OMM (COMBANK) - Questions With Insightful
Solutions
What OMM techniques thin nasal secretions? Correct Answer -
stimulation of
1. sphenopalatine ganglion
2. inhibition of lateral pterygoid mm. trigger points
3. CV4
4. trigeminal nn. stimulation
5. subocciptal release (+ vagus nn = + para = less goblet cells made)
6. rib raising (T2-7)
All + parasymp = thin nasal secretions
Which injury has a clicking sensation?
medial meniscus injury or MCL tear? Correct Answer - medial
meniscus injury
Describe the relation btwn the temporal bone and
tinnitus/mandible deviation Correct Answer - external
rotation = ipsilateral mandible deviation, low pitch
internal rotaiton = contralateral mandible deviation, high pitch
What is a travell trigger point? jones trigger point? Correct
Answer - travell = normal tender point
- associated with visceral disease
jones = counterstrain point
- NOT associated with visceral disease
Name the rib ME mm and tx positions Correct Answer - 1-2 =
scalenes = flex head
3-5 = pec minor = push same elbow to opp ASIS
6-8 = serr. ant = push arm ant from adducted and flexed position
, 9-12 = lats = adduct arm
12 = quadratus lumborum = no additional motion
posterior fibular head
- talus?
- foot? Correct Answer - PIIP, AEED
Posterior = internally rotated talus, foot inverted, plantar flexed
Anterior = externally rotated talus, foot everted, dorsiflexed
Primary tx for plantar fascitis? tx which spinal lvl? Correct Answer
- arch support
tx T11-L2 since it provides sympathetics to LE
How to treat neural lumbar SD with ME? is TP up or down?
ex. L4 N SLRR Correct Answer - Concavity is down (direction
SB)
posterior TP is up (not what we learned)
L4 NSLRR
- pt on left side with concavity down and posterior TP up
TP for each
1. achilles tendinopathy
2. calcaneal apophysitis (severe)
3. heel pad syndrome
4. planta fascitis
5. tarsal tunnel Correct Answer - 1. 2-6 proximal to achilles
tendon attachment
2. at achilles attachment on heel
3. deep heel pain worsening with activity, better with rest
4. deep heel pain better with activity, worse with rest
5. pain posterior to medial malleolus, tingling and burning
Solutions
What OMM techniques thin nasal secretions? Correct Answer -
stimulation of
1. sphenopalatine ganglion
2. inhibition of lateral pterygoid mm. trigger points
3. CV4
4. trigeminal nn. stimulation
5. subocciptal release (+ vagus nn = + para = less goblet cells made)
6. rib raising (T2-7)
All + parasymp = thin nasal secretions
Which injury has a clicking sensation?
medial meniscus injury or MCL tear? Correct Answer - medial
meniscus injury
Describe the relation btwn the temporal bone and
tinnitus/mandible deviation Correct Answer - external
rotation = ipsilateral mandible deviation, low pitch
internal rotaiton = contralateral mandible deviation, high pitch
What is a travell trigger point? jones trigger point? Correct
Answer - travell = normal tender point
- associated with visceral disease
jones = counterstrain point
- NOT associated with visceral disease
Name the rib ME mm and tx positions Correct Answer - 1-2 =
scalenes = flex head
3-5 = pec minor = push same elbow to opp ASIS
6-8 = serr. ant = push arm ant from adducted and flexed position
, 9-12 = lats = adduct arm
12 = quadratus lumborum = no additional motion
posterior fibular head
- talus?
- foot? Correct Answer - PIIP, AEED
Posterior = internally rotated talus, foot inverted, plantar flexed
Anterior = externally rotated talus, foot everted, dorsiflexed
Primary tx for plantar fascitis? tx which spinal lvl? Correct Answer
- arch support
tx T11-L2 since it provides sympathetics to LE
How to treat neural lumbar SD with ME? is TP up or down?
ex. L4 N SLRR Correct Answer - Concavity is down (direction
SB)
posterior TP is up (not what we learned)
L4 NSLRR
- pt on left side with concavity down and posterior TP up
TP for each
1. achilles tendinopathy
2. calcaneal apophysitis (severe)
3. heel pad syndrome
4. planta fascitis
5. tarsal tunnel Correct Answer - 1. 2-6 proximal to achilles
tendon attachment
2. at achilles attachment on heel
3. deep heel pain worsening with activity, better with rest
4. deep heel pain better with activity, worse with rest
5. pain posterior to medial malleolus, tingling and burning
