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79 Cards in this Set
- Front
- Back
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finger extension
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> 90
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thumb flexion
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to forearm
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elbow extension
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> 10
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knee extension
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> 10
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standing flexion
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hands flat on floor
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criteria for hypermobility syndrome
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arthralgia
hypermobility absence of other dz |
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OPP for hypermobility syndrome
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counterstrain
indirect MFR |
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when to use prolotherapy
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chronic pain from hypermobility
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prolotherapy involves the injection of what
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glucose
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order of opp exam
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inspection
palpation ROM muscle strength special tests "I ProMS" |
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used to signify a separate identifiable service has been added to normal exam
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-25 modifier
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3 components of an E/M service code
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history
physical medical decision making |
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what foramen of the skull does CN XI travel through
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jugular
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CN impinged in torticollis
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CN XI
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CN impinged in colic
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CN IX, X, and XII
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cry 3 hours/day
3/days week around 3pm |
colic
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OMT for colic
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occipital decompression
MFR of abdominal valves/plexi |
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CN impinged in ambylopia
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CN VI
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technique to avoid in OMT tx of asthma
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lymphatic pump
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gait abnormalities of the foot that can be treated with OMT
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metatarsus adductus
tibial torsion |
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normal ferguson angle
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40 +/- 2
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fergusons angle that causes strain on ligaments and shearing forces on IV discs
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>42
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fergusons angle that causes flattened lumbar lordosis
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<38
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sympathetic ganglia of the uterus/cervix
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inferior hypogastric plexus
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sympathetic ganglia of the ovaries
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celiac and mesenteric ganglia
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parasympathetic ganglia of the uterus/cervix
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pelvic splanchnic
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when noxious sensations are experienced as painful due to hyperexcitability of neurons
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hyperalgesia
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when non-noxious sensations are experienced as painful due to hyperexcitability of neurons
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allodynia
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3 stages of stress response
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alarm, resistance, recovery/exhaustion
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burden of stress on the body
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allostatic load
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MINE dysregulation
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musculoskeletal
immune neurologic endocrine |
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hypermobility is tested on what side of the pt.
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non-dominant
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CT diseases that cause hypermobility
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OI
marfans ehlers danlos |
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in a general OPP exam what is the sequence of focus
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outside in
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in a symptomatic specific exam what is the sequence of focus
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inside out
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sequential organization of exam
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screen: is there an MSK problem
scan: where is it segmental dx: definition of problem |
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joints that are inspected in a complete MSS exam
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hip
ankle wrist knee elbow shoulder |
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TART
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tissue texture
asymmetry ROM tenderness |
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postural compensation is correlated with
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type I mechanics with type II at apexes
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postural decompensation is assx with
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overwhelmed adaptation
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medicare that covers hospital insurance
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part A
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medicare that covers outpatient medical insurance
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part B
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medicare that covers medicare advantage
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part C
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medicare that covers prescriptions
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part D
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payers group separately identifiable charges as 1 at a lower rate
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bundling
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findings in ADD
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dural tension
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first step in dx back pain in adolescence
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rule out spondylolisthesis (fracture of the pars interreticularis)
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most common site for traumatic injury induced back pain in adult secondary to osteoarthritis
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L5-S1
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first step in dx sports injury
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rule out structural derangement (epiphyseal injuries)
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must rule out what in scoliosis of children < 11
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neurological deficit
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PNS for ovaries
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vagus (OA)
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SNS for ovaries
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T12
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3 functions of pelvic floor
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supportive
sphinteric sexual |
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effect of SNS on uterus
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contraction, decreases blood flow
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effect of SNS on cervix
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relaxation
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effect on SNS on ovaries
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decreases blood flow
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effect of PNS on uterus
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relaxation/increases blood flow
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effect of PNS on cervix
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constriction
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effect of PNS on ovaries
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increases blood flow
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essential features of adaptive systems
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plasticity
irritability connectivity unpredictability |
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stress response if it is working normally
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alarm
resistance recovery |
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stress response if it is abnormal
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alarm
resistance exhaustion |
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if pt. has herniated disc, you should sidebend pt. in what direction before starting ME or MFR
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away from affected side
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effects of OMT in parkinsons
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gait
stiffness falls meds mental status |
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what psychiatric disorders are likely to involve somatization
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cluster B personality disorders
affective disorders shizophrenia anxiety disorders |
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cluster of personality disorders assx with somatization
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cluster B
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defense mechanism used to protect the individual from anxiety by manifesting as physical sx
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somatization
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tx avoided in psychiatric pt.
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HVLA
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MSK changes as uterus expands
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center of gravity anterior
lumbar lordosis abnormal leg length widening gait |
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3 subdivisions of TMJ dysfunction
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myofascial pain
internal derangement degenerative joint disease |
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most common cause of TMJ dysfunction
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myofascial pain
psychophysiologic disease |
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most common cause of internal derangement injury of TMJ
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anterior disc displacement
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TMJ dysfunction that is secondary to microtrauma
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DJD
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where is the best place to palpate the TMJ
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below the zygomatic arch
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study of choice for articular or meniscal pathology of TMJ
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MRI
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study of choice for fracture of TMJ
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x ray
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tx of acute TMJ pain
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stretching joint capsule
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tx of chronic TMJ pain
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gentle OMT
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most important component of holistic approach to health care
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nutrition
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