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OMM COMLEX Flashcards

1
Q

AT 1 tender point location and treatment

A

episterna notch midline- or slightly lateral

treatment: flexion

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2
Q

AT 2-6 tender point location and treatment

A

midline of the sternum at the level of the corresponding rib

treatment: flexion, with minimal fine tuning in side bending or rotation

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3
Q

AT 7 tendering location and treatment

A

bilateral 1/4 distance from the Xiphoid tip to umbilicus

treatment: FSTRA

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4
Q

AT 8 tender point location and treatment

A

location: 1/2 distance between the diploid process and umbilicus bilaterally

treatment: FSTRA

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5
Q

AT 9 tenderpoint location and treamtent

A

3/4 distance from the xiphoid tip and umbilicus

treatment: FSTRA

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6
Q

AT 10 tender point location and treament

A

1/4 distance from umbilicus to the pubic symphysis ( bilaterally)

treatment: flex sideband ankles towards and rotate torso away

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7
Q

AT 11 tender point location and treatment

A

1/2 distance from umbilicus and pubic symphisis (biltaerally)

treatment: flex, sideband ankles towards, rotate torso away

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8
Q

AT 12 tender point location and treatment

A

Apex of the iliac crest at mid axillary line (bilaterally)

treatment: flex, sideband ankles away rotate torso towards

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9
Q

where is L1 located

A

medial to the ASIS

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10
Q

where is AL1 located

A

medial to the ASIS

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11
Q

where is AL2 located

A

medial to the AIIS

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12
Q

where is AL3 located

A

lateral to the AIIS

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13
Q

where is AL4 located

A

inferior to the AIIS

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14
Q

where is AL5 located

A

on the pubic ramps 1cm lateral to the pubic symphysis

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15
Q

what is the straight leg raise used for

A

to evaluare for lumbar nerve root compression

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15
Q

Straight leg raise is also. known as?

A

lasegue test

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15
Q

what is the braggard test

A

a modification of the SLR that applies ankle dorsiflexion- conducted same as SLR but then dorsiflex ankle to reproduce symptoms

positive test is indicative of sciatica

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16
Q

FABER test

A

aka Patrick test that is used to evaluate for a labral tear, hip impingement.

hip is flexed, ABducted, ER

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17
Q

lumbosacral spring test

A

tests pathology of the sacrum

pat is prone and the heel of the physicians hand is placed over the lumbosacral junction. The physician will place a gentle rapid downward force with the hand and if not spring is noted than it is positive and the sacral base is posterior

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18
Q

ober test

A

evaluates for a tight tensor fascia late and ITB

pt. lies on the side that is not affected and the physician will stand behind them and flexes the knee 90 degrees, abducts the hip as far as possible and then slightly extends the hip then you allow the thigh to fall to the table

if the hip remained in the abducted position it is positive and there is a tight ITB

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19
Q

the trendelenburg test

A

evaluates weak gluten medius muscles

physician is behind patient and has them lift 1 leg off the floor

pelvis drops on the contralateral side there is weakness of the gluteus medius of the weight bearing leg

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20
Q

how do you augment flow

A
  1. remove thoracic inlet somatic dysfunction: open the thoracic inlet which is formed by Gibson’s fascia
  2. rib raising or paraspinal inhibition
  3. redone the diaphragm
  4. apply lymphatic pump techniques
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21
Q

thoracic inlet drains what

A

left arm, left side of the thorax, the abdomen and both legs

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22
Q

head and neck viscera somatic

A

T1-T4

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23
Q

heart viscerosomatics

A

T1-T5 on the left

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24
Q

respiratory system viscerosomatics

A

T2-T7

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25
Q

esophagus viscerosomatics

A

T2-T8

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26
Q

upper GI viscerosomatics

A

T5-T9

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27
Q

Middle GI tract viscerosomatics (SMA)

A

T10-T11

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28
Q

Lower GI tract viscerosomatics

A

T12-L2

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29
Q

appendix/cecum viscerosomatics

A

T10-T12

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30
Q

arms viscerosomatics

A

T2-T8

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31
Q

kidney viscerosomatics

A

T10-T11

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32
Q

Upper ureters viscerosomatics

A

T10-T11

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33
Q

lower ureters viscerosomatics

A

T12-L1

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34
Q

bladder viscerosomatics

A

T11-L2

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35
Q

gonads viscerosomatics

A

T10-T11

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36
Q

uterus/cervic viscerosomatics

A

T10-L2

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37
Q

erectile tissue viscerosomatics

A

T11-L2

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38
Q

prostate viscerosomaitics

A

T12-L2

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39
Q

legs viscerosomatics

A

T11-L2

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40
Q

what makes up the upper GI tract

A

stomach, liver, gallbladder, spleen, portions of pancreas, duodenum (Celiac)

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41
Q

what makes up the middle GI tract

A

portions of pancreas, duodenum, jejunum, ileum, ascending colon, proximal 2/3 transverse colon

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42
Q

lower GI tract contents

A

distal 1/3 transverse colon, descending colon, sigmoid colon, rectum

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43
Q

parasympathetic to ovaries and testes?

A

vagus

the rest of the parasympathetics are normal

above diagram vagus

below diaphragm: pelvic splanchinuc

44
Q

what are the three types of soft tissue techniques

A

longitudinal: long axis stretching (axial traction)

perpendicular: kneeding (rhythmic perpendicular stretching )

direct inhibition: sustained pressure

45
Q

in a scoliotic curve the vertebra deviating farthest from the midline is known as

A

apical vertebra (curve apex)

46
Q

the _ barrier is engaged in direct techniques

A

restrictive

47
Q

during exhalation the sacrum moves

A

nutation ( flexion)

48
Q

during inhalation the sacrum moves

A

counternutation ( extension)

this decreases the lordotic curve

49
Q

respiratory motion of the sacrum occurs around

A

the superior transverse axis at level S2

50
Q

most common dysfunction of the sacrum in post parts patients is

A

bilateral sacral flexion

51
Q

articulatory techniques are

A

low velocity with moderate to high amplitude

carried through its full ROM to increase mobility

primarily direct but can be modified to be indirect

52
Q

articulatory techniques are contraindicated in?

A

acute strains or sprains

53
Q

gall bladder chapman point

A

6th intercostal space at the mid clavicular line on the right

54
Q

steps of direct myofascial release

A

Palpate down to the layer of the fascia.
Position the fascia to the restrictive barrier.
Hold the tissue at the restrictive barrier for 30 seconds until a release or fascial “creep” is felt.
Recheck to determine if tissue compliance and quality have improved.

55
Q

treatment of carpal tunnel syndrome

A

mfr of the transverse carpal ligament

56
Q

standing flexion test is used for

A

innominate dysfunctions

57
Q

seated flexion test is used for

A

sacrum dysfunctions

58
Q

yergason test

A

specialty test for biceps tendinopathy or instability

physician holds compression against the tendon of the long head of the biceps brachia in the bicipital groove and asks patient to supinate their forearm and flex there elbow against resistance (positive is if there is a snap_

59
Q

long head the biceps tenderpoint location and treatment

A

over the biceps tendon

patient is supine, supinate the arm and flex the arm to 90 at the shoulder and flex the alone

60
Q

tenderpoint of the acromioclavicular joint and the treatment

A

behind the anterior surface of the distal clavicle

treat: patient is prone and adduct the arm across the back with applied traction

61
Q

tenderpoint for the supraspinatus location and treatment

A

location: supraspinatus fossa

treatment: pt is supine and the patients arm is flexed and abducted to 120 degrees then the humerus is externally rotated

62
Q

latissimus dorsi tenderpoint location and treatment

A

location: deep in the axilla on the medial surface of the humerus

treatment: patient is supine and holding the arm posteriorly over the side of the table towards the ground with internal rotation and traction

63
Q

tenderpoint for the subscapularis location and treatment

A

location: on the anterior surface of the scapula

treatment: patient is supine, hold the arm and pull it toward the ground and internally rotate

64
Q

asending colon chapman point

A

right lateral thigh (middle 3/5)

65
Q

HVLA on the cervical spine presents concerns for damage to the _ system

A

vertebrobasilar ssytem

66
Q

when treating the cervical spine with HVLA you should avoid what positions

A

hyperextension and excessive rotation

67
Q

AC1 mandible tenderpoint location and treatment

A

posterior aspect of the ascending ramps of the mandible at the earlobe level

68
Q

AC1 mandible tenderpoint location and treatment

A

posterior aspect of the ascending ramus of the mandible at the earlobe level

69
Q

AC1 mandible tenderpoint location and treatment

A

posterior aspect of the ascending ramus of the mandible at the earlobe level

rotate away

70
Q

AC1 transverse process tenderpont location and treatment

A

lateral aspect of C1 transverse process hallway between mastoid process and ramus of manidble

rotate away

71
Q

AC2-AC6 tenderpoint locations and treatments

A

anterior lateral aspect of tubercles of corresponding vertebrae transverse process

flex to the level of segment and side bend and rotate away (FSARA)

72
Q

AC7 tenderpoint location and treatment

A

posterosuperior surface of the clavicleat clavicular attachment of the SCM

Flex STRA

73
Q

AC8 tenderpoint location and treatment

A

superior medical end of the clavicle at sternal attachment of SCM

FSARA

74
Q

CV4

A

compression of the 4th ventricle is decompressed

it is used to enhance the CRI in depressed people

technique: resistance to eh flexion phase and encouragement of the extension phase until cessation of the CSF is palpated at the still point

75
Q

contraindications to the CV4 technique

A

acute intracranial hemorrhage, increased ICP, acute skull fracture, seizures

76
Q

petrissage

A

soft tissue technique that involves kneading and skin rolling to compress the underlying musculature

77
Q

v spread technique

A

release peripheral suture

78
Q

venous sinus technique

A

retires optimal intracranial blood flow used for sinus headaches

79
Q

pancreas chapman point posterior and anterior

A

anterior: 7th intercostal space on the right

posterior: T7 on the right

(epigastric pain that is relieved by bending forward, N/V, ecchymotic discoloration of the flank)

80
Q

Posterior Sacrum 1 tenderpoint location

A

at each sacral sulcus

81
Q

posterior sacrum 2-4 tenderpoint location

A

midline on the sacrum at the corresponding level

82
Q

posterior sacrum 5 tenderpoint location

A

medial and superior to the inferior lateral angle on each side

83
Q

high ilium flare out tenderpoint location

A

lateral aspect of ILA

84
Q

high ilium sacroiliac tenderpoint location

A

on the ilium 2-3 cm lateral from the PSIS

85
Q

lower pole L5 tenderpoint

A

immediately inferior to the PSIS

86
Q

upper pole L5 tenderpoint location

A

superior medial surface of the PSIS

87
Q

during the flexion phase of the primary respiratory mechanism there is _ of the midline cranial bones, _ rotation of the paired cranial bones, the sacral base moves _ and there is a _ anterior posterior diameter of the cranium

A

flexion

external rotation

posteriorly

decreased

88
Q

when you have a linked rib and thoracic SD it is best to direct your first treatment toward the?

A

thoracic segment

89
Q

AT1 tenderpoint location and treatment

A

suprasternal notch and treat with flexion and slight side bending/rotation

90
Q

AT 2 tenderpoint location

A

angle of Louis (manubriosternal junction)

91
Q

posterior rib 1 tenderpoint location and treatment

A

posterior superior aspect of rib 1 lateral to the costotransverse articulation

pt seated, sideband away, rotate towards and slightly extend

92
Q

posterior rib 2-10 location and treatment

A

posterior superior angle of corresponding rib

pt seated side bend and rotate away and flex (FSARA)

93
Q

counterstain for anterior rib 1 tenderpoint

A

patient is supine you flex sideband toward and rotate away

94
Q

counterstain for anterior ribs 3-10

A

pt seated flex side bend toward and rotate away

95
Q

HVLA contraindications

A

osteomyelitis, metastasis, severe osteoporosis, infection, joint replacement, down syndrome, veterbrobasilar insufficiency

96
Q

chapman point for the larynx

A

second rib (same as larynx and tongue)

97
Q

treatment for the high ilium flare out

A

extend and adduct

98
Q

posterior lumbar 3 or 4 counterstain treatment

A

extend, abduct and IR

99
Q

upper pole L5 counterstain treatment

A

adducted hip and externally rotate

100
Q

lower pole L5 counterstain treatment

A

hip flexed, adducted and internally rotated

101
Q

Primary respiratory motion is comprised of what 5 things

A
  1. fluctuation of CSF
  2. Inherent motion of the brain and spinal cord
  3. articular mobility of the cranial bones
  4. tension of the dura
  5. motion of the sacrum between the ill
102
Q

attachments of dura

A

C2,C3, foramen magnum, sacrum (s2)

103
Q

midline cranial bones

A

SOVE

sphenoid, occiput, vomer, ethmoid

104
Q

flexion of the cranial

SBS:
sacrum:
paired bones:
AP diameter:

A

SBS goes cephalad

sacrum: counternutates

inhalation

paired bones ER

AP diameter shortens

105
Q

physiologic cranial sacral motion

A

F/E
torsions
Sidebending rotation

106
Q

nonphysiological cranial motions

A

vertical strain
lateral strain
compression

107
Q

torsions

A

1 AP axis

greater wing of sphenoid

sphenoid and occiput rotate oppositely

108
Q

sidebending/rotation

A

2 vertical axis

1 AP axis

named for the convexity of side bending

same in AP

opposite in vertical axis

109
Q

vertical strain

A

2 transverse axis

base of sphenoid

same direction

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