OS Final

Question 1

What is a normal Q angle? Which sex has a larger average Q angle?

Answer 1

Normal Q- 15 degrees

Females have larger Q angle due to wide hips

Question 2

What are 3 Q angle dysfunctions?

Answer 2

Genu valgus- knock needed
Genu varus- bow legged
Genu recurvatum- hyperextended knees

Question 3

What are the normal carrying angles for males and females?

Answer 3

Male- 5 degrees

Female- 10-15 degrees

Question 4

Are SD in the major or minor gliding motions?

Answer 4

SD are in the minor gliding motions

Question 5

Is ulnohumeral or radioulnar SD primary? Which is secondary?

Answer 5

Primary- ulnohumeral

Secondary- radioulnar

Question 6

What stress test is ulnar abduction coupled with?

Answer 6

Valgus stress test

Question 7

Which stress test is ulnar adduction coupled with?

Answer 7

Varus stress test

Question 8

What wrist motion is ulnar abduction coupled with?

Answer 8

Ulnar abduction coupled with wrist adduction

Question 9

What wrist motion is ulnar adduction coupled with?

Answer 9

Ulnar adduction- wrist abduction

Question 10

What is ant radial glide coupled with?

What is post radial glide coupled with?

Answer 10

Ant radial glide- supination

Post radial glide- pronation

Question 11

What is wrist flexion coupled with?

Answer 11

Wrist flexion- dorsal carpal glide

Question 12

What is wrist extension coupled with?

Answer 12

Wrist extension- ventral carpal glide

Question 13

What is wrist adduction coupled with?

Answer 13

Wrist adduction- ulnar deviation

Question 14

What is wrist abduction coupled with?

Answer 14

Wrist abduction- radial deviation

Question 15

What landmarks are T3 and T7 assoc with?

Answer 15

T3- spine of scapula

T7- inferior angle of scapula

Question 16

What are the rule of 3s for T spine?

Answer 16

T1-T3, 12 SP in same plane as TP
T4-T6, 11 SP half segment down
T7-T9, 10 SP full segment down

Question 17

What is type 1 spinal mechanics?

Answer 17

TONGO

Type 1, neutral position, group, S and R opposite

Question 18

What is type 2 spinal mechanics?

Answer 18

Single segment, non neutral, S and R is same direction

Question 19

Do scalenes elevate or depress ribs? What scalenes move what ribs?

Answer 19

Scalenes elevate
I woke up at 1AM 2P
Rib 1- ant and middle
Rib 2- post

Question 20

What ribs do what rib motions?

Answer 20

Rib 1- 50:50 Pump to Bucket
Rib 2- 90:10 P to B
Rib 3- 80:20 P to B
...
Rib 7- 40:60 P to B
...
Rib 11 and 12- caliper

Question 21

What muscle influences caliper rib motion restriction?

Answer 21

Quadratus lumborum

Question 22

What is the pneumonic for rib dysfunctions?

Answer 22

BITE
Bottom rib is key rib for inhalation SD
Top rib is key rib for exhalation SD

Question 23

What nerve root does bicep reflex test?
What nerve root does brachioradialis reflex test?
What nerve root does triceps reflex test?

Answer 23

Biceps- C5
Brachioradialis- C6
Triceps- C7

Question 24

Explain how to perform spurlings test?

Answer 24

Compress head in neutral
Compress head in extension
SB head away from affected side then toward affected side and compress

Question 25

What are OA motions?
What are AA motions?
What are typical C spine motions?

Answer 25

OA- mod type 1- (OA F/E S and R opposite)
AA- rotation only- have head in flexion to lock AA joint
C2-C7- mod type 2- (can be group F/E S and R same direction)

Question 26

What is the landmark for L4?

Where are SP of lumbar spine in relation to TP?

Answer 26

L4- superior iliac crest

SP are in same plane as corresponding TP

Question 27

What nerve does patellar reflex test?

What nerve does achilles reflex test?

Answer 27

Patellar reflex- L4

Achilles reflex- S1

Question 28

What nerve does ankle dorsiflexion test?
What nerve does big toe dorsiflexion test?
What nerve does ankle plantar flexion test?

Answer 28

Ankle dorsiflex- L4/L5
Big toe dorsiflex- L5
Ankle plantar flex- S1

Question 29

Explain Hip Drop Test

Answer 29

Have patient standing with both feet and ground with one knee bent so weight is displaced to straight leg
Measure angle of drop of iliac crest
Of angle is <15º then its (+) on that hip
Ex. R iliac crest drops 10º then (+) test on R hip which means you are restricted on SL and thus are SR

Question 30

Explain Straight leg raise test/Lasegue Test

Answer 30

Tests sciatic nerve root
Have patient supine with knee extended, medially rotated, and adducted then have them flex leg until pain begins
Pain <30º- disc problem or oppo leg problem
Pain 30-70º- nerve root irritation
Pain >70º- low back pain secondary to muscle strain or joint problem

Question 31

What is the definition of OM research according to AOA?

Answer 31

Investigator has to state relevance of proposed project to osteopathic philosophy and principles, theory, mechanisms or practice

Question 32

What did Dr Burns research?

Answer 32

Induced spinal lesions to look at visceral effects

S-V reflexes

Question 33

What did Dr Denslow research?

Answer 33

Studied muscle and reflexes and autonomic changes with SD- osteopathic lesions
Proponent of standard terminology

Question 34

What did Dr Korr research?

Answer 34

2nd great osteopathic researcher
Added physiology to AT Stills anatomy
Sympatheticotonio- overstimulation of symp tone
Measured electrical skin resistance and changes with ANS

Question 35

What did Dr Johnston research?

Answer 35

Reliability- dr should find same results
Validity
V-S reflexes

Question 36

DO vs MD
Spanish flu results
LA County results
NEJM 1999 low back pain results

Answer 36

Spanish flu- dec mortality from pneumonia
LA county- reduced LOS and mortality
Backpain- dec PT, NSAID use, and muscle relaxer use

Question 37

5 trials of OM research
Pancreas?
Ankle sprain?
Pneumonia?
Otitis media?
Spleen pump?

Answer 37

Pancreas- reduced LOS
Ankle sprain- reduced edema/pain and inc ROM
Pneumonia- reduced LOS and antibiotic use
OM- reduced episodes of AOM and number of procedures
Spleen- increase immune cell count