CPA1

Question 1

Osteopathic Tenets

Answer 1

1. the body is a unit
2. the body possesses self-regulatory mechanisms
3. Structure and function are reciprocally interrelated
4. Rational therapy is based upon understanding of body unity, self-regulatory mechanisms, and interrelationship of structure and function

Question 2

Somatic Dysfunction

Answer 2

the impaired or altered function of related components of the somatic system including Skeletal, Arthrodial, and Myofascial structures

Question 3

How do you diagnose Somatic Dysfunction?

Answer 3

Tissue Texture Abnormalities
Asymmetry
Restriction of motion
Tenderness
(need two to confirm dysfunction)

Question 4

Tissue Texture abnormalities

Answer 4

temperature, drag, texture, edema, bogginess, elasticity, dryness, oiliness, scars, contraction, flaccidity, spasm, ropey, stringy

Question 5

How to name Somatic Dysfunction

Answer 5

Direction in which the motion is freer= Name Somatic dysfunction for what it will do

Question 6

Acute Somatic Dysfunction

Answer 6

Pain, erythema, relative warmth, increased moisture/bogginess, vasodilation, edema, tenderness, tissue contraction

Question 7

Chronic Somatic Dysfunction

Answer 7

Itching, paresthesia (pins and needles), tissue dryness, coolness, tissue contracture, fibrosis tenderness, pallor

Question 8

Contraction

Answer 8

process of which a muscle becomes shorter and tighter

Question 9

Contracture

Answer 9

abnormal permanent contraction

Question 10

OMT

Answer 10

therapeutic application of manually guided forces by an osteopathic physician to improve physiologic function and support homeostasis that has been altered by somatic dysfunction

Question 11

Active ROM

Answer 11

patient does the moving

Question 12

Passive ROM

Answer 12

doctor does the moving

Question 13

Sagittal ROM

Answer 13

Flexion/extension

Question 14

Frontal ROM

Answer 14

Sidebending, abduction/adduction

Question 15

Horizontal ROM

Answer 15

Rotation

Question 16

Who many types of synovial joints?

Answer 16

6

1. Pivot
2. Ball and Socket
3. Condyloid
4. Plane
5. Saddle
6. Hinge

Question 17

Cervical Flexion and Extension

Answer 17

45-90 degrees

Question 18

Thoracic flexion and Extension

Answer 18

25-30 degrees

Question 19

Lumbar flexion and Extension

Answer 19

Flexion: 40-90
Extension: 20-45

Question 20

Lumbar side bending

Answer 20

15-30 degrees

Question 21

Lumbar rotation

Answer 21

3-18 degrees

Question 22

Elbow flexion and extension

Answer 22

flexion: 140-150 degrees
Extension: 0 to -5 degrees

Question 23

Elbow Pronation and Supination

Answer 23

pronation: 90 degrees
supination: 90 degrees

Question 24

Wrist flexion and extension

Answer 24

Flexion: 80-90 degrees
Extension: 70 degrees

Question 25

Wrist Adduction and Abduction

Answer 25

Adduction: 30-40 degrees Abduction: 20-30 degrees

Question 26

Knee Flexion and Extension

Answer 26

Flexion: 145-150 degrees Extension: 0 degrees

Question 27

Ankle Dorsiflexion and Plantarflexion

Answer 27

Dorsiflexion: 15-20 degrees Plantarflexion: 50-65 degrees

Question 28

Ankle inversion and eversion

Answer 28

10-20 degrees

Question 29

Cervical Rotation

Answer 29

70-90 degrees

Question 30

Cervical Sidebending

Answer 30

20-45 degrees

Question 31

Ulnohumeral adduction/abduction

Answer 31

5 degrees for both

Question 32

Arm Flexion and extention

Answer 32

flexion: 180 extension: 60

Question 33

Arm Adduction and Abduction horizontally

Answer 33

130-140 degrees for both

Question 34

Arm Abduction

Answer 34

180 degrees

Question 35

Arm internal and external rotation

Answer 35

90 degrees for both

Question 36

Hip flexion (knee straight)

Answer 36

90 degrees

Question 37

Hip flexion (knee flexed)

Answer 37

120-135 degrees

Question 38

Hip extension

Answer 38

15-30 degrees

Question 39

Hip internal rotation

Answer 39

30-40 degrees

Question 40

Hip external rotation

Answer 40

40-60 degrees

Question 41

Hip abduction and adduction

Answer 41

abduction: 45-50 degrees adduction: 20-30 degrees

Question 42

Viscoelastic Material

Answer 42

Any material that deforms according to rate of loading and deformity

Question 43

Hysteresis

Answer 43

- difference between the loading and unloading characteristics represents energy that is lost in connective tissue - energy loss

Question 44

Bind

Answer 44

palpable restriction of connective tissue mobility

Question 45

Hooke's Law

Answer 45

strain placed on an elastic body is in proportion to the stress placed upon it

Question 46

Wolff's Law

Answer 46

Bone will develop according to the under stresses placed on it

Question 47

Sherrington's Law

Answer 47

- when a muscle (agonist) receives a nerve impulse to contract, its antagonists simultaneously receive an impulse to relax

Question 48

TART

Answer 48

T-Tissue Texture Abnormalities A- Asymmetry of structure R- Restriction of Motion T-Tenderness

Question 49

Fascia

Answer 49

- complete system with blood supply, fluid drainage and innervations - composed of irregularly arranged fibrous elements of varying density - involved in tissue protection and healing of surrounding systems

Question 50

Visceral Fascia

Answer 50

-Surrounds the body cavities

Question 51

Reasons to not do OMM (soft tissue)

Answer 51

- fracture or dislocation - Neurologic entrapment syndromes - serious vascular compromise - local malignancy - Local infection - bleeding disorders

Question 52

Reasons to not do OMM (MFR/INR)

Answer 52

- infection of soft tissue or bone - fracture, avulsion, or dislocation - metastatic disease - open wounds - Rheumatologic condition involving instability of cervical spine - DVT

Question 53

Inherent Force

Answer 53

- uses the body's natural tendency to seek homeostasis | - inherent force is the rhythmic activity in all tissues

Question 54

10 Types of Childhood trauma

Answer 54

1. Physical abuse 2. Verbal abuse 3. Sexual abuse 4. Physical Neglect 5. Emotional Neglect 6. Parent who is an alcoholic 7. Mother who is victim of domestic violence 8. Family member in jail 9. Family member diagnosed with a mental illness 10. Disappearance of parent through divorce, death, and abandonment