AOA Osteopathic Principles and Practice 2

Question 1

A patient has a group curve from T8 to L1 where the segments are sidebent left and rotated right, regardless of flexion or extension. Which Fryette principle describes this?

Accepted Answer

Fryette's first principle (Type I mechanics)

Answer

Type I (neutral) mechanics involve group curves with sidebending and rotation to opposite sides.

Question 2

In Jones counterstrain, how long is the position of ease typically held once the tender point is reduced by at least 70%?

Accepted Answer

90 seconds

Answer

The standard counterstrain hold is 90 seconds (120 seconds is often cited for ribs).

Question 3

Which patient has an absolute contraindication to HVLA treatment of the cervical spine?

Accepted Answer

Down syndrome with atlantoaxial instability

Answer

Atlantoaxial instability (as in Down syndrome or rheumatoid arthritis) is an absolute contraindication to cervical HVLA.

Question 4

A key rib for an inhalation dysfunction of ribs 3-6 on the right is which rib?

Accepted Answer

Rib 6

Answer

In inhalation dysfunctions the lowest (bottom) rib of the group is the key rib.

Question 5

When treating an exhalation dysfunction of rib 2 with muscle energy, which muscle is used?

Accepted Answer

Posterior scalene

Answer

Rib 2 exhalation dysfunctions are treated using the posterior scalene.

AOA - AOA Board Certified Practice Test

AOA - AOA Board Certified Practice Test

AOA Osteopathic Principles and Practice 2