DO Osteopathic Manipulative Medicine 1 — Questions and Answers
Question 1: Which osteopathic manipulative technique uses high-velocity, low-amplitude thrusts to restore joint mobility?
- High-velocity low-amplitude (HVLA) (Correct answer)
- Muscle energy technique (MET)
- Counterstrain
- Myofascial release
Correct answer: High-velocity low-amplitude (HVLA)
HVLA technique applies a rapid, controlled thrust through a joint's restrictive barrier to restore normal motion.
Question 2: In muscle energy technique (MET), the patient is asked to perform what action against a counterforce?
- Isometric contraction (Correct answer)
- Isotonic contraction
- Passive stretch
- Rapid recoil
Correct answer: Isometric contraction
MET requires the patient to perform an isometric contraction against the physician's unyielding counterforce to release somatic dysfunction.
Question 3: Counterstrain technique positions the patient to achieve what primary effect?
- Relief of tender point pain (Correct answer)
- Joint cavitation
- Fascial unwinding
- Lymphatic drainage
Correct answer: Relief of tender point pain
Counterstrain places the patient in a position of comfort that shortens the offending muscle and relieves the tender point.
Question 4: Which spinal region is most commonly associated with cardiac reflex changes via the Chapman's reflex point at the 2nd intercostal space?
- T1–T5 (Correct answer)
- C1–C3
- T6–T12
- L1–L3
Correct answer: T1–T5
Chapman's reflex points for cardiac function are found anteriorly at the 2nd intercostal space, reflecting T1–T5 viscerosomatic involvement.
Question 5: What is the defining feature of a somatic dysfunction in OMM diagnosis?
- Tissue texture change, asymmetry, restriction of motion, tenderness (TART) (Correct answer)
- Crepitus, pain, swelling, redness
- Hyperreflexia, fasciculations, atrophy
- Fever, erythema, pus, warmth
Correct answer: Tissue texture change, asymmetry, restriction of motion, tenderness (TART)
Somatic dysfunction is identified by the TART criteria: Tissue texture abnormality, Asymmetry, Restriction of motion, and Tenderness.
Question 6: Myofascial release technique is primarily aimed at treating dysfunction in which tissue?
- Fascia and connective tissue (Correct answer)
- Articular cartilage
- Bone cortex
- Synovial membrane
Correct answer: Fascia and connective tissue
Myofascial release addresses restrictions in the fascial network to restore normal tissue mobility and relieve pain.
DO Osteopathic Manipulative Medicine 1
Which osteopathic manipulative technique uses high-velocity, low-amplitude thrusts to restore joint mobility?