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COMLEX > OMM/viscerosomatics > Flashcards

OMM/viscerosomatics Flashcards

1
Q

head and neck

A

T1-T4

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2
Q

heart

A

T1-T5

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3
Q

respiratory

A

T2-T7

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4
Q

esophagus

A

T2-T8

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5
Q

upper GI

A

T5-T9

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6
Q

middle GI

A

T10-T11

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7
Q

lower GI

A

T12-L2

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8
Q

appendix

A

T12

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9
Q

arms

A

T2-T8

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10
Q

kidneys

A

T10-T11

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11
Q

upper ureters

A

T10-T11

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12
Q

lower ureters

A

T12-L1

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13
Q

bladder

A

T11-L2

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14
Q

gonads

A

T10-T11

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15
Q

uterus/cervix

A

T10-L2

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16
Q

erectile tissue

A

T11-L2

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17
Q

prostate

A

T12-L2

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18
Q

legs

A

T11-L2

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19
Q

posterior appendix chapman point

A

transverse process of T11

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20
Q

anterior appendix chapman point

A

tip of 12th rib

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21
Q

gallbladder chapman point

A

6th right intercostal space at the mid-clavicular line

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22
Q

pancreas chapman point

A

7th right intercostal space mid-clavicular line

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23
Q

spleen chapman point

A

7th left intercostal space mid-clavicular line

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24
Q

parasympathetic innervation of proximal vs distal ureter?

A 
proximal = OA
distal = pelvic splanchnic
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25
Q

parasympathetic to distal transverse colon, descending colon, sigmoid colon, rectum, distal ureter, bladder, and reproductive organs?

A

S2-4 (pelvic splanchnic)

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26
Q

Parasympathetic innervation to the kidneys and proximal ureter?

A

OA (vagus nerve)

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27
Q

tenderpoint midway between the inferior lateral angle (ILA) of the sacrum and the greater trochanter

A

piriformis

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28
Q

tenderpoint 1 cm lateral to pubic symphisis

A

anterior L5

29
Q

tenderpoint on the ilium, inferior to PSIS

A

lower pole L5

30
Q

tenderpoint at superior medial surface of PSIS

A

upper pole L5

31
Q

tenderpoint at inner ala of the ilium in the midaxillary line bilaterally

A

AT12

32
Q

tenderpoint halfway between the umbilicus and pubic symphysis

A

AT11

33
Q

tenderpoint one-fourth of the distance from the umbilicus to the pubic symphysis

A

AT10

34
Q

chapman point at surgical neck of the humerus

A

eye

35
Q

what technique increases amplitude of CRI?

A

CV4

36
Q

tenderpoint on the superior aspect of the popliteal fossa either medial or lateral to the hamstring tendons

A

ACL

37
Q

tenderpoint in the center or slightly below the popliteal fossa

A

PCL

38
Q

vault hold finger placements

A
  1. Fifth digit (pinky) on squamous portion of the occiput, medial to the occipitomastoid suture.
  2. Fourth digit (ring finger) on the petrous portion of the temporal bone, near the mastoid process
  3. Third digit (middle finger) should lie on the squamous portions of the temporal bone (approximating the zygomatic process of the temporal bone)
  4. Second digit (index finger) on the greater wing of the sphenoid
  5. Thumbs can be in one of two positions: they can either meet and cross above the cranium, or they can rest on the frontal bone. Either is appropriate
39
Q

what drugs have been found to cause lupus-like symptoms?

A

hydralazine, isoniazid, procainamide, and phenytoin

40
Q

what tenderpoint is found on the inferolateral tip of C2 spinous process?

A

PC3

  • PC3-8 are found on the spinous process of the vertebra ABOVE (PC4 is on tip of C3)
  • PC2 is located superolateral to C2
41
Q

posterior cervical TP’s are all E SaRa except which two?

A
  • PC1 onion (flex OA)

- PC3 (F SaRa)

42
Q

what TP is on ilium just inferior to PSIS?

A

L5 lower pole

43
Q

what TP is on the superior medial surface of PSIS?

A

L5 upper pole

44
Q

what TP is 2-3 cm lateral to PSIS?

A

High Ilium Sacroiliac

45
Q

initial tx for thoracic outlet syndrome with positive Adson’s test?

A

MFR to scalenes

- positive Adson’s tells you compression is either from scalenes or a cervical rib

46
Q

what are the anterior and posterior chapman’s points for the rectum?

A

ant: proximal inner thigh on lesser trochanter
post: S2

47
Q

any time you see phenytoin, what should you think?

A

CYP450 inducer!

  • increases catabolism of lots of things (like VitD!)
  • Vitamin D is responsible for increasing calcium and phosphate absorption in the intestine and resorption in the bone -> leads to soft bones -> osteomalacia
  • low vitD, low serum Ca -> secondary hyperPTH
48
Q

chronic fatigue, nonspecific muscle pain, increases lumbar lordosis, wide-based gait

  • elevated alk phos
  • low urine calcium
A

osteomalacia
- vitamin D deficiency results in decreased absorption and resorption of phosphate, leading to decreased phosphate levels

49
Q

what nerve provides sensory innervation to the first three digits and the radial half of the fourth digit?

A

medial nerve

50
Q

why is sensation to the thenar eminence spared in carpal tunnel?

A

it is innervated by the palmar cutaneous branch, which branches just proximal to the carpal tunnel

51
Q

young males (4-10 y/o) and can present with hip pain and a limp of either acute or insidious onset. Pain in the knee occurs due to referred pain from the obturator nerve

  • decreased hip ROM
  • pain worse after exertion
  • Xray might show femoral head collapse (femoral head looks widened/flattened)
A

Legg-Calvé-Perthes disease

  • interruption of blood supply to head of the femur
  • NOT obese (like Osgood-Schlatter, and SCFE)
52
Q

crutch paralysis?

A

radial nerve palsy, wrist drop

53
Q

FOOSH?

A

fall prone, hands pronated, radial head posterior

54
Q

posterior fibular head?

A

foot is plantarflexed

55
Q

inability to make OK sign shows weakness in what muscles?

A

flexors of the pollex and distal interphalangeal joint of the 2nd digit

  • damage to anterior interosseous nerve
  • will see a flattening of the 1st and 2nd digit rather than a true circle
56
Q

positive Apley scratch test?

A

rotator cuff dysfunction

- shows decreased function of all 4 rotator cuff muscles

57
Q

positive empty can test?

A

specific for supraspinatus injury

58
Q

carrying angle < 3° degrees is considered cubitus varus and can be caused by what?

A

abduction restriction

- ex of woman carrying too many bags of groceries

59
Q

what TP does this treat?
- left is hip and knees flexed to 90 degrees, side bend the ankles away, and rotation toward (accomplished by rotating the knees away)

A

AL2-4

60
Q

what type of relfex occurs when abnormal somatic stimuli (e.g. tissue texture changes, muscle strains, muscle spasms, or any changes in a non-visceral structure) enters the spinal cord at a specific level and results in altered function of a visceral organ at the same level (heart problem)

A

somatovisceral

- vs viscerosomatic: when heart problems cause tissue texture changes

61
Q

strain that occurs when there is cephalad or caudad movement of the base of the sphenoid in relation to the occiput
- named after the direction of the base of the sphenoid

A

vertical strain

62
Q

base of the sphenoid moves caudad in relation to the occiput, and the greater wings of the sphenoid move cephalad

A

inferior vertical strain

63
Q

base of the sphenoid moves cephalad in relation to the occiput while the greater wings of the sphenoid move caudad

A

superior vertical strain

64
Q

when the base of the sphenoid deviates laterally in relation to the occiput

A

lateral strain

- causes the cranium to have a parallelogram shape.

65
Q

base of the sphenoid deviates left in relation to the occiput

A

left lateral strain

66
Q

base of the sphenoid deviates right in relation to the occiput

A

right lateral strain

67
Q

occurs often with head trauma along the AP axis, and is denoted by a decreased CRI amplitude as it prevents true flexion and extension from occurring
- often times it may present as an alternating vertical strain

A

SBS Compression

68
Q

The temporal and occipital bones come together to form the what?

A

jugular foramen and the occipital-mastoid suture

- cranial nerves exit the cranium through the jugular foramen are IX, X, and XI

COMLEX (14 decks)

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