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(1) Sara > OPP > Flashcards

OPP Flashcards

1
Q

which test?

touch superior C/L scapula, then inferior C/L scapula

A

apley scratch test

superior C/L scapula - ABD + ER

inferior C/L scapula - ADD + IR

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2
Q

test for adhesive capsulitis (frozen shoulder syndrome)

A

apley scratch test

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3
Q

female sex

advanced age

diabetes

recent should trauma -> prolonged immobilization

these are risk factors for …

A

risk factors for adhesive capsulitis

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4
Q

test for diagnosing subacromial impingement (RTC tendon inflammation in subacromial space)

A

Neer’s test

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5
Q

what test is this describing?

IR and flexion at shoulder

pain at anterolateral shoulder: + test

A

Neer’s test

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6
Q

what test is being described?

knee bent to 90 deg and tibia pulled anteriorly

A

anterior drawer test

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7
Q

what test is being described?

knee bent to 30 deg and tibia pulled anteriorly while anchoring distal thigh

A

lachman

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8
Q

diagnosis?

L shallow ILA

L shallow sacral sulcus

R deep ILA

R deep sacral sulcus

spring test + on L

A

L sacral margin torsion

only POSTERIOR side is diagnosed

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9
Q

which part of rib is used for diagnosing SD in ribs 1-5?

A

anterior aspect of ribs - pump handle

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10
Q

which part of rib is used for diagnosing SD in ribs 6-10?

A

lateral aspect of ribs

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11
Q

stroke of which artery?

U/L leg weakness

A

C/L anterior cerebral artery

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12
Q

stroke of which artery?

U/L face weakness, UE weakness, LE weakness

A

C/L middle cerebral artery

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13
Q

what test/finding is this describing?

when standing on R leg, L hip drops

when standing on L leg, hips stay level

A

Trendelenburg

R gluteus medius weakness - L4-S1 nerve roots

*when standing on affected leg, C/L (unaffected) hip drops*

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14
Q

how are digits on the hand numbered?

A
  1. thumb
  2. index
  3. middle
  4. ring
  5. pinky
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15
Q

diagnosis?

vault hold:

left 2nd digit - anterior and superior rotation

right 2nd digit - posterior and inferior rotation

A

left lateral strain

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16
Q

finger placement with vault hold

A

index finger= greater wing of sphenoid on pterion

middle finger= front of ear on temporal bone

ring finger= mastoid of temporal bone

pinky finger= occiput

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17
Q

C1 vs. C2-C6 motion

A

C1: Type I like - always in opposite directions

C2-6: Type II like - always in same direction, regardless of sagittal plan (neutral, flexion, extension)

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18
Q

when does significant interaction between sacrum and L5 occur?

A

only with sacral torsions

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19
Q

what happens to L5 with sacral torsion

A

sidebends toward axis

rotates opposite sacral rotation

NEUTRAL when sacrum flexed (R on R, or L on L) - Type I like

Flexed or Extended when sacrum extended (R on L, or L on R) - Type II like

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20
Q

asthma

COPD

mild CHF exacerbation

respiratory infections

these are indications for… ?

A

lymphatic drainage

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21
Q

coagulopathies

patients taking anticoagulation

indurated lymph node

fracture

severe CHF exacerbation

organ fragility

malignancy

necrotizing fasciitis

these are all contraindications for… ?

A

lymphatic drainage techniques

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22
Q

rules for correcting leg length discrepancy

A

when discrepancy > 5mm:

initial lift - 1/16 inch in elderly, 1/8 inch otherwise

double lift every 2 weeks until 1/2 inch

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23
Q

spinal stenosis, spondylosis, spondylolysis, or spondylolisthesis?

intervertebral disc herniation into spinal canal (compressing cord or nerve roots)

pain in back, butt, posterior thigh, worse with extension

pain is shooting and results in parasthesias

A

spinal stenosis

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24
Q

spinal stenosis, spondylosis, spondylolysis, or spondylolisthesis?

degenerative

not seen on XR

A

spondylosis

25
Q

spinal stenosis, spondylosis, spondylolysis, or spondylolisthesis?

oblique XR

no displacement

A

spondylolysis

fracture of pars interarticularis = collar of scotty dog

26
Q

spinal stenosis, spondylosis, spondylolysis, or spondylolisthesis?

A

spondylolisthesis

anterior displacement of L5 on S1

*aching pain*

27
Q

axis for sacral margin dysfunction

A

parasagittal/mid-vertical

28
Q

pt supine

hip and knee flexion, abduction, ER

pressure on knee (perpendicular to table)

A

patrick/FABER test for low back pain

29
Q

(+) patrick/FABER with

pain in posterior pelvis

vs.

inguinal region

vs.

lateral hip

A

pain in posterior pelvis = SI joint pathology (eg, sacroiliitis)

inguinal region = hip joint pathology (eg, hip osteoarthritis, avascular necrosis of femoral head)

lateral hip = trochanteric bursitis (ie, gluteus medius/minimus tendinopathy with bursae inflammation)

30
Q

compression of lateral femoral cutaneous nerve,

with paresthesias and dec sensation in upper outer thigh

A

meralgia paresthetica

31
Q

what is initial therapy for short leg syndrome?

and if this fails, what is next step?

A
  1. anterior innominate rotation dysfunction - muscle energy with hip flexion
  2. if leg discrepancy is not corrected by MET - XR of B/L hips
32
Q

how is scoliosis treated when Cobb angle < 15?

20-45?

> 50?

A

< 15 = mild - OMM

20-45 = moderate - OMM + orthotic bracing

> 50 = severe - risk of compromising resp and circ - surgery

33
Q

tender point: 2/3 distance between midline and ASIS

treatment position: supine, F hip, ER hip, lumbar sidebending

A

psoas major

34
Q

tender point: on the pubic ramus, 2 inches lateral to the pubic symphysis

treatment position: supine, F hip

muscle?

A

psoas minor

35
Q

diagnosis?

vault hold - L digits SPREAD, move CAUDAD; R digits NARROW, move CEPHALAD

A

left side bending rotation

36
Q

tender point: 1/3 distance between midline and ASIS

treatment position: supine, F hips, ER hips, cross C/L leg

muscle?

A

iliacus

37
Q

tender point: medial clavicular head (where SCM attaches)

treatment position?

A

AC8

supine, (F) SARA

38
Q

lungs viscerosomatics

A

T2-T7

39
Q

which test is this? when is it positive?

patient seated,

elbow/shoulder E,

arm ER,

shoulder ABD,

head rotated to affected side

A

ADSON’S - thoracic outlet syndrome

(+) test = parasthesias, weakness, reduced radial pulse, pallor, pain

40
Q

three places where thoracic outlet syndrome may occur

A

constriction of brachial plexus and subclavian vessels between:

  1. interscalene triangle - anterior scalene, middle scalene, first rib
  2. clavicle and first rib
  3. pec minor
41
Q

(+) sphinx test

A

more asymmetric with lumbar F/sacral E

sacrum prefers F

forward torsion

42
Q

(-) sphinx test

A

more symmetric with lumbar F/sacral E

sacrum prefers E

backward torsion

43
Q

(+) spring test

A

sacrum does NOT spring/does not like flexion

sacrum prefers extension

backward torsion

44
Q

(-) spring test

A

sacrum DOES spring/does like flexion

forward torsion

45
Q

C1 (atlanto-occipital) mechanics

A

type I-like — SB and R always opposite, regardless of N/F/E

46
Q

hand positioning for inferior vs superior AC joint

A

inferior AC = inferior spine of scapula — pronated hand

superior AC = superior spine of scapula — supinated hand

47
Q

muscle targeted when treating superior vs inferior SC joint?

A

superior SC = subclavius

inferior SC = SCM

48
Q

spencer mnemonic and motions @ SHOULDER

A

Every Fine Cat Takes An An Indoor Pee

extension

flexion

compression with circumduction

traction with circumduction

abduction

adduction with ER

IR

pump

49
Q

spencer @ HIP

A

Felines Eating Catnip Trip Into Everything Around Austin

flexion

extension

compression with circ

traction with circ

IR

ER

ABD

ADD

50
Q

navicular, cuneiforms, metatarsals 1-3, talus

which foot arch??

A

medial

51
Q

navicular, cuneiforms, cuboid

which foot arch??

A

transverse

52
Q

cuboid, metatarsals 4-5, calcaneus

which foot arch??

A

lateral

53
Q

levoscoliosis vs dextroscoliosis

A

LEVO: curve points L, opens R

DEXTRO: curve points R, opens L

54
Q

viscerosomatics for treating asthma exacerbation?

A

OA —- vagus n.

asthma= inc parasympathetic outflow

55
Q

1st ICS chapman

A

tonsils

56
Q

2nd ICS chapman

A

heart

57
Q

3rd ICS chapman

A

upper lung

58
Q

4th ICS chapman

A

lower lung

(1) Sara (4 decks)

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