A 36 year old male presents to his family physician for increasing neck pain that he has been
having after being involved in a car accident a few days ago. In evaluating him on physical exam
you check his active range of motion for his neck. He is able to rotate his neck 80 degrees to the
right but can only rotate it 55 degrees to the left. Which of the following would best label his
barrier to motion on the left?
1. Anatomic Barrier
2. Physiologic Barrier
3. Restrictive Barrier
4. Active Motion Barrier correct answers Answer: 3
A 22-year-old female presents to your office with neck pain. On evaluation you notice she has
restriction in rotation of her neck. Vital signs are normal. What is the most likely axis in which
the restriction exists?
1. Transverse
2. Vertical
3. Posterior-Anterior
4. Anterior-posterior correct answers Answer: 2
A 58 year old male presents to the emergency department because of back pain that he was
having. While you are waiting for some tests to come back, you want to employ some passive
and indirect osteopathic manipulation techniques to help with the pain. Which of the following
treatment modality would be considered both passive and indirect?
1. Muscle Energy
2. Direct Myofascial Release
3. HVLA
4. Counterstrain correct answers Answer: 4
A 43-year-old female presents to the office with lower lumbar pain. She has previously visited
osteopathic physicians and wants to inquire as to what is the definition of physiologic barrier?
, 1. The point at which a patient can actively move any given joint
2. The point at which a physician can passively move any given point (beyond would cause
ligament, tendon or skeletal injury)
3. Another synonym for Pathologic Barrier
4. The point caused by somatic dysfunction that prevents motion to the physiologic barrier
correct answers Answer: 1
56 yo F presents with back pain for the past 5 years and has not been improved by any other
conservative modality. She had heard of this OMT clinic from her PCP. She localizes the pain to
her lumbar spine without radiation to the legs. What TART findings would be most likely to be
found in this patient?
1. Boggy tissue texture
2. Erythematous
3. Dull, achy tenderness
4. Sharp, painful restriction correct answers Answer: 3
When treating patients with Counterstrain for the Cervical, Thoracic and Lumbar regions of the
spine, how much time is the position held for?
1. 30 seconds
2. 60 seconds
3. 90 seconds
4. 120 seconds correct answers Answer: 3
When performing many osteopathic techniques, it is important have a strong foundation of the
important landmarks of the body. Which of the following correctly matches the landmark with
the correct spinal level?
1. Inferior Angle of the Scapula -- T10
2. Sternal Notch --T4
3. Sternal Angle -- T6
4. Spine of the Scapula -- T3 correct answers Answer: 4