< Osteopathic Manipulative Medicine
Checkpoint Questions
| Question | Answer |
| What barrier is the limit of motion a patient can voluntarily perform in the absent any restriction? | |
| Edema, decreased motion, and muscle hypertonicity are a result of what type of somatic dysfunction? | |
| How are the sagittal plane and sagittal axis different? | |
| Does adduction of the fingers and toes mean they are drawn together or spreading apart? | |
| Is somatic dysfunction characterized by the ease of motion or restriction of motion? | |
| What treatment technique is performed to release entrapped synovial folds? | |
| Lymphatic techniques are an extension of which treatment technique? | |
| How would a technique in which the physician takes the patient into a restrictive barrier and the patient provides no motion be described? | |
| What type of muscle energy requires the patient to push into their restriction? | |
| What structure is targeted during a post-isometric muscle energy treatment? | |
| For how long is a counterstrain treatment position held? | |
| Who was the first to describe muscle energy treatment techniques? | |
| In what plane do flexion and extension of the cervical spine occur? | |
| In what plane does sidebending of the cervical spine occur? | |
| What landmark is used to assess rotation for regional motion testing of the cervical spine? | |
| Where do the spine nerve roots for C7 exit? | |
| Where do the spine nerve roots for C8 exit? | |
| A patient with a C3 ERLSL shows restriction of translation in what direction? | |
| What position is the patient placed in for the treatment of posterior tenderpoints? | |
| What term describes the normal curvature of the thoracic spine? | |
| In what plane of motion does flexion and extension of the thoracic spine occur? | |
| In what plane of motion does sidebending of the thoracic spine occur? | |
| What is the orientation of the facet joints of the thoracic spine? | |
| What spinal landmark is used to assess rotation for intersegmental motion of the thoracic spine? | |
| Where do the spine nerve roots for T1 exit? | |
| What muscle attaches the occiput to the clavicle? | |
| What are the true ribs? | |
| What are the false ribs? | |
| Which ribs are considered typical ribs? | |
| What are the attachments of the respiratory diaphragm? | |
| How is the motion of ribs 11-12 described? | |
| What is the key rib in an exhalation dysfunction? | |
| What is the orientation of the facet joints of the lumbar spine? | |
| What ligament forms the anterior wall of the spinal canal? | |
| What spinal ligament is affected when a patient has a lumbar disc herniation? | |
| What is the most likely direction for a lumbar disc herniation to occur? | |
| What type of curve is found for the lumbar vertebrae? | |
| What is the orientation of the facet joints of the lumbar spine? | |
| What lumbar vertebrae corresponds to the level of the end of the conus medullaris? | |
| What spinal ligament prevents hyperextension of the lumbar spine? | |
| What three bones compromise the innominate? | |
| On what side would a right anterior innominate dysfunction show a positive standing flexion test? | |
| On what side would a left superior pubic shear show a positive standing flexion test? | |
| What landmark is used to diagnose inflare and outflare somatic dysfunctions? | |
| Hypertonicity of what muscle leads to a posterior innominate dysfunction? | |
| Hypertonicity of what muscle leads to an anterior innominate dysfunction? | |
| On what side would a right on right sacral torsion show a positive seated flexion test? | |
| What would the relative locations of the sacral sulci and ILAs be? | |
| On what side would a right on left sacral torsion show a positive seated flexion test? | |
| What would the relative locations of the sacral sulci and ILAs be? | |
| At what spinal level does sacral motion occur during respiration? | |
| The motion of which anatomic landmark is used to name sacral diagnoses? | |
| What is the L5 diagnosis for a left on left sacral torsion? | |
| What is the L5 diagnosis for a left on right sacral torsion? | |
| What muscle is used to treat a physiologic sacral torsion somatic dysfunction? | |
| What are the attachments of the muscle used to treat and posterior sacral torsion? | |
| A hypertonic psoas will show what compensatory somatic dysfunction on the contralateral side? | |
| What nerve could be affected by an anterior fibular head dysfunction? | |
| With a left anterior fibular head dysfunction, would the ankle prefer pronation or supination? | |
| What nerve could be affected by a left posterior fibular head somatic dysfunction? | |
| Injury of what nerve leads to foot drop? | |
| With a left posterior fibular head dysfunction, would the ankle prefer pronation or supination? | |
| With a left anterior tibia on talus dysfunction, would the ankle prefer dorsiflexion or plantarflexion? | |
| With a left posterior tibia on talus dysfunction, would the ankle prefer dorsiflexion or plantarflexion? | |
| Which motions comprise supination of the ankle? | |
| In what plane of motion does abduction and adduction of the extermities occur? | |
| What muscles comprise the rotator cuff? | |
| Overuse of the flexor muscles of upper extremity can lead to what type of tendonitis? | |
| Which wrist bone is the most commonly fractured? | |
| Which vertebral levels correspond to the celiac ganglia? | |
| Which vertebral levels correspond to the superior mesenteric ganglia? | |
| Which vertebral levels correspond to the inferior mesenteric ganglia? | |
| At which ganglion does the sympathetic innervation of the liver synapse? | |
| What supplies parasympathetic innervation to the left (descending) colon? | |
| What are 2 GI symptoms associated with increased sympathetic nervous system activity? | |
| What are 2 GI symptoms associated with increased parasympathetic nervous system activity? | |
| What spinal levels supply sympathetic innervation to the ascending colon? | |
| What are the red flags indicating a neurological cause of low back pain? | |
| What are the red flags indicating an immune or systemic disease cause of low back pain? | |
| What muscle is the primary external rotator of the hip? | |
| Which gait involves the trunk and pelvis hyperextending to maintain center of gravity behind the involved hip? | |
| Which type of gait involves a wide base and a tendency to fall toward the side of the lesion? | |
| Which type of gait involves rolling side to side with pelvic rotation and tilt on the swing side increased? | |
| What does a positive Trendelenberg test on the right indicate? | |
| During which phase of gait is the limb in contact with the ground? | |
| During which phase of gait does limb advancement and limb clearance occur? | |
| During heel strike, which structure experiences the greatest weight load? | |
| During which phase of the gait cycle is the center of gravity at its highest? | |
| Name the attachments of the dura mater. | |
| Name the attachments of the falx cerebri. | |
| Which venous sinuses are embedded in the temporal bone? | |
| Which venous sinuses are embedded in the occiput? | |
| Which bones comprise the pterion? | |
| Which bones comprise bregma? | |
| Which bones comprise lambda? | |
| How does the sacrum move during craniosacral flexion? | |
| How does the sacrum move during craniosacral extension? | |
| How are lateral strains named? | |
| What muscles attach to the temporal bone? | |
| What cranial dysfunction is associated with positional plagiocephaly? | |
| What is the motion of the frontal bones during craniosacral extension? | |
| What is the most common type of headache? | |
| Where is the Chapman's point for the sinuses found? | |
| Where is the Chapman's point for the upper and lower lungs? | |
| What vertebral levels correspond to sympathetic innervation of the heart and lungs? | |
| What nerve innverates the extensor carpi radialis muscle? | |
| Which forearm muscle groups attach to the medial epicondyle? | |
| Which forearm muscle groups attach to the lateral epicondyle? | |
| What fingers does the median nerve innervate? | |
| What fingers does the ulnar nerve innervate? | |
| Where do the lymphatics of the head and neck drain? | |
| Where do the lymphatics of the GI system drain? | |
| What are four contraindications to lymphatic techniques? | |
| What structures comprise the thoracic inlet/outlet? | |
| What physiologic changes occur during pregnancy? (Provide six.) | |
| What structural changes occur during pregnancy? (Provide six.) | |
| What are some study outcomes shown for performing OMT during pregnancy? (Provide six.) | |
| What are contraindications to performing OMT during pregnancy? (Provide eight.) |
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