OS Midterm Flashcards

(67 cards)

1
Q

Words to describe acute SD

A
Erythematous
Hot
Bogginess
Edema
Spasm
Tissue contraction
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2
Q

Words to describe chronic SD

A
Pale/blanching
Cool
Ropey
Stringy
Scar
Doughy
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3
Q

Physiologic barrier

A

End of active range of motion

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4
Q

Anatomic barrier

A

End of passive range of motion

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5
Q

Elastic range

A

Range between physiologic and anatomic barrier

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6
Q

Restrictive barrier

A

Functional limit that abnormally diminishes normal physiologic range

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7
Q

OMT contraindications include

A

NO somatic dysfunction present
Patient does not consent
Inappropriate clinical situation

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8
Q

Avoiding post OMT symptoms

A

History and physical exam
Appropriate choice of technique
Appropriate application of technique
Hydration and rest

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9
Q

Mesomorphic body type

A

Muscular/sturdy body build- the average guy
Mid-ranges of ROM
Characterized by relative prominence of structure developed from embryonic mesoderm

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10
Q

Ectomorphic body type

A

Thin body build, long linear frame
Tend to have higher ROM
Characterized by relative prominence of structures developed from embryonic ectoderm

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11
Q

Endomorphic body type

A

Heavy/fat body build, obese
Tend to have lower ROM
Characterized by relative prominence of structures developed from embryonic endoderm

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12
Q

Yellow skin

A

Jaundice, may indicate cirrhosis

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13
Q

Blue skin

A

Cyanosis, may indicate reaction to cold, Reynauds disease

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14
Q

Tetralogy of Fallot

A

Children with this disease may exhibit bluish skin during episodes of crying or feeding

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15
Q

Anterior view landmarks

A
Acromion, angles of clavicles
Umbilicus
Angle of rib cage
Greater trochanter levels
Medial/lateral malleoli
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16
Q

Posterior view landmarks

A

Carriage of the head
Should level- scapular spine/angle
Arm carriage
Gluteal line

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17
Q

Ratcheting quality in ROM

A

Parkinsons disease

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18
Q

Exhibiting resistance to the motion induced

A

Cerebral palsy

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19
Q

Abrupt end feel

A

Osteoarthritis or hinge joint

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20
Q

Empty end feel

A

Patient doesn’t allow the motion due to pain

Vascular dysfunction has this feel

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21
Q

Crisp end feel

A

Involuntary muscle guarding as in pinched nerve

Neural dysfunction

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22
Q

Which spine level displays greatest ROM

A

Cervical

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23
Q

Osteogenesis imperfect

A

Blue sclera

Multiple fractures

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24
Q

Ehler-Danlos syndrome

A

Collagen dysfunction
Joint hypermobility
Stretchy skin

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25
Alport syndrome
Deafness | Kidney dysfunction
26
Menkes disease
Kinky hair, growth failure, deterioration of nervous system
27
Breighton criteria major criteria
Breighton score of >4 | Arthralgia for longer than 3 months in 4 or more joints
28
Breighton score minor criteria
Breighton score of 1-3 Arthralgia >3 months in 1-3 joints or back pain for >3 months Spondylosis or any variation Dislocation or subluxation in more than one joint Skin striae Tall/slim frame, arachnodactyly
29
Requirement for Ehrler-Danlos syndrome
Two major One major two minor Four minor Two minor and unequivocally affected first degree relative
30
Inversion ankle sprain
``` Accounts for 85% of ankle sprains Anterior talofibular (ATF- Always Tears First) Calcaneofibular Posterior talofibular Swelling, tenderness, ecchymosis ```
31
High ankle sprain
Caused by ankle eversion and rotation (some dorsiflexion) Anterior inferior tibiofibular Syndesmosis Pain more common on medial aspect w/minimal swelling Pain worse with weight bearing
32
Plantar fasciitis
Inflammation of origin of plantar aponeurosis Worse with first steps, improves through day Point tenderness of calcaneus Pain with passive dorsiflexion
33
Mortons neuroma
Inflammation/thickening of tissue that surrounds the nerve between toes (most common b/w 3rd/4th) Patients reports feeling like walking on a marble Palpable in web space which will replicate burning pain Can have radiation of pain, numbness of toes Positive Mulders sign test
34
Turf toe
Inflammation and pain at base of 1st MTP | Caused by hyperextension of big toe causing damage to joint capsule
35
Achilles tendonitis
Inflammation of achilles tendon Sharp heel pain, stiffness at mid achilles Pain worse with strenuous exercise, better with walking
36
Diabetic neuropathy
Loss of vibratory sensation, impaired pain, light touch and temperature sensations Monofilament test is positive (can you feel it)
37
Gout
Monosodium urate crystals in joint space of first MTP usually Swollen, tender, erythematous joint
38
Osgood-Schlatter disease
Osteochondritis of tibial tubercle Caused by repetitive strain and chronic avulsion of ossification center of tibial tubercle, leading to separation of proximal patella tendon insertion from tubercle Frequently seen in children 10-15 in sports Swelling of tibial tubercle with anterior knee pain that increases over time Pain reproduced by extending knee against resistance
39
Ankle radiographs are indicated for patients who have
Pain in the malleolar zone and bone tenderness at the posterior edge or tip of the lateral medial malleolus Or unable to bear weight both immediately after the injury and for four steps in the ER
40
Foot radiographs are indicated for
Patients who have bone tenderness at the base of the fifth metatarsal or navicular and pain in the midfoot zone Or unable to bear weight both immediately after the injury and for four steps in the ER
41
Where do you palpate for Ottawa ankle rules
Distal 6cm of the posterior edge of the fibula to assess for bone tenderness
42
What are the five osteopathic models
``` Biomechanical Behavioral Neurologic Metabolic/energetic/immune Respiratory/circulatory Can all be influenced by the musculoskeletal system ```
43
Stress vs strain
Stress- force that attempts to deform | Strain- percentage of deformation
44
Hysteresis
Energy lost from the difference b/w loading and unloading characteristics
45
Bind
A palpable restriction of CT mobility
46
Wolffs law
Bone will develop according to the underlying stresses placed upon it
47
Hookes law
The strain placed on an elastic body is in proportion to the stress placed upon it
48
Sherringtons law
When a muscle receives an impulse to contract, its antagonist does too
49
Pannicular fascia
Outermost layer of fascia from somatic mesenchyme
50
Axial and appendicular fascia
Investing layer, surrounds all muscles and periosteum of bones
51
Meningeal fascia
Surrounds the nervous system, includes dura
52
Visceral fascia
Surrounds the body cavities
53
What provides for the mobility and stability of the MSK system
Fascia
54
C/sensory fibers
Unmyelinated, small diameter, low conduction velocity
55
Relative contraindications for soft tissue OMT
Acute injuries | Severe osteoporosis
56
Absolute contraindications for soft tissue OMT
``` Fracture/dislocation Neurologic entrapment syndromes Serious vascular compromise Local malignancy Local infection Bleeding disorders ```
57
Stretch vs knead
Stretch- parallel traction | Knead- perpendicular traction
58
Isokinetic contraction
Concentric contraction in which the joint is at a constant rate/speed i.e. keeping the same RPMs on a bike while changing resistance
59
Isotonic contraction
Concentric or eccentric contraction against a steady but yielding counterforce allowing a constant tone i.e. dumbbells
60
Isolytic contraction
A type of eccentric contraction in which the muscle concentric contraction is overpowered by a stronger counterforce leading to lengthening of the muscle
61
Isometric contraction
The distance b/w the origin and the insertion of the muscle is maintained at a constant length i.e. wall squats
62
Crossed extensor reflex goal
Used in extremities where the muscle that requires treatment is in an area so severely injured (fractures or burns) that it cannot be manipulated or is inaccessible -uses contralateral side
63
Isokinetic strengthening goal
To reestablish normal tone and strength in a muscle weakened by reflex hypertonicity of the opposing muscle group
64
Muscle energy contraindications
Local fracture/dislocation Moderate to severe segmental instability in cervical spine Evocation of neurologic symptoms or signs on rotation of the neck Low vitality Possibly post surgery patient Post myocardial infarction Recent eye surgery
65
Recommended minutes doing moderate intensity aerobic activity weekly
150 minutes for adults | 2 days a week strengthening muscles
66
Children recommendations for activity
60 minutes per day with moderate activity | 3 days per week with vigorous intensity aerobic activity, muscle strengthening and bone strengthening
67
Trendelenburg sign
Patient stands on one leg With normal abductor strength, pelvis will stay level With abductor weakness, pelvis will tilt towards unsupported side