DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
Core Domains
Osteopathic Principles and Philosophy
Somatic Dysfunction Diagnosis (TART findings)
Muscle Energy and Counterstrain Techniques
High-Velocity Low-Amplitude (HVLA) Technique
Cranial Osteopathy Foundations
Rib and Thoracic Mechanics
Sacral and Pelvic Somatic Dysfunction
Lymphatic and Circulatory Techniques
Viscerosomatic Reflexes and Chapman Points
Clinical Ethics and Patient Safety in OMM
Introduction
This examination evaluates comprehensive knowledge of Osteopathic Manipulative
Medicine (OMM), focusing on diagnostic principles, clinical reasoning, and hands-on
treatment techniques. It assesses the candidate’s ability to integrate anatomy,
biomechanics, and osteopathic philosophy into patient care. Questions are presented in
multiple-choice and clinical scenario formats to reflect real-world decision-making.
,Emphasis is placed on safe application of manipulative techniques, recognition of somatic
dysfunction patterns, and appropriate clinical judgment in both acute and chronic
conditions across diverse patient populations.
SECTION ONE: QUESTIONS 1–50
Question 1
Which of the following best defines somatic dysfunction?
A. Permanent structural bone deformity
B. Impaired function of body framework components
C. Infection of musculoskeletal tissue
D. Degeneration of spinal discs
🟢 Correct Answer: B. Impaired function of body framework components
🔴 Explanation: Somatic dysfunction refers to impaired or altered function of skeletal,
arthrodial, myofascial, and related vascular, lymphatic, and neural elements.
,Question 2
Which of the following is NOT part of TART findings?
A. Tissue texture changes
B. Asymmetry
C. Reflex enhancement
D. Tenderness
🟢 Correct Answer: C. Reflex enhancement
🔴 Explanation: TART stands for Tenderness, Asymmetry, Restriction of motion, and Tissue
texture abnormality.
Question 3
A key principle of osteopathic medicine is:
A. Disease-centered treatment only
B. Body functions independently of structure
C. The body is a unit; structure and function are interrelated
D. Surgery is always first-line
🟢 Correct Answer: C. The body is a unit; structure and function are interrelated
🔴 Explanation: Osteopathic philosophy emphasizes the interrelationship of structure and
, function.
Question 4
Muscle Energy technique is best described as:
A. Passive stretching only
B. Patient active muscle contraction against resistance
C. High-force thrust manipulation
D. Cranial rhythmic induction
🟢 Correct Answer: B. Patient active muscle contraction against resistance
🔴 Explanation: Muscle Energy involves voluntary contraction by the patient against a
controlled counterforce.
Question 5
HVLA is contraindicated in:
A. Acute muscle strain
B. Osteoporosis
C. Somatic dysfunction
D. Rib restriction