Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

OMM Year 2 > OMM Exam 3 - Spring > Flashcards

OMM Exam 3 - Spring Flashcards

(68 cards)

Start Studying
1
Q

kidneys boundaries:

superior:

inferior:

lateral:

medial:

central:

A

superior:

  • diaphragm

inferior:

  • between rib 12 & iliac crest
  • L touches rib 11

lateral:

  • muscles of ab wall

medial:

  • lateral psoas

central:

  • QL proximal to 12th intercostal, iliohypogastric & ilioinguinal nerves
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

referred pain patterns from QL

origin, insertion & action

A

origin: 12th rib & TPs of L1-L4

Insertion: iliolumbar ligament & posterior iliac crest

action:

  1. stabilize 12th rib
  2. lateral flexion unilateral
  3. extension bilater;
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

referred trigger points psoas

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

reanl fascia

anterior:

posterior:

superior:

A

anterior: pariental peritoneum
psoterior: fascia of QL & psoas, attaches to SC & diaphragm
superior: crus of diaphragm –> ALL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

mvmt of kidneys

A

no ligament or mesentary to anchor, only hilar vessels & urters continuous

downward motion: semifluid perirenal fat & psoas “slide”

upwards: throacic respiration
posterior: standing forces ab muscles contract –> increased intraab pressure –> pushes kidneys posterior

inspiration: down & external rotation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

renal ureter referred pain

A

upper: ASIS anterior to border to rectus abdominis
middle: inguinal ligament anterior to rectus abdominis
lower: suprapubic area –> scrotum/labia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

“droped kidney” (3)

A

nephroptosis: 3cm downwards to internal iliac fossa

associated with constipation

inferior fasical tunnel allows for sliding motion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

OMM: nephroptosis

A

visceral manipulation

posterior:

  • exercises to stregnthen abs
  • SD: T10-L2
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

sympathetic innervation:

kidneys:

ureters:

bladder:

A

kidneys:

  • superior mesentaric ganglion: T10-L1

ureters:

  • upper: superior mesentaric ganglion: T10-L1
  • lower: inferior mesentaric ganglion: L1-L2

bladder:

  • inferior mesentaric ganglion: T12-L2
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Chapman’s:

kidney:

appendix:

bladder:

prostate:

A

kidney:

  • anterior: ipsilateral 1’ lateral & superior to ubilicus
  • posterior: L1

appendix:

  • tip of 12th rib

bladder:

  • anterior: periumbilical
  • posterior: L2

prostate:

  • anterior: posterior margin of ITB
  • lateral to sacral base @ S1
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

tx: nephrolithiasis:

A

inhibit paraspinals T10-L2

address pain before other treatments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

htn: omm tx

A

PNS:

  • OA, AA, C2

SNS:

  • T1-5 & T10-11
  • inferior mesenteric ganglion for renals & adrenals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

the bladder is held by what ligaments?

A

men: puboprostatic
women: pubovesical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

a full bladder may ascend to the…

A

umbilicus via ligament attachments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

pelvic diaphragm innervation

A

pudendal nerve: S2-4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

PNS innervation to:

upper ureters:

lower ureters:

bladder:

A

upper ureters:

  • vagus: maintains peristalsis

lower ureters:

  • pelvic splachnics (S2-4): increases peristalsis

bladder:

  • pelvic splachnics (S2-4): micturition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

the pudendal nerve runs in the _______ fossa

A

ischiorectal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

neural controls in micturition

A

sipnobulbospinal reflex:

  • voluntary inhibition of peeing develops at age 2-3

storage phase:

  • SNS (T12-L2)

voiding phase:

  • initiated vountarily
  • PNS (S2-4)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

types of incontinence

A
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

avoid prostate massage when?

A

bacterioal prostatitis, which could lead to bacteremia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

prostatitis: OMM tx

A

ischiorectal fossa: T12-L2, S2-4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

SNS supply to lower GU =

A

thoracolumbar jxn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Whiplash Grades:

A

0:

  • no complaints

1:

  • neck pain
  • no physical signs

2:

  • neck pain
  • decreased ROM/muscle weakness

3:

  • neck pain
  • decreased ROM/muscle weakness
  • sensory deficit

4:

  • neck pain
  • fx/dislocation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

3 phases of whiplash

A

S curve:

  • nonphysiologic: F in upper, E in lower
  • head lagging behind thorax
  • pivotal role in whiplash injury

C curve:

  • overall extension

Rebound:

  • head contacts head rest
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
intervertebral discs are ____ in ventral region than dorsal region
2x thicker: responsible for lordosis
26
Pressure on c-spine is least in the\_\_\_\_\_ position and most in the _______ position
least: supine most: extension of c-spine
27
differences between cervical vertebral end plates and lumbar vertebral end plates?
cervical: concase/convex with nucleus in anterior portion lumbar: flat with nucleus in center
28
splenius muscles
SP of lower c/upper t-spine --\> TP of upper c-spine & mastoid process
29
iliocostalis
angles of upper 6 ribs --\> posterior tubercles of TPs of lower c-spine
30
longissimus
TP of upper t-spine --\> TPs of lower c-spine ## Footnote **T-spine mechanical relationship to c-spine**
31
the ______ muscles make the occiput, atlas and C2 a functional unit
suboccipital muscles: occiput --\> C2
32
joints of luschka
lateral saddle shaped pseudoarthorses in c-spine from C2-C7 fx: decrease likelihood of herniated disc
33
uniqueness of cervical TPs
lateral portions of C1-6 modified for vertebral artery foramen anterior TP = "rib" while posterior TP = "TP"
34
A ______ posture is at a highest risk for whiplash injury
kyphotic
35
cervical spine facet referred pain: ## Footnote C1-2: C2-4: C4-6: C5-7:
C1-2: * occipital vertex, parietal areas in distribution of greater occipital nerve C2-4: * paraspinal & trapezial areas C4-6: * trapezial areas C5-7: * trapezial and periscapular areas
36
whiplash OMM:
CS, indirect fasical release and cranial techniques most appropriate ofr initial tx seq: t-spine --\> suboccipital --\> rest of c-spine
37
painful arc syndrome
pain on resistant ABduction between 60-120 degrees due to inflammed tender presses against acromium
38
frozen shoulder
inflammation of glenohumeral joint common in females 40-60
39
speed's test
pt's shoulder flex to 90 with elbow extended & forearm supinated dr palces one hand in bicipital groove and other hand on forearm & flexes humerus pain = bicep tendinitis
40
yergason's test
pt elbow flexed to 90 with forearm pronated and close to torso dr places hand on bicipital groove and other hand on pt's forearm pt supinates and flexes against resistance
41
hawkins-kennedy test
test of impingement syndrome: * pt arm & elbow flexed to 90 * dr IR pt's shoulder * pain - subacromial impingement
42
neer's test
test of impingement syndrome: * pt's arm pronated and flexed while doctor raises amr to head
43
UE embryology
limb bud appears at 4th week * activation of mesochyme in lateral mesoderm which is covered by ectoderm motor axons arise from SC and enter bud at 5 weeks ensory nerves follow motor
44
dermatome map of arm
45
true elbow joint (4)
1. hinge joint 2. olecranon process of ulna --\> olecranon fossa of humerus * radius is NOT in contact with humerus with normal joint alignment 3. only stable @ full ext 4. trochlear notch of ulna has slight spiral --\> automatic slight abduction of forearm with flexion
46
\_\_\_duction SD is more common in elbow and wrist considerationrs
ABduction
47
trauma: mechanisms for posterior v anterior radial head SDs
fall forward: posterior fall backwards: anterior
48
the forearm has ________ mechanics
parallelogram ## Footnote forearm ABductions --\> wrist ADdcution
49
referred pain from what location refers to between the shoulder blades?
gastric
50
most common site for brachial plexus compression
supracravicular region
51
pain on the vertex of head arises as a result of irritation of the _______ nerve
greater occipital nerve
52
scapulocostal syndrome: (5)
1. symptoms occur at rest in upright position (sitting/standing) 2. unilateral headache 3. pain on posterior-lateral neck 4. radiation of symptoms down ipsilateral UE 5. paresthesia in ulnar nerve distribution
53
claviculocostal syndrome
neurovascular bundle compressed between 1st rib & clavicle where brachial plexus joins SC artery and courses over 1st rib similar symptoms to anterior scalene syndrome
54
test for claviculocostal syndrome
bring shoulder back & down actively by pt and then passively by dr
55
pectoralis minor syndrome
hyperabduction syndrome pec minor: ribs 3-5 --\> coracoid process of scapula * covers: * brachial plexus * axillary A & V arm is lateral ABducted, stretching pec minor and impinging structures underneath test: pt arm overstretched above head, ABducted and extended
56
esophagus is located:
T3-T8
57
cell bodies for visceral afferent fibers in vagus nerve
superior ganglion: jugular inferior ganglion: nodose
58
myenteric v meissner's plexus
myenteric: * b/w circular & longitudinal muscle layers * peristalsis meissners: * submucosa * glandular secretions
59
phrenic ampulla
emptying of ampulla occurs between insiprationrs in conjuction with relengthening of esophagus phrenoesophageal membrane stretches, degenerates with wear & tear --\> hiatal hernia
60
tLESR's
transient lower esophageal sphincter relaxations: * increased freq: distension of stomach, upright posture * involves motor responses b/w: * LES * crura of diaphragm * esophageal shortening * active, **vagal-mediated** reflex
61
"pinchcock" effect
crural contraction during draphragm inspiration that inhibits gastric reflux but helping "close" LES
62
medial v lateral arcuate ligament
medial: psoas lateral: QL
63
OMT to celiac plexus
objective tissue resistance
64
liver anatomy | (pic for reference)
65
Liver "Flip"
downward pressure of right anterior rib margin inhale --\> descent of liver SUDDENLY let go of pressure and it will "snap" liver back to proper place
66
liver can process as much as \_\_\_\_\_\_\_
1.5 L blood/minute
67
R & L crus of diaphragm anchored at:
L1-3
68
excessive flatulence is associated with lumbar \_\_\_\_\_\_\_\_\_
lordosis

OMM Year 2 (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions