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OS-II Final > test 1 > Flashcards

test 1 Flashcards

1
Q

Difference between thenar and hypothenar?

A

Thenar: thumb

hypothenar: pink

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2
Q

When doing HVLA for a Superior Innominate Shear, how do you adjust the leg?

A

Internally rotate

abduct

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3
Q

When doing HVLA for a inferior Innominate Shear, how do you position hands and thrust

A
  1. Lay lateral recumbant
  2. gap the SI joint
  3. Exert a cephalad force through ASIS and PSIS

you can also

  1. monitor lumbosacral joint
  2. straighten bottom leg and place top behind the poplitieal fossa
  3. place forearm below the ipsilateral ischial tuberosity and
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4
Q

patient is laying L lateral recumbant; what does this mean?

A

they are laying on their L side with R PTP up.

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5
Q

In HVLA posterior and anteiror inominate dysfunction;

  1. Pt is laying LR
  2. Doc places cephalad hand between L5 and S1 SP.
  3. Caudad hand flexes the pts hip until you feel motion at the L5 and S1 SP.

What is the difference between posterior and anterior INOMinate rotation HVLA?

A

Anterior: drop the patients top leg off of the table and grasp the patients L arm while your forearm is between [PSIS and greater trochanter]. Thrust down to the shaft of the femur

Posterior: straighten bottom leg and place the top leg DISTAL to popliteal fossa (behind calf). Put forearm in between PSIS and iliac crest. Thrust to the BELLYBUTTON

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6
Q

bilateral sacral flexion and extension HVLA differences

A

FLEXION: (FE, IR, apex)
pt on stomach- doc is beside
monitor SI joint, ABDUCT until motion is felt and IR
heel of docs hand should be at APEX of sacrum
Thrust in INHALATION

EXTENSION: (EE) (EE, ER, base)
pt on stomach- doc is beside
monitor SI point, ABDUCT until motion is felt and ER
heel of docs hand should be at BASE of sacrum
Thrust on EXHALATION

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7
Q

R on L sacral torsion HVLA 1st step

A
  1. patient on back with hands behind neck while you stand on side of axis
  2. Make a C away from you.
  3. pull elbow towards you and apply a rotational thrust
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8
Q

HVLA type 1 lumbar LR

caudal forarm contacts where?

what kind of thrust?

A

between PSIS and greater trochanter
rotational thrust

Type 1: pull arm anterior and up

Type 2: pull arm anterior and down (caudad)

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9
Q

who looked at OMT and pancreatitis?

A

Radjieski

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10
Q

Who looked at OMT and ankle sprains?

A

Eisenhart

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11
Q

Who lookated at OMT and otitis media?

A

mills

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12
Q

who looked at OMT and LPT in dogs and rats; showing increase in circulating leukocytes and increase flow of lymph

A

Hodge

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13
Q

The person under stress responds how?

A

as a unit (mind, body and spirit) and comes up with an adaptive response to the stressor

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14
Q

The main physiological components of the stress system response are activation of the

A
  1. HPA axis
  2. ANS
  3. Adrenalin release in fight or flight
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15
Q

is stress good?

A

yes. helps us avoid danger and enhance survival and adapt to stress

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16
Q

damaging stress levels are reached when perceived threats or dangers upset the ___________

A

biopsychosocial balance

17
Q

Prolonged _______ activity can be bad to health and can cause disease by affecting _____ and ______

A

hypersympathetic

anatomy (structure)
physiology (function)

18
Q

3 responses to stress

A
  1. Startle response increases adrenal, CV, resp and MSK functions
  2. Copes by using all resources to fight the stress. Successful: learning and masery. If not; exhausiton
  3. exhaustion; pt cannot adapt and resist. experices SD
19
Q

In primary care, __________ are the mechanisms underlying the symptoms for 20% to 35% of all patients seeking treatment from physicians [

A

stressed induced complaints

20
Q

In the United States, more than _____% of the population is susceptible to acute or chronic stress and the physical and psychological disorders caused by stress

A

33%

21
Q

stress induced illnesses are a complex interplay between

A

genetic
physiologic
environmental
behavioral facts

that influce health and dz

22
Q

chronic stress can cause

A
  1. HTN
  2. PUD
  3. CAD
23
Q

More recetnyl, stress has been thought to be?

A

nonspecific response to attempt to adapt to demands

24
Q

what is the most highly validated and widely used stress scale

A

Holmes and Rahe social readjustment

25
Q

How do support that stress can be caused by adaptation?

A

study was done that assigned points to 43 common life events. The greater number of points, the greater prob of illness occuring in the next 2 years. Even worse if the event was considerd a NEGATIVE life exp

26
Q

What can lead to a increase risk of CAD

A
  1. stress
  2. competiveness
  3. type A personality
  4. IMPATIENCE
  5. problems dealing with anger
27
Q

what osteopathic approach is taken to treat stress?

A

look at all aspects that disturb psychosocial and organic problems (NMSK) to treat long term

  1. palpations diagnosis
  2. OMT
  3. Excersie, diet, stop smoking and alcohol and drugs
  4. meds.
  5. coping stratgies
28
Q

clinically evident stress reflects 2 realioties?

A
  1. pts response to stress => biopsychosocial consquences

2. long term management of stress is imporatnt for health and needs docs help to adapt

29
Q

in a primary care practice, diagnosis begins by looking at 4 most common behavioral consquencs of stress

A
  1. depression
  2. anxiety
  3. substance abuse
  4. insomia
30
Q

A good doc readily recognizes that each visit is a new opportunity to ________

A

question
listen
observe

31
Q

how do you document spinal fidnings

obj
assessment
plan

A

obt: actual diagnosis

Assessment: SD of thoracic spine

Plan: OMT

32
Q

Rotational emphasis on C spine, what do you do?

A

Rotate to restriction

SB to freedom

33
Q

SB emphasiss?

A

SB to restriction

Rotate to freedome

34
Q

what barrier do we treat with OMT

A

restrictive

35
Q

what will sympathetics do to respiratory

A
  • bronchodilation

- decrease bronchial secretion

36
Q

what will parasympathetics do to respiratory

A
  • bronchoconstriction

- increase bronchial secretion

37
Q

asthma attack

you want to
______ sympathetics
_______ parasympathetics

A

increase symp

decrease para

38
Q

for SC joint

_____ and ____ occur together

A

elevation and adduction
to tx with Stills => posterior rotation

depression and ABduction => to tx with Still => anterior rotation

39
Q

for BLT interrouseasou membrane, you hold patients hand or wrist with 1 hand and monitor at the ___ with the other.

A

radius

OS-II Final (7 decks)

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