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OPP III: Test 1 > Random Things > Flashcards

Random Things Flashcards

1
Q

10 step screening?

A
  1. gait analysis/postural assessment
  2. lower extremity mobility, squat test
  3. sidebending
  4. standing flexion test/scoliosis screen
  5. seated flexion test
  6. spine mobility test
  7. upper extremity mobility test
  8. rib cage mobility test
  9. LE mobility test - hamstrings and fabere
  10. supine pelvic and LE symmetry tests
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2
Q

brief screening exam

A
  1. Posture: assess major landmarks (shoulder heights, iliac crest heights, popliteal creases, arches, thoracic kyphosis, lumbar lordosis, etc.)
  2. Scan for TART changes in the cervical, thoracic, and lumbar spine. If TART changes are present, use segmental motion testing to check for vertebral somatic dysfunction
  3. Standing flexion test. If positive, check pelvic landmarks (ASIS, PSIS, pubic symphysis) for pelvic somatic dysfunction
  4. Seated flexion test. If positive, check sacral landmarks (sacral sulci, ILAs, may confirm laterality with backward bending test and pelvic rock) for sacral somatic dysfunction.
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3
Q

sinus tachycardia?

A

sympathetic right sided fibers pass deep to right cardiac plexus to go to SA node: Right T1-5

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4
Q

Ventricular tachycardia? Ventricular fibrillation?

A

left sided cardiac plexus fiber of T1-5 (innervates the AV node)

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5
Q

Look at different techniques and contraindications

A

do it now! slide 17 on review

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6
Q

anterior wall MI dysfunction?

A

T 2-3 on left

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7
Q

inferior wall MI?

A

C2 and cranial base (vagus)

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8
Q

transposition of Great arteries?

A

most common finding is severe cyanosis (not affected by crying)

tachypnea w/ resp rates that are greater than 60 bpm

murmurs are not prominent unless a VSD or left ventricular outflow obstruction is present

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9
Q

innocent murmurs?

A

sensitive (changes with position/respiration)
Short duration (not holosystolic)
Single (no associated chicks or gallops)
Small (murmur limited to a small area and nonradiating)
Soft (low amplitude)
Sweet (not harsh sounding)
Systolic (occurs during and is limited to systole)

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10
Q

articulatory technique

A

(LVHA)

  • patient relaxed, physician uses body weight and leverage to apply force to tx area, engage restrictive barrier, gentle firm pressure against restrictive barrier to carry the body past the point
  • maintenance of this position for 1-2 seconds
  • reengagement of new restrictive barrier

useful for SD’s in joints, periarticular tissues

CIs: fracture, dislocation, neurologic entrapment syndrome, serious vascular compromise, local infection

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11
Q

BLT- balanced ligamentous tension

A
  1. disengagement/decompression of area until motion felt
  2. exagerration of dysfunctional pattern
  3. balancing of ligaments in a position of equal tension among joints until release of the CRI is palpated

indications: contracted musculature, release tehered structures, restore symmetry, strained ligaments

absolute CIs: loack of pt. consent, absence of dysf.

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12
Q

crimping

A

configuriation of fibers that make up a ligmanet and allow it to wrok as a spring, checking and balancing pressure applied to joint

seen in BLT

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13
Q

absolute CI’s of CS?

A

absence of SD
lack of consent

relative: vertebral artery disease, osteoporosis, pathologic limitations

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14
Q

FPR - facilitated positional release

A
  • anatomical neutrality in dysfunctiona tissue (freedom of motion) then apply compressive/torsional activating force for 5-15 seconds, then moved against dysfunction to position of ease
    indications: good for mm. hypertonicicty and restricted ROM

absolute CI’s: no SD, hip prosthetic, shoulder path, acute/chronic dislocation, recent/acute trauma

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15
Q

HVLA

A

don’t thrust if it is uncomfortable, neuro sx, rubbery feel

indications: SD’s with firm, distinct barriers

absolute CI’s: pt. consent, no SD, rheumatoid arthritis

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16
Q

lymphatic technique

A

Remove impediments to lymphatic flow starting centrally and moving peripherally, THEN move distal to proximal

absolute CIS: no SD, no consent, aneuresis if not on dialysis, necrotizing fasciitis

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17
Q

steps of BLT?

A

disengage, exaggerate, balance

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18
Q

AT still’s birth?

A

8/6/1828

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19
Q

unfurling of banner

A

6/22/1874

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20
Q

kirksville

A

1892

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21
Q

absolute CI’s of MFR?

A

no SD, no consent, acute fractures, open wounds, dermatitis, acute thermal injury

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22
Q

stretching/traction

A

pulling or pressing tissues along longitudinal axis

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23
Q

pressing tissues along latitudinal axis: perpendeicular to bely of mm.

A

kneading

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24
Q

inhibition

A

forces applied superficial to deep

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25
Q

effleurage

A

superficial lymph tech: light stroking from distal to proximal

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26
Q

petrissage

A

skin rolling/squeezing

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27
Q

tapotement

A

repetitive striking of mm. belly

28
Q

Still technique

A
  1. placing dysf. tissues in position of ease
  2. applying force vector through tissues
  3. while maintaining force, move through restrictive barrier

absolute CI’s: hip prosthetic, shoulder injury, acute/chronic joint dislocation, recent trauma, fracture, recent wound

29
Q

C-spine rules

A

oa: SB’s and rotates to opposite sides
aa: only significant motion for dysfunction is rotation
typical: SB and rotate to same side

30
Q

rib landmarks?

A

second rib = articulates with angle of Louis
rib 6 = level of inferior border of sternum
rib 12 = superior from illiac crest

31
Q

upper ribs (ribs 1-5)

A

pump handle - motion in sagital anterior plane

more transverse angulation of rib head and tubercle

32
Q

lower ribs

A

ribs 6-10:
rib head and tubercle angulation is more anterioposterior
motion in coronal plane = “bucket handle” motion

33
Q

floating ribs

A

ribs 11-12 = caliper motion

34
Q

osteopathic findings in child with urinary complaints?

A

structural: type 2 dysfunction, paraspinal hypertonicity: T10-L2; sacral dysfunctions

chapman’s points

sympathetic: bladder T10-L2, Kidneys T10-11, Ureters: T10-L1

PS: sacrum, sacroiliac joints

35
Q

hear S3?

A

suspect heart failure

36
Q

hear S4?

A

suspect MI, ventricular noncompliance

37
Q

upper thoracic dysfunction? and MI?

A

first order EKG and troponin levels
- don’t treat the dysfunction, b/c could increase the sympathetic tone

  • if you were to treat it however, then it would balance the autonomics: with MI you see increased heart rate and increased SV, by treating this you can decrease HR and SV
38
Q

what to start first for HTN?

A

ACEI, ARB, CCB

39
Q

exercise is important in CHF fn why?

A

increases ANS fn, regional blood flow, endothelial function, skeletal mm. function, quality of life

  • exercise training can improve exercise duration as much as pharm agents
40
Q

HVLA

A

patient isn’t actively doing anything, its a direct technique with passive forces (patient isn’t doing anything actively)

41
Q

MFR

A

direct or indirect/ active or passive

42
Q

always reference motion of vertebrae on which neighboring vertebrae?

A

always reference of T6 on T7: it is referenced to the vertebrae below (vertebral units are named for their superior vertebra)

motion is the superior segment on the inferior segment

43
Q

what can be related to GU infection and low back pain?

A

Type 1 = not related to viscerosomatics

*** Sacral dysfunction = PS mediated visceral-somatic reflex

44
Q

piriformis TP

A

prone ,flex 135 degrees, abducted, externally rotate right hip

(if pregnant- then place in the supine )

45
Q

leukocyte esterase

A

most common seen in noncomplicated cystitis

46
Q

rib raising?

A

can balance autonomics and can also address rib cage motion after surgery–> improves breathing and lymphatic flow

  • application of lateral and anterior pressure *
47
Q

planes:

A

coronal: anterior and posterior
sagittal: right and left
transverse: upper and lower

48
Q

functional scoliosis

A

adaptable: get improvements with specific motions: see rib hump on forward bending that resolves when upright
vs. chronic/structural scoliosis - see long term adaptation with tissue changes

49
Q

seated flexion test? what axis and region are tested?

A

axis: sacroiliac - sacrum moving on illium, when seated immobilizes the illium

body region: sacrum

50
Q

L5 rules do not apply with?

A

sacral sheers

L5 ROSS (rotates opposite, sidebends same side as axis)

51
Q

spring test vs. phsyiologic torsion?

A

physiologic: - spring test: forward sacral torsion: R on R
pathologic: + spring test: backward sacral torsion: L on R

52
Q

pyelonephritis presents with?

A

CVA tenderness!!! not seen with nephrolithiasis
urinary frequency, urgency, dysuria,
accompanied by fever, nausea, vomiting,
or flank pain.

53
Q

sx of cystits?

A

acute UTI = urinary frequency, urgency, dysuria
accompanied by fever, nausea, vomiting,
or flank pain rarely

54
Q

sx of nephrolithiasis

A

cramping, pain, abdominal pain, vomiting, malaise, fever

55
Q

what is seen on urine dipstick indicating acute uncomplicated cystitis?

A

nitrites, leukocyte esterase

56
Q

Jone’s points

A

small, hpersensitive points in MF tissues of body used as ddx criteria and treatment monitors

  • these are “tenderpoints” often found in tendons, ligaments, mm. bellies, are sensitive to palpation, with NO radiation.
  • treat with CS
57
Q

Travell’s Points

A

= “triggerpoints”

  • hyperirritable spot in skeletal mm. that is associated with hypersensitive palpable nodule in taut band
  • painful on compression WITH referred pain, tenderness, montor dysfunction
  • treat with soft tissue, deep massage, injection, vapocoolant spray
58
Q

Chapman’s Points

A

Gangliform contraction that may block lymphatic drainage, causing inflammation in distal tissues
Believed to be part of sympathetic dysfunction
Found in regions which overlap with visceral sympathetic efferent innervation

Used for ddx, tx and evaluation as part of viscero-somatic reflex

  • often tender, but don’t radiate
  • tx is firm, circular pressure
  • feel small, smooth and discrete nodules deep to skin and in subcutaneous or deep fascia
59
Q

VSD

A

Small defects: usually asymptomatic

Medium or large defects: CHF,
symptoms of bronchial obstruction,
frequent respiratory infections

small defects sound loud, holosystolic at LLSB

medium/large defects; thrill at LLSB; split or loud
single S2; holosystolic murmur at LLSB without
radiation; grade 2 to 5;

60
Q

ASD

A
  • usually asymptomatic

Grade 2 or 3 systolic ejection murmur best heard at
ULSB;

61
Q

PDA

A

May be asymptomatic; can cause
easy fatigue, CHF, and respiratory
symptom

“machine-like murmur” - Continuous murmur (grade 1 to 5) in ULSB
(crescendo in systole and decrescendo into
diastole);

62
Q

TF

A

Central cyanosis; clubbing of nail beds; grade 3

or 4 long systolic ejection murmur heard at ULSB;

63
Q

coarcation of aorta

A
  • Newborns and infants may present
    with CHF; older children are usually
    asymptomatic or may have leg pain
    or weakness

Systolic ejection murmur best heard over
interscapular region;

64
Q

still murmur

A

early systolic murmur; low to medium pitch
with a vibratory or musical quality; best heard at lower
left sternal border; loudest when patient is supine and
decreases when patient stands

65
Q

venous hum

A

Grade 1 to 6 continuous murmur; accentuated in diastole;
has a whining, roaring, or whirring quality; best heard
over low anterior neck, lateral to the sternocleinomastoid;
louder on right; resolves or changes when patient is supine

OPP III: Test 1 (11 decks)

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