DO Osteopathic Clinical Medicine 2

Question 1

Which osteopathic finding is most associated with the sympathetic spinal level T1–T4?

Accepted Answer

Cardiac and pulmonary conditions

Answer

The upper thoracic spine (T1–T4) provides sympathetic innervation to the heart and lungs, making it relevant to cardiopulmonary conditions.

Question 2

A 'left on left' sacral torsion describes which specific sacral motion?

Accepted Answer

Sacrum rotating left on a left oblique axis

Answer

Sacral torsion nomenclature follows: rotation direction first, then oblique axis — so 'left on left' means left rotation on the left oblique axis.

Question 3

A rib that cannot expand fully during inspiration is classified as which type of rib dysfunction?

Accepted Answer

Inhalation restriction

Answer

An inhalation restriction (inhalation rib) is a rib stuck in exhalation that cannot move fully outward during inspiration.

Question 4

Which clinical presentation most warrants assessment of Chapman's reflex points for the kidney?

Accepted Answer

Flank pain with posterior T10–T11 tissue texture changes

Answer

Kidney Chapman's points are located posteriorly at T10–T11 and anteriorly in the lateral flank, correlating with renal sympathetic innervation.

Question 5

Somatovisceral reflexes differ from viscerosomatic reflexes in which way?

Accepted Answer

Somatovisceral: somatic dysfunction alters organ function; viscerosomatic: organ disease creates somatic changes

Answer

Somatovisceral reflexes occur when somatic dysfunction (e.g., thoracic restriction) alters organ function, while viscerosomatic reflexes flow in the opposite direction.

DO - Doctor of Osteopathic Medicine Practice Test

DO - Doctor of Osteopathic Medicine Practice Test

DO Osteopathic Clinical Medicine 2