Cranial

Front 1

primary respiratory mechanism (PRM)

Back 1

a unit of fx concerned w/ cellular respiration, underlying all other physiologic functions. It is observed through the cranial articulations

Front 2

5 components of PRM are

Back 2

1)articular mobility of the cranial bony mechanism
2)reciprocal tension dural membrane
3)fluctuation of the CSF
4)inherent motility of the CNS
5) respiratory motion of the sacrum between the ilia

Front 3

The MIDLINE cranial bones have physiologic motion of _________ about a ________ axis

Back 3

flexion/extension
transverse

Front 4

name the midline cranial bones (5)

Back 4

1) occiput
2) sphenoid
3) ethmoid
4) vomer
5) the sacrum is also a midline bone

Front 5

what is the axis of the sacrum

Back 5

transverse through S2

Front 6

The PAIRED cranial bones have a physiologic motion of _________ about their respective axis

Back 6

ER/IR

Front 7

The paired cranial bones are:

Back 7

zygoma
frontals
inferior conchae
lacrimals
maxillae
nasals
palantines
parietals
temorals

Front 8

given the paired cranial bones give the axis:
zygoma

Back 8

oblique axis

Front 9

given the paired cranial bones give the axis:
frontals

Back 9

verticle axiss

Front 10

given the paired cranial bones give the axis:
maxillae

Back 10

verticle axis

Front 11

given the paired cranial bones give the axis:
parietals

Back 11

arbitrary axis

Front 12

given the paired cranial bones give the axis:
temporals

Back 12

oblique axis

Front 13

As SBS Rises:
Midline bones _______
paired bones _______
Respiratory phase-PRM _______
Sacral Base ______

Back 13

Flexion
External Rotation
Inhalation
Post/Sup

Front 14

As SBS Decends:
Midline bones _______
paired bones _______
Respiratory phase-PRM _______
Sacral Base ______

Back 14

Extend
Internal Rot
Exhalation
Ant/Inf

Front 15

Medial dural attachment

Back 15

Anterior clinoid processes

Front 16

Lateral dural attachments

Back 16

Petrous ridges
Mastoid portion
Post-inf angles of parietal
Transverse ridge of occiput
Posterior clinoid processes

Front 17

sacrum has _______ axis through the ______ sacral segment

Back 17

transverse
second

Front 18

In the primary respiratory mechanism, as the occiput moves into flexion, the SBS moves _________ "tugging the dura" and the sacral base tips ______ and _______.

Back 18

superiorly
posteriorly and superiorly

Front 19

In the primary respiratory mechanism, as the occiput moves into extension, the SBS moves _________ relaxing the "tug on the dura" and the sacral base tips ______ and _______.

Back 19

inferiorly
anteriorly and inferiorly

Front 20

axis of rotation:
sphenoid

Back 20

TRANSVERSE AXIS through the body, immediately anterior to, and on the same level as, the floor of the sella turcica

Front 21

axis of rotation:
Occiput

Back 21

TRANSVERSE AXIS just above the jugular processes of the occiput

Front 22

axis of rotation:
Temporalis

Back 22

ALONG PETROUS RIDGE
Diagonally between the petrous apex and the jugular surface of the petrous portion

Front 23

How would you're fingers move on an imaginary head?
flexion

Back 23

Hands away from me and out

Front 24

How would you're fingers move on an imaginary head?
extension

Back 24

hands back towards me and closer together

Front 25

How would you're fingers move on an imaginary head?
Left torsion

Back 25

the left index finger moves superiorly (toward the physician) and the little finger moves inferiorly (towards the pts feet). Simultaneously, the right index finger is perceived as moving inferiorly and the little finger moves superiorly.

note: as if one held a pensil by its ends in each palm and turned the hands like two whels in opposite directions

Front 26

How would you're fingers move on an imaginary head?
Right torsion

Back 26

the right index finger moves superiorly (toward the physician) and the little finger moves inferiorly (towards the pts feet). Simultaneously, the left index finger is perceived as moving inferiorly and the little finger moves superiorly.

note: as if one held a pensil by its ends in each palm and turned the hands like two whels in opposite directions

Front 27

How would you're fingers move on an imaginary head?
temporal external rotation

Back 27

lateral rotation of hands (thumbs)-open up hands

Front 28

How would you're fingers move on an imaginary head?
temporal internal rotation

Back 28

medial rotation of hands (thumbs)-open up hands

Front 29

How would you're fingers move on an imaginary head?
Left sidebending/rotations

Back 29

left hand spread wider, moves inferiorly, and has an externally rotated temporal in the physicians palm.
named: for externally rotated inferior segment.

Front 30

How would you're fingers move on an imaginary head?
Right sidebending/rotations

Back 30

left hand spread wider, moves inferiorly, and has an externally rotated temporal in the physicians palm.
named: for externally rotated

Front 31

How would you're fingers move on an imaginary head?
Superior verticle strain

Back 31

parallel hands, tips of fingers point down?

Front 32

How would you're fingers move on an imaginary head?
inferior verticle strain

Back 32

parallel hands, tips of fingers point up?

Front 33

How would you're fingers move on an imaginary head?
left lateral strain

Back 33

parallel hands, pinky fingers point to the left

Front 34

How would you're fingers move on an imaginary head?
SBS compression

Back 34

head is still compression prevents true flexion & extension. May induce alternating verticle strains

Front 35

This type of disfunction is a physiologic adaptation to trauma to one quadrant of the head.

Back 35

torsion

Front 36

this type of disfunction is a physiologic response to a lateral force exactly at the level of the SBS.

Back 36

sidebendign rotation

Front 37

this disfunction is a traumatic effect of 1) a blow on the vertex behind the plane of the SBS but anterior to the occipital axis, or 2) below through the mouth, anterior to the plane of SBS, but posterior to the sphenoid axis

Back 37

superior verticle strain

Front 38

this disfunction is a traumatic effect of 1) a blow on the vertex anterior to the plane of the SBS but posterior to the sphenoid axis, or 2) below through the heels or mandible, posterior to the plane of SBS, but anterior to the occipital axis

Back 38

inferior vertical strain

Front 39

this disfunction is due to a traumatic effect of a blow on the side of the head anterior or posterior to the plane of the SBS

Back 39

lateral strain

Front 40

venous sinus technique

Back 40

1) external occipital protuberance (confluence of sinuses)
2) down the occipital sinus to condylar parts
3) condylar decompression
4) transverse and straight sinuses
5) sagittal sinus - sagital suture, stop at bregma
6) then metopic suture

Front 41

Give three indications for venous sinus technique

Back 41

1)hard, rigid head
2) headache
3) SBC compression

Front 42

CV-4 technique

Back 42

using the occiput and sacrum=follow towards extension

using the parietals and temporalis=follow toward internal rotation

Front 43

parietal lifts

Back 43

?

Front 44

Frontal lifts

Back 44

?

Front 45

what is the vault hold points of contact on the skull
forefingers on _________
4th finger on ________
5th finger on _________

Back 45

greater wings of sphenoid
mastoid process of temporal bones
lateral angle of occiput

Front 46

indications of CV 4technique

Back 46

tension headache
Any acute illness – normalize functions, ↓ temp
Allergies
Asthma
Acute low back painIf something needs to be expelled, e.g. fetus post-term gestation
Emotional reactions and states

Front 47

describe the endpoint for the CV 4 technique described as the "still point" (4 points)

Back 47

diaphragmatic respirations
sensation of bone softening
sense of warmth
gentle, low amplitude rocking of flexion/extension

Front 48

common cranial nn entrapment neuropathies which cause:
difficulty swallowing

Back 48

CN IX

Front 49

common cranial nn entrapment neuropathies which cause:
vomiting

Back 49

CN X

Front 50

common cranial nn entrapment neuropathies which cause:
difficulty sucking/protrusion of the tongue

Back 50

CN XII

Front 51

what cranial nerve can be compromised by the petrosphenoid ligament

Back 51

CN VI

Front 52

which cranial nerves pass through the cavernous sinus

Back 52

CN III, IV, V1, V2, VI

Front 53

Which cranial nn passes through the foramen ovale

Back 53

CV V3 (motor division)

Front 54

which cranial nn pass through the jugular foramen

Back 54

CN IX, X, XI

Front 55

Which cranial nn have a close relationship with the occiput

Back 55

CN IX, X, XI, XII

Front 56

Which cranial nn have a close relationship with the temporals

Back 56

IV, V, VI, VII, VIII, IX, X, XI

Front 57

what cranial bone can be damaged secondary to a forceps delivery

Back 57

sphenoid

Front 58

pt presents w/ migranes, what cranial bones, suture, and artery do you suspect

Back 58

sphenoid and temporal bone
sphenosquamous suture
middle menengial aa

Front 59

which bones for the orbit of the eye

Back 59

ethmoid
frontal
lacrimal
maxilla
palantine
sphenoid
zygomatic

Front 60

monroe kelly docterine

Back 60

Given an intact cranium and vertebral canal together with an inelastic dura; any increase in the volume of the cranial contents (e.g. brain, blood or CSF), will elevate intracranial pressure. Further, if one of these three elements increase in volume, then the other two must decrease in volume.

Front 61

pteryon is the intersection of what bones (give them from deepest to most superficial)

Back 61

frontal, parietal, sphenoid, temporal

Front 62

occiput is in ___ parts when born

Back 62

4

Front 63

the _____ canal passes through condyles

Back 63

hypoglossal

Front 64

midline bones engage in this type of movement

Back 64

flexion/extension

Front 65

paired bones engage in this type of movement

Back 65

IR/ER

Front 66

When you flex the occiput you do this to the sacrum-meaning this happens to the base and this happens to the apex

Back 66

sacrum flexes
(base->posterior/superior; apex->anterior/inferior)

Front 67

the sphenoid consists of ____ parts until 8 mo of life

Back 67

2

Front 68

what goes through the superior orbital fissure

Back 68

CN 3,4,5(V1),6, opthalmic vv, sympathetics

Front 69

newborn has difficulty sucking and swallowing what CN do you suspect and what type of compression could it be

Back 69

CN VII, condylar compression

Front 70

articulations of temporal bones (5)

Back 70

Occiput
Parietal
Sphenoid
Zygoma
Mandible

Front 71

____surrounds ALL nerves

Back 71

CT

Front 72

all nn are continuous with _____ and ____

Back 72

meninges
dura

Front 73

Perineurium continuous with the ______ surrounding it

Back 73

fascia

Front 74

pt presents with diplopia, tracking, learning d/o, what ligaments and CNs might be involved

Back 74

petrosphenoid ligmament
3,4,5

Front 75

pt presents w/ bells palsy. what cn?

Back 75

7

Front 76

pt presents w/ bell's palsy. What CN?

Back 76

CN VII

Front 77

pt presents w/ high pitch tinnitus. What CN?

Back 77

CN IX

Front 78

pt presents w/ condylar compression. What CN?

Back 78

CN IX-XII