Omm 501 Final Exam Questions

Front 1

Who was the originator of muscle energy technique?

Back 1

Fred Mitchell Sr. expanded the concept to MET from T.J Ruddy.

Front 2

What are the uses of muscle energy treatment?

Back 2

1. Lengthen a shortened or spastic muscle.
2. Strengthen a physiologically weakened muscle or group of muscles
3. Reduce localized edema
4. Relieve passive congestion
5. Mobilize joints w/ restricted movement
6. Stretch tight muscles and fascia
7. Improve local circulation

Front 3

What are the components of isometric muscle energy technique

Back 3

1. Light to moderate contraction strength
2. Unyielding counterforce (muscle length should not change)
3. Results in lengthening of a tight muscle

Front 4

Factors in MET efficiency

Back 4

1. Patient active muscle contraction
2. Controlled joint position
3. Muslce contraction in specific directions
4. Operator-applied distinct counterforce
5. Controlled contraction intensity

Front 5

What are the contraindications of MET

Back 5

1. Fracture in area of somatic dysfunction
2. Painful or spastic muscle
3. uncooperative patient

Front 6

The primary determinant of rib motion is

Back 6

The axis of motion b/n the costovertebral and costotransverse articulation

Front 7

The muscle groups that affect rib cage motion

Back 7

SCM
Scalenes
Intercostal muscles
Diaphragm
Some serratus anterior
Some quadratus lumborum

Front 8

Rib motions

Back 8

Upper: pump motion
mid ribs: bucket handle motion
ribs 11 & 12: caliper motion

Front 9

Structural rib dysfunction

Back 9

1. Subluxation: anterior or posterior
2. Superior subluxation of the 1st rib
3. Anteroposterior compression
4. Lateral compression

Front 10

Steps in MET treatment

Back 10

1. Make an accurate diagnosis
2. Position somatic dysfunction against barrier
3. Give instruction to patient
4. Have pt contract appropriate muscle group (hold 3-5 sec)
5. Take up slack on relaxation
6. Repeat steps 3-5 times

Front 11

The first college of osteopathic medicine was started in?

Back 11

1892 in Kirksville, MO

Front 12

In which state did the DO/MD merger take place in the 1960s?

Back 12

California

Front 13

After the merger, which state had the most DOs?

Back 13

Ohio, MI, Pennsylvania (dont know for sure)

Front 14

The first university-based COM was at?

Back 14

MSU

Front 15

How did WWII affect the DO profession?

Back 15

DO's weren't recognized in the service so they stayed behind in the states and took care of patients.
Increased exposure and status

Front 16

The purpose of the scan is to

Back 16

locate somatic dysfunction

Front 17

Common errors in palpation

Back 17

Too much or not enough pressure
Too much motion
lack of concentration

Front 18

The muscle group found over the rib angle?

Back 18

Iliocostalis muscle

Front 19

Rotation & sidebending coupled to the same side is described as?

Back 19

Type II

Front 20

During spinal flexion, the articular facets are?

In extension?

Back 20

Both open

Both closed

Front 21

What structural rib dysfunction would most likely cause brachial plexus symptoms?

Back 21

Superior subluxation of 1st rib

Front 22

Atypical ribs are

Back 22

Rib 1,2, 11, 12

(typical is 3-10)

Front 23

What MET requires maximal contraction strength

Back 23

Isotonic contraction

Front 24

What MET results in a lengthening of a tight muscle?

Back 24

Isometric contraction

Front 25

What MET requires a unyielding counterforce

Back 25

Isometric force

Front 26

Thoracic musculature layers

Back 26

Layer 1: Trapezium & latissimus dorsi
layer 2: rhomboids
layer 3: erector spinae
layer 4: multifidi

Front 27

Muscle attachements to ribs

Back 27

Ribs 1 & 2: scalene
ribs 3-5: pectoralis minor
ribs 6-8: serratus anterior

Front 28

Where does the sympathetic chain lie?

Back 28

over the rib heads