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COMLEX Level 2CE > OMT SB (-10) > Flashcards

OMT SB (-10) Flashcards

COMBANK blocks (3-5,S1,M1-2,T1-2,W1-2,Th1-3) Missing block 5, M1-2, T1-2, W1-2, Th1-3

1
Q

what OMM techniques are safe to use in acute settings?

A

indirect techniques (FPR, MFR, CS)

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2
Q

how do you determine the vertebral somatic dysf(x) in scoliosis pt?

A

Side of rib hump = side of Rot = opp side of SB

R rib hump = segments NRrSBl

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3
Q

posteriorly rotation innominates tend to be in/out flared?

A

out-flared

ant rot innom = inflared

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4
Q

supination of the foot includes what motions?

A
  • plantar flexion
  • inversion
  • adduction
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5
Q

what are the special tests for subacromial impingment?

A
  1. neer’s test

2. hawkin’s test

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6
Q

are inhalation rib dysf(x) assoc w/ ant or post TP?

A

posterior TP

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7
Q

are exhalation rib dysf(x) assoc w/ ant or post TP?

A

anterior TP

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8
Q

what is the positioning for Adson’s test?

A
  • elbow = E
  • shoulder = E, ER, ABD
  • neck = rotated towards
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9
Q

crescendo-decrescendo vent patterns are seen in what disorder?

A

central sleep apnea

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10
Q

what is the vent pattern seen in OSA?

A

desaturation w/ decr airflow during apneic episodes

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11
Q

how do you dx the sacrum from a given L5 dysf(x)?

A

T1 = forward torsion = ROT X on X = AXIS same as L5SB or opp L5Rot

T2 = backward torsion = ROT X on Y = AXIS same as L5SB/rot

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12
Q

weakness of what muscle can lead to lateral patellar tracking?

A

vastus medialis

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13
Q

if lateral quad muscles are stronger than medial quad muscle, what synd can develop?

A

patelofemoral pain synd

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14
Q

can the sartorius m. affect the patella? why?

A

no. it does not directly attach to it

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15
Q

patellar tendon inflammation leads to what condition in what type of athlete?

A
  • patellar tendonitis

- jumping athletes

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16
Q

how do you position the pt to perform levator scapulae counterstrain?

A
  • prone
  • Rot head away
  • IR ipsilat shoulder
  • add gentle traction and ABD as needed
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17
Q

how do you position the pt to perform supraspinatus counterstrain?

A
  • supine

- FLEX, ABD, and ER the arm

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18
Q

where is the posterior chapman point associated w/ the kidney located?

A

between TP and SP of T12 and L1

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19
Q

in sheehan synd, what damage occurs to the pituitary gland?

A

pituitary ischemia 2/2 massive hemorrhage

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20
Q

what muscle is used in the ME tx of rib 2 exhalation dysf(x)?

A

post-scalene

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21
Q

which muscles elevate Rib 1 and could be used to tx R1 exhalation dysf(x) w/ ME?

A

ant scalene and middle scalene

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22
Q

CTX of which muscle serves as the activating force in ME tx geared towards fixing Rib 3-5 exhalation dysf(x)?

A

pec minor

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23
Q

CTX of which muscle serves as the activating force in ME tx geared towards fixing Rib 6-8 exhalation dysf(x)?

A

serratus anterior

24
Q

CTX of which muscle serves as the activating force in ME tx geared towards fixing Rib 9-10 exhalation dysf(x)?

A

lat dorsi

25
Q

CTX of which muscle serves as the activating force in ME tx geared towards fixing Rib 11-12 exhalation dysf(x)?

A

quad lumborum

26
Q

ME for exhalation Rib dysf(x) uses which muscles for which ribs?

A 
1 = ant/mid scalene
2 = post scalene
3-5 = pec minor
6-8 = serratus anterior
9-10 = lat dorsi
11-12 = quad lumborum
27
Q

what n. innervates glut medius?

A

superior gluteal n. (L4-S1)

28
Q

what muscle is innervated by the inf. gluteal n. (L5-S2)?

A

gluteus maximus

29
Q

what is the CS position for medial epicondylitis?

A
  • elbow = Flex
  • hand = Pronated
  • forearm = ADDucted
30
Q

Lower GI viscerosomatics correlate to what anatomical landmarks and what levels?

A

= desc colon –> rectum

T12 - L2

31
Q

Middle GI viscerosomatics (T10-11) changes are expected in pts w/ abn between what 2 anatomical borders?

A
  • ligament of trietz

- splenic flexure

32
Q

what is the most likely early complication of herpes zoster keratitis?

A

neurotrophic keratopathy

33
Q

what is neurotrophic keratopathy?

A

decr corneal sensation 2/2 virus mediated destruction

34
Q

permanent blindness is a ____ complication of herpes zoster keratitis?

A

late

35
Q

with shoulder shrug/arm ABD, what should the proximal clavicle do?

A

move inferiorly

36
Q

if the proximal clavicle doesn’t move inferior w/ shoulder shrug/arm ABD, what is the dysf(x)?

A

ADDuction dysf(x)

37
Q

what are the clinical criteria for brain death?

A
  1. absence of spontaneous ventilation

2. loss of brainstem activity

38
Q

pt meets brain death criteria and has no documentation of his/her or their families wishes. what do you do?

A
  • contact family if able

- remove life sustaining interventions

39
Q

how does C5-C6 herniation present?

A
  • decr sensation over thumb and index finger

- weak biceps and wrist extensors

40
Q

how does C6-C7 herniation present?

A

-C7 pathology (decr sens middle finger + weak triceps)

41
Q

facilitated positional release is what kind of tx?

A

indirect and passive

42
Q

in the vault hold, the index finger is placed @ _____.

A

greater wing of the sphenoid

43
Q

in the vault hold, the middle finger is placed @ _____.

A

preauricular portion of the temporal bone

44
Q

in the vault hold, the ring finger is placed @ _____.

A

mastoid process portion of the temporal bone

45
Q

adenocarcinoma is the MC ____ and the MC ____ to occur in never smokers.

A
  • non-small cell lung Ca

- lung Ca

46
Q

how does adenoCa appear on histology?

A

glandular formation w/ mucin production identified on periodic acid-schiff staining

47
Q

how does small cell lung Ca appear on histo?

A

small, round cells w/ scant cytoplasm and fine granular chromatin

48
Q

what test is used to dx achilles tendon rupture?

A

Thompson test

49
Q

what is the patrick (fabres) test used to evaluate?

A

hip/SI pathology

50
Q

how do you tx ruptured achilles tendon non-operatively?

A
  • 2wks in a cast @ 20* plantar flexion

- progressive weight bearing + PT when the cast comes off

51
Q

HCV is assoc w/ what?

A
  1. IVDA
  2. blood transfusions
  3. sex
52
Q

HBV is assoc w/ what?

A
  1. sex
  2. IVDA
  3. vertical transmission
53
Q

for sacral torsion dx based on L5 dx, what does a positive seated flexion test tell you?

A

seated flexion test = POS on OPP SIDE OF oblique AXIS

L+ = R axis. R+ = L axis

54
Q

what is the best test to confirm dx (and tx) of acute cholangitis?

A

ERCP

55
Q

T2-T7 viscerosomatics correspond to what anatomical local?

A

lungs

COMLEX Level 2CE (23 decks)

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