COMLEX LEVEL 1 - SAVERESE OMM
Patient with pyelonephritis may have somatic dysfunction at what spinal levels? -
Answer- T11-L1
Patient with a kidney stone in the upper ureter may have somatic dysfunction at what
spinal levels? - Answer- T10-T11
Patient with a kidney stone in the lower ureter may have somatic dysfunction at what
spinal levels? - Answer- T12-L1
Patient with cystitis or a kidney stone lodged in the urethra may have somatic
dysfunction at what spinal levels? - Answer- T11-L2
Sympathetic innervation to the ovaries (& fallopian tubes!) and testes comes from
what spinal levels - Answer- T10-T11
Sympathetic innervation to the erectile tissue of the penis or clitoris comes from what
spinal levels?
Ex: patient with premature ejaculation may have somatic dysfunction at what spinal
levels? - Answer- T11-L2
What organs receive parasympathetics from S2-S4? - Answer- Lower GI tract
Lower ureters
Urinary bladder
Urethra
Uterus
Cervix
Erectile Tissue
Everything in the pelvis except gonads and fallopian tubes!
What is the only pelvic organ who gets its parasympathetic innervation from the
vagus nerve? - Answer- gonads (ovaries and testes)
**This includes the fallopian tubes!!!
What is the preferred OMM treatment for a patient with newly diagnosed cancer? -
Answer- NONE - DON'T SPREAD THE TUMOR
What is the purpose of CV4 technique in pregnant women - Answer- Increased the
strength of contractions during active labor
What is the result of the seated flexion test in someone with a bilateral sacral
extension? - Answer- negative seated flexion (both bases are jacked up yah feel?)
What does rib raising do for the sympathetic tone? - Answer- normalize it
,(nothing though)
To prevent compression of the IVC, pregnant women should lay in the ____ position
- Answer- left lateral recumbent
Pregnant women have increased _____ of the ______ spine - Answer- lordosis of
the lumbar spine
Patient has a rib that is "stuck up" and won't move down with exhalation. What dis is
- Answer- Inhalation dysfunction aka inhaled rib
What is the key rib with inhalation dysfunction - Answer- bottom rib of the group
Patient has a rib that is "stuck down" and won't move up with inhalation. What is this
called - Answer- Exhalation dysfunction aka exhaled rib
What is the key rib with exhalation dysfunction - Answer- top rib of the group
What are the location of tender points for anterior ribs? - Answer- Rib 1 - where rib
meets manubrium
Rib 2 - MCL
Ribs 3-6 - anterior axillary line
Ribs 7-12 are uncommon
What are the location of tender points for posterior ribs? - Answer- angle of the rib
Cranial flexion = sacral _____ - Answer- extension
Cranial extension = sacral _______ - Answer- flexion
Paired cranial bones __________ during cranial flexion - Answer- externally rotate
(lateral aspects of bone move laterally)
Paired cranial bones __________ during cranial extension - Answer- internally rotate
(lateral aspects of bone move medially)
Sacral motion during sphenobasilar synchondrosis (SBS) moves on what axis
located at what sacral level? - Answer- 1. transverse axis
2. S2
What is the physiology behind Chapman's points? - Answer- Trick question, there is
none.
1. Increased sympathetic tone
2. Blockage in lymphatic system
both lead to myofascial nodules
, What is the purpose for treatment of Chapman's points - Answer- decrease
sympathetic tone
What is the anterior Chapman's point for the pylorus?
(infant comes in, projectile vomiting) - Answer- Sternum
What is the anterior Chapman's point for stomach acidity - Answer- Left 5th ICS at
the costochondral junction
What is the anterior Chapman's point for stomach peristalsis - Answer- Left 6th ICS
at the costochondral junction
What are the anterior Chapman's points for the liver - Answer- Right 5th and 6th ICS
at the costochondral junction
What are the posterior Chapman's points for stomach acidity and the liver,
respectively? - Answer- Left and Right transverse process of T5
What are the posterior Chapman's points for stomach peristalsis and the liver,
respectively? - Answer- Left and Right transverse process of T6
What is the anterior Chapman's point for the gallbladder - Answer- Right 6th ICS at
the costochondral junction
What are the anterior Chapman's points for the pancreas/spleen respectively? -
Answer- Right and Left 7th ICS at the costochondral junction
Do Fryettes Laws I and II apply to the cervical vertebrae? - Answer- No.
p. 5 of Savarese
Somatic dysfunctions are named for their ___ - Answer- freedom of motion (named
for what they like)
Mnenomic for *superior* vertebral facet orientation? - Answer- BUM - cervical is
backwards, upwards, medial
BUL - thoracic is backwards, upward, lateral
BM - lumbar is backward, medial
Isotonic vs isometric vs isolytic contraction - Answer- Iso*T*onic - no change in
*T*ension, approximation occurs (ex. completed bicep curl)
Iso*MET*ric - force of the patient and operator have *MET* each other (they are
equal). No approximation occurs.
Iso*L*ytic - operator applies greater force than contraction, patient takes an *L* and
muscle *L*engthens, despite muscle contraction
Which of the following are indirect techniques?
Patient with pyelonephritis may have somatic dysfunction at what spinal levels? -
Answer- T11-L1
Patient with a kidney stone in the upper ureter may have somatic dysfunction at what
spinal levels? - Answer- T10-T11
Patient with a kidney stone in the lower ureter may have somatic dysfunction at what
spinal levels? - Answer- T12-L1
Patient with cystitis or a kidney stone lodged in the urethra may have somatic
dysfunction at what spinal levels? - Answer- T11-L2
Sympathetic innervation to the ovaries (& fallopian tubes!) and testes comes from
what spinal levels - Answer- T10-T11
Sympathetic innervation to the erectile tissue of the penis or clitoris comes from what
spinal levels?
Ex: patient with premature ejaculation may have somatic dysfunction at what spinal
levels? - Answer- T11-L2
What organs receive parasympathetics from S2-S4? - Answer- Lower GI tract
Lower ureters
Urinary bladder
Urethra
Uterus
Cervix
Erectile Tissue
Everything in the pelvis except gonads and fallopian tubes!
What is the only pelvic organ who gets its parasympathetic innervation from the
vagus nerve? - Answer- gonads (ovaries and testes)
**This includes the fallopian tubes!!!
What is the preferred OMM treatment for a patient with newly diagnosed cancer? -
Answer- NONE - DON'T SPREAD THE TUMOR
What is the purpose of CV4 technique in pregnant women - Answer- Increased the
strength of contractions during active labor
What is the result of the seated flexion test in someone with a bilateral sacral
extension? - Answer- negative seated flexion (both bases are jacked up yah feel?)
What does rib raising do for the sympathetic tone? - Answer- normalize it
,(nothing though)
To prevent compression of the IVC, pregnant women should lay in the ____ position
- Answer- left lateral recumbent
Pregnant women have increased _____ of the ______ spine - Answer- lordosis of
the lumbar spine
Patient has a rib that is "stuck up" and won't move down with exhalation. What dis is
- Answer- Inhalation dysfunction aka inhaled rib
What is the key rib with inhalation dysfunction - Answer- bottom rib of the group
Patient has a rib that is "stuck down" and won't move up with inhalation. What is this
called - Answer- Exhalation dysfunction aka exhaled rib
What is the key rib with exhalation dysfunction - Answer- top rib of the group
What are the location of tender points for anterior ribs? - Answer- Rib 1 - where rib
meets manubrium
Rib 2 - MCL
Ribs 3-6 - anterior axillary line
Ribs 7-12 are uncommon
What are the location of tender points for posterior ribs? - Answer- angle of the rib
Cranial flexion = sacral _____ - Answer- extension
Cranial extension = sacral _______ - Answer- flexion
Paired cranial bones __________ during cranial flexion - Answer- externally rotate
(lateral aspects of bone move laterally)
Paired cranial bones __________ during cranial extension - Answer- internally rotate
(lateral aspects of bone move medially)
Sacral motion during sphenobasilar synchondrosis (SBS) moves on what axis
located at what sacral level? - Answer- 1. transverse axis
2. S2
What is the physiology behind Chapman's points? - Answer- Trick question, there is
none.
1. Increased sympathetic tone
2. Blockage in lymphatic system
both lead to myofascial nodules
, What is the purpose for treatment of Chapman's points - Answer- decrease
sympathetic tone
What is the anterior Chapman's point for the pylorus?
(infant comes in, projectile vomiting) - Answer- Sternum
What is the anterior Chapman's point for stomach acidity - Answer- Left 5th ICS at
the costochondral junction
What is the anterior Chapman's point for stomach peristalsis - Answer- Left 6th ICS
at the costochondral junction
What are the anterior Chapman's points for the liver - Answer- Right 5th and 6th ICS
at the costochondral junction
What are the posterior Chapman's points for stomach acidity and the liver,
respectively? - Answer- Left and Right transverse process of T5
What are the posterior Chapman's points for stomach peristalsis and the liver,
respectively? - Answer- Left and Right transverse process of T6
What is the anterior Chapman's point for the gallbladder - Answer- Right 6th ICS at
the costochondral junction
What are the anterior Chapman's points for the pancreas/spleen respectively? -
Answer- Right and Left 7th ICS at the costochondral junction
Do Fryettes Laws I and II apply to the cervical vertebrae? - Answer- No.
p. 5 of Savarese
Somatic dysfunctions are named for their ___ - Answer- freedom of motion (named
for what they like)
Mnenomic for *superior* vertebral facet orientation? - Answer- BUM - cervical is
backwards, upwards, medial
BUL - thoracic is backwards, upward, lateral
BM - lumbar is backward, medial
Isotonic vs isometric vs isolytic contraction - Answer- Iso*T*onic - no change in
*T*ension, approximation occurs (ex. completed bicep curl)
Iso*MET*ric - force of the patient and operator have *MET* each other (they are
equal). No approximation occurs.
Iso*L*ytic - operator applies greater force than contraction, patient takes an *L* and
muscle *L*engthens, despite muscle contraction
Which of the following are indirect techniques?
