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OPP 3 > Exam #2 > Flashcards

Exam #2 Flashcards

(94 cards)

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1
Q

Anterior Cervical 1

  • location
  • position
A

Location: Lateral aspect of the transverse process of C1
Position: RA

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2
Q

Ant Cervical 2-6

  • location
  • position
A

Location: anterolateral aspect of the corresponding anterior tubercle of the transverse process
Postion: F SARA

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3
Q

Ant Cervical 7

  • location
  • position
A

Location: clavicular attachment of the SCM
Postion: F STRA

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4
Q

Ant Cervical 8

  • location
  • position
A

Location: sternal attachment of the SCM on the medial end of the clavicle
Postion: F SARA

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5
Q

Cardiac Sympathetics

A

T1-6 with synapses in upper thoracic and cervical chain

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6
Q

Sympathetic Supply to Upper Extremity Vasculature

A

T2 to T8 levels

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7
Q

Sympathetic Supply to Lower Extremity Vasculature

A

T11 to L2 levels

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8
Q

Myocardium, Thyroid, Esophagus, Bronchus chapman point

  • Ant
  • Post
A

Anterior: 2nd intercostal space near sternum

Posterior: Midway between the spinous process and tips of the transverse process at T2

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9
Q

Upper Lung
chapman point
-Ant
-Post

A

Anterior: 3rd intercostal space near sternum

Posterior: Midway between the spinous processes and tips of the transverse processes of T3 and T4

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10
Q

Lower lung
chapman point
-Ant
-Post

A

Anterior: 4th intercostal space near sternum

Posterior: Midway between the spinous processes and tips of the transverse processes of T4 and T5

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11
Q

Adrenal gland
chapman point
-Ant
-Post

A

Anterior: 1” Lateral and 2” Superior to Umbilicus Ipsilaterally

Posterior: Intertransverse Spaces of T11 and T12 Ipsilaterally Midway Between Spinous and Transverse Processes

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12
Q

kidney
chapman point
-Ant
-Post

A

Anterior: 1” Lateral and 1” Superior to Umbilicus Ipsilaterally

Posterior: Intertransverse Spaces Midway Between Spines and Transverse Tips of T12-L1

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13
Q

Cardiac parasympathetics

A

CN X (Vagus nerve): OA, C1, C2 somatic dysfunction can affect CN X

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14
Q

Do not use cardiac lymphatic pump techniques on patients

A

Congestive Heart Failure (decompensated),

Acute Myocardial Infarction

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15
Q

Do not treat cardiac in supine position

A

Congestive Heart Failure

COPD

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16
Q

Chapman reflex Myocardium (MI)

  • ant
  • post
A

anteriorly: 2nd intercostal space near sternum
posteriorly: between T2 and T3

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17
Q

Anterior infarct- somatic diagnosis

A

T2-T3

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18
Q

Inferior wall somatic diagnosis

A

T3-T5, C2

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19
Q

…. associated with supraventricular tachyarrhythmia due to sympathetic nervous system

A

Right pectoralis major trigger point 5th intercostal space (ICS)

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20
Q

somatic dysfunction pattern for hypertension

A

C6
T2
T6

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21
Q

THIS IS WHERE ACE INHIBITORS WOULD WORK

A

(T10-T11)

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22
Q

Rib raising done for a short period of time (less than 2 minutes)

A

will usually stimulate the sympathetic effects. For example, bronchodilation

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23
Q

Rib raising done for a longer period of time (greater than 2 minutes)

A

will usually lessen the sympathetic effects

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24
Q

Diaphragm Biomechanically

A

Where the thoracoabdominal diaphragm attaches: lower ribs, thoraco-lumbar junction, T10-L3 are examples

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25
pump-handle ribs
Ribs 1-5
26
bucket-handle motion ribs
Ribs 6-12
27
Acute asthmatic attack must address
- Oxygen - Medications (β2 agonists, Anticholinergic, Steroids) - Nebulizers
28
steroids for extended periods of can lead to
osteoporosis diabetes mellitus adrenal insufficiency
29
Bucket handle best palpated
mid-axillary
30
B.I.T.E
Bottom Rib is key rib in Inhalation dysfunction | Top Rib is key rib in Exhalation dysfunction
31
Exhaled ribs are prominent
posteriorly
32
Inhaled ribs are prominent
anteriorly
33
Anterior Rib Counterstrain Points are associated with (rib)
Exhalation Rib Somatic Dysfunction
34
Posterior Rib Counterstrain Points are associated with (rib)
Inhalation Rib Somatic Dysfunction
35
AR1-2 Counterstrain
Laying down STRT
36
AR3-10 Counterstrain
Sitting up STRT | -doc leg on opposite side of dysfunction
37
PR1 counterstrain
sitting up STRT | -doc leg on same side of dysfunction
38
PR2-10 counterstrain
sitting up SARA | -doc leg on same side as dysfunction
39
Type II thoracic HVLA position and push angle
smiley face
40
Type I thoracic HVLA position and push angle
frowny face
41
Flexed type II HVLA
Physician places left thenar eminence (caudad hand) under the posterior transverse process of the dysfunctional segment -push down
42
Ext type II HVLA
Physician places left thenar eminence (caudad hand) on the right transverse process below the dysfunctional segment -45 degree angle
43
Exhalation Dysfunction Ribs 1 – 10 physician contacts the key rib
posteriorly at the rib angle
44
``` Rib 1: Rib 2: Ribs 3 – 5: Ribs 6 – 8: Ribs 9 – 11: Rib 12: -muscle **if muscle becomes hypertonic can cause inhalation dysfunction ```
``` Rib 1: Anterior and mid scalene Rib 2: Posterior Scalene Ribs 3 – 5: Pectoralis Minor Ribs 6 – 8: Serratus anterior Ribs 9 – 11: Latissimus Dorsi Rib 12: Quadratus Lumborum ```
45
``` Rib 1: Rib 2: Ribs 3 – 5: Ribs 6 – 8: Ribs 9 – 11: Rib 12: **muscle energy motion ```
Rib 1: anterior Rib 2: rotate head away and ask patient to rotate ant Ribs 3 – 5: pushes their elbow to their contralateral ASIS Ribs 6 – 8: pushes their elbow toward the ceiling/ or ipsilateral ASIS Ribs 9 – 11: ADduct their arm Rib 12:
46
Rib 1 HVLA
sidebend the cervical spine towards the dysfunctional rib and rotates head away from dysfunctional rib
47
Rib HVLA 2-10
Place thenar eminence (fulcrum) on posterior aspect of rib angle instead of transverse process
48
Displacement
getting yelled at by boss then coming home and yelling at husband
49
Reaction formation
replacing a warded off idea or feeling w an emphasis on it opposite (having lustful thought so enter monastery)
50
Sublimation
replacing an unacceptable with with a course of action that I like will but socially acceptable (getting angry and playing golf)
51
Repression vs Suppression
Repression: unconscious Suppression: conscious
52
Dissociative Fuge
reversible amnesia for personal identity, including the memories, personalities, and other identifiable characteristics
53
Antisocial Age
evidence of actions occurring since age 15 but not diagnosable until age 18
54
Avoidant personality disorder
would like to have a relationship but are afraid to
55
mean age of onset for GAD
30
56
Hoarding average age of symptoms start
13
57
PTSD drugs
SSRI and Pozosin
58
Acute distress disorder vs PTSD
ADS: symptoms leave over time w PTSD they do not
59
Acute distress disorder diagnosis days
symptoms for at least 3 days
60
conversion disorder
college student becomes blind every Monday but clears up right before weekend - physiological stressor present - issue can be disproven w tests
61
Benzos not metabolized by liver
Oxazepam Temazepam Lorazepam
62
Buspirone MOA, use, pharmacodynamics
MOA: Partial 5-HT1a agonist Use: GAD Pharmacodynamics: slow onset
63
Benzos suffix and MOA
-am | GABA agonist
64
what is given for performance anxiety
Beta blocker
65
anti nightmare drug
Prazosin - alpha 1 adrenergic receptor antagonist
66
Bulimia treatment
fluoxitine
67
Stanine
score 1-9
68
Reliability
test consistency and reproducibly of the test over time
69
Validity
the test measures what it is suppose to measure
70
Dyspareunia
pain during intercourse
71
Frotteuristic Disorder
touching/rubbing against unsuspecting people
72
Sexual Masochism vs. Sexual Sadism
Masochism: victim Sadism: perpetrator
73
Voyeuristic disorder
peeping tom
74
reward center of brain
Nucleus accumbens
75
4 medical ethics
autonomy - patient has control of their body beneficence - always do good nonmaleficence - do no harm justice - fairness
76
Criterion-referenced tests
measure the number of correct responses based on a specific, often minimum ‘criterion’ of what is expected to pass the exam. expressed in a percentage correct out of the total
77
4 steps of the Psychological assessment process
General functioning Intellectual functioning Memoring functioning Content of thought
78
Transference
patient redirects their feeling from significant other or person to their life to the physician -patient putting a physician in a paternal/maternal role
79
Counter Transference
occurs when a physician redirects their feelings onto a patient -A physician treating a patient who reminds him of his mother who is very dependent on him and transfers his feelings becoming very prescriptive, discounting the patient’s questions about treatments.
80
NSTEMI EKG
depression | T inversion
81
treatment for prinzmetal angina
ca channel blockers and nitrites
82
shallow breathing bc pain on deep inspiration
pleural disease
83
inc tactile fremitus
consolidation (lobar pneumonia)
84
``` obstructive grade mild moderate severe very severe ```
mild: 100-80 moderate: 50-79 severe: 30-49 very severe: <30
85
``` restrictive grade mild moderate severe very severe ```
mild: >80 moderate: 60-80 severe: 50-60 very severe: <50
86
projection
cheating husband says wife is cheating
87
dissociative identity disorder
multiple personality disorder
88
Schizotypical
willy Wonka
89
>50% of Schizotypicals have at least one major depressive episode
major depressive episode
90
Borderline behavior therapy treatment
dialectical behavioral therapy | -think Brittany spears
91
anxiety is controlled by the
limbic system
92
bulimia behaviors must occur on average
once per week for three months
93
Somatic Symptoms disorders
focus on physical symptoms that cannot by scientifically explained
94
transference vs countertransference
transference: patient -> clinician countertransference: clinician -> patient

OPP 3 (3 decks)

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