Written Exam 1 Flashcards

1
Q

What is the OMM perspective for analyzing patient problems?

A
Biomechanics
Fluid flow
Nervous system (including autonomics)
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2
Q

What are the five models of osteopathic care?

A

Biomechanical, Behavioral, Neurological, Metabolic and Respiratory-Circulatory

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3
Q

What is the anatomy and physiology of the respiratory-circulatory model?

A

Anatomy: Thoracic inlet, thoracic diaphragm, pelvic diaphragms, tenotium cerebelli, costal cage
Physiology: Ventilation, circulation, venous and lymph drainage

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4
Q

What is the goal in the respiratory-circulatory model?

A

To improve all of the diaphragm restrictions in the body

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5
Q

What is the anatomy and physiology in the metabolic model?

A

Anatomy: Internal organs, endocrine glands
Physiology: Metabolic processes, homeostasis, digestion, immune, reproduction, waste removal, energy regulatory processes

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6
Q

What is the goal in the metabolic model?

A

Enhance self-regulatory and self-healing, foster energy conservation, enhance immune system, endocrine and organ functions

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7
Q

What is the anatomy and physiology in the neurologic model?

A

Anatomy: Head, CNS, ANS, PNS
Physiology: Control, coordination, integration of body functions, protective mechanisms, sensation

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8
Q

What is the goal in the neurologic model?

A

Attain autonomic balance and address neural reflex activity, remove facilitated segments, decrease afferent nerve signals, address entrapment neuropathy and relieve pain

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9
Q

What is the anatomy and physiology of the behavioral model?

A

Anatomy: Brain and neuroendocrine system
Physiology: Physiological and social activities, stress, anxiety, work, family, social habits, values, attitudes and beliefs

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10
Q

What is the goal in the behavioral model?

A

Improve the biological, psychological and social components of the health spectrum

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11
Q

What are the 6 systems that somatic dysfunction can occur?

A

SAMVLAN: Skeletal, Arthrodial, Myofascial elements, Vascular, Lymphatic and, Neural elements

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12
Q

What are the 8 rules of anatomy?

A

Proximity, Function, Supply, Drainage, Pain, Connectedness, Difference, Order

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13
Q

What is a trigger point?

A

A localized contraction of a small number of muscle fibers within a larger muscle or muscle bundle

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14
Q

What is a viscero-somatic reflex?

A

Irritated organ causes change in tissue texture, or causes pain in somatic body

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15
Q

What is somato-viscero reflex?

A

Irritated somatic tissue can disrupt autonomic input to organ

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16
Q

What is referred pain?

A

Spinal cord receives afferent information from overlapping somatic and visceral fibers; pain is felt in another part of the body than the actual source

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17
Q

What does TART stand for?

A

Tenderness
Asymmetry
Restricted motion
Tissue texture changes

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18
Q

What is tensegrity?

A

The balance between stability and strength

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19
Q

What is a somatic dysfunction?

A

Impaired or altered function of related components of the somatic system

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20
Q

What are acute and chronic symptoms of tenderness?

A

Acute: Severe, sharp
Chronic: Dull, achy, or burning

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21
Q

What are acute and chronic symptoms of asymmetry?

A

Acute: presents w/o compensatory changes
Chronic: Presents with compensation found in adjacent structures

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22
Q

What are the acute and chronic symptoms of restriction?

A

Acute: Present, movement painful
Chronic: Present, but decreased or no pain

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23
Q

What are the acute and chronic symptoms of tissue texture abnormality?

A

Acute: Edematous, erythematous, boggy, muscles hypertonic
Chronic: Decreased of no edema, no erythema, cool dry skin, slight tension. Decreased muscle tone, flaccid, ropy, fibrotic

24
Q

What are the points of symmetry down the body for perfect posture?

A

External auditory meatus, Acromion joint, Middle of L3 vertebrae, Greater trochanter, Lateral femoral epicondyle, slightly anterior to lateral malleolus

25
Q

What are the landmarks to be palpitated in a posterior screen?

A

Mastoid processes, level of shoulders (AC joints), inferior border of scapulae, iliac crests, PSIS (dimples marking PSIS S1-S2), Trochanters

26
Q

What is reached first the anatomical or physiological barrier?

A

Physiological

27
Q

What happens to the neutral position when there is a loss of a range of motion to the right?

A

The neutral position may shift more to the left to the center of the remaining range of motion

28
Q

In the Beck Models what are the two points to intervene at?

A

Conscious thoughts and Behavior

29
Q

What are the targets in the somatic nervous system?

A

Skeletal muscle

30
Q

What are the targets in the ANS?

A

Smooth muscle, cardiac muscle, glands, connective tissue, cells of immune system

31
Q

What are the four main types of receptors?

A

Mechanoreceptors, thermoreceptors, pain receptors (nociceptors), and proprioceptors

32
Q

What type of receptors are located deeper in the skin and within joints, tendons and muscles? What are their names?

A

Mechanoreceptors

Ruffini’s corpuscles and Pacinian corpuscles

33
Q

What are the names of the receptors in the very top layers of non-hairy skin?

A

Merkel’s disks (slow adapting) and Meissner’s corpuscles (rapidly adapting)

34
Q

What are visceral reflexes?

A

Reflexes mediated by control centers in the brain and in the spinal cord (cardiac, smooth muscle or glandular response to maintain internal homeostasis)

35
Q

What is the rule of three?

A

Spinous process and transverse process relationship to each other
T1-T3 are at the same level, T4-T6 transverse process are 1/2 level above, T7-T9 transverse process are 1 whole step above spinous process, T10 1 step, T11 1/2 step above, T12 1 whole step above

36
Q

Where does weight bearing occur in neutral mechanics?

A

Bodies and discs

37
Q

What does weight bearing occurring in non-neutral mechanics?

A

The articular facets

38
Q

What are the superior facet orientations for Cervical, Thoracic and Lumbar vertebrae?

A

C: BUM (Backwards, Upwards, Medial)
T: BUL (Backwards, Upwards, Lateral)
L: BUM (Backwards, Upwards, Medial)

39
Q

What are the inferior facet orientations for Cervical Thoracic and Lumbar vertebrae?

A

The opposite of superior
C: FDL
T: FDM
L: FDL

40
Q

What are Chapman’s reflexes?

A

Viscero-somatic reflex found on Chapman’s points throughout the body

41
Q

What is the difference in anterior and posterior Chapman’s points?

A

Anterior: used primarily for diagnosis
Posterior: used primarily for treatment

42
Q

What is facilitation in the spinal cord?

A

A pool of neurons with altered or enhanced neuronal activity; at a level of partial or sub threshold excitation so less stimulation is required to trigger a discharge

43
Q

What areas can be facilitated?

A

Brain, viscera, somatic afferents

44
Q

What can cause facilitation?

A

Persistent abnormal stimulus from the brain/higher centers, visceral afferents, or somatic afferents

45
Q

What are the four primary layers of fascia and their functions?

A

Pannicular: covers the body
Investing: surrounds the musculoskeletal system, axial and appendicular skeleton
Meningeal: complex layers surrounding the CNS
Visceral: surrounds the body cavities and organs

46
Q

What are the two layers of investing fascia?

A

Hypaxial and 2 epaxial layers transverse process demarcates them

47
Q

What are innervation pathways for the abdominal diaphragm?

A

Cervical segments 3, 4, 5 (phrenic nerve)

48
Q

What are the innervation pathways for pulmonary and cardiac structures?

A

T1-6

49
Q

What are the innervation pathways for the tentorium cerebelli?

A

Cranial nerves V (Trigeminal)

50
Q

What are the innervation pathways for the pelvic floor diaphragm?

A

L4, 5, S2, 3, 4

51
Q

What are the innervation pathways for parasympathetics?

A

Vagus Nerve

52
Q

What plane position dictates the motion pattern that occurs in the spine?

A

Sagittal plane

53
Q

What characterizes a compound Type 1 motion?

A

Sidebending and rotation in opposite directions (neutralize each other) occurs in groups of 3 or more (N Rl Sr)

54
Q

Beck Model

A

Perceptions-> Assumptions and Beliefs-> Automatic thoughts-> Emotions-> Behavior

55
Q

Parasympathetic Nerves

A

Vagus and sacral 2, 3, 4

56
Q

What moves lymph along?

A

Lymphangion