OPP EXAM 2

Question 1

post ganglionic sympathetic fibers lead to tissue texture changes such as

Answer 1

Hypertonicity, moisture, erythema, etc

Question 2

_________ _________ of the spinal cord is where somatic and visceral affront nerves synapse giving viscerosomatic reflex

Answer 2

Dorsal horn

Question 3

Dorsal Horn of the spinal cord is where somatic and visceral affront nerves synapse giving

Answer 3

Viscerosomatic reflex

Question 4

What are the viscerosomatic considerations for T10-T11

Answer 4

Kidney and upper ureter

Question 5

What are the viscerosomatic considerations for T11-L1

Answer 5

Lower ureters

Question 6

What are the viscerosomatic condisderations of T11-L2

Answer 6

Lower extremities

Question 7

What are the viscerosomatic considerations of T12-L2

Answer 7

Left colon, bladder, prostrate

Question 8

Where do the iliolumbar ligaments insert

Answer 8

TP of L4 and L5

Question 9

Where do the iliolmbar ligaments refer pain

Answer 9

Groin, SI region, lateral thigh

Question 10

What ligament is commonly strained in traumatic injuries

Answer 10

Iliolumbar

Question 11

What is the first ligament to become tender with lumbar postural changes

Answer 11

Iliolumbar ligament, 1” superior and medial to the PSIS

Question 12

T/F the iliolumbar lig responds well to OMT

Answer 12

True

Question 13

Orientation of SUPERIOR cervical facets

Answer 13

BUM (backward, upward, middle)

Question 14

orientation of SUPERIOR thoracic facets

Answer 14

BUL (backward, upward, lateral)

Question 15

Orientation of SUPERIOR lumbar facets

Answer 15

BM (backward, medial)

Question 16

orientation of INFERIOR cervical facets

Answer 16

AIL (Anterior, inferior, lateral)

Question 17

Orientation of INFERIOR thoracic facets

Answer 17

AIM (Aneterior, inferior, lateral)

Question 18

Orientation of INFERIOR lumbar facets

Answer 18

AL (anterior, lumbar)

Question 19

What is lumbarization

Answer 19

When S1 essential becomes the 6th lumbar

Question 20

What is sacralization

Answer 20

When L5 essential becomes attached to the sacrum

Question 21

What positioning applies the greatest load possible

Answer 21

Sitting with poor posture

Question 22

What are the most common places for disk herniation

Answer 22

L4-L5

L5-S1

Question 23

What ligament causes disk herniation to typically bulge to one side

Answer 23

Posterior longitudinal ligament

Question 24

Herniation at disk X, affects nerve root

Answer 24

X+1

Question 25

Herniation @ L3-L4 affects _____ nerve root

Answer 25

L4

Question 26

What are the components of an L4 nerological exam

Answer 26

``` Motor= foot inversion DTR= patellar reflex Sensory= medial leg and foot ```

Question 27

What is components of a neuro exam for L5

Answer 27

Motor-extensionn of extensor hallucis longus No reflex Sensory- lateral side fo leg and dorsum of foot “Walk on your heels”

Question 28

What does walking on your heels test

Answer 28

L5

Question 29

What is the neuro exam for S1

Answer 29

Motor-eversion of the foot Reflex-Achilles tendon Sensory-lateral malleolus and foot Walk on toes

Question 30

Walking on toes tests

Answer 30

S1

Question 31

What does a postive babinski reflex indicate

Answer 31

Upper motor neuron problems

Question 32

What are the potential results of a straight leg raise

Answer 32

0-35 Some tension on sciatic nerve 35-70 maximally involves sciatic nerve >70 most likely joint pain

Question 33

Which test tests for pathology of the SI joint or hip

Answer 33

FABERE Test (Patrick)

Question 34

What does a trendelenburg test for

Answer 34

Gluteus medius strength

Question 35

If the patients left hip drops during the swing phase, which gluteus medius is injured and how would you strengthen

Answer 35

Right; abduction exercises

Question 36

The hip drops tests for

Answer 36

Ability to side bend

Question 37

What does the thomas test test

Answer 37

Psoas muscle tension

Question 38

What does the Hoover test test

Answer 38

To see if the patient is actually trying

Question 39

What are the five red flags for lumbar pain

Answer 39

1. Age 50 and older 2. Previous history of cancer 3. Unexplained weight loss 4. Failure to improve with 1 month of therapy 5. No relief with bed rest

Question 40

Somatic dysfunction is diagnosed by

Answer 40

Tissue texture changes Asymmetry Restriction of motion Tenderness

Question 41

1st principle of fryettes occurs when side bending and rotation is ________

Answer 41

Opposite

Question 42

What does reversible scoliosis indicate

Answer 42

That there is no Saginaw component (TYPE 1)

Question 43

Post isometric is _________ front the barrier

Answer 43

Away

Question 44

Reciprocal inhibition is __________ the barrier

Answer 44

Toward