2026-2027 Exams Includes Frequently Tested Questions
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1.
What is the Physiologic Barrier in joint motion testing?
A. The point a physician can passively push the joint to, beyond active range
B. The point at which the patient can ACTIVELY move a joint on their own
C. A barrier present only in pathological tissue states
D. The absolute anatomical limit of a joint, defined by bone and ligament
The Physiologic Barrier is the limit of ACTIVE range of motion — the point to
which the patient can move the joint under their own muscular control. It lies
within the Anatomic Barrier. Somatic dysfunction restricts motion before reaching
this normal physiologic limit.
2.
What is the Anatomic Barrier?
A. The limit of active patient-generated motion
B. The limit to which the PHYSICIAN can passively move the joint, defined by the
anatomical limit of the joint (bone, ligament, tissue)
C. A barrier created only by muscle spasm
D. The midpoint between physiologic and pathologic barriers
,The Anatomic Barrier is the absolute limit of motion determined by the
anatomical structure of the joint itself (bone, ligament, joint capsule) — it is the
point the PHYSICIAN can passively move the joint to. Beyond this barrier, tissue
damage/injury occurs. It lies beyond the Physiologic Barrier in a healthy joint.
3
What is the Pathologic Barrier?
A. A barrier that occurs beyond the anatomic barrier
B. The normal physiologic limit of motion in a healthy joint
C. An abnormal restriction that occurs BEFORE the physiologic barrier, preventing
full range of motion
D. A barrier present only in the cervical spine
The Pathologic Barrier is an abnormal restrictive barrier that occurs BEFORE the
normal physiologic barrier — it represents the limit of motion in a dysfunctional
joint due to somatic dysfunction (muscle spasm, fascial restriction, joint
dysfunction). This is the barrier that OMM treatment aims to address and reduce.
4
Which set of findings characterizes ACUTE somatic dysfunction?
A. Cool, dry, flaccid, ropy, fibrotic, decreased pain
B. Edematous, erythematous, boggy, hypertonic, asymmetric, severe/sharp pain
with movement
C. Normal temperature, no swelling, painless, symmetric
D. Compensation in other body parts with dull achy pain only
,Acute somatic dysfunction presents as: Edematous (swollen), Erythematous
(red/warm — increased blood flow), Boggy (fluid-filled tissue texture), Hypertonic
(increased muscle tone/spasm), Asymmetric, and painful with movement —
severe/sharp pain. These findings represent the body's acute inflammatory
response to recent injury.
5
Which set of findings characterizes CHRONIC somatic dysfunction?
A. Edematous, erythematous, hypertonic, severe sharp pain
B. Cool, dry, flaccid, ropy, fibrotic tissue with compensation in other body parts,
decreased/no pain, dull achy/burning pain
C. Boggy tissue with significant swelling and acute inflammation
D. Identical findings to acute dysfunction but lasting longer
Chronic somatic dysfunction presents as: Cool (decreased blood flow), Dry, Flaccid
or Ropy/Fibrotic tissue texture (long-standing fibrosis), Compensation patterns
developing in other body regions, and decreased or absent pain that is dull, achy,
or burning rather than sharp. This reflects long-term tissue adaptation rather than
acute inflammation.
6
What does Fryette's Law 1 state?
A. In flexion or extension, sidebending and rotation occur in the same direction
B. Motion in one plane will increase motion in other planes
C. In a neutral spine, sidebending and rotation occur in OPPOSITE directions
, D. Sidebending and rotation are always coupled identically regardless of spinal
position
Fryette's Law 1 (Type I / Neutral mechanics): In a NEUTRAL spine (neither flexed
nor extended), sidebending and rotation occur in OPPOSITE directions. This
describes Group/Type I curves — typically involve multiple segments and result
from postural compensation rather than single-segment dysfunction.
7
What does Fryette's Law 2 state?
A. In a neutral spine, sidebending and rotation occur in opposite directions
B. In flexion or extension (non-neutral spine), sidebending and rotation occur in
the SAME direction
C. Motion in one plane will decrease motion in other planes
D. The spine cannot sidebend and rotate simultaneously
Fryette's Law 2 (Type II / Non-neutral mechanics): When the spine is in FLEXION or
EXTENSION (non-neutral), sidebending and rotation occur in the SAME direction.
This describes Group/Type II dysfunctions — typically single-segment, more
symptomatic dysfunctions resulting from trauma or acute mechanism.
8
What does Fryette's Law 3 state?
A. Motion introduced in one plane of a vertebral segment will modify (decrease)
motion of that segment in the other two planes
B. Sidebending always equals rotation in magnitude
C. Cervical and thoracic vertebrae follow identical motion rules
D. Flexion and extension cannot occur in the lumbar spine