Nerves/Dermatomes/Random OMM

Question 1

tennis elbow

Answer 1

extensor muscle group

lateral epicondylitis

Question 2

golfer’s elbow

Answer 2

flexor muscle group

medial epicondyle

Question 3

Q angle

Answer 3

angle of femur vs angle of tibia

increased = knock-kneed

Question 4

knee reflex

Answer 4

L4

Question 5

achille’s reflex

Answer 5

S1

Question 6

C4/5 dermatome

Answer 6

top of shoulder

Question 7

C6 dermatome

Answer 7

radial aspect of arm

thumb

Question 8

C7 dermatome

Answer 8

2nd and 3rd digits

Question 9

C8 dermatome

Answer 9

4th and 5th digit

Question 10

T4 dermatome

Answer 10

nipple

Question 11

T10 dermatome

Answer 11

umbilicus

Question 12

L5 dermatome

Answer 12

big toe

lateral aspect of calf

Question 13

S1 dermatome

Answer 13

pinky toe

posterior calf

Question 14

Zink patterns

Answer 14

OA –> cervicothoracic –> thoracolumbar –> lumbosacral

common compensated: L/R/L/R

uncommon compensated: R/L/R/L

uncompensated: everything else

Question 15

Spencer technique

Answer 15

elephants fart constantly to annoy intelligent people

1. extension
2. flexion
3. compression circumduction
4. traction circumduction
5. aDduction
6. aBduction
7. internal rotation
8. pull/pump

Question 16

rotator cuff

Answer 16

AEEI, SITS muscles make the arm touch the sky

• supraspinatus - aBduction
• infraspinatus - external rotation
• teres minor - external rotation
• subscapularis - internal rotation

Question 17

surgical neck of humerus fracture

Answer 17

damages the axillary N.

innervates the deltoid

Question 18

saturday night palsy

crutches

midshaft fracture of the humerus

Answer 18

damages the radial N. (C7)

causes wrist drop

Question 19

supracondylar fracture of the humerus

Answer 19

damages the median N.

ape hand, Pope’s blessing

sensation to first 3 1/2 digits

Question 20

hook of hamate fracture

FOOSH injury

medial epicondyle fracture

Guyon’s canal injury

Answer 20

damage to the ulnar N.

ulnar claw

radial deviation during wrist flexion

Question 21

FPR

Answer 21

neutral positioning (i.e., neutralize the curve)

add compression

indirect positioning

HOLD 3-5 seconds

return to neutral

Question 22

BLT

Answer 22

indirect positioning

assess breathing

hold the breath until air hunger

Question 23

Still’s technique

Answer 23

indirect positioning

add compression

move through the barrier into direct positioning

return to neutral

Question 24

what causes a trigger point?

Answer 24

uneven alpha and gamma motor neuron signalling

usually excessive gamma (intrafusal) signalling

Question 25

biceps reflex

Answer 25

C5

Question 26

brachioradialis reflex

Answer 26

C6

Question 27

triceps reflex

Answer 27

C7

Question 28

do you treat thoracics/ribs or C-spine first?

Answer 28

thoracics/ribs

Question 29

cauda equina syndrome

Answer 29

involves L3 and lower asymmetric and **hypo**reflexic gradual onset

Question 30

conus medullaris syndrome

Answer 30

involves T12-L2 symmetric and **hyper**reflexic sudden onset

Question 31

rules for torsions and L5

Answer 31

axis is always **opposite** the seated flexion test L5 **sidebends towards** the _axis_ L5 rotates **opposite** the _sacrum_

Question 32

sacral axes

Answer 32

superior - craniosacral axis medial - postural axis inferior - respiratory axis

Question 33

iliolumbar L.

Answer 33

stabilizes anterior motion of L5 on the pelvis first ligament injured in an innominate SD

Question 34

sacrospinous L.

Answer 34

separates the greater and lesser sciatic foramen

Question 35

what rib dysfunction is treated with muscle energy?

Answer 35

**exhalation** * rib 1 - anterior and middle scalene * rib 2 - posterior scalene * ribs 3-5 - pectoralis minor * ribs 6-8 - serratus anterior * ribs 9-10 - latissimus dorsi * ribs 11-12 - quadratus lumborum

Question 36

cobb angles

Answer 36

mild \< 25: OMM moderate 25-45: brace severe \> 45: surgery **respiratory** compromise \> 50 **circulatory** compromise \> 75

Question 37

lymphatics treatments

Answer 37

**thoracic outlet** always first axilla (UE) / diaphragm (LE) hip posterior knee distal dysfunction

Question 38

thoracic duct

Answer 38

originates at cisterna chyli drains **left** **side** and everything **below umbilicus**, including viscera empties into L subclavian and L internal jugular VV.

Question 39

right lymphatic duct

Answer 39

drains **right side** R head and neck, RUE, R thorax, **heart, lungs** (except L upper lobe) empties into R subclavian and R internal jugular VV.