Qs Flashcards
An 86 year-old male comes to the office for a yearly physical. He is accompanied by his son who states he is concerned for his father’s health and ability to stay independent. As part of your exam you watch the patient get up from the clinic chair, walk toward the door 3 meters, turn around and sit on the exam table. You notice the patient has a waddling gait. This gait type is commonly associated with which condition?
A) Pain avoidance
B) Post-stroke
C) Foot drop
D) Pelvis weakness
E) Parkinson Disease
Waddling Gait => deconditioning and pelvic weakness
Gait associated with pain avoidance
antalgic gait
gait associated with foot drop
steppage gait
A 86 year-old male comes to the office for a yearly physical. His son accompanies him and verbalizes his concern for his father’s health and ability to stay independent. As part of this patient’s comprehensive medical care you list some goals for this patient. Which of the following is not a goal/ideal for the geriatric patient?
A) Promote institutionalization for continuous monitoring
B) Improve function by using gentle OMT techniques and Physical therapy
C) Take caution when prescribing drugs and reference the BEERS list
D) Limit OMT treatment doses due to decreased physiologic reserve
E) Modify OMT technique and avoid frequent position changes while treating
A
4) A 27 year old female comes into the office complaining of low back pain. HPI reveals that she had a kidney stone that passed without surgery 1 week ago. She has been trying to get back into her normal fitness routine, but she seems to be slightly short of breath and complaining of back pain. On physical exam, you notice hypertonicity in the lumbar region on the left. Which SD is most likely affecting this patient?
A. Posterior innominate rotation
B. Inferior shear
C. L3-5 N RlSr
D. Rib 12 Exhaled
E. PS 1 TP
D: Rib 12 exhaled
The irritation has caused tension and pain in the area of the quadratus lumborum muscle, which attaches to the 12th rib and L1-5. A tight quadratus lumborum muscle often results in an inferior pull of rib 12, leading to an exhalation SD of rib 12,
tight quadratus lumborum muscle often results in what?
- Inferior pull on rib 12 => rib 12 exhalation SD
- Superior pull on ilium => Anterior innominate rotation
- lumbar SB
A 22 year-old female at 29 weeks gestation presents to the office with complaints of lower extremity leg swelling. You decide to perform a lateral recumbent ischiorectal fossa release. To perform this technique your palpation landmarks are what?
A) Lateral to the ILA
B) Bilaterally on the coccyx
C) Medial to the PSIS
D) Lateral to the rectal ligament
E) Medial to the ischial tuberosity
E) Medial to the ischial tuberosity
Round ligament counterstain
similar to iliacus treatment
- Pt is supine:
- flex hips and knees,
- cross contralateral ankle over top and
- abduct knees
_____ tilt of the pelvis is a normal MSK change in pregnancy.
anterior
30 year-old pregnant female at 32 weeks gestation comes to the clinic complaining of low back pain. After looking on Google, she is concerned she has cancer and a broken back and will require surgery. Which of the following signs and symptoms would not warrant a surgical referral for further evaluation?
A) Increased pain with Valsalva
B) Bowel dysfunction
C) Failure to urinate
D) Abnormal reflexes
E) Low back trigger point
E. Low back trigger points are common in pregnancy
Posterior rib 1 TP
E SART
Extend
SB away
R towards
Chapman’s point: distal colon
L proximal IT band.
- Superior mesenteric ganglia
- Inferior mesenteric ganglia
- Celiac ganglia
Stimulating these would active sympathetic response in what areas?
- Proximal colon
- Distal colon
- UGI
Prostate gland viscerosomatic
T12-L2
Kidneys VS reflex
T10-11
