DO Doctor of Osteopathic Medicine MCQ 4

Question 1

A 68-year-old with congestive heart failure receives osteopathic treatment. Which technique would be MOST appropriate to avoid in this patient due to risk of fluid overload?

Accepted Answer

Thoracic lymphatic pump

Answer

The thoracic lymphatic pump mobilizes large volumes of lymph into venous circulation rapidly, which in CHF patients can precipitate acute decompensation and pulmonary edema.

Question 2

What is the primary structural finding that distinguishes a Type II (Fryette's Law II) vertebral dysfunction from a Type I?

Accepted Answer

Type II occurs in flexion or extension with sidebending and rotation to the same side

Answer

Fryette's Second Law applies to a single vertebral segment in flexion or extension, where sidebending and rotation couple to the SAME side — the opposite of the neutral (Type I) mechanics.

Question 3

A physician performing craniosacral therapy notes the cranial rhythmic impulse (CRI) has a rate of approximately 6 cycles per minute. This rate is considered:

Accepted Answer

Within the normal range of 6-12 cycles per minute

Answer

The cranial rhythmic impulse (CRI) normally cycles at 6-12 times per minute; rates outside this range may reflect autonomic or CNS dysfunction and guide craniosacral treatment.

Question 4

The 'four tenets of osteopathic medicine' include which of the following?

Accepted Answer

The body is a unit; structure and function are interrelated; the body has self-healing mechanisms; rational treatment is based on these principles

Answer

A.T. Still's four tenets are: (1) the body is a unit of body, mind, and spirit; (2) structure and function are reciprocally interrelated; (3) the body is capable of self-regulation, self-healing, and health maintenance; (4) rational treatment is based on these principles.

Question 5

A patient presents with an acutely herniated L4-L5 disc causing right leg radiculopathy. Which osteopathic technique would be MOST appropriate as a conservative first-line approach?

Accepted Answer

Counterstrain or indirect myofascial release

Answer

Gentle indirect techniques such as counterstrain or indirect myofascial release reduce muscle spasm and neural irritation without direct loading of the disc, making them the safest initial OMT approach for acute disc herniation.

DO - Doctor of Osteopathic Medicine Practice Test

DO - Doctor of Osteopathic Medicine Practice Test

DO Doctor of Osteopathic Medicine MCQ 4