OMM REVIEW SAVARESE COMLEX / COMSAE QUESTIONS AND ANSWERS WELL ILLUSTRATED.
1 view 0 purchase
Course
COMLEX / COMSAE
Institution
COMLEX / COMSAE
OMM REVIEW SAVARESE COMLEX / COMSAE QUESTIONS AND ANSWERS WELL ILLUSTRATED.
Which ligament runs vertically along the posterior aspect of the vertebral bodies? - correct answer.Posterior Longitudinal Ligament (Begins to narrow at lumbar region)
Why is the lumbar spine more susceptible t...
OMM REVIEW SAVARESE COMLEX /
COMSAE QUESTIONS AND ANSWERS
WELL ILLUSTRATED.
Which ligament runs vertically along the posterior aspect of the vertebral bodies? -
correct answer.Posterior Longitudinal Ligament (Begins to narrow at lumbar region)
Why is the lumbar spine more susceptible to disc herniations? - correct
answer.Narrowing of Posterior Longitudinal Ligament
In the thoracic and lumbar regions, the nerve root exits where in relation to the
corresponding vertebrae? - correct answer.Below
Where does the spinal cord usually terminate? - correct answer.L1-L2
Due to the termination of the spinal cord, where do the lumbar nerve roots exit in
relation to the intervertebral disc? - correct answer.Above
A pelvic side shift usually indicates what? - correct answer.Iliopsoas dysfunction
A positive Thomas test indicates what? - correct answer.Iliopsoas dysfunction
What landmark is used to locate the L4-L5 intervertebral disc? - correct answer.Iliac
Crest
What is the most common anomaly in the lumbar region? - correct
answer.Zygopophyseal Facet Trophism (predisposes to early degenerative changes)
What is it called when one or both transverse processes of L5 articulate with the
sacrum? - correct answer.Sacralization
What is it called when there is a failure of S1 to fuse with the other sacral segments? -
correct answer.Lumbarization
A defect in the closure of the lamina of the vertebral segment is called: - correct
answer.Spina Bifida
,No herniation through the defect, course patch of hair over site, rare neurologic deficits:
- correct answer.Spina Bifida Occulta
Herniation of meninges through defect: - correct answer.Spina Bifida Meningocele
Herniation of meninges and nerve roots through defect, associated with neurological
deficits: - correct answer.Spina Bifida meningomyelocele
What is the major motion of the lumbar vertebrae? - correct answer.Flexion and
Extension
Sidebending of L5 will induce what in the sacrum? - correct answer.Oblique Axis on the
same side
Rotaion of L5 will induce what in the sacrum? - correct answer.Rotation to opposite
side
What is another name for the lumbosacral angle? - correct answer.Ferguson's Angle
What is the intersection of a horizontal line and the line of inclination of the sacrum
called? - correct answer.Lumbosacral Angle (Ferguson's Angle)
What is a normal angle for the Lumbosacral (Ferguson's angle)? - correct answer.25-
35 degrees
Where do 98% of herniations occur? - correct answer.L4-L5 or L5-S1
A herniated lumbar disc will exert pressure on the nerve root of the vertebrae (above or
below)? - correct answer.Below
Sharp, burning or shooting pain radiating down the leg which is worse with flexion is
indicative of what? - correct answer.Herniated disc
Increased pain when standing or wlking indicates what? - correct answer.Psoas
Syndrome
What is the gold standard for the diagnosis of herniated disc? - correct answer.MRI
What is indicated if a patient has ipsilateral psoas syndrome and contralateral piriformis
spasm? - correct answer.Sciatica
A flexion contracture of the iliopsoas is often associated with what? - correct
answer.Non-neutral dysfunction of L1 or L2
Lower back pain that is worsened by extension (standing, walking or lying supine) is
most likely what? - correct answer.Spinal Stenosis
,Anterior displacement of one vertebrae in relation to the one below is called: - correct
answer.Spondylolisthesis
Fatigue fractures in the pars interarticularis is a common cause of what? - correct
answer.Spondylolisthesis
A defect of the pars interarticularis without anterior displacement of the vertebral body is
called: - correct answer.Spondylolysis
Oblique radiographs showing a Scotty Dog is indicative of what? - correct
answer.Spondylolysis
What should you look for on radiographs if suspicious of Spondylolysis? - correct
answer.Scotty Dog
Forward displacement of one vertebrae on another seen on lateral films is indicative of
what? - correct answer.Spondylolisthesis
Degenerative changes within the intervertebral disc and ankylosing of adjacent vertebral
bodies is called what? - correct answer.Spondylosis
Saddle Anesthesia, decreased deep tendon reflexes, decreased rectal sphincter tone,
loss of bowel and bladder control are indicative of what? - correct answer.Cauda
Equina Syndrome (Surgical Emergency)
What is the cause of Cauda Equina Syndrome? - correct answer.Massive Central Disc
Herniation
Grade 1 Spondylolisthesis is what percentage of displacement? - correct answer.0-
25%
Grade 2 Spondylolisthesis is what percentage of displacement? - correct answer.25-
50%
Grade 3 Spondylolisthesis is what percentage of displacement? - correct answer.50-
75%
Grade 4 Spondylolisthesis is what percentage of displacement? - correct answer.>75%
Appendicitis, Sigmoid Colon dysfunction, ureteral calculi, ureter dysfunction, metastatic
carcinoma of the prostate and salpingitis are all possible causes of what somatic
dysfunction? - correct answer.Psoas Syndrome
The point at which a patient can actively move any given joint is called: - correct
answer.Physiologic Barrier
, The point at which a physician can passively move any given point (beyond would
cause ligament, tendon or skeletal injury): - correct answer.Anatomic Barrier
The point caused by somatic dysfunction that prevents motion to the physiologic barrier:
- correct answer.Restrictive Barrier
Another name for restrictive barrier is: - correct answer.Pathologic Barrier
What is the only subjective component of TART? - correct answer.Tenderness
The painful sensation produced by palpation of tissues where it should not occur is
called: - correct answer.Tenderness
Edematous, erythematous, bogginess, increased moisture and hypertonicity are
characteristic of what? - correct answer.Acute Tissue Texture Changes
Cool dry skin, slight tension, decreased muscle tone, flaccid ropy and fibrotic are
characteristic of what? - correct answer.Chronic Tissue Texture Changes
Tenderness in acute somatic dysfunction are likely to be what? - correct answer.Severe
or Sharp
Tenderness in chronic somatic dysfunctino are likely to be what? - correct answer.Dull,
achy or burning
The rules that govern spinal motion are termed: - correct answer.Fryette's Laws
In Type I somatic dysfunction, sidebending and rotation occur to what? - correct
answer.Opposite sides
In Type I somatic dysfunction, would you expect to see flexion, extension or neutral
positioning? - correct answer.Neutral (N for neutral points opposite directions as do
rotation and sidebending)
In Type II somatic dysfunction, sidebending and rotation occur to what? - correct
answer.Same side
In Type II somatic dysfunction, would you expect to see flexion, extension, or neutral
positioning? - correct answer.Flexed or Extended
How many vertebrae does Type II SD affect? - correct answer.One
How many vertebrae does Type I SD affect? - correct answer.Multiple
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller techgrades. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.