DO Doctor of Osteopathic Medicine MCQ 3

Question 1

A 55-year-old presents with right-sided neck pain and restricted rotation. Palpation reveals C5 ERSR. Which OMT technique uses a high-velocity, low-amplitude thrust directed to engage the motion barrier?

Accepted Answer

High-velocity low-amplitude (HVLA)

Answer

HVLA (high-velocity low-amplitude) technique directly engages and rapidly overcomes a restrictive barrier using a short, quick thrust to restore normal joint motion.

Question 2

Which of the following is an absolute contraindication to HVLA manipulation of the cervical spine?

Accepted Answer

Down syndrome with atlanto-axial instability

Answer

Down syndrome is associated with atlanto-axial instability due to ligamentous laxity; HVLA at the cervical spine in this setting carries high risk of spinal cord injury and is absolutely contraindicated.

Question 3

A patient has a Chapman's reflex point palpated at the intercostal space between ribs 5 and 6 anteriorly on the right. This finding is most associated with pathology of which organ?

Accepted Answer

Gallbladder

Answer

The Chapman's reflex point for the gallbladder is located in the right intercostal space between ribs 5 and 6 anteriorly; these fascial ganglia reflect viscerosomatic reflexes from the associated organ.

Question 4

Fryette's Law I states that in a neutral lumbar spine, when a group of vertebrae sidebend, rotation occurs:

Accepted Answer

To the opposite side of sidebending

Answer

Fryette's First Law: in the neutral (non-flexed, non-extended) position, sidebending and rotation of a vertebral group occur to opposite sides (coupled motion).

Question 5

During a lymphatic pump technique, the physician places their hands on the patient's chest and applies rhythmic compressions timed with respiration. The primary goal is to:

Accepted Answer

Increase intrathoracic pressure oscillations to enhance lymphatic flow

Answer

The thoracic lymphatic pump creates alternating pressure gradients that propel lymph through the thoracic duct and right lymphatic duct into the subclavian veins, enhancing immune function and lymphatic drainage.

DO - Doctor of Osteopathic Medicine Practice Test

DO - Doctor of Osteopathic Medicine Practice Test

DO Doctor of Osteopathic Medicine MCQ 3