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Step 2 > OPP > Flashcards

OPP Flashcards

1
Q

Elbow flexed to 90, pronated

Resist pt ER and supination

A

Yergson - bicipital tendonitis

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2
Q

Arm ER, neck extended and rotate toward arm + deep breath and loss of radial pulse

A

Adson test - thoracic outlet/subclavian b/w scalenes

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3
Q

Well straight leg test

A

Raise and reproduce radicular sx on OPPOSITE side

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4
Q

Lasegue test

A

Straight leg test on SAME side as sx w/ flexion of foot BOTH reproducing radicular sx

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5
Q

Kidney, upper ureter - kidney stone autonomics

A

T10-11

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6
Q

Heart, lungs, head, neck autonomics

A

T1-4

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7
Q

Stomach, duodenum, spleen, liver, GB autonomics

A

T5-9

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8
Q

Uterus, cervix, bladder, prostate autonomics

A

L1-2

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9
Q

OPP technique for acute otitis media or sinusitis

A

Galbreath

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10
Q

Middle GI, ascending colon autonomics

A

T10-11

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11
Q

Tx asthma

A

seated thoracic pump, CV4, C-spine to normalize vagus
Also has rib 3-4 dysfxn

O2, albuterol, steroids

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12
Q

Tx position for posterior lumbar tenderpoint

A

Prone
Extension
Leg IR, adducted

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13
Q

1 anomaly of lumbar spine

A

Facet tropism

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14
Q

Subtalar joint fxn

A

IR & ER of leg w/ planted foot

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15
Q

Left cranial torsion

A

Sphenoid & occiput opposite @ AP axis

Left great wing superior

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16
Q

Lateral cranial strain pattern

A

Sphenoid & occiput @ vertical axes

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17
Q

Uterus autonomics and effect of dec sympathetic tone

A

T10-L2
Relax uterus & decrease pain in dysmenorrhea
Parasympathetics = dec uterine contractions and constricts cervix

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18
Q

GI autonomics for duodenum, pancreas, jejunum, ileum and proximal 2/3 of transverse colon

A

T10-11

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19
Q

GI autonomics for distal 1/3 of transverse colon to rectum +

lower ureters, bladder, testes, ovaries, prostate

A

T12-L2

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20
Q

Adrenal gland autonomics

A

T10

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21
Q

Sacral axis for ambulation and innomnate rotations

A

Inferior transverse

Weight bearing on L (step w/ right) = L axis

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22
Q

SD w/ vaginal delivery

A

B/L sacral flexion

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23
Q

Inc carrying angle, hand and wrist are ADDucted, olecranon prefers medial glide SD?

A

ABducted ulna

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24
Q

Long leg innominate dysfxn & tx

A

Posterior rotation
- tight hamstrings

Tx = engage hip flexors
- supine, drop leg off table and flex hip

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25
Q

Tx for L on L

A

Left lateral SIMS

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26
Q

Heart autonomics

A

T1-5

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27
Q

Dx and tx carpal tunnel

A

Dx - EMG

Tx - T2-8 dec sympathetics to extremity

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28
Q

L5 tenderpoint

A

1cm lateral to pubic symphysis

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29
Q

Tx Anterior L5 tenderpoint

A

Supine

Knees & hips flexed to 90 + SB, rotation away

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30
Q

Lumbar dysfxn w/ psoas syndrome

A

Flexed, S & R to SAME side

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31
Q

Lung autonomics

A

T2-7

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32
Q

Sympathetic tone effect on pulmonary secretions

A

THICKENS

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33
Q

Esophagus autonomics

A

T2-8

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34
Q

Chapman’s point for acidity

A

5th IC on left

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35
Q

Chapman’s point for lower lung

A

4th IC

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36
Q

Chapman’s point for liver

A

5th IC on right

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37
Q

Chapman’s point for liver & GB

A

6th IC on right

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38
Q

Chapman’s point for peristalsis

A

6th IC on left

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39
Q

Posture

Head posterior, anterior cervical, posterior thoracic, anterior pelvis tilt

A

Military

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40
Q

Posture

Head anterior, inc cervical lordosis, inc thoracic kyphosis, flat lumbar, posterior pelvic tilt, knee hyperextended

A

Swayback

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41
Q

Posture

Head anterior, lower thoracic to lumbar flat, hips and knees extended

A

Flat back

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42
Q

Tenderpoint 2cm lateral to medial clavicle & tx

A

SCM

- rotate away, SB toward

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43
Q

Where is springing present in R on L sacral torsion

A

Left ILA

- right sulcus is posterior = left ILA has freedom to move anterior (spring)

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44
Q

1 lateral epicondylitis muscle involved

A

extensor carpi radialis BREVIS

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45
Q

Landmarks to measure leg length discrepancy

A

ASIS to medial malleolus

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46
Q

Findings in anatomic short leg

A

lower sacral base
anterior innominate
lumbar type 1 - SaRt

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47
Q

Heel lift protocol

A 
Old = 1.5mm (1/16)
Young = 3.2mm (1/8)

Every 2 weeks inc
Acute = work up to full discrepancy
Chronic = 1/2 -3/4 of discrepancy

Max heel lift = 10-12 mm (5mm
Surgical if >5CM*

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48
Q

Severe burning pain at LB injury, spasm, joint stiffness, dec ROM, rapid hair and nail growth, livedo reticularis

A

CRPS type 1

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49
Q

Nerve injury, muscle atrophy, edema

A

CRPS type 2

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50
Q

Sphenoid higher on left, occiput rotated right

A

LEFT torsion

  • 1 AP axis
  • rotate opposite

> wing counterclockwise = R

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51
Q

Sphenoid deviated right in relation to occiput

A

RIGHT lateral strain

  • 2 vertical axes = center sphenoid & foramen magnum
  • common in newborns
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52
Q

Sphenoid superior in relation to occiput, struck under chin

? index and 5th fingers move inferiorly

A

Superior vertical strain

  • 2 transverse axes, same
  • named for base of sphenoid direction (opposite of wing direction)

Inferior shear = struck on top of head

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53
Q

Extension of sphenoid, occiput, ethmoid, vomer (midline) causes paired bones, LE, frontal bone to?

A

IR
Sacrum - nutation
Inc AP diameter
Bregma ascends

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54
Q

Physiologic strain patterns

A

Torsion
Sidebending & rotation
Flexion & Extension

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55
Q

Sphenoid & occiput rotate in same direction, full hand on right

A

Sidebending & rotation to the right (fuller hand)

  • 1 AP axis, same
  • 2 vertical axes, opposite (SB)
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56
Q

Common compensatory pattern

A

OA - L
cervicothoracic - R
thoracolumbar - L
lumbosacral - R

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57
Q

Cause of jaw deviation in TMJ dysfxn

A

LATERAL pterygoid - only muscle that lowers jaw

58
Q

Best methods for acute injuries

A

Indirect

- BLT, CS, myofascial

59
Q

Lung autonomics

60
Q

Chapman’s point for bladder

A

Periumbilical

61
Q

Chapman’s point for the appendix

A

Tip of 12th rib

Posterior - R TP T11

62
Q

Posterior Chapman’s point for the kidneys

A

B/w SP & TP of T12-L1

63
Q

Best techniques for elderly or hospitalized pts

A

indirect
gentle direct - rib raising
?articulatory

64
Q

Role of uncovertebral joints

A

Sidebending

Protect nerve roots from herniation

65
Q

Posterior cord branches of brachial plexus

A

axillary

radial

66
Q

Medial cord branches of brachial plexus

A

Median

Ulnar

67
Q

CI to cranial

A

Inc IC pressure

TBI

68
Q

Finger positions in vault hold

  1. index
  2. middle
  3. ring
  4. little
A
  1. greater wing of sphenoid
  2. zygomatic of temporal
  3. mastoid of temporal
  4. squamous of occiput
69
Q

Sympathetic stimulation effects on bladder

A

Constricts trigone/sphincter + relaxes detrusor –> retention

70
Q

Order of treating lymphatics

A

Thoracic inlet or other diaphragms —> rib raising —> lymphatic pumps

71
Q

Right sulcus deep
Left ILA posterior and resists springing
Left sulcus resists springing

A

Left sacral margin posterior

72
Q

SD findings w/ disc herniation

A

Lumbar SB dysfxn

asymmetry w/ hip drop testing

73
Q

Lymphatic technique CI in recent abd surgery

A

Pedal pump - moves abd content into diaphragm

74
Q

Ely’s test

A

Prone heel to butt to test rectis femoris

75
Q

Muscle to tx ribs 3-5 dysfxn

A

Pectoralis minor

76
Q

Tx anterior rib tenderpoints

A

St Rt
slight flexion
Tx 120s

77
Q

Psoas syndrome

  1. Key lesion
  2. Cause of pain to CL knee
A
  1. L1 or L2 non-neutral SD

2. CL piriformis spasm

78
Q

Tx Anterior L1 tenderpoint

A

Supine

Hips & knees flexed + SB toward

79
Q

Cause of patello-femoral syndrome

A

Q angle >17 degrees –> genu valgus/knock-kneed

80
Q

Chapman’s point for the tonsils

81
Q

Chapman’s point for the thyroid, myocardium, esophagus, bronchi

A

2IC

T2-3 posteriorly

82
Q

Chapman’s point for ovaries and urethra

A

Superior pubic rami 2cm lateral to symphysis

L2 TP posterior

83
Q

True ribs

84
Q

Hamstrings innervation

A

Short head of biceps femoris = common fibular branch of sciatic (L5-S2)
Others = tibial branch of sciatic (L5-S3)

85
Q

Chapman’s point for the prostate

A

Posterior margin of IT band

Lateral sacral base posteriorly

86
Q

Champan’s point for the kidneys anterior & posterior

A

Anterior - 1” lateral & 1” superior to umbilicus

Posterior - SP & TP of T12-L1

87
Q

Champan’s point for adrenal gland anterior & posterior

A

Anterior - 1” lateral & 2” superior to umbilicus

Posterior - SP & TP T11-12

88
Q

Physician passively and progressively hyperabducts and ER pt’s arm –> extremity tingling or dec radial pulse

A

Wright’s test - thoracic outlet

89
Q

Shoulder flexed forward & elevated to 90 –> forced IR –> pain

A

Hawkin’s test - rotator cuff or subacromial impingement

90
Q

Another name for empty can test

A

Job’s test

91
Q

Thompson test

A

Achilles rupture = squeeze gastroc –> plantarflexion

92
Q

McMurray test

A

Meniscal tears

93
Q

Talar tilt test

A

Assess medial and lateral ankle tendons w/ IR & ER

94
Q

Pterion cranial bones

A

Sphenoid, frontal, temporal, parietal

95
Q

Axis for postural motion

- person bend forward sacral base moves anterior –> sacrotuberous ligament –> extension

A

Middle transverse

96
Q

Axis for respiration and craniosacral movement

A

Superior transverse (S2)

Dura attached to posterior superior S2

97
Q

Foramen ovale bone and nerve

A

Sphenoid

V3

98
Q

Bones forming occipito-mastoid suture

A

Occiput

Temporal –> jugular foramen

99
Q

Tx for dysmenorrhea

A

Sacral inhibition –> NSAIDs

100
Q

Indirect method for tx L on L sacral dysfxn

A

Exaggerate existing dysfxn - anterior force to anterior R sacral base/sulci

101
Q

Normal CRI

Things that dec CRI

A

10-14/min

Stress, depression, fatigue, chronic infection

102
Q

CV4 encourages which phase

103
Q

Tx tenderpoint for iliacus

A

Medial ASIS
Supine
Hips & knees flexed + ER (knees open)

104
Q

Autonomics & plexus involved in urination, relaxing uterine fundus, constricting cervix

A

Pelvis splanchnic (S2-4) & hypogastric plexus

105
Q

Chapman’s point for tongue, larynx

106
Q

Chapman’s point for ear

A

Clavicles ~1st rib

107
Q

Chapman’s point for eye

A

Lateral humerus

108
Q

Chapman’s point for sinuses

109
Q

Chapman’s point for upper lung & upper limb

110
Q

Chapman’s point for pancreas

111
Q

Chapman’s point for spleen

112
Q

Chapman’s point for uterus

A

L5 medial to PSIS

113
Q

Chapman’s point for cerebellum

114
Q

Trigger points vs. Tenderpoint

A 
Trigger= radiation/referred pain
Tx = spray & stretch w/ vapocoolant, local anesthetic or dry needling
115
Q

Tenderpoints for L2-4

A

AIIS L2 medial –> counterclockwise

116
Q

Tenderpoints for C4-8 & thoracics & lumbar posteriorly

A

Same SP or TP

117
Q

Tx elevated rib/inhalation dysfxn tenderpoints

A

POSTERIOR rib angle for 120s

F SaRa

118
Q

Tx tenderpoint lumbar anteriorly

A

Supine

Knees & hips flexed + Ra

119
Q

Tx tenderpoint piriformis

A

Prone
Hip & knees flexed
Thigh Abducted & ER

120
Q

Tx tenderpoint L5/lower pole

A

Prone
Flexed
Adducted & IR

121
Q

Creator of FPR & tx order

A

Schiowitz

Neutral –> compression –> ease –> neutral

122
Q

Creator of Still & tx order

A

Van Buskirk

Ease –> compression –> restriction –> RELEASE –> neutral

123
Q

Order for shoulder Spencer technique

A

“Eat fried crispy chicken and add in dessert”

Extention –> flexion –> circumduction w/ compression –> traction –> abduction –> ADDuction w/ ER –> IR –> distraction

124
Q

Order of hip Spencer technique

A

Flex –> extend –> circumduction w/ compression (hip flexed) –> traction –> IR –> ER –> Abduction –> adduction

125
Q

Rib tx

  1. Exhalation
  2. Posterior rib tenderpoint
A
  1. Kirksville under rib angle or serratus anterior

2. SaRa

126
Q

Stance phase innominate rotation

A

Anterior rotation around INFERIOR axis of sacrum

127
Q

High riding humeral head

A

Complete rotator cuff tear

128
Q

Scoliosis sidebent R

A

Levoscoliosis

  • idiopathic
  • opposite psoas syndrome

Tx = Cobb 5-150 w/ PT, Konstancin, OMT

129
Q

Peri-umbilical LN cause

A

Gastric adenocarcinoma

130
Q

Limited abduction and adduction of 5th digit with hypothenar atrophy

A

Guyon’s canal entrapment

131
Q

Inability to flex 45h & 5th DIPs + Limited abduction and adduction of 5th digit with hypothenar atrophy

A

Cubital tunnel syndrome = elbow

132
Q

Watson’s test

A

Push scaphoid A-P with wrist in ulnar or radial deviation

Subluxation = carpal ligament injury

133
Q

Spurling’s test

A

Cervical radiculopathy

Extend + SB + compression of C-spine

134
Q

Dural attachments

A

Foramen magnum, OA, AA, C3 & posterior S2

135
Q

Forearm pronation nerve

136
Q

Chapman’s point for myocardium/MI

A

2nd IC near sternum

137
Q

Keinbock disease

A

AVN of lunate - pain over dorsum of wrist w/ limited F/E

138
Q

Panner disease

A

Osteochondritis of capitellum in 7-12 y/o d/t overuse throwing or lifting weights

139
Q

Scoliotic curves that indicate bracing

A

20-45

Surgery >50 (rep compromise)
Cardiac >75

140
Q

Anterior wedging/curvature of thoracic vertebrae of >5 degrees, Schmorl’s nodes, does not correct w/ positional changes

A

Scheuermann kyphosis

  • bracing b4 skeletal maturity
  • OMT & PT if in 20s or older
  • surgery if >40 degrees
141
Q

Tx for scoliosis

1. 40

A
  1. Observation & re-exam in 6mo
  2. Bracing & repeat x-rays in 6mo
  3. Surgery - remember to do lung function testing

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