DO Doctor of Osteopathic Medicine MCQ 2

Question 1

A patient presents with a tender point in the anterior thigh. Using counterstrain, the physician should position the patient to achieve maximum:

Accepted Answer

Flexion of the hip with slight abduction

Answer

Counterstrain for anterior thigh tender points typically involves flexion of the hip with slight abduction and external rotation to shorten the involved muscle and reduce afferent nociceptive activity.

Question 2

Which of the following best describes the 'ease-bind' concept in osteopathic diagnosis?

Accepted Answer

The direction of maximum restriction is the bind; ease is the opposite direction

Answer

In osteopathic palpation, 'bind' is the direction of motion restriction or resistance, while 'ease' is the direction of least resistance — somatic dysfunction is named for the ease (freedom) direction.

Question 3

A 45-year-old male presents with acute low back pain after lifting. Palpation reveals L3 NSLRL. What does this notation indicate?

Accepted Answer

L3 is neutral, sidebent left, rotated left

Answer

NSLRL stands for Neutral, Sidebent Left, Rotated Left — a Type I (Fryette's) neutral group curve dysfunction following the rule that rotation and sidebending occur to opposite sides in extension.

Question 4

Which cranial nerve is most closely associated with the parasympathetic supply to the parotid gland?

Accepted Answer

CN IX (glossopharyngeal nerve)

Answer

CN IX (glossopharyngeal nerve) carries preganglionic parasympathetic fibers via the lesser petrosal nerve to the otic ganglion, which then sends postganglionic fibers to the parotid gland.

Question 5

During osteopathic structural exam, a patient is found to have a right-on-right sacral torsion. Which combination of findings is expected?

Accepted Answer

Right sacral sulcus deep, right ILA posterior, positive right seated flexion test

Answer

A right-on-right sacral torsion has the right sacral sulcus deep (sacrum rotating right around a right oblique axis), right ILA posterior/inferior, and a positive right seated flexion test (right ilium restricted).

DO - Doctor of Osteopathic Medicine Practice Test

DO - Doctor of Osteopathic Medicine Practice Test

DO Doctor of Osteopathic Medicine MCQ 2