OSM III Final Flashcards

1
Q

What does C5 Root innervate in the arm (motor, sensation, reflex)?

A

M: deltoids and biceps

S: lateral arm

R: bicep

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2
Q

What does C6 Root innervate in the arm (motor, sensation, reflex)?

A

M: wrist extension and elbow flexion

S: radial forearm and thumb/index fingers

R: brachioradialis

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3
Q

What does C7 Root innervate in the arm (motor, sensation, reflex)?

A

M: wrist flexion, elbow/finger extension

S: middle finger

R: triceps

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4
Q

What do the C8 and T1 Roots innervate in the arm (motor and sensation)?

A

C8: finger flexion; ulnar forearm and small finger sense

T1: finger abduction; medial arm sensation

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5
Q

What does the L1/L2 Root innervate in the leg (motor and sensation)?

A

M: hip flexion

S: inguinal crease (L1) and anterior thigh (L2)

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6
Q

What does the L2/L3 Root innervate in the leg (motor and sensation)?

A

M: knee extension

S: anterior thigh (L2) and anterior thigh above knee (L3)

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7
Q

What do the L4/L5/S1 Roots innervate in the leg (motor, sensation, reflex)?

A

L4:
M: ankle dorsiflexion
S: medial leg/foot
R: knee jerk (patellar)

L5:
M: extensor hallucis longus
S: lateral leg, dorsal foot

S1:
M: ankle plantarflexion
S: lateral and plantar foot
R: ankle jerk (Achilles)

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8
Q

What are the Viscerosomatic Levels for:

  1. Upper Extremity
  2. Lower Extremity
  3. Heart
  4. Lungs
A
  1. T2-T7
  2. T11-L2
  3. T1-T6
  4. T1-T7
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9
Q

What are the Viscerosomatic Levels for:

  1. head/neck, upper esophagus
  2. lower esophagus, stomach, duodenum, liver, gallbladder, pancreas, spleen
  3. small bowel, proximal 2/3rds of colon, kidneys, adrenals
  4. distal 1/3rd of colon, lower ureters, bladder, pelvic organs
  5. Liver specifically
A
  1. T1-T5
  2. T5-T9
  3. T10-T11
  4. T12-L2
  5. T7-T9
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10
Q

Normal ROM values for the Ankle

  1. Plantarflexion
  2. Dorsiflexion
  3. Ankle Inversion
  4. Ankle Eversion

Normal ROM values for Knee

  1. Flexion
  2. Extension
A

ANKLE ROM

  1. 55-65
  2. 15-20
  3. 20
  4. 10-20

KNEE ROM

  1. 145-150
  2. 0
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11
Q

Normal ROM for Hip

  1. Flexion (straight knee vs flexed knee)
  2. Extension
  3. Internal rotation
  4. External rotation
  5. ABduction
  6. ADduction
A
  1. Straight: 90 and Flexed: 120-135
  2. 15-30
  3. 30-40
  4. 40-60
  5. 45-50
  6. 20-30
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12
Q

Normal ROM for Wrist

  1. Flexion
  2. Extension
  3. ABduction (radial deviation)
  4. ADduction (ulnar deviation)
A
  1. 80-90
  2. 70
  3. 20-30
  4. 30-40
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13
Q

Normal ROM for Elbow

  1. Flexion
  2. Extension
  3. Pronation
  4. Supination
  5. Ulnohumeral ADduction/ABduction
A
  1. 140-150
  2. 0-(-5)
  3. 90
  4. 90
  5. 5
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14
Q

Normal ROM for Shoulder

  1. Flexion
  2. Extension
  3. Arm ABduction
  4. Arm Horizontal ADduction
  5. Arm Horizontal ABduction
  6. Arm External Rotation
  7. Arm Internal Rotation
A
  1. 180
  2. 60
  3. 180
  4. 40-50 (130-140)
  5. 130-145 (40-55)
  6. 90
  7. 90
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15
Q

Normal ROM for Lumbar/Thoracic Spine

  1. Flexion
  2. Extension
  3. Sidebending
  4. Rotation

Normal ROM for Cervical Spine

  1. Flexion
  2. Extension
  3. Sidebending
  4. Rotation
A

LUMBAR/THORACIC SPINE

  1. 40-90
  2. 20-45
  3. 15-30
  4. 3-18

CERVICAL SPINE

  1. 45-90
  2. 45-90
  3. 20-45
  4. 70-90
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16
Q

What is the specific Sympathetic and Parasympathetic innervation to the:

  1. Kidney
  2. Upper Ureter
  3. Lower Ureter
  4. Bladder
A
  1. S: T10-L1 and P: Vagus
  2. S: T10-L1 and P: Vagus
  3. S: L1-L2 and P: S2-S4
  4. S: T11-L2 and P: S2-S4
17
Q

What are the Anterior and Posterior Chapman’s Points for:

  1. Adrenals
  2. Kidney/Ureters
  3. Bladder
  4. Urethra
A
  1. adrenals
    • A: 2-2.5” above and 1” lateral to umbilicus
    • P: ITS btwn T11-T12
  2. kidneys/ureters
    • A: 1” above and 1” lateral to umbilicus
    • P: K (ITS btwn T12-L1)/U (ITS btwn L1-L2)
  3. bladder
    • A: periumbilical or umbilical
    • P: superior L2 TP
  4. urethra
    • A: inner edge of pubic ramus near symphysis
    • P: superior L2 TP
18
Q

What are the Anterior and Posterior Chapman’s Points for:

  1. Myocardium
  2. Bronchus
  3. Upper Lung
  4. Lower Lung
A
  1. myocardium
    • A: 2nd ICS sternal border
    • P: ITS btwn T2-T3
  2. bronchus
    • A: 2nd ICS sternal border
    • P: lateral to T2 spinous process
  3. upper lung
    • A: 3rd ICS sternal border
    • P: ITS btwn T2-T3 AND T3-T4
  4. lower lung:
    • A: 4th ICS sternal border
    • P: ITS btwn T4-T5
19
Q

What are the Anterior and Posterior Chapman’s Points for:

  1. Stomach Acidity
  2. Stomach Peristalsis
  3. Liver
  4. Gallbladder
A
  1. stomach ACIDITY
    • A: 5th ICS on LEFT
    • P: LEFT ITS btwn T5-T6
  2. stomach PERISTALSIS
    • A: 6th ICS on LEFT
    • P: LEFT ITS btwn T6-T7
  3. liver
    • A: 5th ICS on RIGHT
    • P: RIGHT ITS btwn T5-T6 AND T6-T7
  4. gallbladder
    • A: 6th ICS on RIGHT
    • P: RIGHT ITS btwn T5-T6 AND T6-T7
20
Q

What are the Anterior and Posterior Chapman’s Points for:

  1. Spleen
  2. Pancreas
A
  1. spleen
    • A: 7th ICS on LEFT
    • P: LEFT T7 Transverse Process
  2. pancreas
    • A: 7th ICS on RIGHT
    • P: RIGHT T7 Transverse Process
21
Q

What are the Anterior and Posterior Chapman’s Points for:

Small Intestine

Where is the Anterior and Posterior Appendix Chapman’s Point?

A

Anterior Points:
- 8th, 9th, and 10th ICS

Posterior Points:

  • Upper: ITS btwn T8-T9
  • Middle: ITS btwn T9-T10
  • Lower: ITS btwn T10-T11

Anterior Appendix: tip of the RIGHT 12th RIB
Posterior Appendix: RIGHT T11 TP