1. MS I Spring Final Review 2016
Matt Parker, omsII

3. Which of the following describes the facilitated positional release sequence?
Neutral position, activating force, move into direction of dysfunction
Neutral position, activating force, move into direction of barrier
Direction of ease, activating force, direction of restriction
Direction of restriction, activating force, direction of ease 19

4. Which of the following divisions of the ANS is associated with “craniosacral outflow”?
Enteric
Parasympathetic
Sympathetic 20

6. Ach, Nicotinic, Norepinephrine (NE) NE, Muscarinic, ACh
The SYMPATHETIC preganglionic neurotransmitter is _____, which synapses with _____ receptors. The subsequent postganglionic neurotransmitter is _____.
ACh, Nicotinic, ACh
Ach, Nicotinic, Norepinephrine (NE)
NE, Muscarinic, ACh 19

12. The maintenance of a pool of neurons in a state of partial or sub threshold excitation is:
Activation
Depolarization
Facilitation
Hyperpolarization
Inhibition 20

14. Somatovisceral reflex Viscerosomatic reflex Viscero-viscero reflex
Passive movement of an inflamed knee joint that increases both heart rate and blood pressure is an example of a:
Somato-somato reflex
Somatovisceral reflex
Viscerosomatic reflex
Viscero-viscero reflex 20

15. Parsympathetic innervation to the testes comes from:
Greater Splanchnic nerve
Pelvic Splanchnic nerves
Vagus nerve
Paravertebral Ganglia 20

16. Where would you expect to find TART findings in a male patient with testicular cancer?
L1-L2 20

18. VISCEROSOMATIC REFLEX CHART
VISCEROSOMATIC REFLEX CHART. If you get nothing else out of this review, GO TO THIS VIDEO and learn how to draw this quick chart. It will save you tons of headache.
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20. A patient comes to your office complaining of heartburn and acid reflux. You would expect to find which of the following involved ganglia?
Celiac
Inferior Mesenteric
Superior Mesenteric 20

22. The ___________ is not treated using the mesenteric release technique because it doesn’t have a mesentery.
Ascending Colon
Descending Colon
Small Intestine
Transverse Colon 20

23. All of the following are true concerning Chapman’s points EXCEPT:
They are thought to represent viscero-somatic reflexes
They are discreetly palpable nodules 2-3 mm in diameter
They are used more for diagnosis than treatment in current clinical practice
Upon palpation they give rise to a characteristic radiating pain or autonomic phenomena 20

24. Spinous process of T11 Spinous process of T12 Tip of the left 11th rib
A 21 y/o male presents to the emergency room complaining of intense abdominal pain that began 4 hours prior. The pain started as a diffuse periumbilicar pain that is now localized in the RLQ. You suspect appendicitis. Where would you find the classic Chapman’s point for this condition?
Spinous process of T11
Spinous process of T12
Tip of the left 11th rib
Tip of the right 12th rib 20

25. “High Yield” Chapman’s points
 ANTERIOR = Diagnostic
 POSTERIOR = Therapeutic
 Appendix—tip of the 12th rib
 Ascending colon—right lateral thigh
 Descending colon—left lateral thigh
 Prostate/Broad ligament—posterior IT band
 Eye—lateral humerus
 Bladder—Periumbilical
 Kidney—1” lateral, 1” superior to umbilicus
 Adrenals—Superior to Kidney points
 Sinus—1st ICS
 Differentiate between stomach points
GO TO THIS VIDEO and learn how to draw this quick chart.

26. Which of the following does NOT drain into the Thoracic Duct?
Left Eye
Lower lobe of the left lung
Right leg
Upper lobe of the left lung 20

27. Right lung and Left lower lobe

28. The fundamental unit of the lymphatic system is:
Anchoring filaments
Lymphangion
Overlapping endothelial cells
Sarcomere 20

29. The first major recognition by the medical community of the benefits of OMT occurred following the use of lymphatic techniques to treat the victims of the:
1918 Spanish Flu
Bubonic Plague
Chernobyl
Disneyland anti-vaxxer measles outbreak 20

30. The correct order of treating the lymphatics is:
Thoracic inlet, thoracic pump, thoracic diaphragm release
Thoracic inlet, pedal pump, distal to proximal lower extremity
Pedal pump, pelvic diaphragm release, thoracic pump
Thoracic inlet, thoracic diaphragm release, proximal to distal upper and lower extremities 20

31. ORDER of treatments
 Open up bottle neck (restriction) points—Thoracic inlet, thoracic diaphragm, pelvic diaphragm, craniocervical diaphragm
 Always start proximal and work distally

32. The overall result of the mechanical rib raising technique is:
Decreased sympathetics
Increased parasympathetics
Balanced autonomics
Decreased parasympathetics 20

33. All of the following are ABSOLUTE contraindications to lymphatic techniques except:
Anuresis
Cancer
Lack of patient consent
Necrotizing fasciitis 20

35. The ankle is least stable in _____, predisposing to _____ ankle sprains.
Dorsiflexion, inversion
Plantar flexion, inversion
Dorsiflexion, eversion
Plantar flexion, eversion 20

37. Which of the following would you not counsel a patient with an ankle sprain to do?
Brace
Ice
Absolute rest
Elevate
Compression 20

38. Anterior talofibular ligament Calcaneofibular ligament
A 16 y/o male presents to your office complaining of left ankle pain since last night’s football game. While stabilizing the tibia you grasp the calcaneus and exert an anterior force. There is more movement with this maneuver in the left ankle when compared to the right. You suspect injury to which of the following structures?
Achilles tendon
Anterior talofibular ligament
Calcaneofibular ligament
Deltoid ligament 20

39. Lachman’s Anterior drawer McBurney’s Thomas Thompson’s
A 34 y/o presents to your office with a R ankle injury after a CrossFit workout. With the patient kneeling on the table you squeeze the gastrocnemius, which produces no plantar flexion motion of the foot. What is the name of this provocative test?
Lachman’s
Anterior drawer
McBurney’s
Thomas
Thompson’s 20

40. KNOW your provocative tests – names, what you are testing, how to set them up.
 Ankle anterior drawer—ATF
 Thompson—Achilles
 Thomas—Psoas
 Patrick—Hip pathology
 Straight Leg—nerve root compression
 Neer’s—supraspinatus
 Jobe’s—supraspinatus
 Apprehension—shoulder stability (specifically anterior dislocation)
 Cross-over—AC joint
 Speed’s—Biceps, LONG HEAD
 Scapular slide—scapular dyskinesia

41. Grade 1 strain Grade 1 sprain Grade 2 sprain Grade 2 strain
A 34 y/o presents to your office with a R ankle injury after a CrossFit workout. With the patient kneeling on the table you squeeze the gastrocnemius, which produces no plantar flexion motion of the foot. Which of the following best describes the injury?
Grade 1 strain
Grade 1 sprain
Grade 2 sprain
Grade 2 strain
Grade 3 sprain
Grade 3 strain 20

43. Which of the following movments is NOT addressed in the Spencer’s 7 techniques?
Extension
External rotation
Flexion
Internal rotation 20

45. Codman’s exercises are indicated for:
Rotator cuff tear
Shoulder separation
Frozen shoulder
Supraspinatus tendinitis 20

46. A type _____ acromion digs into the _____ muscle and puts it at most risk for injury.
III, subscapularis
III, supraspinatus
II, infraspinatus
I, supraspinatus 20

48. Additional Sports Medicine Pearls
 Know sensory dermatomes
 Know DTR’s
 Know muscle actions, especially of the Rotator cuff muscles
 Supraspinatus = abduction
 Infraspinatus/teres minor = external rotation
 Subscapularis = internal rotation
 Triceps = extension
 Anterior deltoid, pect. Major = flexion
 Lat. Deltoid = abduction
 Pect. Minor/lat/teres major = adduction