Exam 1/15

Question 1

cardiac arrhythmia viscerosomatic reflex

Answer 1

T2

Question 2

posterior wall MI viscerosomatic reflex

Answer 2

T5

Question 3

esophageal viscerosomatic reflex

Answer 3

T2-T6 R

Question 4

gastric viscerosomatic reflex

Answer 4

T4-T10 L

Question 5

adrenal chapmans point

Answer 5

A: 2-2.5” P: T11 + T12

Question 6

kidney chapmans point

Answer 6

A: 1” P: T12 + L1

Question 7

HTN linkage pattern (cardiac pattern for somatic dysfunction)

Answer 7

• -T2ESRr + inhaled rib 2 on L
• -T6FRSl + exhaled rib 6 on R
• -C6 has palpable assymmetry
• *if primarily somatic then rib dsyfunction on OPPOSITE side of thoracic componenet
• *if primarily viscerosomatic then rib dys on SAME side

Question 8

MI somatic changes

Answer 8

rib angles, T3-5 L, right pectoralis major trigger point, C8
C8-T3L=ventricle; T4-6L=atrial; T2-3L=A infarct; T3-5 + C2=I infarct; posterior fatal gastritis=T5
“cardiac reflex”=SlRr (group dysfunction)
chapmans reflexs: A: 2nd intercostal P: T2 + T3

Question 9

what has strongest inhibitory influence on the heart?

Answer 9

pulmonary branches of vagus

Question 10

right pectoralis major trigger point

Answer 10

SVT

btwn ribs 5 + 6, just below border of rib 5, midway between nipple and sternum, NOT painful

Question 11

autonomic inputs in HTN

Answer 11

symp: T1-T6
para: vagus –> OA, C2

Question 12

physiologic strain patterns

Answer 12

FETS: flexion, extension, torsions, sidebending/rotation

Question 13

CV-4

Answer 13

• augment extension + resist flexion

- considered a fluid pump technique w/ reduction in subQ fluid

Question 14

birth trauma + effect on head

Answer 14

condylar compression +/- occipitomastoid compression

Question 15

cranial dysfunction that can effect venous drainage from head

Answer 15

occipitomastoid compression

85% drainage from head via jugular foramen

Question 16

William J. Walton. (Dr. Bill)

Answer 16

secretary for all meetings on manipulative techniques

HVLA techniques in Osteopathic Diagnosis + Techniques–“walton’s manual”

Question 17

nerve supply to SI joint

Answer 17

L5-S2

• lumbar plexus goes through psoas
• sacral plexus nerves exit/enter sacral foramen
• symp chains join rest on anterior coccyz–affected by fall on cocyx

Question 18

theoretical axes of rotation/motion of the sacrum

Answer 18

superior transverse=respiratory axis=S2; respiratory F/E
*unilateral sacral flexions move about superior axis
middle=postural axis=upper + lower limbs of SI joint
*unilateral sacral extensions move about middle axis
inferior=hip bone axis=inferior limb of SI joint; ilial rotation occus here

Question 19

chicago model anterior vs posterior sacrum

Answer 19

anterior=upper pole dysfunction

posterior=lower pole dysfunction

Question 20

how is mitchell model diff from chicago?

Answer 20

sacrum in relation to L5
named positionally (NOT through motion testing)
lumbar SB determins axis
upper pole/lower pole not in this model