Structural Exam Flashcards

1
Q

What is an easy way to see R and L asymmetries?

A

Skin creases on waist, elbows, back of knees

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2
Q

Are R and L sides normally mirror images?

A

No

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3
Q

Can anyone take credit for manipulative healing?

A

N

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4
Q

Whose artwork portrays manual treatment?

A

Hippocrates

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5
Q

Who included “bonesetters”?

A

Native Americans and European cultures

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6
Q

Whose medical manuscripts had manipulative procedures?

A

Chinese

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7
Q

Osteopathic medicine focuses on what?

A

Patient orientated approach; not disease oriented

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8
Q

Is “holistic” exclusive to osteopathic medicine?

A

NO (mind, body, spirit)

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9
Q

2 things with Heroic Medicine

A
  1. Remedies worse than original disease

2. Surgery used no anesthetics and performed outside of sterile field

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10
Q

Who enunciated Germ Theory? When?

A

Koch; 1890’s

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11
Q

What did Heroic Medicine use to treat medical conditions?

A

Poisons and/or addictive substances such as mercury, arsenic, opium, cocaine, morphine, and alcohol

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12
Q

5 health affects of Mercury

A
  1. Deteriorates nervous system
  2. Impairs hearing, speech, vision and gait
  3. Corrodes skin and mucous membranes
  4. Involuntary muscles movements
  5. Chewing and swallowing to become difficult
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13
Q

AT Still’s Letters

A

AT Still, MD, DO

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14
Q

When and where was AT Still born?

A

August 6th, 1828

Virginia

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15
Q

What did AT Still’s father do?

A
  1. Farmer
  2. Physician
  3. Methodist Minister
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16
Q

Did AT Still’s family relocate for their dad?

A

Yes; minister things

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17
Q

3 things AT Still did

A
  1. Farmer
  2. Minister
  3. Legislator
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18
Q

Where did AT Still study?

A

Kansas City School of Physicians and Surgeons (now gone)

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19
Q

What did AT Still serve as?

A

Union Officer and Physician/Surgeon in Civil War

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20
Q

Why did he start to dislike modern medicine? When?

A

Lost 3 children (2 of his own) to spinal meningitis in 19th century

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21
Q

Who influenced Still?

A

Plains Native Americans who he ministers to in Kansas

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22
Q

Did he study anatomy on living and deceased

A

Yes

23
Q

What did AT still call God? What did he believe?

A

“Master Mechanic”. Believed He didn’t create a body that wasn’t capable of healing itself

24
Q

Did he like the use of medicine?

A

No; saw it as poison

25
Q

What does the snake comment mean?

A

Snake is poison like drugs, osteopathy is victorious

26
Q

When did the headache banner occur? When did he announce it?

A

Child; when he was 46

27
Q

What was the headache event called? When?

A

“Flung to the breeze the banner of Osteopathy”

June 22, 1874

28
Q

Where did Still announce his ideas? Well received?

A

Bake University in Baldwin, Kansas

No; Labeled as heretic

29
Q

What was his first school called?

A

American School of Osteopathy

30
Q

What is the Triune Nature of man? Did Still think it important?

A

Yes; balance of mind, body, and spirit

31
Q

How did Still see the body?

A

As machine where each working part had to be free of structural restriction or impediment to perform at its optimal level

32
Q

What was Still’s axiom?

A

“Find it, fix it, and let it alone”

33
Q

Date of inagurated first class?

A

October 3, 1892

34
Q

How many students in first class? How many women? Enrollment in 1899?

A

17; 5; exceeds 700

35
Q

How long was the curriculum? When did first diplomats graduate?

A

2 years; 1894

36
Q

How much was tuition?

A

500

37
Q

Did Still encourage matriculation of African Americans and women?

A

yes

38
Q

What did CHARTER state?

A

To improve surgery, obstetrics, and treatment of disease, put same rational and scientific basis to impart information to medical profession

39
Q

When did surgery and obstetrics get into curriculum?

A

1897

40
Q

What was the most important subject?

A

Anatomy!

41
Q

Observe what 3 main things?

A

How patient sits, stands, and ambulated

42
Q

What is the body habitus?

A

Clothing, grooming, make-up

43
Q

Why do we site landmarks?

A

To prevent “parallax”

44
Q

How do we get reproducible results?

A

Pt stands without shoes, feel under their hips to produce 90 degree rectangle

45
Q

Where is the Odontoid Process? What is it a part of?

A

C2; Lateral Midgraviation Line (weight bearing line)

46
Q

Is Sacral Promontory in the weight bearing line?

A

Yes

47
Q

Mid Gravtiational Line Landmarks

A
External Auditory Canal
Odontoid Process
Greater tuberosity of humerus
Mid-body L3
Sacral Promintory
Greater trochanter of femur
Just posterior to patella 
Just anteral to lateral malleolus
48
Q

Are all scoliotic curves lateral curves?

A

Yes

49
Q

Are all lateral curves scoliotic curves?

A

No

50
Q

On pelvic sideshift, it is more free away or towards short leg?

A

Away from short leg

51
Q

What 2 areas are assessed in sideshift test?

A

Thoracic and lumbar

52
Q

2 other things in sideshift test?

A

Dropped medial arch, fascial restriction in LE

53
Q

Where is iliosacral from?

A

LE