OMM for COMLEX

Question 1

Direct Techniques

Answer 1

ME, Articulatory, HVLA, and Soft Tissue

Question 2

Indirect Techniques

Answer 2

Counterstrain, FPR, and BLT

Question 3

Exhalation somatic dysfunction rib:muscle

Answer 3

1: Anterior scalene 2: posterior scalene 3-5: pec minor 6-9: Serratus Anterior 10-11:Latissimus Dorsi

Question 4

Isotonic Muscle Contraction

Answer 4

Approximation of the muscle’s origin and insertion against opposing force without change in tension.

Question 5

Isometric Muscle Contraction

Answer 5

Increase in muscle tension but no approximation.

Question 6

Isolytic Muscle Contraction

Answer 6

Contraction against the physician that is overcome and causes the muscle to lengthen.

Question 7

Concentric Muscle Contraction

Answer 7

Approximation of the origin and insertion without opposing force.

Question 8

Eccentric Muscle Contraction

Answer 8

Lengthening of the muscles due to an external force.

Question 9

Only treatment that can be active, passive, direct, or indirect.

Answer 9

MFR

Question 10

Both OA and AA have opposite rotation/sidebending true or false?

Answer 10

True

Question 11

Rule of Threes

Answer 11

T1-3,12: SP=TP
T4-6,11: SP 1/2 below TP
T7-10:SP 1 below TP

Question 12

Atypical Ribs

Answer 12

Have 1s and 2s

1,2,11,12

Question 13

Pump Handle Ribs

Answer 13

1-5

Question 14

Bucket Handle Ribs

Answer 14

6-10

Question 15

True Ribs

Answer 15

1-7

Question 16

False Ribs

Answer 16

8-12

Question 17

L5 rotates _______ of the sacral base and sidebends to the _________ as the sacral oblique axis.

Answer 17

Opposite, Same

Question 18

Psoas Syndrome

Answer 18

Pelvic shift to opposite side, L1 or L2 F/E

Question 19

Short Leg Syndrome

Answer 19

Sacral base unlevel, vertebral sidebending away from short side and rotation towards, Anterior innominate rotation on short side.

Question 20

Heel Lift

Answer 20

1/2 to 3/4 discrepancy correction for chronic short leg
Full correction for acute short leg
Only 1/4” can be inside the shoe
Maximum lift 1/2”

Question 21

Fragile pt Heel lift

Answer 21

1/16” q2wks

Question 22

Flexible pt Heel lift

Answer 22

1/8” q2wks

Question 23

Ligament that divides greater and lesser sciatic foramina

Answer 23

Sacrospinous

Question 24

Sacral Torsion Rules

Answer 24

When L5 is sidebent, a sacral oblique axis is engaged on the same side.

When L5 is rorated the sacrum rotates the opposite way on its oblique axis.

The seated flexion test is found on the opposite side of the oblique axis.

Question 25

Rotator cuff

Answer 25

Supraspinatus, infraspinatus, teres minor, and subscapularis

Question 26

3 impingements that results in Thoracic Outlet Syndrome

Answer 26

Anterior/Middle Scalene, Clavicle/1st Rib, pec minor/upper ribs.

Question 27

Erb-Duchenne Palsy

Answer 27

C5 and C6 injury usually occurs during birth

Question 28

Klumpke's Palsy

Answer 28

C8 and T1 injury

Question 29

Radial Nerve Injury

Answer 29

Wrist drop, possible triceps weaknesss, supinator m. weakness. occurs with crutch palsy, midshaft humeral fx, and saturday night palsy.

Question 30

Carpal Bones

Answer 30

Scaphoid, Lunate, Triquetral, Pisiform, | Trapezium, Trapezoid, Capitate, Hamate

Question 31

Flexors of the Wrist

Answer 31

Medial epicondyle, median nerve (except flexor carpi ulnaris (ulnar)).

Question 32

Extensors of the Wrist

Answer 32

Lateral epicondyle, radial nerve

Question 33

Pronators

Answer 33

Pronator teres, pronator quadratus, median nerve

Question 34

Supinators

Answer 34

Biceps (musculocutaneous) and Supinator (radial n.)

Question 35

Thenar eminence

Answer 35

median nerve innervates except adductor pollicis brevis which is innervated by the ulnar nerve

Question 36

hypothenar eminence and interossei

Answer 36

Ulnar Nerve

Question 37

Lumbricals

Answer 37

1 and 2:Median n | 3 and 4: Ulnar n

Question 38

Ulna and wrist position with increased and decreased carrying angle

Answer 38

Valgus: Increased angle => Adbucted ulna, adducted wrist Vara: Decreased angle => Adducted ulna, abducted wrist

Question 39

Radial Head

Answer 39

Pronated: Posterior Supinated: Anterior

Question 40

Carpal Tunnel Syndrome

Answer 40

entrapment of median nerve at the wrist. Digits 1, 2, and half of 3 affected. Dx: Nerve Conduction Test

Question 41

Lateral Epicondylitis

Answer 41

Tennis elbow, overuse of extensors and supinators (radial:racket)

Question 42

Medial Epicondylitis

Answer 42

Golfers elbow, pronator and flexor overuse (median nerve)

Question 43

Fibular Head

Answer 43

Anterior: Anterior at knee, posterior at ankle, Pronated foot (dorsiflexion, eversion, abducted) Posterior: Posterior at the knee, anterior at the ankle, supinated foot (Planter flexion, inversion, adduction)

Question 44

Femoral Nerve

Answer 44

Sensory: Anterior thigh, medial leg Muscles: Quads, ialiacus, sartorius, pectineus

Question 45

Tibial Nerve

Answer 45

Sensory: lower leg, plantar food Motor: Long head of biceps femoris, semimembranosus, semitendonosus, plantar flexors, toe flexors

Question 46

Peroneal Nerve

Answer 46

Sensory: Lower leg, dorsum of foot Motor: Short head of biceps femoris, everters, dorsiflexors, and toe extensors

Question 47

Dural attachments

Answer 47

Foramen magnus, C2, C3, S2

Question 48

Flexsion at the SBS will cause _______ of the paired bones of the skull.

Answer 48

External Rotation