Exam I History Flashcards

1
Q

When was AT Still born?

A

August 6th, 1828 to Abraham and Martha Still in VA

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2
Q

What was his father’s job?

A

Minister and physician-learned under him as medical training at the time was apprenticeships

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3
Q

Was AT Still married?

A

Twice
1849
1860
Both died before him

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4
Q

When did AT Still move to KS?

A

1850

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5
Q

When did AT Still begin studying anatomy?

A

1855

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6
Q

1861-1864

A

Still serves in Union Army during Civil War as a hospital steward but did duties of a surgeon

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7
Q

1864

A

3 of his children die of spinal meningitis, then infant daughter dies with pneumonia

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8
Q

1864-1873

A

Returns to farming and begins thinking about osteopathic medicine-did not appreciate 19C medicine, sought a more effective approach

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9
Q

When did osteopathy begin?

A

June 22nd, 1874 at 10 am the banner flies

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10
Q

What happened that allowed Dr. Still to have access to so many cadavers in his study of anatomy?

A

Cholera epidemic 1855–> had access to Indian cadavers with tribal permission

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11
Q

Battle of Westport

A

Still was involved
Gettysburg of the West
October 23rd, 1864 at The Big Blue River
Ended the last significant Confederate operation West of the Mississippi
One of the largest Civil War battles fought west of the Mississippi (30,000 soldiers, 3,000 casualties total)

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12
Q

What did Claude Bernard develop in 1855?

A

The concept of homeostasis

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13
Q

What did E-J Marley develop in 1863

A

Sphygmograph

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14
Q

Joseph Lister 1865

A

Introduces phenol as a disinfectant

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15
Q

Death of Ignaz Semmelwieiss

A

Died of puerperal fever

Starts idea of washing hands between patients in 1847

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16
Q

Robert Koch 1876

A

Found bacterium that causes anthrax

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17
Q

Pasteur 1879

A

Disproved spontaneous generation of germs

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18
Q

Nils Finsen

A

Uses UV light as an antibacterial (Nobel Prize)

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19
Q

When were X rays first used?

A

1896

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20
Q

Who was the first surgeon to use sterile rubber gloves and in what year?

A

William Halstead in 1890

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21
Q

When was the first local anesthetic for surgery used?

A

1905

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22
Q

Four basic principles of osteopathic medicine

A

Body is a unit; body, mind, and spirit
Body is capable of self regulation, self healing, health maintenance
Structure and function are reciprocally interrelated
Rational treatment is based on understanding of former three

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23
Q

Basic philosophy of osteopathic medicine as noted in the Kirksville consensus of 1953

A

Osteopathic medicine is a philosophy, science, and art
It’s philosophy embraces the concept of the unity of the body structure and function in health and disease
It’s science includes the chemical, physical, and biological sciences related to the maintenance of health and the prevention, cure and alleviation of disease
It’s art is the application of the philosophy and the science in the practice of osteopathic medicine and surgery in all its branches and specialties

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24
Q

What is health based on?

A

The natural capacity of human to resist and combat noxious influences and compensate for their effects; to meet with adequate reserve the usual stresses of daily life and occasional severe stress

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25
Q

When does disease begin?

A

When the natural capacity is reduced or exceeded by noxious influence

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26
Q

What is the most important factor that impairs the capacity to resist and combat noxious influences?

A

Local disturbances/dysfunctions of the MSK system

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27
Q

Where did Still first introduce his ideas and how were they received?

A

Baker university

Only he found it helpful

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28
Q

Important life event in 1876

A

Still evicted from church because only Christ heals with “laying on of the hands” and moves to Kirksville, MO

29
Q

Response to Stills practice in Kirksville

A

Becomes very popular by word of mouth, but the burden of practice grew quickly

30
Q

How did Still deal with response?

A

Tried apprenticeships and operator classes for assistants but failed as they laced knowledge of anatomy and body function

31
Q

When was the first school of osteopathy opened and what was its name? Faculty?

A

October 3, 1892, The American School of Osteopathy
AT Still and William Smith (anatomy)
17 men and 5 women

32
Q

What was the name of the organization that preceded the American Osteopathic Foundation?

A

American Association for Advancement of Osteopathy (AAAO) in 1897

33
Q

Dr. Adam Flexner

A

Authored a report on the state of medical education in the US in 1910. Harsh criticism led to the closure of many schools and state licensing board began enforcing stricter requirements

34
Q

How did the osteopathic profession respond to the changes related to Dr. Flexner’s contribution?

A

8 DO schools left after report-instruction still labeled as worthless
DO schools could not mere with large institutions which put the profession behind in the educational reform
By 1930, all schools required 2 years of undergrad studies
By 1960, 70% required an advance degree

35
Q

What did the AOA revoke in 1916?

A

Ban on teaching of pharmacology at DO schools (opposed by Still)

36
Q

1917-1918

A

Influenza epidemic-osteopathic care had a lower death rate than medical care

37
Q

19C medicine

A

Heroic medicine-every effort made to “preserve the life force”
Stimulants if pt is drowsy-alcohol
Hypnotics if patient agitated-opium
Effort aimed at “conquering” the disease/enough drugs will chase out the demons

38
Q

1885

A

Coined term osteopathy (“bone”, “to suffer”)

39
Q

1902

A

AOA adopted standards for approving osteopathic colleges

40
Q

Osteopathy in the military

A

1917 profession mounts an effort to gain federal recognition and rights to serve in the military
Supported by Teddy R.
Surgeon general Gorgas vetoes and threatens to withdraw all MD’s

41
Q

1941

A

DOs not yet able to serve in military
Most hospitals not granting staff privileges to DOs
Shortage of MDs in US during WWII
Leads to rapid increase in # of DO hospitals in US

42
Q

When could DOs serve in the military?

A

1957 (took 50 years)

43
Q

When were DOs accepted by civil services as equal to MDs?

A

1963

44
Q

Who was the first commissioned DO in the armed forces?

A

Harry Walter 1966

45
Q

Association of Military Osteopathic Physicians and Surgeons (AMOPS) formed in what year?

A

1977

46
Q

Who received the first flag officer and in what year?

A

1983, Admiral Eske

47
Q

Who was the first woman to receive a DO degree?

A

Jeanette Bolles

48
Q

When was the National Osteopathic Women Physicians Association established?

A

1988

49
Q

What percentage of total enrollment in osteopathic schools are women today?

A

40%

50
Q

Louisa Burns

A

Foremost researcher in osteopathic medicine assisted by Ann Perry

51
Q

Barbara Ross

A

First AA woman to be appointed dean of a US med school

52
Q

Who was the first minority group president of the AOA?

A

Cuban born M. Olivia from 1988-1989

53
Q

Year of first charter of ASO issued by MO

A

1892

54
Q

When was the KC college of Osteopathy and surgery established and by who?

A

1916

AA Kaiser and George Conley

55
Q

When was Kirksville CO&S established?

A

1926 by merging ASO and AT Still CO&S

56
Q

When was pharmacology allowed to be taught again?

A

1929

57
Q

When did the AMA inspect osteopathic colleges through the Cline Committee?

A

1955

Education is comparable but facilities are inadequate

58
Q

Six new osteopathic congestion become university affiliated when?

A

1970’s

Michigan State was first in July 1971

59
Q

What was the first state to recognize the practice of osteopathy and in what year?

A

Vermont

1896

60
Q

Cline committee report

A

Stopped DOs from being viewed as cult members and said they were equivalent to MDs

61
Q

The California incident

A

1961

A Cali public referendum prohibited the granting of new licenses to DOs in the state

62
Q

What year did the College of Osteopathic Medicine of the pacific open?

A

1977

63
Q

What was the last state to extend full practice rights to DOs?

A

1973 Mississippi

64
Q

How many DOs does MO and KS have?

A

1800 in MO

600 in KS

65
Q

When were volunteer DOs accepted to all branches as officers?

A

1966

66
Q

What percentage of active military medical officers are DOs?

A

10%

67
Q

When did OWNA (women in osteopathic medicine) form?

A

1920

68
Q

Why were scholarships given post WWI?

A

Decline of women applicants

Incentive to get women to apply

69
Q

1988

A

National osteopathic women physicians association