CPA 3 - 5 Models

Question 1

Biomechanical - Tension Headache

Answer 1

Cervical ME
Cervical HVLA
Trapezius inhibitory technique

Question 2

Biomechanical - Thoracic Outlet Syndrome

Answer 2

ME for rib 1 inhalation SD
SC adduction dysfunction HVLA
ME for SCM

Question 3

Biomechanical - TMJ Disease

Answer 3

ME for C/S shaped SD

Articulatory technique for anterior disc dislocation

Question 4

Biomechanical - Postoperative Ileus

Answer 4

MFR to T/L spine supine technique

MFR to surgical site

Question 5

Biomechanical - Common Fibular Nerve Compression Neuropathy

Answer 5

HVLA posterior fibular head
BLT posterior fibular head
Hiss whip plantar cuboid

Question 6

Biomechanical - Irritable Bowel Disease

Answer 6

MFT to T/L spine
Kirksville Crunch to T spine
Ob Roll to L spine

Question 7

Biomechanical - Ureteral Lithiasis

Answer 7

ME for Iliopsoas spasm

ME to innominate outflare SD

Question 8

Biomechanical - COPD with Pneumonia

Answer 8

Rib 1-6 inhalation pump handle SD

BLT ribs

Question 9

Respiratory/Circulatory - Tension Headache

Answer 9

MFR to thoracic inlet
Rib raisiing
OM suture compression - V spread

Question 10

Respiratory/Circulatory - Thoracic Outlet Syndrome

Answer 10

MFR to thoracic inlet
Pectoral traction
Effleurage/Petrissage to UE

Question 11

Respiratory/Circulatory - TMJ Disease

Answer 11

Pre/Post-Auricular lymphatic drainage

Submandibular/Submental lymphatic drainage

Question 12

Respiratory/Circulatory - Postoperative Ileus

Answer 12

Doming Diaphragm
Mesenteric release
Rib raising

Question 13

Respiratory/Circulatory - Common Fibular Nerve Compression Neuropathy

Answer 13

Open thoracic inlet –> Effleurage/Petrissage

Pedal pump

Question 14

Respiratory/Circulatory - Irritable Bowel Disease

Answer 14

Doming diaphragm
Mesenteric release
Rib raising

Question 15

Respiratory/Circulatory - Ureteral Lithiasis

Answer 15

Thoracic inlet –> pelvic diaphragm (ischiorectal fossa release)
IV, NS to improve urine flow

Question 16

Respiratory/Circulatory - COPD with Pneumonia

Answer 16

Doming diaphragm

Rib raising

Question 17

Neurologic - Tension Headache

Answer 17

AA ME/HVLA - normalize PNS tone
Suboccipital release - normalize PNS tone
Paraspinal inhibition - normalize SNS tone
Triptan Rx

Question 18

Neurologic - Thoracic Outlet Syndrome

Answer 18

C5-T1 paraspinal inhibition - decrease nerve root firing (sensation)
C5-T1 paraspinal inhibition - normalize SNS tone
BOTOX injection - inhibit scalene contraction

Question 19

Neurologic - TMJ Disease

Answer 19

TMJ TP

Masseter TP

Question 20

Neurologic - Postoperative Ileus

Answer 20

T10-L2 paraspinal inhibition - normalize SNS tone

Ganglion inhibition - normalize SNS tone

Question 21

Neurologic - Common Fibular Nerve Compression Neuropathy

Answer 21

Sacral rocking - reduce sensory dysfunction from nerve roots L4-S2
Lateral ankle TP

Question 22

Neurologic - Irritable Bowel Disease

Answer 22

T10-L2 paraspinal inhibition - normalize SNS tone

Ganglion inhibition - normalize SNS tone

Question 23

Neurologic - Ureteral Lithiasis

Answer 23

IV opioids - inhibit nerve pain
T10-11 paraspinal inhibition - upper ureter
T12-L2 paraspinal inhibition - lower ureter

Question 24

Neurologic - COPD with Pneumonia

Answer 24

Rib raising
C3-5 paraspinal inhibition - phrenic n. to diaphragm
T1-6 paraspinal inhibition - SNS to lungs

Question 25

Metabolic/Energy - Tension Headache

Answer 25

NSAIDs HA diary Reduce Na intake to reduce H2O retention

Question 26

Metabolic/Energy - Thoracic Outlet Syndrome

Answer 26

NSAIDs | Muscle relaxants

Question 27

Metabolic/Energy - TMJ Disease

Answer 27

NSAIDs | Muscle relaxants

Question 28

Metabolic/Energy - Postoperative Ileus

Answer 28

Stool softeners | Fiber supplementation

Question 29

Metabolic/Energy - Common Fibular Nerve Compression Neuropathy

Answer 29

NSAIDs | Muscle relaxants

Question 30

Metabolic/Energy - Irritable Bowel Disease

Answer 30

Stool softeners | alpha-4 integrin inhibitor

Question 31

Metabolic/Energy - Ureteral Lithiasis

Answer 31

NSAIDs | HCO3 solution - increase urinary pH

Question 32

Metabolic/Energy - COPD with Pneumonia

Answer 32

ABX for Pneumonia | Corticosteroids - reduce inflammation

Question 33

Behavioral - Tension Headache

Answer 33

Meditation to reduce stress Exercise to reduce stress Neck support while sleeping

Question 34

Behavioral - Thoracic Outlet Syndrome

Answer 34

Limit overhead arm movement Use other arm for repetitive movements In home stretching Rx

Question 35

Behavioral - TMJ Disease

Answer 35

Stop chewing gum/tobacco Meditation to reduce stress Eat soft foods Mouth guard while sleeping

Question 36

Behavioral - Postoperative Ileus

Answer 36

Limit food intake and drink liquids | Drink Metamucil

Question 37

Behavioral - Common Fibular Nerve Compression Neuropathy

Answer 37

In home stretching Rx Avoid exercise until pain subsides Refer to PT

Question 38

Behavioral - Irritable Bowel Disease

Answer 38

Food diary | Drink Metamucil

Question 39

Behavioral - Ureteral Lithiasis

Answer 39

Drink fluids | Dietary change - reduce uric acid levels

Question 40

Behavioral - COPD with Pneumonia

Answer 40

Smoking cessation/education | Incentive Spirometry - increase lung capacity