LECOM-SH OPP 1002 EXAM 2
QUESTIONS AND ANSWERS
LECTURE 7: Pediatrics!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! - Correct Answers -
Who wrote about using his techniques on sick children? - Correct Answers -Our boi:
A.T. Still
Who said "as the Twig is bent so is the tree inclined"? - Correct Answers -this quote will
get you through all of med school!!!
btw, William Sutherland said this
Who was Beryl Arbuckle? What did she do? - Correct Answers -Student of Dr.
Sutherland
She started a clinic for children w/ cerebral palsy & published newborn cranial research
1948
Who was Rachel Wood? What phrase did she coin? - Correct Answers -Student of Dr.
Sutherland too
"Cranial Rhythmic impulse - CRI"
Who said, "Osteopathic promise to children"? - Correct Answers -Viola Frymann
Who said, "an osteopathic approach to children"? (i don't get this one..... but know it ¯\
_(ツ)_/¯ ) - Correct Answers -Jane Carreiro
What is the developmental changes of the spine in newborns? - Correct Answers -C-
shaped (Kyphosis)
What is the developmental changes of the spine in infants? - Correct Answers -
Formation of a cervical lordosis as infant begins to lift and hold head
What is the developmental changes of the spine in older infants/children? - Correct
Answers -Lumbar lordosis as upright weight bearing is assumed
What is Wolff's law? - Correct Answers -normal optimal growth requires normal
mechanical expressed intermittently
,Know the milestones..... There are a lot, and it's a massive table.
Should be on slide 16 of this lecture. But that may change depending on what school
you go to or what year you are - Correct Answers -The milestones noted are at 2 wks,
2m, 4m, 6m, 9m, 12m, 15m, 18m, 2 yrs, 3yrs, 4yrs, & 5 yrs
Do fryette's laws apply to newborns/infants? - Correct Answers -NOOOOPPEEE
Make sure to go over the most important thing in DO med school:
CHAPMAN POINTS!!!!! - Correct Answers
-https://myosesh.com/wp-content/uploads/2020/04/Chapmans-reflex.jpg
What are your A,B,Cs for where to start? - Correct Answers -A->Autonomics
- parasympathetics and Sympathetic
B-> Biomechanics
- localized somatic dysfunction
C-> Circulation
- Thoracic inlet, Diaphragms, extremities, head & neck
List of Contraindications - Correct Answers -•Unknown diagnosis
•Pathology requiring medical evaluation and management (exs: craniosynostosis;
Hirschprung disease) - can use OMT to help support the body, but not sole treatment
•Lymphatics: Cancer
•Enlarged or friable organs - avoid direct techniques
•Enlarged lymph nodes
•Splenic pump/Thoracic HVLA: Splenomegaly (i.e.. Mono, Leukemia, Splenic
sequestration/Sickle cell,
•Active IBD - abdominal manipulation (can do chapman's points)
•Asthma, CF, newborns, infants, children - thoracic pump with patient activating force -
may increase air trapping
•Fracture; dislocation
•Joint laxity, instability, vulnerability
•Examples: Down Syndrome - OA joint, Ehler's Danlos, DHD - hips - can still use OMT,
but choose appropriate techniques
•Intracranial hemorrhage
•Hydrocephalus
•Seizure disorder
•No consent for treatment
•Uncooperative patient
•Others as previously learned and case by case basis
When is the best time to treat an infant? - Correct Answers -Within the first 6 hours of
age
Understand the difference between infant skull and adult skull - Correct Answers -• First
breath should expand the sutures
, • First suckle will drive the motion of the sphenoid via the pterygoid plates
• Cranial bone most likely to be affected is the occipital bone - due to compression
• Occipital bone is in four parts at birth
• Osteopathic pediatrician has a window of opportunity to affect a change
What is Plagiocephaly? - Correct Answers -flat head syndrome (1 side of skull flattened)
What some Colic treatment protocols? - Correct Answers -• Address vagal nerve
function-release OA
• Condylar Decompression
• Treat thoracoabdominal diaphragm.
What is the objective of condylar decompression? - Correct Answers -Balance the
reciprocal tension membrane at the hypoglossal canal, permitting normalized function of
CN XII
What are some Constipation treatments> - Correct Answers -• Mesenteric Lifts
• Sacral rocking
• Thoracoabdominal and pelvic diaphragm release
What are 3 ENT indications for OMT - Correct Answers -• URI
• Sinusitis
• Otitis Media
What are some differences b/w children's anatomy vs. Adults? - Correct Answers -•
Eustachian tubes are more pliable and easily compressible
• More horizontally oriented
• Shorter
• Poor ability to equilibrate pressure
• Changes after-7 year of age
• Proximal 1/3 is bony, remainder is fibrocartaginous
Things to know about sinuses:
Ethmoid - Correct Answers -present at birth
Things to know about sinuses:
Maxillary - Correct Answers -present at birth --> rapidly expand by 4 years of age
Things to know about sinuses:
Spehnoid - Correct Answers -begin to develop during the first 2 years of life
Things to know about sinuses:
Frontal - Correct Answers -variable - start to develop by 6-8 years of age - complete
development by 16-20 years
(1-4% of adults have agenesis of the frontal sinuses, 80% have bilateral frontal sinus
hypoplasia
QUESTIONS AND ANSWERS
LECTURE 7: Pediatrics!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! - Correct Answers -
Who wrote about using his techniques on sick children? - Correct Answers -Our boi:
A.T. Still
Who said "as the Twig is bent so is the tree inclined"? - Correct Answers -this quote will
get you through all of med school!!!
btw, William Sutherland said this
Who was Beryl Arbuckle? What did she do? - Correct Answers -Student of Dr.
Sutherland
She started a clinic for children w/ cerebral palsy & published newborn cranial research
1948
Who was Rachel Wood? What phrase did she coin? - Correct Answers -Student of Dr.
Sutherland too
"Cranial Rhythmic impulse - CRI"
Who said, "Osteopathic promise to children"? - Correct Answers -Viola Frymann
Who said, "an osteopathic approach to children"? (i don't get this one..... but know it ¯\
_(ツ)_/¯ ) - Correct Answers -Jane Carreiro
What is the developmental changes of the spine in newborns? - Correct Answers -C-
shaped (Kyphosis)
What is the developmental changes of the spine in infants? - Correct Answers -
Formation of a cervical lordosis as infant begins to lift and hold head
What is the developmental changes of the spine in older infants/children? - Correct
Answers -Lumbar lordosis as upright weight bearing is assumed
What is Wolff's law? - Correct Answers -normal optimal growth requires normal
mechanical expressed intermittently
,Know the milestones..... There are a lot, and it's a massive table.
Should be on slide 16 of this lecture. But that may change depending on what school
you go to or what year you are - Correct Answers -The milestones noted are at 2 wks,
2m, 4m, 6m, 9m, 12m, 15m, 18m, 2 yrs, 3yrs, 4yrs, & 5 yrs
Do fryette's laws apply to newborns/infants? - Correct Answers -NOOOOPPEEE
Make sure to go over the most important thing in DO med school:
CHAPMAN POINTS!!!!! - Correct Answers
-https://myosesh.com/wp-content/uploads/2020/04/Chapmans-reflex.jpg
What are your A,B,Cs for where to start? - Correct Answers -A->Autonomics
- parasympathetics and Sympathetic
B-> Biomechanics
- localized somatic dysfunction
C-> Circulation
- Thoracic inlet, Diaphragms, extremities, head & neck
List of Contraindications - Correct Answers -•Unknown diagnosis
•Pathology requiring medical evaluation and management (exs: craniosynostosis;
Hirschprung disease) - can use OMT to help support the body, but not sole treatment
•Lymphatics: Cancer
•Enlarged or friable organs - avoid direct techniques
•Enlarged lymph nodes
•Splenic pump/Thoracic HVLA: Splenomegaly (i.e.. Mono, Leukemia, Splenic
sequestration/Sickle cell,
•Active IBD - abdominal manipulation (can do chapman's points)
•Asthma, CF, newborns, infants, children - thoracic pump with patient activating force -
may increase air trapping
•Fracture; dislocation
•Joint laxity, instability, vulnerability
•Examples: Down Syndrome - OA joint, Ehler's Danlos, DHD - hips - can still use OMT,
but choose appropriate techniques
•Intracranial hemorrhage
•Hydrocephalus
•Seizure disorder
•No consent for treatment
•Uncooperative patient
•Others as previously learned and case by case basis
When is the best time to treat an infant? - Correct Answers -Within the first 6 hours of
age
Understand the difference between infant skull and adult skull - Correct Answers -• First
breath should expand the sutures
, • First suckle will drive the motion of the sphenoid via the pterygoid plates
• Cranial bone most likely to be affected is the occipital bone - due to compression
• Occipital bone is in four parts at birth
• Osteopathic pediatrician has a window of opportunity to affect a change
What is Plagiocephaly? - Correct Answers -flat head syndrome (1 side of skull flattened)
What some Colic treatment protocols? - Correct Answers -• Address vagal nerve
function-release OA
• Condylar Decompression
• Treat thoracoabdominal diaphragm.
What is the objective of condylar decompression? - Correct Answers -Balance the
reciprocal tension membrane at the hypoglossal canal, permitting normalized function of
CN XII
What are some Constipation treatments> - Correct Answers -• Mesenteric Lifts
• Sacral rocking
• Thoracoabdominal and pelvic diaphragm release
What are 3 ENT indications for OMT - Correct Answers -• URI
• Sinusitis
• Otitis Media
What are some differences b/w children's anatomy vs. Adults? - Correct Answers -•
Eustachian tubes are more pliable and easily compressible
• More horizontally oriented
• Shorter
• Poor ability to equilibrate pressure
• Changes after-7 year of age
• Proximal 1/3 is bony, remainder is fibrocartaginous
Things to know about sinuses:
Ethmoid - Correct Answers -present at birth
Things to know about sinuses:
Maxillary - Correct Answers -present at birth --> rapidly expand by 4 years of age
Things to know about sinuses:
Spehnoid - Correct Answers -begin to develop during the first 2 years of life
Things to know about sinuses:
Frontal - Correct Answers -variable - start to develop by 6-8 years of age - complete
development by 16-20 years
(1-4% of adults have agenesis of the frontal sinuses, 80% have bilateral frontal sinus
hypoplasia
