OCC OCC Musculoskeletal Assessment & Diagnosis 1 — Questions and Answers
Question 1: Which osteopathic structural finding is characterized by asymmetry, restriction of motion, tissue texture changes, and tenderness?
- TART criteria (Correct answer)
- SOAP criteria
- RICE criteria
- AVPU criteria
Correct answer: TART criteria
TART (Tenderness, Asymmetry, Range of motion restriction, Tissue texture changes) is the classic osteopathic criteria for somatic dysfunction.
Question 2: During spinal palpation, a DOR (dysfunction of rotation) at L3 is noted to be rotated right and side-bent right. According to Fryette's Laws, what type of dysfunction is this?
- Type II dysfunction (Correct answer)
- Type I dysfunction
- Neutral dysfunction
- Facilitated dysfunction
Correct answer: Type II dysfunction
In Fryette's Law Type II, rotation and side-bending occur to the same side in a non-neutral (flexed or extended) position.
Question 3: Which Chapman's reflex point is associated with the heart and is found anteriorly between the 2nd and 3rd intercostal space, left of the sternum?
- Cardiac anterior Chapman's point (Correct answer)
- Esophageal Chapman's point
- Pulmonary Chapman's point
- Thoracic outlet Chapman's point
Correct answer: Cardiac anterior Chapman's point
The anterior Chapman's point for the heart is located between the 2nd and 3rd ribs, just left of the sternum.
Question 4: A patient presents with restricted inhalation on the right side of the thorax. Which rib dysfunction best describes this finding?
- Exhalation dysfunction of the right ribs (Correct answer)
- Inhalation dysfunction of the right ribs
- Torsion of the right ribs
- Compression fracture of the right ribs
Correct answer: Exhalation dysfunction of the right ribs
A rib stuck in exhalation (exhalation dysfunction) restricts inhalation motion on the affected side.
Question 5: In assessing the sacrum, the right ILA (inferior lateral angle) is found to be posterior and inferior. The sacral sulcus is deep on the left. What is the most likely diagnosis?
- Left-on-left sacral torsion (Correct answer)
- Right-on-right sacral torsion
- Bilateral sacral flexion
- Sacral extension dysfunction
Correct answer: Left-on-left sacral torsion
In a left-on-left sacral torsion, the sacrum rotates left on the left oblique axis, making the right ILA posterior and the left sacral sulcus deep.
Question 6: Which test assesses for piriformis syndrome by internally rotating the hip while the patient is prone with the knee flexed to 90 degrees?
- Pace test (Correct answer)
- FABER test
- Thomas test
- Gaenslen test
Correct answer: Pace test
The Pace test evaluates for piriformis syndrome by resisting hip abduction and external rotation in a seated position, or by passive internal rotation in prone.
OCC OCC Musculoskeletal Assessment & Diagnosis 1
Which osteopathic structural finding is characterized by asymmetry, restriction of motion, tissue texture changes, and tenderness?