OMM/True learn Flashcards

1
Q

Digoxin MOA

A

inhibit ATP NA+/K+

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2
Q

Positive urine cyanide nitroprusside test

A

Hexagon crystals

Cystine

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3
Q

Epigastric pain that radiates to the back, supraclavicular LAD, thrombophlebitis

A

Pancreatic cancer
Increase in CEA CA 19-9
CT scan

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4
Q

Infectious DIC

A

Ebola

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5
Q

PS1 CS

A

bilateral sacral sulcus

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6
Q

PS 2-4 CS

A

Midline on sacrum corresponding to level

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7
Q

PS 5 CS

A

Medial and superior to ILA

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8
Q

T(x) for pneumonia (mycoplasma) IN PREGNANT PT

A

Macrolides (azuthromycin)
inhibit 50S
Tetracyclines and fluoroquinolones in not pregnant

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9
Q

impaired vertical gaze, normal to large pupils, convergence refraction nystagmus, eyelid retraction

A

Parinaud syndrome

Dorsal midbrain

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10
Q

What Diuretic causes gout

A

Thiazides

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11
Q

Adrenal CS

A

1 inch lateral and 2 inches superior to umbilicus (anterior)

Posterior T11-12

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12
Q

Kidney CS

A

1 inch lateral and 1 inch superior to the umbilicus (anterior)
T12-L1 (posterior)

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13
Q

Bladder CS

A

Anterior- periumbilical

Posterior- L2 TP

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14
Q

Ovaries /urethra CS

A

Anterior- superior pubic ramus, 2 cm lateral to the symphysis
Posterior L2 TP

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15
Q

Prostate CS

A

Anterior- outer femur (posterior IT band)

Posterior- lateral sacral base

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16
Q

Uterus CS

A

Anterior- inferior pubic rami

Posterior L5 TP medial to PSIS

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17
Q

Chromosome for Huntington

A

4

CAG repeats

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18
Q

Epigastric vessels location with reference to direct hernia

A

epigastric vessels lateral to direct inguinal hernia

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19
Q

T(x) neonate meningitis

A

Cephalosporins

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20
Q

Avoided with metronidazole use

A

Alcohol

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21
Q

Dark curtain closing in vision loss

A

Amaurosis Fugax

via atherosclerosis

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22
Q

Battery

A

intentional and unauthorized contact of patient.

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23
Q

Tamoxifen increase risk of

A

endometrial cancer

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24
Q

Lens shaped hematoma

A

Midle meningeal artery

Epidural hematoma

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25
Q

Antidepressant that causes hypertensive crisis

A

MAOi

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26
Q

Paresthesia in middle finger, weak wrist flexion and diminished triceps reflex

A

Radiculopathy C6-C7 (C7 nerve root)

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27
Q

Proteinuria in HIV patient

A

FSGS

effacement of podocyte foot processes

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28
Q

What BPH medication cannot be handled by pregnant female

A

finasteride

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29
Q

What size alveoli more like to collapse

A

Small sized

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30
Q

Joint pain, steatorrhea, diarrhea

A

Whipple
PAS+
Gram + bacilli

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31
Q

Diabetic nephropathy

A

Mesangial expansion, glomerular BM thickening, podocyte injury –> glomerusclerosis

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32
Q

Lateral strabismus, ptosis, pupillary dilation

A

CN III
posterior communicating A
ipsilateral

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33
Q

Acute Dysfunction

A

Warm boggy
Pain on motion
sharp pain

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34
Q

Chronic Dysfunction

A

cool ropey
decreased pain
dull ache

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35
Q

Flexion and Extension plane

A

sagittal plane

horizontal axis

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36
Q

rotation plane

A

transverse plane

vertical axis

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37
Q

Sidebending plane

A

coronal plane

AP axis

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38
Q

Isotonic contraction

A

Concentric: bring origin and insertion close (bicep curl up)
eccentric: bring origin and insertion far (bicep curl down)

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39
Q

isolytic contraction

A

outside force cause rapid elongation

arm wrestling breaking force

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40
Q

Isometric contraction

A

muscle energy

no change in muscle but both muscle contracting

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41
Q

Rule of 3’s

A

T1-3 –> spinous process same level
T4-6 –> spinous process 1/2 step lower than transverse
T7-9 –> spinous process 1 step lower than transverse
T10 –> spinous process 1 step lower than transverse
T11 –> spinous process 1/2 step lower than transverse
T12 –> spinous process same level

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42
Q

Superior facet orientation

A

cervical –> BUM
Thoracic –> BUL
Lumbar –> BM

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43
Q

Anterior cervical CS

A

F SARA

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44
Q

Anterior thoracic CS

A

F STRA

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45
Q

Anterior lumbar CS

A

F SART

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46
Q

Anterior ribs CS

A

FSTRT

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47
Q

Posterior Cervical CS

A

E SARA

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48
Q

Posterior thoracic Medial CS

A

E SARA

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49
Q

Posterior Lumbar CS

A

E SARA

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50
Q

Posterior Ribs

A

F SARA

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51
Q

AC 1 CS

A

posterior mandible

RA

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52
Q

AC7 CS

A

F STRA SCM meet clavicle

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53
Q

AT 1-6 CS

A

F

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54
Q

AL1 CS

A

ASIS

F STRA

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55
Q

AL5 CS

A

pubic tubercle

F SARA

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56
Q

Posterior Cervical M CS

A

F

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57
Q

PC3 M CS

A

F SARA

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58
Q

PT lateral CS

A

E SART

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59
Q

PT medial CS

A

E

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60
Q

Posterior Rib 1

A

E SART

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61
Q

OA motion

A

flexion/extension

sidebend and rotation opposite

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62
Q

AA motion

A

rotation and flex

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63
Q

C2-C4

A

rotation and sidebend the same

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64
Q

C5-C7

A

rotation and sidebend the same

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65
Q

Psoas M

A
origin T12-L5
Insertion lesser trochanter
Action: hip flexion ER leg
Cause gait abnormality
(+) thomas test, excessive forward bending, ureteral calculi, diverticulosis
CS --> ASIS 2/3 distance to umbilicus 
FST ER leg
66
Q

Sacrum oblique axis

A

Named by deep sacral sulcus
for dynamic motion
walking on the left leg= left oblique axis

67
Q

Sacrum superior axis

A

respiratory (Inhale = extend), Cranial SBS (SBS flex = sacrum extend)

68
Q

Posterior Sacral axis

A

spine flex –> sacrum extend

69
Q

positive spring test

A

extended

70
Q

L5 Mechanics

A

L5 F/E opposite of sacrum
L5 rotation opposite of sacrum
L5 sidebending = oblique axis

71
Q

Typical ribs

A

Have all components of rib

3-9

72
Q

Atypical ribs

A
Don't have all components or have extra
Rib 1- No angle
Rib 2- Extra tubercle
Rib 10 --> 1 articular facet
Rib 11-12 --> no neck or tubercle
73
Q

True ribs

A

connect to sternum

1-7

74
Q

False ribs

A

Indirectly connect to sternum

8-10

75
Q

Floating ribs

A

No connection to sternum

11-12

76
Q

Pump handle

A

1-5

77
Q

Bucket handle

A

6-10

78
Q

Caliper

A

11-12

79
Q

Inhalation rib somatic dysfunction

A

direct pressure treatment

80
Q

Exhalation rib somatic dysfunciton

A

Use secondary muscles

81
Q

Rib 1 Exhalation SD

A

Ant and Med Scalene

82
Q

Rib 2 Exhalation SD

A

Post Scalene

83
Q

Rib 3-5 Exhalation SD

A

Pec minor

84
Q

Rib 6-8 Exhalation SD

A

Serratus anterior

85
Q

Ribs 9-10 Exhalation SD

A

Lats

86
Q

AC Joint Dx and Tx

A

Joint provides stability and levels scapula
Dx Spring / compress then check level of spine of scapula
Tx: abduct arm
Pronate hand for inferior have patient push down
Superior supinate hand and have patient push down

87
Q

SC joint Dx and Tx

A

Joint helps shrugging shoulder
Dx: shrug shoulder = inferior motion
Tx: superior clavicle –> sit up move arm back while pt pull arm forward (use subclavius M)
Inferior clavicle –> lay on back rotate head away and have pt sidebend toward (use SCM)

88
Q

Scapula Motion and Tx

A

protraction/ retraction, elevate/ depress

T(x) direct or indirect MFR

89
Q

SPENCER

A
Every Fat Cat Takes An Indoor Piss
Extension
Flexion
Compression with circumduction
Traction with Circumduction
Abduction
Adduction with ER
IR
Pump
90
Q

Supraspinatus Insertion origin Innervation Action

A

Medial border of scapula to greater tubercle
Abduction
Suprascapular N C5-6

91
Q

Infraspinatus Insertion origin Innervation Action

A

Medial border of scapula to greater tubercle
ER
Suprascapular N C5-6

92
Q

Teres minor Insertion origin Innervation Action

A

medial border of scapula to greater tubercle (under infraspinatus)
ER
Axillary N C5-6

93
Q

Subscapularis Innervation Action

A

IR

Major/minor subscapular N C5-7

94
Q

Cubitus valgus

A

> 15 degrees
ulna abducted
wrist adducted

95
Q

Cubitus varus

A

<3 degrees

ulna adducted wrist abducted

96
Q

Radial head Posterior

A

FOOSH

Pronated

97
Q

Radial Head Anterior

A

Fall back

supinate

98
Q

Long head of bicep CS

A

flex Abduct IR

99
Q

Medial epicondylitis CS

A

flex, pronate, abduction

100
Q

Lateral epicondylitis CS

A

extend, supinate, abduction

101
Q

SPENCER HIP

A
Flexion
Extension
Compress with circum
Traction with circum
IR
ER
Abduction
Adduction
102
Q

Piriformis Origin, insertion, Action, Innervation

A

posterior sacrum to greater tubercle of femur

ER lower extremity abduct Flexion

103
Q

MCL CS

A

F Ad IR

104
Q

LCL CS

A

F Ab ER

105
Q

ACL CS

A

push tibia, pillow under femur

106
Q

PCL CS

A

push fermur, pillow under tibia

107
Q

Psoas CS

A

F ER ST

108
Q

Iliacus CS

A

1/3 between ASIS and umbilicus

F ER Ab

109
Q

Foot pronation

A

dorsiflex eversion Ab (talus tibia external rotation)

Posterior SD

110
Q

Foot supination

A

Plantarflex inversion adduction (talus tibia internal rotation)
Anterior SD

111
Q

Anterior Fibular head SD

A

pronated (talus posterior)

112
Q

Posterior Fibular Head SD

A

Supinated (talus anterior)

113
Q

Transverse foot arch

A

navicular, cuneiforms, cuboid

114
Q

Medial foot arch

A

navicular, cuneiforms, metatarsals 1-3 , talus

115
Q

Lateral foot arch

A

cuboid metatarsals 4-5, calcanus

116
Q

T1-6 SNS Viscerosomatic

A

head, neck, esophagus, heart, lungs

117
Q

T5-9 SNS Viscerosomatic

A

celiac

stomach, duodenum, pancreas, liver, gallbladder, spleen

118
Q

T10-11 SNS Viscerosomatic

A

SMA

small intestine, cecum, appendix, ascending and transverse colon, kidney, upper ureter, gonads

119
Q

T12-L2 SNS Viscerosomatic

A

IMA

colon, lower ureters, bladder, prostate, sex organs

120
Q

Dextroscoliosis

A

most common

convex to right

121
Q

Levoscoliosis

A

convex to left

122
Q

Functional scoliosis

A

Curve goes away with motion

123
Q

Structural scoliosis

A

Curve DOES NOT go away with motion

124
Q

Lymphatic Zinc Areas

A
  1. thoracic outlet
  2. Diaphragm
  3. Hip
  4. Posterior knee
  5. Distal dysfunciton
125
Q

Lymphatic pump motions

A

pedal
thoracic
Extremity milking

126
Q

Contraindications to Lymphatic treatment

A

fracture
cancer
severe infection

127
Q

Facial sinus treatment

A

effleurage

128
Q

Otitis Media treatment

A

Gallbreath maneuver

129
Q

PNS

A
Vagus (everything above SMA)
Pelvic Splanchnic (IMA)
130
Q

Vault hold

A

Index: greater wing
Middle: temporal bone anterior to ear
Ring: Temporal bone on mastoid
Pinky: squamous suture

131
Q

Flexion SBS

A

distal ends closer
short AP axis and wide transverse
Counter nutation in sacrum (Extension)

132
Q

Extension SBS

A

distal ends far
big AP axis and narrow transverse
nutation in sacrum (Flexion)

133
Q

Torsion Cranial

A

named for greater wing of sphenoid

134
Q

Sidebending Cranial

A

One side flexed while other is extended

135
Q

Vertical shear Cranial

A

One side higher than the other

136
Q

Lateral shear

A

named for pinky finger going left or right

137
Q

CV4

A

used to increase CRI

Normal is 8-12

138
Q

V spread

A

used to release sutures

139
Q

SLE Ab

A
dsDNA 
Anti smith (RNP core proteins)
140
Q

Mixed connective tissue disease

A

anti U1 RNP

141
Q

Dermatomyositis, polymyositis Ab

A

Anti Jo1

Histidine tRNA ligase

142
Q

Systemic sclerosis and CREST syndrome AB

A

anticentromere

143
Q

Sjogren syndrome Ab

A

Ro and La

144
Q

Drug induced lupus Ab

A

antihistone Ab

145
Q

Head and Neck sympathetic VS reflex

A

T1-4

146
Q

Heart sympathetic VS reflex

A

T1-5 Left

147
Q

Respiratory sympathetic VS reflex

A

T2-T7

148
Q

Esophagus sympathetic VS reflex

A

T2-T8

149
Q

Upper GI tract sympathetic VS reflex

A

T5-T9

150
Q

Middle GI tract sympathetic VS reflex

A

T10-11

151
Q

Lower GI tract sympathetic VS reflex

A

T12-L2

152
Q

Appendix sympathetic VS reflex

A

T10-T12

153
Q

Arms sympathetic VS reflex

A

T2-8

154
Q

Kidneys sympathetic VS reflex

A

T10-11

155
Q

Upper ureters sympathetic VS reflex

A

T10-T11

156
Q

Lower ureters sympathetic VS reflex

A

T12-L1

157
Q

Bladder sympathetic VS reflex

A

T11-L2

158
Q

Gonads sympathetic VS reflex

A

T10-T11

159
Q

Uterus/Cervix sympathetic VS reflex

A

T10-L2

160
Q

Erectile tissue sympathetic VS reflex

A

T11-L2

161
Q

Prostate sympathetic VS reflex

A

T12-L2

162
Q

Legs sympathetic VS reflex

A

T11-L2