Diagnosis
Stretching /Strengthening
Expert Mode
100

Method of diagnosis where patient bend over as to touch their toes, then rise to an upright standing position slowly.

Spinal dysrhythmia

100

You perform a screening exam with the patient supine on 9th floor of Coal. A pterodactyl comes and bites their toes and they look to see what’s happening. Use of SCM with chin protrusion indicates weakness of these muscles.

Deep neck flexors

100

A sedentary patient with forward head posture, anterior pelvic tilt, and piriformis-related buttock pain demonstrates contralateral pelvic drop during stance phase while walking. Examination reveals weak gluteal stabilizers, tight hip flexors, and symptoms worsening with prolonged sitting. To correct the primary biomechanical deficit contributing to the gait abnormality, this exercise should be emphasized in the patient’s rehabilitation program. A sedentary patient with forward head posture, anterior pelvic tilt, and piriformis-related buttock pain demonstrates contralateral pelvic drop during stance phase while walking. Examination reveals weak gluteal stabilizers, tight hip flexors, and symptoms worsening with prolonged sitting. To correct the primary biomechanical deficit contributing to the gait abnormality, this exercise should be emphasized in the patient’s rehabilitation program.

Clam-shell exercise

200

Flexion of the neck without the chin protruding while supine.

Normal cervical flexion test

200

Sadie Welch comes to you after being let loose on the basketball court. She reports neck stiffness and after a thorough evaluation she grasps the side of the table with her right hand and leans left. She sidebends left and rotates her head right to stretch this muscle.

Right scalene

200

A deep sea diver was feeding hot dogs to a moray eel when the eel bit off his thumb. The thumb was successfully replaced with his second toe in a “Thumb Reconstruction with Second Toe Transfer” procedure. When he goes to grasp a can of soda, he is using the following muscle to abduct his thumb.

Abductor Hallucis

300

A patient with lower crossed syndrome is instructed to perform pelvic tilts. Instead, the patient begins performing exaggerated hip thrusts while the song “Jump On It” plays in the background. This muscle group is most likely still inhibited.

Gluteus Min / Med / Max

300

Dr. Cole comes to you reporting back pain from holding the weight of KYCOM OPC on his back. After stretching, he strengthens by doing these exercises.

Sit backs, transverse abdominis retraining, bridging

300

GlcNAc-6P —> ManNAc-6P via epimerase

—> NeuNAc-9P via PEP

—> NANA via NeuNAc-9P synthase

—> CMP-NANA via CMP-NeuNAc synthetase

Synthesis pathway of CMP-NANA

400

A man complains of radiating pain down the posterior leg after driving 27 hours straight. This is his diagnosis.

Piriformis syndrome

400

Kentera Obin presents after a weekend spent on the slots reporting hip pain. You tell her to stretch by flexing the left hip with the right hip externally rotated. She translates her hips forward inducing stretch of this muscle group.

Hip flexors

400

A 28yo OMS-II presents with upper crossed syndrome after spending long hours studying for COMLEX. You prescribe stretching of the pectoralis muscles along with strengthening of the deep neck flexors and scapular stabilizers. While explaining the anatomy of the affected region, the patient asks about the embryologic origin of the skeletal structures associated with the shoulder girdle. You inform them that this embryologic cell population contributes to development of these craniofacial and shoulder-related structure.

Neural crest cells

500

You are performing a shoulder firing pattern diagnostic test on your patient. You notice faulty elevation of one shoulder, so you diagnose your patient with this muscular imbalance.

A muscular imbalance between the levator scapulae and the upper trapezius (tight) and the lower trapezius, serratus anterior, and supraspinatus (weak)

500

A suburban dad presents to the OMT clinic after standing perfectly still in his yard with exaggerated lumbar lordosis every morning so the HOA thinks he’s a decorative statue. After 8 years of this activity, his hip flexors are permanently shortened and his glutes have fully retired. You teach the patient how to perform hip flexor stretches and bridging to strengthen his core. This is how long the strengthening exercise should be held.

10 seconds

500

The number that I am thinking of.

237,946,982,347,984,372,984

(Two hundred thirty-seven quintillion, nine hundred forty-six quadrillion, nine hundred eighty-two trillion, three hundred forty-seven billion, nine hundred eighty-four million, three hundred seventy-two thousand, nine hundred eighty-four)