AOA Osteopathic Principles & Practice 2

Question 1

After locating a counterstrain tender point in the lumbar region and placing the patient in the position of maximal ease, how long is the position typically held?

Accepted Answer

90 seconds

Answer

Standard counterstrain holds the position of ease for 90 seconds (120 seconds for rib tender points) before slowly returning to neutral.

Question 2

T4 is found to be flexed, rotated right, and sidebent right as a single-segment dysfunction. Which Fryette principle does this describe?

Accepted Answer

Type II mechanics

Answer

Type II mechanics involve a single segment in flexion or extension with rotation and sidebending to the same side.

Question 3

A patient with suspected appendicitis would most likely have an anterior Chapman reflex point at which location?

Accepted Answer

Tip of the right 12th rib

Answer

The Chapman point for the appendix is at the tip of the right 12th rib.

Question 4

In a post-isometric relaxation muscle energy technique, how long does the patient typically hold each contraction against physician counterforce?

Accepted Answer

3-5 seconds

Answer

Muscle energy contractions are usually held 3-5 seconds and repeated 3-5 times, engaging a new barrier each time.

Question 5

Which of the following is an absolute contraindication to cervical HVLA treatment?

Accepted Answer

Down syndrome with atlantoaxial instability

Answer

Ligamentous laxity and atlantoaxial instability, as seen in Down syndrome, make cervical HVLA absolutely contraindicated because of the risk of spinal cord injury.

AOA - AOA Board Certified Practice Test

AOA - AOA Board Certified Practice Test

AOA Osteopathic Principles & Practice 2