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OMM Exam Study Guide| 534 Questions Solved with Verified Correct Answers | Latest Update
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OMM Exam Study Guide| 534 QuestionsSolved with Verified Correct Answers |
Latest Update 2024-2025
Migraine HA presentation
-unilateral pulsating pain with N, photophobia, and/or
phonophobia -aura
-triggers are common
Migraine HA acute treatment
-avoid triggers
-mild->NSAIDs
-mod/severe->ergots or triptans
Triptans CI in
CAD and coronary vasospasm (prinzmetal's angina)
Prophylactic treatment for migraines
-lifestyle changes
-B-blockers (propranolol)
Migraine HA treatment plan
1. suboccipital release
2. upper thoracic paraspinal inhibition
3. venous sinus drainage
Venous sinus drainage technique order
1. occipital condylar decompression
2. occipital sinus
3. transverse sinus
4. confluence of sinuses
5. sagittal sinus-parietal portion
6. sagital sinus-frontal portion
Occipital condylar decompression technique
Occipital sinus decompression technique
Transverse sinus decompression technique
,Confluence of sinuses technique
Superior sagittal sinus (parietal) technique
Superior sagittal sinus (frontal) technique
Sinus headaches treatment plan
1. thoracic inlet release
2. suboccipital release
3. sinus effleurage
What is facilitation?
development of a lower threshold for irritation in a specific region due to repeated
nerve stimulation such as pain
Viscerosomatic reflex
organ dysfunction triggering a somatic dysfunction
Acute cholecystitis causes referred pain to the mid-thoracic region at the tip of the
right scapula, and somatic dysfunction of T5-T9. This is an example of
viscerosomatic reflex
MI causes referred pain to the jaw and left arm as well as somatic dysfunction of T1-T5. This
is an example of
viscerosomatic reflex
What is a somatovisceral reflex?
somatic dysfunction triggering an organ dysfunction
Tissue injury in muscular distribution of T1-T5 worsens COPD. This is an example of
somatovisceral reflex
Parasympathetic response of the pupils
constricts (miosis)
What is the parasympathetic response of the lenses?
contracts for near vision
What is the parasympathetic response on glands?
stimulate secretion
What is the parasympathetic response on the heart?
,slows contractility and velocity
What is the parasympathetic effect on the bronchiolar smooth muscle?
contracts
What is the parasympathetic effect on the smooth muscle of the GI tract and bladder wall?
contraction
What is the parasympathetic effect on the smooth muscle of GI and bladder sphincters?
relaxation
What is the parasympathetic effect on the fundus of the uterus?
relaxation
What is the parasympathetic effect on the cervix?
contraction
What is the parasympathetic effect on the skin?
no effect
What is the parasympathetic effect on the skeletal muscles?
no effect
What parasympathetically innervates the sm. intestine?
CN X vagus
What parasympathetically innervates the proximal half of the large intestine?
CN X vagus
What parasympathetically innervates the distal half of the colon?
pelvic splanchnic nerves (S2-S4)
What parasympathetically innervates the kidneys?
CN X vagus
What parasympathetically innervates the testes/ovaries?
CN X vagus (remember by getting hit in the balls causes you to be nauseous)
What parasympathetically innervates the bladder?
pelvic splanchnic nerves (S2-S4)
, What parasympathetically innervates the upper ureters?
CN X vagus
What parasympathetically innervates the lower ureters?
pelvic splanchnic nerves (S2-S4)
What parasympathetically innervates the reproductive organs expect the ovaries/testes?
pelvic splanchnic nerves (S2-S4)
S2-S4 innervates what structures?
descending/sigmoid colon, rectum , reproductive organs (except ovaries/testes) and
urinary bladder
What is the sympathetic effect on the pupil?
dilates (mydriasis)
What is the sympathetic effect on the lens?
slight relaxation for far vision
What is the sympathetic effect on the heart?
increases contractility and conduction velocity
What is the sympathetic effect on bronchiolar smooth muscle?
relaxes
What is the sympathetic effect on the GI smooth muscle and bladder wall?
relaxes
What is the sympathetic effect on the GI and bladder sphincters?
contracts
What is the sympathetic effect on the skin?
contracts
What is the sympathetic effect on skeletal muscle?
relaxes
What is the sympathetic effect on the kidneys?
vasoconstriction of afferent arteriole->decreased GFR->decreased urine volume
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