OMT

Question 1

3 causes of thoracic outlet syndrome

Answer 1

1.compression of brach. plex. in between ant. and mid scalenes (most common) 2. clavicle and upper ribs (usually 1st) 3. pec. minor and upper ribs

Question 2

cervical facet orientation

Answer 2

backward upward and medial (BUM)

Question 3

Thoracic facet orientation

Answer 3

backward upward and lateral

Question 4

lumbar facet orientation

Answer 4

backward and medial

Question 5

muscle contraction that results in the approximation of the muscle’s origin and insertion without a change in its tension

Answer 5

Isotonic contraction

*operator’s force is less than the patient’s

Question 6

muscle contraction that results in the increase in tension without an approximation of origin and insertion

Answer 6

isometric contraction

*patient and operator force are equal

Question 7

muscle contraction against resistance while forcing the muscle to lengthen

Answer 7

isolytic contraction

*operator’s force is greater than patient’s

Question 8

muscle contraction that results in the approximation of the muscle’s origin and insertion

Answer 8

concentric contraction

Question 9

lengthening of muscle during contraction due to an external force

Answer 9

eccentric contraction

Question 10

Atypical Ribs

Answer 10

1, 2, 11, 12 and sometimes 10

**atypical ribs have 1s and 2s

Question 11

false ribs

Answer 11

8-12

Question 12

rule of 3s

Answer 12

T1-3 spinous process is AT the level of transverse process
T4-6 spinous process is 1/2 segment below transverse process
T7-9 spinous process is 1 segment below transverse process
T10- spinous process is 1 segment below transverse process
T11- spinous process is1/2 segment below transverse process
T12- spinous process is AT the level of transverse process.

Question 13

spine of scapula corresponds to which vertebral level

Answer 13

T3

Question 14

inferior angle of the scapula corresponds to which vertebral level

Answer 14

T7 (spinous process)

Question 15

sternal notch vertebral level?

Answer 15

T2

Question 16

sternal angle (angle of louis) vertebral level

Answer 16

T4 (attaches to rib 2)

*also vertebral level of carina

Question 17

dermatome of nipple

Answer 17

T4

Question 18

dermatome of umbilicus

Answer 18

T10

Question 19

why is rib 1 atypical

Answer 19

only articulates with T1 and has no angle

Question 20

why is rib 2 atypical

Answer 20

large tuberosity on the shaft for serratus anterior

Question 21

why are ribs 11 and 12 atypical

Answer 21

articulate only with corresponding vertebrae and lack tubercules

Question 22

why is rib 10 sometimes atypical?

Answer 22

only articulates with T10

Question 23

what makes the lumbar vertebrae more susceptible to disc hernation

Answer 23

the posterior longitudinal ligament begins to narrow at the lumbar region
(at L4 and L5,the post. longitudinal ligament is 1/2 the width that it is at L1)

Question 24

Signs and Sx of Psoas Syndrome

Answer 24

increased pain standing or walking
\+Thomas Test
Tender pt medial to ASIS
Nonneutral dysfunction of L1 or L2
positive pelvic shift test to contralateral side
sacral dysfunction on oblique axis 
contralateral piriformis spasm

Question 25

This ligament divides the greater and lesser sciatic foramen

Answer 25

Sacrospinous ligament