DO Osteopathic Manipulative Medicine (OMM) 2 — Questions and Answers
Question 1: What does the acronym TART stand for in osteopathic physical diagnosis?
- Tension, Alignment, Rotation, Testing
- Tissue texture change, Asymmetry, Restriction, Tenderness (Correct answer)
- Traction, Articulation, Range, Tone
- Treatment, Assessment, Release, Therapy
Correct answer: Tissue texture change, Asymmetry, Restriction, Tenderness
TART stands for Tissue texture change, Asymmetry, Restriction of motion, and Tenderness — the four diagnostic criteria for somatic dysfunction.
Question 2: Which cranial bone is considered the 'keystone' of the cranial base in craniosacral osteopathy?
- Frontal bone
- Temporal bone
- Sphenoid bone (Correct answer)
- Occipital bone
Correct answer: Sphenoid bone
The sphenoid is the keystone of the cranial base because it articulates with all other cranial bones.
Question 3: The primary respiratory mechanism (PRM) in craniosacral therapy operates at approximately how many cycles per minute?
- 6–12 (Correct answer)
- 18–24
- 30–40
- 60–72
Correct answer: 6–12
The primary respiratory mechanism operates at 6–12 cycles per minute, far slower than normal pulmonary respiration.
Question 4: Thoracic pump OMM technique is contraindicated in which of the following conditions?
- Chronic sinusitis
- Mild ankle edema
- Acute pulmonary abscess (Correct answer)
- Tension headache
Correct answer: Acute pulmonary abscess
The thoracic pump is contraindicated in acute pulmonary abscess because pumping can spread the infection systemically.
Question 5: Facilitated positional release (FPR) uses which combination to resolve somatic dysfunction?
- Direct force and rotation
- Indirect positioning combined with a compressive or torsional facilitating force (Correct answer)
- Muscle contraction and stretching
- Thrust and sustained pressure
Correct answer: Indirect positioning combined with a compressive or torsional facilitating force
FPR uses indirect positioning combined with a facilitating force (compression or torsion) to achieve rapid tissue release.
Question 6: In Fryette's mechanics, Type II (non-neutral) dysfunction is characterized by which coupling pattern?
- Sidebending and rotation to opposite sides
- Sidebending and rotation to the same side (Correct answer)
- Rotation without sidebending
- Sidebending without rotation
Correct answer: Sidebending and rotation to the same side
Type II (non-neutral) mechanics occur at a single segment in flexion or extension, coupling sidebending and rotation to the same side.
What does the acronym TART stand for in osteopathic physical diagnosis?