OS quizzes Flashcards
A 42-year-old female presents to the office complaining of right shoulder pain. Which of the following shoulder ranges of motion is the expected (normal) range of motion for this patient? A. Flexion 190 degrees B. Extension 90 degrees C. Adduction 45 degrees D. Internal rotation 90 degrees E. Abduction 90 degrees
D.
A 25 year old male patient presents to the office for an annual physical. He is 6’8” (2 meters) and 228 lbs (103 kg) giving a BMI of 25. Which of the following would best describe his body type? A. Erythemic B. Mesomorphic C. Ectomorphic D. Endomorphic E. Dermatographic
C
A 14-year-old male patient presents to the office for a follow up on a right forearm fracture. Which of the following represents the last barrier to be breached to cause this patient’s injury? A. Physiologic barrier B. Elastic range C. Anatomic barrier D. Restrictive barrier E. Normal barrier
C
A 35-year-old female presents to the office with a 1-day history of right ankle sprain. Which of the following tissue texture abnormalities would be expected in this situation? A. Cool B. Ropey C. Pale D. Stringy E. Edema
E.
A 51-year-old female presents to the office complaining of recent onset of upper right back pain. Which of the following physical exam findings of the upper back would be most consistent with a diagnosis of somatic dysfunction?
A. Tissue texture abnormalities on the right compared to the left
B. Symmetry of landmarks such as the spine of the scapula
C. Equal range of motion in both upper extremities
D. Tissues in the region of the complaint are not tender to palpation
E. Balance in muscle tension throughout the upper back region
A.
A 14-year-old male presents to the office with his foster mother for a routine check-up. She states that he has been in good health without complaints. Which of the following is an appropriate screening for this patient? A. Colorectal cancer B. Substance abuse C. Prostate cancer D. Pulmonary fibrosis E. Inborn errors of metabolism
B.
A 26-year-old female medical student complains of pain at the right scapula. One of her friends decides to provide some newly learned OMT for her. Upon evaluation, he finds tenderness, asymmetry, and tissue texture abnormalities of the right rhomboid muscles. Which of the following would be an appropriate perpendicular soft tissue technique for this student?
A. Subscapular stretch
B. Lumbar prone pressure
C. Cervical cradling with traction
D. Thoracic prone pressure
E. Thoracic prone pressure with counter pressure
E.
A 30-year-old male present to the office complaining of pain in his left upper arm. He states that he moved over the weekend, and seems to have injured it. On physical examination, his left biceps muscle is tender with acute tissue texture abnormalities compared to the left and restriction with elbow extension. Which of the following is true regarding the treatment for this somatic dysfunction with post-isometric relaxation muscle energy?
A. Muscle energy is contraindicated
B. The arm should be placed in flexion
C. The activation force is toward the barrier
D. The starting position involves stretching the biceps
E. Extending the opposite arm will affect the desired change
D.
A 42-year-old female presents to the office complaining of ankle pain for the past two days after hiking on the weekend. On physical examination, the ankle is found to be dorsiflexed, inverted, and externally rotated. In order to treat this somatic dysfunction with direct myofascial release, which of the following would be the treatment position?
A. Plantarflexion, eversion, internal rotation
B. Dorsiflexion, inversion, external rotation
C. Dorsiflexion, eversion, internal rotation
D. Plantarflexion, inversion, internal rotation
E. Plantarflexion, eversion, external rotation
A.
Recently, a large group of refugees have emigrated to the surrounding area. Due to health concerns to the surrounding communities, it is necessary to engage the refugees in health care practices with which they have previously been unfamiliar. Which of the following would be the best practice to engage this new community?
A. Send in teachers to educate them in a new language.
B. Donate clothing to their community so they can dress more like local populations.
C. Connect with refugee community leaders to understand the barriers to health care.
D. Make laws to enforce new health care practices must be implemented before participating in
school or work activities.
E. Assume that since the refugees have moved to the area, they will want to participate in local
practices.
C.
1. A 49-year-old female patient presents to the primary care office complaining of knee pain. She relates she has started a new walking routine. Physical examination shows Flexion to 145 degrees, extension to 0 degrees, internal rotation 0 degrees, and external rotation of 10 degrees. The fibular heads show good motion bilaterally. Which of the following would be the patient force for a reciprocal inhibition technique for the described somatic dysfunction? A. Internal rotation B. External rotation C. Flexion D. Extension E. Adduction F. Abduction
A.
Rationale: The patient in question has external rotation somatic dysfunction. In order to treat this with reciprocal inhibition MET, the physician should internally rotate the tibia, then have the patient push into internal rotation 3-5 times for 3-5 seconds, taking the tibia further into internal rotation after each effort.
- A 73-year-old female presents to the office complaining of shoulder pain since a fall 3 weeks ago. She states she fell on her right side and heard a pop in her shoulder. In which of the following categories would this information be found in a SOAP note?
A. Subjective
B. Objective C. Assessment D. Plan
A.
Rationale: The information is reported by the patient; therefore, it is subjective information and documented in that category of the SOAP note.
- A medical student and physician get into a history memory contest about Osteopathic history. They are arguing about the first class of the American School of Osteopathy. Which of the following was true of the first class’s make up?
A. There were 6 of AT Still’s children
B. There were 17 women
C. There were 30 students
D. There were 17 students and 5 professors
E. There were 5 women
E.
- A 26-year-old female presents to the primary clinic complaining of right buttock pain. She relates she has been training for a race, including a lot of hills. Physical examination shows tenderness and restriction of motion associated with the gluteus maximus. Which of the following would be an appropriate set up position for a post-isometric relaxation technique for the somatic dysfunction described?
A. Patient supine, hip flexed with knee straight
B. Patient supine, hip flexed with knee bent
C. Patient supine, hip and knee flexed to 90 degrees, hip internally rotated
D. Patient prone, hip abducted
E. Patient prone, hip extended
B
Rationale: The patient has extension somatic dysfunction of the right hip, specifically the gluteus maximus. To set up a post-isometric muscle energy technique, the hip would be taken into the barrier: flexed, with knee flexed, lateral recumbent or supine as tolerated.
A 50-year-old female patient presents to urgent care after falling forward on her outstretched arm. She is complaining of pain at the elbow. Examination shows no evidence of fracture or dislocation. Assuming the use of post-isometric relaxation MET, which of the following would be the correct patient effort for the expected somatic dysfunction in this case? A. Flexion B. Extension C. Pronation D. Supination E. Abduction F. Adduction
C.
Rationale: When the patient in question falls forward, a posterior (pronated) radial head would be expected. To set up the patient for post-isometric relaxation MET, the patient would be placed in supination, and the patient’s effort would be into pronation
