OPP Flashcards

(58 cards)

1
Q

which test?

touch superior C/L scapula, then inferior C/L scapula

A

apley scratch test

superior C/L scapula - ABD + ER

inferior C/L scapula - ADD + IR

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2
Q

test for adhesive capsulitis (frozen shoulder syndrome)

A

apley scratch test

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3
Q

female sex

advanced age

diabetes

recent should trauma -> prolonged immobilization

these are risk factors for …

A

risk factors for adhesive capsulitis

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4
Q

test for diagnosing subacromial impingement (RTC tendon inflammation in subacromial space)

A

Neer’s test

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5
Q

what test is this describing?

IR and flexion at shoulder

pain at anterolateral shoulder: + test

A

Neer’s test

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6
Q

what test is being described?

knee bent to 90 deg and tibia pulled anteriorly

A

anterior drawer test

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7
Q

what test is being described?

knee bent to 30 deg and tibia pulled anteriorly while anchoring distal thigh

A

lachman

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8
Q

diagnosis?

L shallow ILA

L shallow sacral sulcus

R deep ILA

R deep sacral sulcus

spring test + on L

A

L sacral margin torsion

only POSTERIOR side is diagnosed

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9
Q

which part of rib is used for diagnosing SD in ribs 1-5?

A

anterior aspect of ribs - pump handle

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10
Q

which part of rib is used for diagnosing SD in ribs 6-10?

A

lateral aspect of ribs

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11
Q

stroke of which artery?

U/L leg weakness

A

C/L anterior cerebral artery

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12
Q

stroke of which artery?

U/L face weakness, UE weakness, LE weakness

A

C/L middle cerebral artery

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13
Q

what test/finding is this describing?

when standing on R leg, L hip drops

when standing on L leg, hips stay level

A

Trendelenburg

R gluteus medius weakness - L4-S1 nerve roots

*when standing on affected leg, C/L (unaffected) hip drops*

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14
Q

how are digits on the hand numbered?

A
  1. thumb
  2. index
  3. middle
  4. ring
  5. pinky
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15
Q

diagnosis?

vault hold:

left 2nd digit - anterior and superior rotation

right 2nd digit - posterior and inferior rotation

A

left lateral strain

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16
Q

finger placement with vault hold

A

index finger= greater wing of sphenoid on pterion

middle finger= front of ear on temporal bone

ring finger= mastoid of temporal bone

pinky finger= occiput

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17
Q

C1 vs. C2-C6 motion

A

C1: Type I like - always in opposite directions

C2-6: Type II like - always in same direction, regardless of sagittal plan (neutral, flexion, extension)

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18
Q

when does significant interaction between sacrum and L5 occur?

A

only with sacral torsions

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19
Q

what happens to L5 with sacral torsion

A

sidebends toward axis

rotates opposite sacral rotation

NEUTRAL when sacrum flexed (R on R, or L on L) - Type I like

Flexed or Extended when sacrum extended (R on L, or L on R) - Type II like

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20
Q

asthma

COPD

mild CHF exacerbation

respiratory infections

these are indications for… ?

A

lymphatic drainage

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21
Q

coagulopathies

patients taking anticoagulation

indurated lymph node

fracture

severe CHF exacerbation

organ fragility

malignancy

necrotizing fasciitis

these are all contraindications for… ?

A

lymphatic drainage techniques

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22
Q

rules for correcting leg length discrepancy

A

when discrepancy > 5mm:

initial lift - 1/16 inch in elderly, 1/8 inch otherwise

double lift every 2 weeks until 1/2 inch

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23
Q

spinal stenosis, spondylosis, spondylolysis, or spondylolisthesis?

intervertebral disc herniation into spinal canal (compressing cord or nerve roots)

pain in back, butt, posterior thigh, worse with extension

pain is shooting and results in parasthesias

A

spinal stenosis

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24
Q

spinal stenosis, spondylosis, spondylolysis, or spondylolisthesis?

degenerative

not seen on XR

25
**spinal stenosis, spondylosis, spondylolysis, or spondylolisthesis?** oblique XR no displacement
**spondylolysis** fracture of pars interarticularis = collar of scotty dog
26
**spinal stenosis, spondylosis, spondylolysis, or spondylolisthesis?**
**spondylolisthesis** anterior displacement of L5 on S1 \*aching pain\*
27
axis for sacral margin dysfunction
parasagittal/mid-vertical
28
pt supine hip and knee flexion, abduction, ER pressure on knee (perpendicular to table)
patrick/FABER test for low back pain
29
(+) patrick/FABER with pain in posterior pelvis vs. inguinal region vs. lateral hip
pain in posterior pelvis = SI joint pathology (eg, sacroiliitis) inguinal region = hip joint pathology (eg, hip osteoarthritis, avascular necrosis of femoral head) lateral hip = trochanteric bursitis (ie, gluteus medius/minimus tendinopathy with bursae inflammation)
30
compression of lateral femoral cutaneous nerve, with paresthesias and dec sensation in upper outer thigh
meralgia paresthetica
31
what is initial therapy for short leg syndrome? and if this fails, what is next step?
1. anterior innominate rotation dysfunction - **muscle energy with hip flexion** 2. if leg discrepancy is not corrected by MET - **XR of B/L hips**
32
how is scoliosis treated when Cobb angle \< 15? 20-45? \> 50?
\< 15 = mild - OMM 20-45 = moderate - OMM + orthotic bracing \> 50 = severe - risk of compromising resp and circ - surgery
33
tender point: 2/3 distance between midline and ASIS treatment position: supine, F hip, ER hip, lumbar sidebending
psoas major
34
tender point: on the pubic ramus, 2 inches lateral to the pubic symphysis treatment position: supine, F hip muscle?
psoas minor
35
diagnosis? vault hold - L digits SPREAD, move CAUDAD; R digits NARROW, move CEPHALAD
left side bending rotation
36
tender point: 1/3 distance between midline and ASIS treatment position: supine, F hips, ER hips, cross C/L leg muscle?
iliacus
37
tender point: medial clavicular head (where SCM attaches) treatment position?
AC8 supine, (F) SARA
38
lungs viscerosomatics
T2-T7
39
which test is this? when is it positive? patient seated, elbow/shoulder E, arm ER, shoulder ABD, head rotated to affected side
ADSON'S - thoracic outlet syndrome (+) test = parasthesias, weakness, reduced radial pulse, pallor, pain
40
three places where thoracic outlet syndrome may occur
constriction of brachial plexus and subclavian vessels between: 1. interscalene triangle - anterior scalene, middle scalene, first rib 2. clavicle and first rib 3. pec minor
41
(+) sphinx test
more asymmetric with lumbar F/sacral E sacrum prefers F forward torsion
42
(-) sphinx test
more symmetric with lumbar F/sacral E sacrum prefers E backward torsion
43
(+) spring test
sacrum does NOT spring/does not like flexion sacrum prefers extension **backward torsion**
44
(-) spring test
sacrum DOES spring/does like flexion forward torsion
45
C1 (atlanto-occipital) mechanics
type I-like --- SB and R always opposite, regardless of N/F/E
46
hand positioning for inferior vs superior AC joint
inferior AC = inferior spine of scapula --- pronated hand superior AC = superior spine of scapula --- supinated hand
47
muscle targeted when treating superior vs inferior SC joint?
superior SC = subclavius inferior SC = SCM
48
spencer mnemonic and motions @ SHOULDER
Every Fine Cat Takes An An Indoor Pee extension flexion compression with circumduction traction with circumduction abduction adduction with ER IR pump
49
spencer @ HIP
Felines Eating Catnip Trip Into Everything Around Austin flexion extension compression with circ traction with circ IR ER ABD ADD
50
navicular, cuneiforms, metatarsals 1-3, talus which foot arch??
medial
51
navicular, cuneiforms, cuboid which foot arch??
transverse
52
cuboid, metatarsals 4-5, calcaneus which foot arch??
lateral
53
levoscoliosis vs dextroscoliosis
LEVO: curve points L, opens R DEXTRO: curve points R, opens L
54
viscerosomatics for treating asthma exacerbation?
OA ---- vagus n. asthma= inc parasympathetic outflow
55
1st ICS chapman
tonsils
56
2nd ICS chapman
heart
57
3rd ICS chapman
upper lung
58
4th ICS chapman
lower lung