OPP III Exam I CIS fellows

Question 1

Alcoholism 
bibasilar rales
fatigue SOB
hepatomegaly 
JVD 
bilateral LE pitting edema

Answer 1

CHF

Question 2

treating a dysfunction at T10 in a patient with CHF will do what….

Answer 2

reduce sympathetic tone to the kidney

this is the viscerosomatic level of the kidney

Question 3

what treatment is absolutely contraindicated in patient with compression fracture?

Answer 3

HVLA

Question 4

S4 on exam?

Answer 4

think of acute or old MI until proven otherwise

Question 5

S3 on exam?

Answer 5

heart failure until proven otherwise

Question 6

why is HVLA contraindicated in MI?

Answer 6

may increase sympathetic tone to the heart

may result in vasoconstriction of coronary arteries

Question 7

by what mechanism will treating thoracic SD in MI reduce blood pressure

Answer 7

decrease HR

decrease workload of the heart

Question 8

patient with high blood pressure and thoracic SD…. what should you do?

Answer 8

treat the associated dysfunction with OMM and monitor BP

Question 9

Counterstrain

Answer 9

indirect technique with passive forces only

Question 10

active
vs
passive motion

Answer 10

active- pt moving themselves duh

passive- doc moving the patient

Question 11

typically with viscerosomatic segments what type of dysfunctions will you find?

Answer 11

type II (Flexed or extended)

type I is most often related to postural decompensations –> short leg

you can see viscerosomatic dysfunction on both sides

Question 12

when a spinal segment has SD (example T6 ERLSL) it is restricted in motion in relation to what?

Answer 12

to the vertebral segment BELOW

so T6 ERLSL —> is restricted in rotation and sidebending to the right in relation to T7

Question 13

GU infection and low back pain would have what SD?

parasympathetically mediated SD?

sympathetically mediated SD?

Answer 13

parasympathetic–> Left on left sacral torsion OR OA origin

Sympathetic–> type II between T10-L2

Question 14

OA is often related to what type of SD

Answer 14

parasympathetics

??

Question 15

Pregnant patient with piriformis tender point. how do you set them up

Answer 15

patient supine

flex 135
abduct
externally rotate right hip

Question 16

what are the 4 tenets??

Answer 16

what are they

Question 17

what urinalysis findings are most specific for cystitis

Answer 17

leukocyte esterase

acute uncomplicated

Question 18

a functional scoliosis is characterized by what…

Answer 18

a rib hump on forward bending that resolves when upright

Question 19

seated flexion test –> indicates SD of which axis and body region

Answer 19

sacroiliac, sacrum

when seated, the ilium is stable

Question 20

do L5 rules apply to sacral shears?

Answer 20

NO !!

Question 21

with R on R or L on L what is going to happen with L5

Answer 21

It is going to be Type I Neutral

Question 22

with R on L or L on R what is happening with L5?

Answer 22

Type II dysfunction

Question 23

acute MI patient would have a ganglioform nodule (Chapman’s point) in which location?

Answer 23

b/w transverse process of T2 and T3 posterior !!!

Question 24

CP b/w transverse process of L2 and L3 posterior

Answer 24

urethra

Question 25

CP 1 inch superior and 1 inch lateral to the umbilicus

Answer 25

kidney

viscerosomatic reflex at T10

Question 26

T8 viscerosomatic point

Answer 26

small intestine

Question 27

L1 viscerosomatic point

Answer 27

distal ureter

Question 28

Still technique?

Answer 28

greatest ease
compression
into barrier