Osteopathic assessment

Question 1

Popliteal fascia release

Answer 1

patient supine with leg relaxed, place fingertips superior to popliteal fossa, provide anterior and inferolateral force

Question 2

Purpose of five osteopathic models

Answer 2

organized focus for physicians–physiological functions require special attention, allows construction of an organized approach to the patient

Question 3

Five models of osteopathic medicine

Answer 3

biomechanical, resp-circulatory, metabolic-energy, neurological, behavioral

Question 4

Biomechanical model in health

Answer 4

posture and motion throughout MSK

Question 5

Biomechanical model in disease

Answer 5

somatic dysfunction, inefficient posture, joint restrictions

Question 6

Biomechanical model in patient care

Answer 6

alleviate somatic dysfunction

Question 7

Respiratory-Circulatory model in health

Answer 7

efficient and effective arterial supply and venous and lymphatic drainage

Question 8

Respiratory-circulatory model in disease

Answer 8

vascular compromise, edema, tissue congestion

Question 9

Respiratory-circulatory model in patient care

Answer 9

remove mechanical impediments to respiration and circulation, relieve congestion and edema

Question 10

Neurological model in health

Answer 10

efficient and effective sensory processing, neural integration and control, autonomic balance

Question 11

Neurological model in disease

Answer 11

abnormal sensation, imbalance of functions

Question 12

Neurological model in patient care

Answer 12

restore normal sensation and alleviate pain

Question 13

Metabolic-energy model in health

Answer 13

efficient and effective metabolic processes, energy expenditure and exchange

Question 14

Metabolic-energy model in disease

Answer 14

energy loss, fatigue, ineffective metabolic processes, inflammation, poor nutrition, etc.

Question 15

Metabolic-energy model in patient care

Answer 15

restore efficient metabolic processes and bioenergetics, alleviate inflammation

Question 16

Behavioral model in health

Answer 16

efficient and effective mental, emotional fxs, healthy lifestyle choices

Question 17

Behavioral model in disease

Answer 17

ineffective fx due to drug abuse, environmental exposure or trauma

Question 18

Behavioral model in patient care

Answer 18

assess and treat whole person, individualized care and self-responsibility for healthy lifestyle choices

Question 19

True visceral pain

Answer 19

poorly localized, irritation/stretch/spasm, vague cramping

Question 20

True Somatic pain

Answer 20

well localized, asymmetric, sharp

Question 21

Phrenic pain

Answer 21

hemidiaphragm or liver capsule stimulated

Question 22

Viscerosomatic pain

Answer 22

visceral disturbances can cause activation of somatic muscle activity

Question 23

Sympathetic component of GI system

Answer 23

thoracic splanchnic n. and lumbar splanchnic n.

Question 24

Parasympathetic component of GI system

Answer 24

vagus and pelvic splanchnic n.

Question 25

Celiac ganglion innervates…

Answer 25

distal esophagus, stomach, proximal duodenum, liver, spleen

Question 26

Superior mesenteric innervates…

Answer 26

distal duodenum, pancreas, jejunum, ascending colon, proximal 2/3 transverse colon

Question 27

Inferior mesenteric ganglion innervates…

Answer 27

distal 1/3 transverse colon, descending colon, sigmoid and rectum

Question 28

R vagus n. innervates…

Answer 28

lesser curvature of stomach, liver/gallbladder, small bowel

Question 29

L vagus n. innervates…

Answer 29

greater curvature of stomach, ends at duodenum

Question 30

Metabolic disturbances

Answer 30

hyperthyroidism, hypothyroidism, electrolyte imbalance

Question 31

Behavioral model disturbances

Answer 31

anxiety/depression, drug abuse, inadequate dietary fiber and water, laxative and alcohol abuse