COMBANK OMM - Questions And Verified Answers
In acute situations (i.e. whiplash from MVA) why type of technique
should be used? Correct Answer - Indirect technique (FPR,
BLT or counter strain)
The axis of a sacral torsion is always..? Correct Answer -
OPPOSITE the side of the seated or standing flexion test
A positive spring test is...? Correct Answer - one in which there
is NO springing
** Often found in backward sacral torsions
Somatovisceral reflex is..? Correct Answer - when abnormal
somatic stimuli (e.g. tissue texture change, muscle spasm, muscle
strains) enters the spinal cord and results in altered function of a
visceral organ at the same level.
e.g. " tissue texture change in T1-4 --> tachycardia
Tenderpoint for iliacus is where? Correct Answer - approx 7
cm medial to the ASIS
Jones Counterstrain tender point of the Gastrocnemius Correct
Answer - 1cm area of tenderness in the muscle belly located at
the lower popliteal margin
Where is the counter strain tender point for Subscapularis Correct
Answer - Anterolateral surface of the scapula
COMPRESSION of Sphenobasilar Synchondrosis Correct Answer -
sphenoid and occiput are forced together --> little motion esp in
flexion and extension
,compression of the 4th ventricle technique (CV4) Correct Answer
- physician cups hands over area of 4th ventricle at the occiput
then gently follows motion of extension, while RESISTING flexion
** done until inherent motion ceases and a "Still point" is restored.
Purpose= increase amplitude of cranial rhythmic impulse (normal
amplitude is 10-14)
Result of vagal stimulation? Correct Answer - stimulates Ach --
> activates M3 receptors --> stimulates Gq subunit proteins and -->
activation of phospholipase C
Steps of BLT (indirect treatment) Correct Answer - 1. Dx the
dysfunction
2. DISENGAGE by making a fulcrum, eliminating tension in the
strained ligament and adding appropriate tension to slack big
3. EXAGGERATE by using positioning or respiratory assist
4. BALANCE, hold at balance point until release is felt.
How to treat ribs with BLT? Correct Answer - provide lateral
traction while holding the ribs anterior and posterior
Vault hold is a common method to evaluate cranial rhythmic
impulse. Where is placement of index finger, middle finger, ring
finger, and little finger? Correct Answer - Index finger= greater
wing of sphenoid
middle finger= pre auricular portion of temporal bone
ring finger= mastoid process
little finger= squamous portion of occiput.
Pt presents with signs of Pyelo. What are the spinal levels where
tissue texture changes and viscerosomatic reflex might be found?
Correct Answer - T10-T11, boggy with sharp tenderness
, what is the most common etiology of posterior innominate?
Correct Answer - tight HAMSTRINGS
What is the most common etiology of anterior innominate?
Correct Answer - tight QUADRICEPS
Myofascial release Correct Answer - is a passive technique that
can be applied as a Direct or Indirect modality.
Thyroid lesions are frequently associated with what type of thoracic
lesion? Correct Answer - Flexion lesion of T2
Anterior thoracic counterstain tender points for T3-T6 are located
where? Correct Answer - at the level of the corresponding rib
either at the midline or lateral to the mid-line on the sternum
What are the sympathetic and parasympathetic innervations of the
UTERUS? Correct Answer - Symp= T10-L1
Parasymp= S2-4
What is the correct order of lymphatics? Correct Answer - 1.
Thoracic inlet (open Sibson's Fascia)
2. Thoracic diaphragm
3. Pelvic diaphragm
4. Popliteal fossa
5. Pedal pump
Proximal --> distal
Posterior C1 tender point is a maverick. how is it treated? Correct
Answer - FLEXION of the OA junction.
In acute situations (i.e. whiplash from MVA) why type of technique
should be used? Correct Answer - Indirect technique (FPR,
BLT or counter strain)
The axis of a sacral torsion is always..? Correct Answer -
OPPOSITE the side of the seated or standing flexion test
A positive spring test is...? Correct Answer - one in which there
is NO springing
** Often found in backward sacral torsions
Somatovisceral reflex is..? Correct Answer - when abnormal
somatic stimuli (e.g. tissue texture change, muscle spasm, muscle
strains) enters the spinal cord and results in altered function of a
visceral organ at the same level.
e.g. " tissue texture change in T1-4 --> tachycardia
Tenderpoint for iliacus is where? Correct Answer - approx 7
cm medial to the ASIS
Jones Counterstrain tender point of the Gastrocnemius Correct
Answer - 1cm area of tenderness in the muscle belly located at
the lower popliteal margin
Where is the counter strain tender point for Subscapularis Correct
Answer - Anterolateral surface of the scapula
COMPRESSION of Sphenobasilar Synchondrosis Correct Answer -
sphenoid and occiput are forced together --> little motion esp in
flexion and extension
,compression of the 4th ventricle technique (CV4) Correct Answer
- physician cups hands over area of 4th ventricle at the occiput
then gently follows motion of extension, while RESISTING flexion
** done until inherent motion ceases and a "Still point" is restored.
Purpose= increase amplitude of cranial rhythmic impulse (normal
amplitude is 10-14)
Result of vagal stimulation? Correct Answer - stimulates Ach --
> activates M3 receptors --> stimulates Gq subunit proteins and -->
activation of phospholipase C
Steps of BLT (indirect treatment) Correct Answer - 1. Dx the
dysfunction
2. DISENGAGE by making a fulcrum, eliminating tension in the
strained ligament and adding appropriate tension to slack big
3. EXAGGERATE by using positioning or respiratory assist
4. BALANCE, hold at balance point until release is felt.
How to treat ribs with BLT? Correct Answer - provide lateral
traction while holding the ribs anterior and posterior
Vault hold is a common method to evaluate cranial rhythmic
impulse. Where is placement of index finger, middle finger, ring
finger, and little finger? Correct Answer - Index finger= greater
wing of sphenoid
middle finger= pre auricular portion of temporal bone
ring finger= mastoid process
little finger= squamous portion of occiput.
Pt presents with signs of Pyelo. What are the spinal levels where
tissue texture changes and viscerosomatic reflex might be found?
Correct Answer - T10-T11, boggy with sharp tenderness
, what is the most common etiology of posterior innominate?
Correct Answer - tight HAMSTRINGS
What is the most common etiology of anterior innominate?
Correct Answer - tight QUADRICEPS
Myofascial release Correct Answer - is a passive technique that
can be applied as a Direct or Indirect modality.
Thyroid lesions are frequently associated with what type of thoracic
lesion? Correct Answer - Flexion lesion of T2
Anterior thoracic counterstain tender points for T3-T6 are located
where? Correct Answer - at the level of the corresponding rib
either at the midline or lateral to the mid-line on the sternum
What are the sympathetic and parasympathetic innervations of the
UTERUS? Correct Answer - Symp= T10-L1
Parasymp= S2-4
What is the correct order of lymphatics? Correct Answer - 1.
Thoracic inlet (open Sibson's Fascia)
2. Thoracic diaphragm
3. Pelvic diaphragm
4. Popliteal fossa
5. Pedal pump
Proximal --> distal
Posterior C1 tender point is a maverick. how is it treated? Correct
Answer - FLEXION of the OA junction.
