OMM REVIEW SAVARESE COMLEX / COMSAE QUESTIONS AND ANSWERS WELL ILLUSTRATED.
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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
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