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OPP III - Exam 2 > Test 2 notecards > Flashcards

Test 2 notecards Flashcards

1
Q

what must the patient be for any disease state?

A

STABLE before performing OMT

use more gentle techniques if they are sicker/weaker

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2
Q

do you do OMT for new onset of chest pain or SOB?

A

NO

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3
Q

facilitated segments only occur where?

A

sympathetics

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4
Q

if someone has a nocturnal cough at night

A

think about asthma (pulmonary issue) or reflux (GI)

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5
Q

somatic dysfunction at T2

A

pulmonary issue

use albuterol

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6
Q

somatic dysfunction at T8

A

GI issue

use omeprazole

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7
Q

somatic dysfunction at T5

A

pulmonary or GI issue

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8
Q

need to treat thoracoabdominal diaphragm if flattened (diminished zone of apposition)

A

seen in COPD patients

  • improves diaphragmatic excursion -> improves pressure gradient b/w abdominal cavity and thoracic cavity -> improve lymphatic flow
  • also improve lymphatic flow by relaxing the tension on the diaphragm
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9
Q

what do you target when treating a group dysfunction for OMT?

A

apex (middle) of the group curve

ex. T10-T12 -> treat T11

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10
Q

which way to the vertebrae rotate?

A

TOWARD the dysfunctional organ

  • GB issues -> vertebrae rotates to right
  • gastritis -> vertebrae rotates to left
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11
Q

counterstain

A
  • continuous monitoring
  • hold for 90 sec
  • return patient to neutral slowly
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12
Q

anterior cervical I CS point

A
  • posterior side of ascending ramus on mandible at earlobe level
  • lateral aspect of transverse process of C1
  • RA
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13
Q

anterior cervical 2-6 CS point

A
  • anterolateral aspect of corresponding anterior tubercle of the transverse process
  • F SARA
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14
Q

anterior cervical 7 CS point

A

-clavicular attachment of the SCM

F STRA

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15
Q

anterior cervical 8 CS point

A
  • sternal attachment of SCM on the medial end of clavicle

- F SARA

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16
Q

AT1 CS point

A
  • midline or lateral to jugular (suprasternal notch)

- Flexion

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17
Q

-AT2 CS point

A
  • midline or lateral to manubrium (angle of Louis)

- Flexion

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18
Q

-AT3-5 CS points

A
  • midline at level of corresponding rib

- Flexion

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19
Q

-AT6 CS point

A
  • midline xiphiod-sternal junction

- Flexion

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20
Q

post isometric muscle energy

A

patient pushes AWAY from barrier

physician pushes TOWARD barrier

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21
Q

reciprocal inhibition muscle energy

A

patient pushes TOWARD barrier

physician pushes AWAY from barrier

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22
Q

heart sympathetics

A

T1-T6 - synapses in upper thoracic and cervical chain ganglia

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23
Q

the SA node in arrhythmias (sympathetics)

A
  • RIGHT heart
  • right deep cardiac plexus
  • lead to SVT
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24
Q

the AV node in arrhythmias (sympathetics)

A
  • LEFT heart
  • left deep cardiac plexus
  • lead to ectopic PVCs and V fib and V tach
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25
Q

sympathetic supply to UPPER extremity vasculature

A

T2-T8

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26
Q

sympathetic supply to LOWER extremity vasculature

A

T11 - L2

27
Q

myocardium, thyroid, esophagus, bronchus chapman points

A

anterior -> 2nd intercostal space near sternum

posterior -> b/w spinous process and tips of TP at T2

28
Q

UPPER lung chapman points

A

anterior -> 3rd intercostal space near sternum

posterior -> b/w SP and TP of T3,T4

29
Q

LOWER lung chapman points

A

anterior -> 4th intercostal space near sternum

posterior -> b/w SP and TP of T4,T5

30
Q

adrenal glands chapman points

A
  • anterior -> 1” lateral and 2” superior to umbilicus ipsilateral
  • posterior -> inter transverse spaces of T11 and T12 ipsilateral
31
Q

kidneys chapman points

A
  • anterior -> 1” lateral and 1” superior to umbilicus ipsilaterally
  • posterior -> inter transverse spaces of T12-L1
32
Q

heart parasympathetics

A

CN X (vagus) -> OA, C1,C2

33
Q

SA node in arrhythmias (parasympathetics)

A
  • right vagus via SA node

- sinus bradyarrhythmias

34
Q

AV node in arrhythmias (parasympathetics)

A
  • left vagus via AV node

- AV blocks

35
Q

CN X

A

-jugular foramen, Occipitomastoid suture (temporal bone + occiput), OA, AA, C2

  • right vagus -> SA node
  • left vagus -> AV node
36
Q

heart transplant leading to cutting of the vagus nerve

A

-suboccipital release would NOT be effective since the vagus is cut**

37
Q

which organs drain the right lymphatic duct?

A

HEART and LUNGS

38
Q

what must you do 1st before any other lymphatic treatment?

A

clear/open the thoracic inlet/outlet***

aka open myofascial pathways at transition zones**

ex. anterior cervical fascia release, thoracic inlet myofascial release, pectoral traction

39
Q

chapman reflex points of myocardium

A
  • anterior -> 2nd intercostal space

- posterior -> b/w T2 and T3

40
Q

anterior infarct MI

A

T2-T3 on the LEFT

41
Q

inferior wall infarct MI

A

T3-T5 on the LEFT, C2

42
Q

right pectoralis minor trigger point

A
  • 5th intercostal space

- associated with SVT due to sympathetic nervous system

43
Q

somatic dysfunction associated with HTN

A

-C6, T2, T6

44
Q

prolonged sympathetic stimuli to the kidneys (T10-T11)

A

where ACE inhibitors would work -> salt and water retention

45
Q

ST elevations and Q waves in leads V1-V4, aVL

A

acute anterior wall MI

46
Q

where are thoracic vertebrae rotated in sinus tachycardia?

A

RIGHT

47
Q

where are thoracic vertebrae rotated in A-fib?

A

RIGHT

48
Q

where are cervical vertebrae rotated in 1st or 3rd degree AV block?

A

LEFT

49
Q

where are cervical vertebrae rotated in sinus bradycardia?

A

RIGHT

50
Q

thoracoabdominal diaphragm - neurological

A

phrenic nerve - C3,4,5

51
Q

thoracoabdominal diaphragm - biomechanical

A

attaches to the lower ribs, thoracolumbar junction, T10-L3

52
Q

bronchial asthma treatment - acute attack

A
  • monitor vitals
  • give O2, medications (B2 agonist, anticholinergic, steroids, nebulizers
  • NEVER use thoracic pump w/ respiratory assist (recoil) in acute attack**
  • do OMT once stable
53
Q

COPD MSK changes

A
  • hypertrophy of accessory muscles -> may lead to neuromuscular impingement (thoracic outlet syndrome) and decreased lymphatic drainage
  • decreased rib and diaphragm (flat) motion -> decrease lymphatic drainage
54
Q

side effects of long term steroids for asthma/COPD

A
  • osteoporosis, diabetes mellitus, adrenal insufficiency

- adrenal insufficiency -> fatigue and may stop working

55
Q

what position do you not treat COPD/asthma patients?

A

SUPINE (suffocate)

56
Q

BITE

A
  • bottom rib INHALATION

- top rib EXHALATION

57
Q

all anterior rib counterstrain tender points

A

STRT

  • AR 1,2 -> lying down
  • AR 3-10 -> sitting up
58
Q

PR 1 counterstrain tender point

A

STRT

59
Q

PR 2-10 couterstrain tender points

A

SARA

60
Q

where does the physician contact the rib for an exhalation somatic dysfunction?

A

Posteriorly at the rib ANGLE

61
Q

Muscles in ME used to treat rib exhalation somatic dysfunction

A

Rib 1 -> anterior/middle scalene

Rib 2 -> posterior scalene

Ribs 3-5 -> Pec Minor

Ribs 6-8 -> Serratus anterior

Ribs 9-11 -> Latissimus dorsi

Rib 12 -> Quadratus lumborum

-can cause INHALATION SD if they become hypertonic***

62
Q

seated inhaled rib 1 - HVLA

A

-side bend head TOWARD, and rotate head AWAY

apply only about 5% of force to the patient’s neck**

63
Q

Rib HVLA (inhalation or exhalation)

A

place thenar eminence (fulcrum) on posterior aspect of rib angle

  • inhaled rib -> push UP
  • exhaled rib -> push DOWN
64
Q

can you do ME if patient is unable to follow commands (language barrier, dementia, delirium)?

A

NO

-cannot follow instructions to push against resistance

OPP III - Exam 2 (1 decks)

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