated with viscerosomatic reflexes from where?

Answer 34

Middle GI and gonads

Question 35

T12-L2 spinal levels are associated with viscerosomatic reflexes from where?

Answer 35

Lower GI

Question 36

What is an ASIS compression test?

Answer 36

Patient supine, press posteriorly on each ASIS while stabilizing the other. Resistance to post. motion is a positive result indicating innominate, sacral, or pubic dysfunction. Can help decide which innominate is dysfunctional when looking at flares.

Question 37

Describe an adduction dysfunction of the ulna

Answer 37

Decreased carrying angle, hand and wrist abducted, olecranon prefer lateral glide

Question 38

Falling on pronated and outstretched hand will do what to the radial head?

Answer 38

Pronation causes a posterior radial head because the distal radius is anterior. They move in opposite directions. Think Posterior and Pronation (both start with P's)

Question 39

What happens to the distal ulna, wrist, and olecranon with an increased carrying angle?

Answer 39

Moves distal ulna laterally (abduction) Olecranon moves medially Wrist goes opposite to distal ulna so adduction

Question 40

What patients tend to have dupuytren's contracture?

Answer 40

There is a genetic predisposition, but also happens to alcoholics frequently.