Lab Practical 1

Question 1

Introduction upon entering the room. 5 steps:

Answer 1

1. Handwashing
2. Student Doctor introduction (student doctor Ukoefreso, she/her)
3. Ask preferred name and pronouns
4. Explanation of OMT in layman terms (what does OMT stand for, how is it used)
5. Obtain consent for evaluation AND treatment

Question 2

Anterior Postural Exam Landmarks (6)

Answer 2

1. Neck muscle mass
2. Shoulder heights (acromion process)
3. Fingertip heights
4. Pectus
5. Costal arches
6. Knees

Question 3

Posterior Postural Examination Landmarks (6)

Answer 3

1. Mastoid process
2. Shoulder heights
3. Thorax-scoliosis
4. Popliteal fossa
5. Popliteal fossa line angles
6. Feet

Question 4

Lateral Postural Examination Landmarks

Answer 4

Mid-gravitational line: external auditory meatus, acromion, lateral mallelous

1. Cervical lordosis
2. Thoracic kyphosis
3. Lumbar lordosis

Question 5

Neck muscle mass: which postural exam, what are its associated terms/what are you looking for

Answer 5

Anterior postural exam
Symmetric
Prominence (L/R)

Question 6

Shoulder heights: postural exam, associated terms/what you’re looking for

Answer 6

Anterior postural exam: Acromion process, symmetric, inferior/superior (L/R)
Posterior postural exam: symmetric, inferior/superior

Question 7

Fingertip heights: postural exam, associated terms/looking for what

Answer 7

Anterior postural exam

Symmetric
superior/inferior (L/R)

Question 8

Pectus: postural exam, associated terms/looking for what

Answer 8

Anterior Postural: Normal, carinatum (outward), excavatum (inward)
Lateral Postural: Symmetric, carinatum, excavatum

Question 9

Costal arches: postural exam, associated terms/looking for what

Answer 9

Anterior postural exam
Normal
Prominence (L/R)

Question 10

Knees: postural exam, associated terms/looking for what

Answer 10

Anterior postural exam
Normal
Valgus (knock-kneed) versus Varus (bow-legged)

Lateral postural exam
Symmetric
Recurvatum (hyperextension of knee)

Question 11

Mastoid process: postural exam, associated terms/looking for what

Answer 11

Posterior postural exam,
Symmetric
Superior/Inferior (L/R)

Question 12

Thorax-scoliosis: postural exam, associated terms/looking for what

Answer 12

Posterior postural exam (something similar in lateral but not quite this)
Symmetrical
LEVOscoliosis (spine to the left, body to the right–usually lumbar)
DEXTROscoliosis (spine to the right, body to the left–usually thoracic)

Question 13

Popliteal fossa: postural exam, associated terms/looking for what

Answer 13

Posterior postural exam
Symmetrical
Superior/Inferior
Line angles (symmetricity)

Question 14

Feet: postural exam, associated terms/looking for what

Answer 14

posterior postural
Symmetrical
Inversion/Eversion

Question 15

Position of head: postural exam, associated terms/looking for what

Answer 15

Lateral exam

Symmetric
Anterior/Posterior

Question 16

Spine curvature (3): postural exam, associated terms/looking for what

Answer 16

Lateral exam
Cervical lordosis: symmetrical, increased/decreased
Thoracic kyphosis: symmetrical, increased/decreased
Lumbar lordosis: symmetrical, increased/decreased

Question 17

7 landmarks for lateral postural examination

Answer 17

1. External auditory meatus
2. Acromion process
3. Body of L3
4. Anterior 1/3 of sacrum
5. Greater trochanter
6. Lateral femoral condyle
7. Lateral malleolus

Question 18

Vertebral level of vertebral prominens

Answer 18

SPINOUS PROCESS of C7

Question 19

Vertebral level of suprasternal jugular notch

Answer 19

T2

Question 20

Vertebral level of spine of scapula

Answer 20

SPINOUS PROCESS OF T3

Question 21

Vertebral level of sternal angle

Answer 21

T4-T5 intervertebral disc, also attaches at 2nd rib

Question 22

Vertebral level of inferior angle of scapula

Answer 22

SPINOUS PROCESS of T7, vertebral body of T8

Question 23

Vertebral level of xiphoid process

Answer 23

T9

Question 24

Vertebral level of umbilicus

Answer 24

L3

Question 25

Vertebral level of iliac crest

Answer 25

L4

Question 26

What to look for during visualization (6)

Answer 26

1. Discoloration 2. Lesions 3. Scars 4. Tattoos 5. Birthmarks 6. Hair growth patterns (especially in birthmarks, moles)

Question 27

What are the categories evaluated in TART

Answer 27

T- Tissue Texture Changes A- Asymmetry R- Restriction of Motion T- Tenderness

Question 28

What categories are evaluated in tissue texture changes?

Answer 28

1. Temperature 2. Moisture (Psuedomotor) 3. Friction rub/red reflex 4. Bogginess of tissue (spongy tissue bc high fluid content) 5. Ropiness/stringiness

Question 29

How do you evaluate asymmetry

Answer 29

Visualize AND palpate

Question 30

How do you evaluate restriction of motion

Answer 30

Describe findings and Evaluate superficial fascia ROM Evaluate muscle ROM

Question 31

How do you evaluate tenderness?

Answer 31

Palpate and ask for patient feedback