OAT Peds

Question 1

red flags on history and exam

Answer 1

neck pain and fever

hip pain in obese child

Question 2

HVLA is

Answer 2

rarely necessary in young children

relatively contraindicated in hypermobile joints

Question 3

Very useful OMT

Answer 3

Articulatory, myofascial, FPR, lymphatic, BLT, and cranial

Question 4

Common Infant Complaints

Answer 4

Colic 
GERD
Constipation
Torticollis
Otitis media
URI
Croup
Brachial plexus injury
Cerebral Palsy
club foot

Question 5

Cardinal movements of labor

Answer 5

flexion
IR
Extension
ER

Question 6

Foramen affected by labor

Answer 6

Juglar foramen - CNs IX, X, XI, inferior pertosal and sigmoid sinuses
Hypoglossal canal

Question 7

CN IX

Answer 7

PSNS - parotid gland
motor - Ambiguus N.
somatosensory - Spinal Trigeminal N.

Question 8

CN X

Answer 8

PSNS - vagal n.
Motor - ambiguus N.
Somatosensory - spinal trigeminal N.

Question 9

CN XI

Answer 9

Spinal accessory

innervates the trapezius and sternocleidomastoid

Question 10

CN XII

Answer 10

hypoglossal

innervates intrinsic and extrinsic muscles of the tongue

Question 11

Compress of jugular foramen may cause dysfunction of

Answer 11

tongue motion (poor suck)- IX and XII
Intestinal peristalsis (constipation, GERD, colic) - X
SCM/Trapezius motion (torticollis)- XI

Question 12

Infant spine

Answer 12

C-spine has slight lordosis which increases a baby can support head
thoracic kyphosis and lumbar lordosis have yet to develop

Question 13

Anterior fontanelle closes at

Answer 13

12 - 36m

Question 14

Posterior fontanelle closes at

Answer 14

2-3 m

Question 15

sphenoid fontanelle closes at

Answer 15

6 m

Question 16

mastoid fontanelle closes at

Answer 16

6-18 m

Question 17

most common SD in infants

Answer 17

occiput

Question 18

SD in infants that affects the most cranial ns

Answer 18

temporal

Question 19

in infants, a internally rotated temporal bone increased likelihood of

Answer 19

otits media

Question 20

operative vaginal delivery can cause

Answer 20

CN VI - lateral rectus palsy

CN VII - facial palsy

Question 21

reason otitis media is more common in chidlren

Answer 21

eustachian tube flatter in infants

Question 22

what needs to be ruled out or considered before OMM

Answer 22

craniosynostosis

Question 23

Synostotic trigoncephaly

Answer 23

metopic suture fusion

Question 24

synostotic scaphocephaly

Answer 24

sagittal suture fusion

Question 25

synostotic brachycephaly

Answer 25

bicoronal suture fusion

Question 26

synostotic posterior plagiocephaly

Answer 26

unilateral lambdoid suture fusion

Question 27

synostotic anterior plagiocephaly

Answer 27

unicoronal suture fusion

Question 28

deformational posterior plagiocephaly

Answer 28

all sutures open

Question 29

positional plagiocephaly

Answer 29

plane of eyes is titled like plane of head ear on flattened side more anterior forehead protruding on the side of the flattening unilateral bald spot "parallelogram-shaped" head frequently associated with torticollis and lateral strain

Question 30

brachycephaly

Answer 30

head is wider than long back of head is flat rather than curved vertical strain or flexion strain

Question 31

scaphocephaly

Answer 31

head is long and narrow | extension strain

Question 32

torticollis due to irritation of

Answer 32

spinal accessory n. where it exits jugular foramen

Question 33

OMM for torticollis

Answer 33

OA region | clavicles

Question 34

how infants treat SD

Answer 34

crying and sucking

Question 35

OMM for cranial SD

Answer 35

condylar decompression BMT venous sinus release

Question 36

OMT in infants

Answer 36

indirect treatments preferred

Question 37

Common childhood complaints

Answer 37

``` sinusitis URI Asthma GERD Constipation MSK compalints growing pains ```

Question 38

Risk factors for URI

Answer 38

daycare and school immunocompromised smoke exposure asthma/allergic rhinitis

Question 39

OMT for URI

Answer 39

lymphatics - thoracic inlet sympathetic T1-4 PSNS - CN VII(OA)

Question 40

Bacterial sinusitis

Answer 40

URI sxs >10 days sx imporve then worsen OMT lymphatics

Question 41

Sinuses present at birth

Answer 41

maxiallary and ethmoid

Question 42

development of sphenoid sinus

Answer 42

4 yrs

Question 43

development of frontal sinus

Answer 43

6 yr

Question 44

OMT for Asthma

Answer 44

OA accessory muscle or respiration diaphragm T1-12 and ribs

Question 45

SD caused by asthma

Answer 45

inhalation rib SD

Question 46

chapman's point for sinuses

Answer 46

A: inferomedial clavicle, lateral to SC junction - nasal superior second rib at midclavicular line - all P: mastoid process

Question 47

chapman's point for larynx

Answer 47

A: superior second rib, just medial to sinuses CP P: just lateral to SP of C2

Question 48

Chapman's point for pharynx

Answer 48

A: inferior first rib at sternocostal junction P: lateral to SP of C2

Question 49

Chapman's point for tonsils

Answer 49

lateral manubrium

Question 50

chapman's point for middle ear

Answer 50

A: superior clavicle, about 2-3 cm lateral to SC junction P: base of occiput at OA

Question 51

OMT for sinusitis

Answer 51

sinus milking techniques | cranial lifts

Question 52

OMT for OM

Answer 52

ear pull glabreath muncie technique

Question 53

OMT for GERD

Answer 53

OA T5-9 Diaphragm Celiac ganglion

Question 54

OMT for Constipation

Answer 54

OA T10-L2 Superior and inferior mesenteric ganglia sacrum

Question 55

OMT for MSK

Answer 55

evaluate at least the joints above and below the joint in question send pts home with exercises

Question 56

OMT for cerebral palsy

Answer 56

treat what you find

Question 57

common adolescent complaints

Answer 57

growing pains back pain joint pain dysmenorrhea

Question 58

viscerosomatics for SNS Upper GI

Answer 58

T5-9 | ends at duodenum

Question 59

viscerosomatics for SNS Middle GI

Answer 59

T10-11 | ends at splenic flexure

Question 60

viscerosomatics to SNS lower GI

Answer 60

T12-2

Question 61

viscerosomatics for PSNS upper GI

Answer 61

OA, AA | ends at transverse colon

Question 62

viscerosomatics for PSNS lower GI

Answer 62

pelvic splanchnic

Question 63

CP for appendix

Answer 63

A: tip of 12th rib P: TP of T11

Question 64

CP for intestines

Answer 64

just below ASIS

Question 65

CP for colon

Answer 65

along the IT band

Question 66

CP for rectum

Answer 66

near inner thigh