Osteopathic Ambulatory Screening Exam-13

Question 1

How many steps are in osteopathic screening exam?

Answer 1

12

Question 2

Purpose of the exam?

Answer 2

Assess patient for evidence of somatic dysfunction.

Finding may yield more specific tests

Question 3

Step 1?

Answer 3

State purpose of test

Question 4

Step 2?

Answer 4

Evaluate Gait

Question 5

Step 3?

Answer 5

Postural assessment

Question 6

Planes of posture?

Answer 6

Transverse, A/P (coronal) and lateral (saggital) views.

Question 7

Step 4?

Answer 7

Palpate tenderness over iliolumbar ligament.

Question 8

First tender point associated with a postural decompensation pattern.?

Answer 8

iliolumbar ligament!!

Question 9

Step 5?

Answer 9

Have patient participate in Active/Passive ranges of motion

Question 10

Step 6?

Answer 10

Student has patient bend forward. Looks for asymmetry

Question 11

Step 7?

Answer 11

Student performs standing and seated flexion tests

Question 12

Step 8?

Answer 12

Active gross spinal motion testing for

1. flexion-
2. extension-
3. rotation-
4. Sidebending-

Question 13

Step 9?

Answer 13

Acromion Drop Test

Question 14

Acromion drop test divides area and neck into 3rds and inferior force induced:
Lat 1/3

Answer 14

Checks side bending and restriction of lower thoracics

Question 15

Acromion drop test divides area and neck into 3rds and inferior force induced:
Mid 1/3

Answer 15

Checks side bending and mid thoracics

Question 16

Acromion drop test divides area and neck into 3rds and inferior force induced:
Medial 1/3

Answer 16

Checks side bending and restriction of upper thoracics.

Question 17

Step 10?

Answer 17

Hip drop test

-Screens for lumbar side bending restrictions

Question 18

Step 11?

Answer 18

Pelvic side-shift test

Question 19

What does the Pelvic side-shift test do?

Answer 19

Assesses fascial connection btw lumbo-pelvic-hip complex.

Question 20

Pelvic side-shift test position?

Answer 20

Usually standing

Question 21

Step 12?

Answer 21

Evaluate superior/elevated 1st rib angle tenderness and respiratory motion

Question 22

Step 13?

Answer 22

Straight leg test performed.

Question 23

What does straight leg test screen for?

Answer 23

1. Lumbar radiculopathies
2. Hip Flexion Restriction
3. IT band tension
4. Tightness of hamstrings.