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Noorda OMM > Thorax > Flashcards

Thorax Flashcards

1
Q

Vertebral spinal process at the level of the scapular inferior angle

A

T7

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2
Q

Vertebral body/transverse process at the level of the scapular inferior angle

A

T8

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3
Q

What is the major motion of the upper thoracic spine

A

Rotation

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4
Q

What is the orientation of the superior facets in the thoracic spine

A

Backwards, upwards, lateral (BUL in BUM BUL BUM)

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5
Q

Landmark for T2

A

Sternal notch

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6
Q

Landmark for T3

A

Spine of scapula

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7
Q

Anterior landmark for T4

A

Angle of Louis (2nd rib)

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8
Q

Dermatome level for T4

A

Nipples

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9
Q

Dermatome level for T10

A

Umbilicus

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10
Q

A 44-year-old male weightlifter comes in complaining of upper back pain. He was doing 400 lb. squats when suddenly, he experienced intense pain between the shoulder blades. Gentle palpation of the spinous processes shows pinpoint tenderness over the spinous process of the vertebra at the level of the spine of the scapula. Xray reveals a compressed vertebra and a fracture of the spinous process at that level. You diagnose a compression fracture and spinous process fracture at

A

T3

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11
Q

A 44-year-old female presents to your clinic with intermittent, severe, colicky pain in the right upper quadrant of the abdomen. She states that the pain is worse after greasy meals. A right upper quadrant ultrasound shows thickening of the walls of the gallbladder as well as gallstones. The surgeon is consulted. While waiting for her surgery, you decide to treat viscerosomatic reflexes (sympathetics) at what level?

A

T7

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12
Q

Treatment for hyperkyphosis

A

MFR of spine, pelvis, shoulders
Scapular mobilization
Physical therapy
Foam roller
Bracing or taping

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13
Q

Treatments for facet arthropathy

A

FJ blocks
Physical therapy
Radiofrequency ablations
Surgery

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14
Q

Treatment for spinal stenosis

A

Surgery

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15
Q

Treatment for herniated disc

A

NSAIDs
Epidural
Physical therapy
OMT
Time
Surgery

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16
Q

Treatment for degenerative disc disease

A

SCS
Align spine
Give space with HVLA
HVLA if foraminal stenosis present

17
Q

Treatment for shingles

A

Antiviral
Vaccination (preventative)
Lymphatic treatments
OMT

18
Q

Treatment for spinal infection

A

Antibiotics
Lymphatic treatment

19
Q

Treatment for lateral recess stenosis

A

Physical therapy
Medication
Nerve ablations
Hemilaminotomy

20
Q

Treatment for arthritis in costovertebral/transverse joint

A

Intraarticular injection
Surgery
OMT - Rib raising

21
Q

A 55-year-old patient presents to the physician’s clinic with complaints of burning aching pain in the posterior back that it worse with deep inspiration and coughing. Which treatment might give the patient the most relief?

A

ME of the ribs

22
Q

What is Fryette’s 1st principle

A

In neutral, side bend then rotate (type I dysfunction)

23
Q

What is Fryette’s 2nd principle

A

Nonneutral rotate then side bend

24
Q

Muscle involved in type I dysfunction

A

Erector spinae group (long restrictors)
Iliocostalis, longissimus, spinalis

25
Q

Rotation/side bending in type I dysfunction

A

Opposite

26
Q

Cause of type I dysfunction

A

Chronic process of poor posture

27
Q

Muscle involved in type II dysfunction

A

Transversospinalis group (short restrictors)
Multifidus, semispinalis, rotatores

28
Q

Rotation/side bending in type II dysfunction

A

Same

29
Q

Cause of type II dysfunction

A

Trauma

30
Q

What is Fryette’s 3rd principle

A

Motion in one plane affects motion in all other planes

31
Q

Where are the SPs of T1 - T3, T12

A

Same level as body

32
Q

Where are the SPs of T4 - T6, T11

A

Half level down (1/2”)

33
Q

Where are the SPs of T7 - T10

A

One level down (1”)

Noorda OMM (16 decks)

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