Things I forgot

Question 1

What is the origin of the thoracic duct?

Answer 1

Cisterna Chyle –> distal dilation at L1-2

Question 2

What are the 4 parameters for a bad sign for lymph nodes?

Answer 2

swollen, hard, non-painful, fixed

Question 3

What are the 4 transverse restrictors?

Answer 3

Tentorium cerebelli, thoracic inlet, thoracolumbar diaphragm, pelvic diaphragm

Question 4

what do you start with for treatments for lymphatics?

Answer 4

ALWAYS thoracic inlet MFR.. typically go from there downwards

Question 5

what are the 4 principles to lymphatic treatments?

Answer 5

open pathways to remove restrictions –> maximize diaphragmatic functions –> increase pressure differentials or transmit motion –> mobilize targeted tissue fluids

Question 6

What way does the sacrum move during rocking?

Answer 6

sacral apex moves anteriorly on inhalation

base moves anteriorly on exhalation

Question 7

what is a positive test for the compression test / spurling maneuver?

what do both indicate

Answer 7

pain down the arm in the nerve root distribution

cervical radiculopathy

Question 8

What is within the medial longitudinal arch?

Answer 8

Calcaneus, Talus, Navicular, Cuneiforms 1-3, Metatarsal 1-3

Question 9

What is within the lateral longitudinal arch?

Answer 9

Calcaneus, Talus Cuboid, Metatarsal 4-5

Question 10

Posterior Fibular Head indicates which motion of the foot?

Answer 10

Anterior Lateral Malleolus –> Supination (Add Plants In your Soup”

Plantarflexion, inversion, adduction

Question 11

Anterior fibular head indicates which motion of the foot?

Answer 11

Posterior Lateral Malleolus –> Pronation

Abduction, dorsiflexion, eversion

Question 12

We know that the OA is “type 1 like”… what does that mean for f/e?

Answer 12

It usually has a F/E component, which is why it’s type 1 like

Question 13

What is the process for lymphatic treatments/

Answer 13

1. open the thoracic inlet
2. Other transverse myofascial restrictors
3. regional lymphatic drainage

Question 14

What direction does effleurage go from?

Answer 14

Distal to proximal

Question 15

What lymphatic treatment is contraindicated for COPD?

Answer 15

Thoracic Pump Vacuum

Question 16

What is part of the plumb line?

Answer 16

acromion process

external auditory canal, greater trochanter, anterior medial malleolus

Question 17

When did AT still fling the banner of osteopathy?

Answer 17

June 22nd, 1874 at 10AM

Question 18

What is the functional unit of the spinal cord?

Answer 18

two spinal vertebrae, soft tissues, nerves and the disc between 2 articulations

Question 19

What is…

Empty?
Elastic?
Hard?
Crisp?
Abrupt?

Answer 19

motion stops due to patient guarding

feels like a rubber band

somatic dysfunction

involuntary guarding due to a pinched nerve

limit of a hinge joint

Question 20

Wolff’s Law

Answer 20

bone will develop under the stress placed upon it

Question 21

Hooke’s Law

Answer 21

strain placed on a body is proportional to the stress placed upon it.

Question 22

Sherrington’s Law

Answer 22

when a muscle receives a nerve impulse to contract, its antagonists, receives, simultaneously, an impulse to relax.

Question 23

What is an absolute contraindication for Soft tissue technique?

what’s a weird one for relative?

Answer 23

Fracture

severe osteoporosis

Question 24

5 models of osteopathic treatment

Answer 24

postural structural (biomechanics)

neurologic

bioenergy (metabolic)

respiratory - circulatory

behavioral

organ systems (sometimes)

Question 25

Difference between isometric vs isotonic procedures?

Answer 25

Isotonic --> hard to maximal contraction with counterforce that permits controlled motion. Isometric --> light to moderate contraction with an unyielding contraction

Question 26

If someone's rotation sucks in one direction, where do you fulcrum?

Answer 26

to the opposite side because that's what's being pulled is the other muscle.

Question 27

what type of technique is a deeper pressure? MFR or ST

Answer 27

Soft Tissue is greater in pressure

Question 28

Stress vs strain?

Answer 28

Stress = Force Strain = % of deformation

Question 29

Isometric, Concentric isotonic, eccentric isotonic, isolytic?

Answer 29

isometric = MET essentially Concentric Isotonic = contraction with approximation of origin and insertion Eccentric = contraction with separation of origin and insertion Isolytic: non-physiologic. attempted concentric contraction with external force causing separation between origin and insertion

Question 30

Which is the only contraction that is NOT physiologic?

Answer 30

Isolytic

Question 31

What is Post Isometric Relaxation?

Answer 31

relaxation after you get muscle contraction. principle of muscle energy

Question 32

What is the mnemonic for Spencer's technique?

Answer 32

``` Elephants - Extension Fart - Flexion Constantly - Compression circumduction To - Traction circumduction Annoy - Adduction, Abduction Intelligent - Internal Rotation Trainers - Traction glide ```

Question 33

What does SAPP mean? what does it mean for the distal?

Answer 33

Supination --> Anterior proximal radial head Pronation --> Posterior proximal radial head distal is opposite. so posterior proximal --> anterior distal

Question 34

When you fall prone, what do you have for your radial head?

Answer 34

When you fall forward, it's pronated. When you fall backwards, it's supinated. so Pronated = Posterior proximal radial head, distal is anterior so supinated = anterior proximal head, distal posterior end