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OMM > Spring 2016 written > Flashcards

Spring 2016 written Flashcards

1
Q

if a woman has h/o pelvic or back pain during previous pregnancies, then?

A

up to 2/3 may continue to suffer from back pain after delivery

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2
Q

what are radicular sx during pregnancy due to?

A

direct pressure on nerve root/lumbar plexus by uterus

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3
Q

which paraspinal muscle will shorten the most in pregnancy?

A

iliopsoas

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4
Q

in pregnant patients with pre-existing scoliosis, if the curvature is >____ then there is a link to pregnancy

A

25 degrees

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5
Q

what effect on birth is assc’d with scoliosis

A

premature birth

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6
Q

target of relaxin hormone (3)

A

cervix, uterus, ligamentous structures of pelvis

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7
Q

effect of progesterone on fluid in pregnancy

A

promotes fluid retention

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8
Q

viscero-somatic level of uterus

A

T10-L1

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9
Q

what is crucial during congestive stage (28th-36th week)

A

restoring motion of diaphragms

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10
Q

what should you be sure to tx postpartum?

A

sacrum (sacroilitis, coccydynia)

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11
Q

frog technique txs?

A

treats incr lordosis of lumbar spine

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12
Q

the ABCs of treating hospitalized patients

A

Autonomics
breathing
circulation

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13
Q

how to know if a person has a viscerosomatic reflex?

A

when 2+ spinal segments have evidence of SD within an autonomic reflex area

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14
Q

ppl with CAD have mechanical problems involving____ that involve rotation to the ____

A

T3 & T4; left

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15
Q

sequence of treating hospitalized patient: centrally or peripherally first?

A
  1. central

2. peripheral

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16
Q

OMT can decr what in patients with pneumona (3)

A
  1. length of stay
  2. duration of IV Abx
  3. incidence of respiratory failure/death
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17
Q

why tx areas of fascial distortion?

A

b/c it poses a restriction to free flow or low pressure fluids

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18
Q

in copd or URTI, tx which viscerosomatics

A

T1-6

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19
Q

in diabetes, tx which viscerosomatics

A

T5-11

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20
Q

in HTN, tx which viscerosomatics

A

heart (T1-5), adrenals (T10-11), kidneys (T10-L1)

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21
Q

what systems to use to tx elderly?

A
  1. CCP

2. respiratory circulatory model

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22
Q

8 important CCP TP

A
  1. R levator scap
  2. R upper trap
  3. L T12 anterior
  4. L Lat dorsi
  5. L lower trap
  6. L psoas
  7. R quad lumborum
  8. R hammie
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23
Q

goal of OMT in GI tx

A

remove excessive synaptic drive from PAN

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24
Q

where does prolonged visceral afferent input manifest (3)

A
  1. segmental paraspinal tissues
  2. collateral ganglia
  3. visceral motion
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25
Q

c/o of HA, N/V, diarrhea, cramps may be due to?

A

parasympathetic dominence

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26
Q

rib raising targets which type of ganglia

A

sympathetic trunk ganglia (paravertebral)

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27
Q

unpaired, abdominopelvic (preverterbral) ganglia

A

collateral ganglia

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28
Q

inhibition of collateral ganglia will result in what?

A

reduce sympathetic hyperactivity of organs

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29
Q

indications for linea alba tx (celiac ganglion inhibitiion)

A

abdominal distension, slow GI motility

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30
Q

normal physiological motion of visceral sphincters

A

clockwise

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31
Q

which sphincter: 1/3 way on a line

from R ASIS to umbilicus (McBurney’s Point) then a little superior

A

ileo-cecal valve

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32
Q

which sphincter: On a line from L mid-clavicle to umbilicus, then 2-3 cm on line up from umbilicus

A

duodenal jejunal jxn

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33
Q

which sphincter: On a line from R mid clavicle to umbilicus, then 2-3 cm on line up from umbilicus

A

sphincter of oddi

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34
Q

which sphincter: 6-7 cm above umbilicus
(May be L or R side
of midline)

A

pylorus

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35
Q

which sphincter: ½-1 inch above

xiphoid process

A

cardiac/gastro esophageal jxn

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36
Q

folds of peritoneum

A

mesentery

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37
Q

indications for mesenteric lift

A

IBS, constipation, ileus, abdominal distension or adhesions

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38
Q

which systems are fully formed at time of birth?

A

CV, lymphatic

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39
Q

which systems mature during teh first 12 months of life?

A

renal, hematopoetic

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40
Q

which systesms take many years to develop?

A

CNS, GU, endocrine, MSK

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41
Q

how do fryettes principles apply to children?

A

they do not (bones are not fully formed)

42
Q

barlow test for ____of femoral head

A

displacement

43
Q

ortolani manuever to ____femoral head ____acetabulum

A

reduce; back into

44
Q

in kids with asthma, when do you tx OA, AA?

A

after everything else is completed

45
Q

which code is used to tell insurance about your treatment utilized

A

CPT codes

46
Q

which code is used to define dx

A

ICD-10

47
Q

cranial is what type of technique

A

myofascial

48
Q

where the occipital, temporal, parietal bones come together

A

asterion

49
Q

squamoparietal suture is where?

A

b/w parietal and temporal bones

50
Q

sagittal suture is…?

A

serrated

51
Q

temporal suture is….

A

gliding squamous suture

52
Q

nasal bone is….?

A

sliding plane suture

53
Q

primary respiratory motion: Inherent ______ of the CNS

A

Motility

54
Q

primary respiratory motion: ____of the CSF

A

fluctuation

55
Q

primary respiratory motion: ______of the reciprocal tension membrane

A

mobility

56
Q

primary respiratory motion: articular ____ of the cranial bones

A

mobility

57
Q

primary respiratory motion: articular _____of the sacrum b/w the ilia

A

mobility

58
Q

_____is where the falx cerebri, falx cerebelli, tentorium cerebelli come together

A

straight sinus

59
Q

what is sutherland’s fulcrum

A

the straight sinus

60
Q

where is the motion of the sacrum

A

around the transverse axis at second sacral segment

61
Q

where does the dura attach on the sacrum

A

anterior surface of sacral canal at the level of S2

62
Q

in flexion/extension of sphenoid and occiput, what do they move around?

A

sphenobasilar synchondrosis (SBS)

63
Q

when the midline bones go into flexion, the paired bones go into_____

A

external rotation

64
Q

when the midline bones go into extension, the paired bones go into_____

A

internal rotation

65
Q

physiologic strain cranial bones move ___direction, pathologic strain move ____direction

A

opposite; same

66
Q

if looking at the falx cerebri, what is the name of the sinus that runs through it?

A

superior sagittal sinus

67
Q

falx cerebelli = which sinus?

A

occipital sinus

68
Q

tentorium cerebelli = which sinus?

A

transverse sinus

69
Q

how to tx a child with colic?

A

drain occipital sinus

70
Q

in a superior vertical strain, when the occiput is in extension, the temporals are in ______

A

internal rotation

71
Q

in an inferior vertical strain, when the occiput is in flexion, the temporals are in____

A

external rotation

72
Q

how to tx a HA at the vertex

A

parietal lift

73
Q

what to use to initiate labor in woman past her due date

A

compression of the 4th ventricle

74
Q

what to use to release any peripheral suture in a patient presenting with HA or sinus pressure

A

V-spread

75
Q

a collection of compensatory changes that occur when there is sacral base unleveling

A

short leg syndrome

76
Q

most common presenting complaint of short leg syndrome

A

LBP

77
Q

what landmarks cue you into short leg syndrome

A
  1. iliac crest,

2. greater trochanters

78
Q

when can you dx anatomic short leg?

A

after treating with OMT a few times

79
Q

when to prescribe heel lift for a patient with suspected short leg

A

after 1-3 trials of OMT and still have uneven landmarks (thus anatomic short leg)

80
Q

x-ray dx of short leg

A

standing postural x-ray series

81
Q

left height guidelines: add ____inch for every _____of sacral base unleveling

A

1/8 inch; 1 degree

82
Q

what is the most sensitive clinical test for finding scoliosis

A

adams forward bend test

83
Q

gold standard for radiographic eval of scoliosis

A

cobb angle

84
Q

what degree of curvature defines a scoliosis?

A

> 10 degrees = scoliosis

85
Q

scoliosis is named by the side of_____

A

convexity

86
Q

curves measuring____at the end of growth do not progress

A

under 30 degrees

87
Q

cobb angle 10-19

A

mild scoliosis

88
Q

cobb angle >50 degrees

A

severe scoliosis

89
Q

sphenopalatine syndrome

A

worsens cases of asthma

90
Q

poor lymphatic drainage of the eye

A

glaucoma

91
Q

menieres disease (tinnitus, hypoacusia, vertigo) may be attributed to

A

decr absorption of endolymph in inner ear

92
Q

tinnitis: low pitched roar = _________ rotation of temporal bone; high pitches whine = _____rotation of temporal bone

A

external; internal

93
Q

most common type of recurrent HA

A

tension HA

94
Q

which type of HA is thought to be caused by inflammation of cavernous sinus

A

cluster HA

95
Q

galbreath manuever is indicated when?

A

open up eustachian tube

96
Q

what is caused by a hypersensitivity in a muscle and its fascia

A

myofascial trigger point

97
Q

trigger points in which 2 muscles very commonly refer pain to the head?

A
  1. upper trap

2. SCM

98
Q

which type of trigger point is induced by key trigger point

A

satellite TrP

99
Q

cause pain and tenderness at rest or with motion that stretches/loads muscle

A

active myofascial TrP

100
Q

what can serratus posterior superior TrP mimic?

A

C8 radiculopathy or ulnar neuropathy

101
Q

gluteus minimus trigger point mimics?

A

L5 or S1 radiculopathy

102
Q

what defines an active trigger point?

A

pain recognition

OMM (8 decks)

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