DO Osteopathic Manipulative Medicine 2 — Questions and Answers
Question 1: The Still technique in OMM is best described as which type of combined approach?
- Indirect followed by direct with a dynamic thrust (Correct answer)
- Pure indirect positioning only
- Purely passive craniosacral rhythm
- Isotonic resistive exercise
Correct answer: Indirect followed by direct with a dynamic thrust
The Still technique first moves toward ease (indirect), then through the barrier with a dynamic corrective force.
Question 2: Which OMM technique is CONTRAINDICATED in a patient with acute disc herniation causing radiculopathy?
- High-velocity low-amplitude (HVLA) (Correct answer)
- Counterstrain
- Lymphatic pump
- Craniosacral therapy
Correct answer: High-velocity low-amplitude (HVLA)
HVLA is contraindicated with acute disc herniation because the thrust can worsen nerve compression and neurological deficits.
Question 3: In diagnosing spinal somatic dysfunction, the convention 'L3 FRSL' means the vertebra is:
- Flexed, rotated left, sidebent left (Correct answer)
- Flexed, rotated right, sidebent left
- Extended, rotated left, sidebent left
- Flexed, rotated left, sidebent right
Correct answer: Flexed, rotated left, sidebent left
In OMM positional notation, F = flexed, R = rotated, S = sidebent, and the direction letter follows each motion descriptor.
Question 4: Type I spinal mechanics (Fryette's Law I) states that sidebending and rotation occur in which relationship when the spine is in neutral?
- Opposite directions (coupled) (Correct answer)
- Same direction
- Rotation only, no sidebending
- Random, not coupled
Correct answer: Opposite directions (coupled)
Fryette's Law I states that in the neutral spine, rotation and sidebending are coupled to opposite sides across multiple segments.
Question 5: The lymphatic pump technique is primarily used to enhance what physiological function?
- Lymphatic and immune circulation (Correct answer)
- Arterial blood pressure
- Cerebrospinal fluid production
- Bone marrow stimulation
Correct answer: Lymphatic and immune circulation
Lymphatic pump techniques rhythmically increase intrathoracic pressure to propel lymph through the lymphatic vessels and boost immune function.
Question 6: Which structure is the primary focus of the Galbreath technique used in OMM?
- Mandible and eustachian tube drainage (Correct answer)
- Lumbar facets
- Sacroiliac joint
- Cervicothoracic junction
Correct answer: Mandible and eustachian tube drainage
The Galbreath mandibular drainage technique promotes eustachian tube drainage by tractioning the mandible to treat otitis media.
DO Osteopathic Manipulative Medicine 2
The Still technique in OMM is best described as which type of combined approach?