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OMM Flashcards

1
Q

Rotator cuff muscles

A

Supraspinatus

Infraspinatus

Teres Minor

Subscapularis

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2
Q

Supraspinatus- Origin/Insertion, Innervation: Action:

A

Origin/Insertion: Medial border of scapula to greater tubercle of the humerus

Innervation: Suprscapular nerve (C5-C6)

Action: Abduction

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3
Q

Infraspinatus- Origin/Insertion, Innervation: Action:

A

Origin/Insertion: medial border of scapula to greater tubercle of humerus

Innervation: Suprascapular nerve (C5-C6)

Action: External Rotation

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4
Q

Teres Minor- Origin/Insertion, Innervation: Action:

A

Origin/Insertion: Medial border of scapula to greater tubercle of the humerus

Innervation: Axillary nerve (C5-C6)

Action: External Rotation

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5
Q

Subscapularis- Origin/Insertion, Innervation: Action:

A

Origin/Insertion: Subscapular fossa to lesser tubercle of the humerus

Innervation: Major and minor nerves to Subscapularis (C5- C7)

Action: Internal Rotation

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6
Q

Treatment for adhesive capsulitis

A

Spencer technique

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7
Q

Spencer Technique

A

Every Fine Cat Takes An Indoor Piss

Extension
Flexion
Compression w/ circumduction
Traction W/ circumduction
Abduction and Adduction w/ External Rotation
Internal Rotation
Pump
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8
Q

Acromioclavicular joint dysfunction

A

Dx: Spring of compression test- Hard end feel will be side of dysfunction. Also Measure spine of scapula B/L

Tx: ME-same setup for superior and inferior dysfunction
Patient abducts arm and doc puts knee under it. Pt lifts arm while doc pushes it down.

Superior dysfunction- Palm up/ supine
Inferior dysfunction- Palm down/ pronate

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9
Q

BITE

A

Bottom Inhaled

Top Exhaled

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10
Q

Exhaled Rib dysfunction

A

Rib can go down into exhalation but can’t go up into inhalation

Treat Top rib to allow ribs to move up

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11
Q

Treatment for Exhaled Rib dysfunction

A

Muscle Energy

Rib 1- Ant and Middle scalene
Rib 2- Posterior scalene
Rib 3-5- Pec Minor
Rib 6-8- Serratus Anterior
Rib 9-10- Lats dorsi
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12
Q

Rib Motion

A

Pump 1-5
Bucket 6-10
caliper 11-12

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13
Q

Posterior Radial Head dysfunction

A

Forearm pronated- Radial head posterior

Fall forward injury will cause radial head to move farther posterior

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14
Q

Treatment of Posterior Radial Head dysfunction

A

Muscle Energy

Place pt into barrier (supination) and ask them to move hand into freedom (Pronation)

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15
Q

Anterior Radial Head dysfunction

A

Forearm Supination will cause anterior radial head

Fall backwards injury on supinated arm will cause radial head to move more anteriorly

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16
Q

Treatment of Anterior Radial Head dysfunction

A

Muscle Energy

Place hand in barrier (Pronation) and ask pt to move into freedom (supination)

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17
Q

Arm counterstain- long head of biceps

A

Flex, abduct and internally rotate biceps

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18
Q

Arm counterstain- Medial epicondylitis (Golfer’s elbow)

A

Flexion, pronation and ADduction

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19
Q

Arm counterstain- Lateral Epicondylitis ( Tennis Elbow)

A

Extension, Supination, and ABduction

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20
Q

Piriformis

A

Origin: Posterior sacrum to greater trochanter of femur

Action: External Rotation

Dysfunction of piriformis will cause it to become hypertonic and stuck in external rotation and impinge sciatic nerve

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21
Q

Muscle Energy for Piriformis

A

Muscle Energy- Move muscle into barrier (internal rotation) and ask pt to move into freedom (external rotation)

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22
Q

ACL and PCL

A

ACL originates on posterior femur inserts on anterior tibia- Tx: Pillow under femur and Push tibia posterior

PCL originates on anterior femur inserts on Posterior tibia - Tx: Pillow under tibia and Push femur posterior

Tx: Above is counterstrain

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23
Q

Counterstrain for piriformis

A

External rotation, ABduction, Flexion (Peeing dog)

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24
Q

Tender point for psoas

A

2/3 ASIS and umbilicus

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25
Q

Tender point for Iliacus

A

1/3 ASIS and umbilicus

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26
Q

Foot Pronation

A 
Dorsiflexion (towards sky)
Eversion
ABduction
Talus will move posteriorly 
Fibular head will move Anteriorly
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27
Q

Foot Supination

A 
Planterflexion
Inversion
Addcution
Talus moves anteriorly
Fibular head moves Posteriorly
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28
Q

Tx for Anterior Fibular head

A

ME- Foot likes pronation

So bring foot to barrier (supination) and ask pt to move into freedom (pronation)

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29
Q

Tx for Posterior Fibular head

A

ME- Foot likes supination

bring foot into barrier (pronation) and ask pt to move into freedom (supination)

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30
Q

Cranial Flexion

A

Paired bones externally rotate
Short AP axis
Wide Transverse Axis
Sacral Counternutation/ extension

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31
Q

Cranial Extension

A

Paired bones Internally rotate
Long AP axis
Narrow Transverse axis
Sacral Nutation/ flexion

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32
Q

V spread technique

A

A V-spread technique at the occipitomastoid suture is performed to affect the vagus nerve to address the parasympathetic nervous system.

33
Q

The most common sprain of the ankle is of the anterior talofibular ligament, involving excessive supination

A

Supination of the foot involves plantarflexion, inversion, and adduction of the ankle and is the least stable position.

34
Q

What drains to the right lymphatic duct?

A

Right side of the head and neck, the right upper extremity, the heart, and a portion of the lungs

Rest of the body drains to the thoracic duct.

35
Q

Anteriorly rotated innominate

A

Isolate the hamstrings and use their force to help pull the anteriorly rotated innominate posteriorly and back into its normal function position

36
Q

Type I Somatic Dysfunctions

A

Neutral

Rotation and sidebending are in opposite directions

37
Q

Type II Somatic Dysfunctions

A

Flexion or extension

Rotation and sidebending are in the same direction.

38
Q

What test is this?

With the patient seated, the physician extends and sidebends the neck to the side being tested, and pushes downward on the top of the patient’s head

A

Spurling test

To test for cervical nerve root compression

39
Q

What test is this?

Patient will make a fist with the thumb tucked inside the fingers. The physician will stabilize the patient’s forearm and deviate the wrist ulnarly.

A

Finkelstein test

Used to evaluate tenosynovitis in the abductor pollicis longus and extensor pollicis brevis tendons at the wrist

40
Q

The patient opens and closes the hand several times and then makes a fist. The physician then occludes the radial and ulnar arteries. The patient opens his hand, and the palm should be pale. The physician will then release either the radial or the ulnar artery and evaluate the flushing of the hand.

A

Allen’s test

Assesses the adequacy of blood supply to the hand by the radial and ulnar arteries

41
Q

Scoliosis Treatment

A

10° or greater curve = scoliosis

< 20° = observe, serial radiographs

20°-45° = brace

> 45° = surgical fusion

42
Q

What test?
In this test you have the patient stand on one leg, if the opposite pelvis drops below the stance leg pelvis this is a positive test.

A

Weak Gluteus medias

Innervated by superior gluteal nerve (L4-S1)

43
Q

Which nerve innervates the gluteus maximus?

A

Inferior gluteal nerve

44
Q

The “hamstring” muscles

A

Semitendinosus, semimembranosus, and biceps femoris

45
Q

Ober’s test

A

used for detecting tightness in the tensor fascia lata and iliotibial band.

46
Q

Apley’s compression test

A

Evaluates meniscus and ligamentous structures of the knee.

47
Q

Most appropriate osteopathic technique to treat compression or malalignment of a cranial suture

A

V-spread technique

48
Q

Movements at the OA

A

Sidebending and rotation occur in opposite directions at the occipitoatlantal joint.

49
Q

Chapman point for pancreas

A

Lateral to the costal cartilage between ribs 7 and 8 on the right.

50
Q

Chapman point for bladder

A

Periumbilical region

51
Q

Technique of FPR?

A

Indirect and passive

52
Q

V-spread technique performed at the occipitomastoid suture will decrease restriction at the jugular foramen

A

The temporal and occipital bones come together to form the jugular foramen and the occipitomastoid suture.

The cranial nerves that exit the cranium through the jugular foramen are IX, X, and XI.

53
Q

Myasthenia Gravis vs Lambert Eaton Syndrome

A

MG: Postsynaptic Ach receptors; Weakness worsens with use

LES: Presynaptic Ca channels; Weakness improves with use

54
Q

Guyon canal syndrome (ulnar entrapment at the wrist)

A

presents with pain and sensory loss along the 4th and 5th digits of the hand. Anatomically, the ulnar nerve is entrapped as it passes through the tunnel formed by the palmar carpal ligament forming the roof of the tunnel.

55
Q

Most common compensatory pattern

A

LRLR

occipitoatlantal to the left, rotation at the cervicothoracic to the right, rotation at the thoracolumbar to the left, and lumbosacral rotation to the right.

56
Q

Treatment of a posterior innominate rotation using muscle energy

A

induces an isometric contraction of the rectus femoris muscle.

57
Q

Target muscles for anterior innominate dysfunction

A

The hamstring is primarily used—as is the gluteus maximus—to mobilize an anterior innominate rotation during muscle energy treatment.

58
Q

Superior labral anterior to posterior tears

A

frequently encountered in athletes. Clinical evaluation with special provocative maneuvers (O’Brien’s test) and diagnostic imaging (MRI arthrogram) can help make a definitive diagnosis. Surgical repair is required in most cases.

59
Q

Organophosphate poisoning antidote

A

Pralidoxime

Atropine (for bradycardia)

60
Q

Lateral strain

A

Occurs when the sphenoid and occiput rotate in the same direction around 2 vertical axes

Newborn- parallelogram head

61
Q

Torsion strain

A

Sphenoid and occipital bones rotate in opposite directions around an anterior-posterior axis (1 AP axis)

62
Q

Flexion and extension SBS

A

Occur when the sphenoid and occiput rotate in opposite directions around two transverse axes

2 transverse axis on sagittal plane

63
Q

Measuring fetal age by uterus size

12 Weeks

A

12 weeks- Fundal height is located at the level of the pubic symphysis and remains a pelvic organ.

64
Q

Measuring fetal age by uterus size

16 Weeks

A

Midway to the umbilicus from pubic symphysis

65
Q

Measuring fetal age by uterus size

20 Weeks

A

fundus of the uterus is located at approximately the level of the umbilicus

66
Q

Measuring fetal age by uterus size

After 20 Weeks

A

symphysis-to-fundal height in centimeters should correlate with the number of weeks of gestational age.

67
Q

Sequence of ligamentous injury that occurs during inversion ankle injuries

A

1) Anterior talofibular
2) Calcaneofibular
3) Posterior talofibular

68
Q

Lateral/ Tennis epicondylitis

A

pain with resisted wrist extension

69
Q

Medial/ Golf epicondylitis

A

pain with resisted wrist flexion

70
Q

Squamous cell carcinoma of Lung

A

Smokers

Increased Ca due to bone metastasis or from the release of Parathyroid Hormone related peptide (PTHrP) from the squamous cell carcinoma

71
Q

Adenocarcinoma of the lung

A

More likely located on the lung periphery, more common in women, and less commonly associated with smoking and hypercalcemia.

72
Q

Small cell carcinoma of the lung

A

Can cause Lambert-Eaton syndrome by producing antibodies against the pre-synaptic calcium channels

73
Q

Counterstrain

A

Anterior tenderpoints are typically treated with flexion and sidebending toward the lesion.

Posterior tenderpoints are typically treated with extension and sidebending away from the lesion.

74
Q

Right jaw deviation can be treated with muscle energy by

A

Move pt jaw to the left and asking pt to move her jaw to the right causing increased muscle tension with no change in length (isometric)

75
Q

Counterstrain muscle for right TMJ

A

Right masseter

76
Q

To treat anterior tenderpoints T1 - T6

A

Position the patient in flexion and with arms internally rotated.

77
Q

Compression of Hypoglossal nerve (CN XII)

A

The Hypoglossal nerve, CN XII, passes through the hypoglossal canal in the occipital bone and can become compressed and irritated in the case of OA compression leading to Poor latching on and suckling of the newborn during breastfeeding.

78
Q

Muscle energy- Post isometric

A

Setup into barrier

Pt moves towards freedom

Used often, in chronic

79
Q

Muscle Energy- reciprocal Inhibition

A

Setup into barrier

Pt moves into barrier

Used in acute/ painful

OME Cards (20 decks)

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