COMPREHENSIVE OMM EXAM | PRACTICE QUESTIONS & ANSWERS |
OSTEOPATHIC MANIPULATIVE MEDICINE STUDY GUIDE 2026/2027
type I vs type II - thoracics - correct answer ✔✔type 1 = 2+ vertebrae, neutral, opposite
sidebend and rotation
type 2 = just one vertebra, flexed or extended, same sidebend and rotation
TART - correct answer ✔✔tissue texture abnormality
asymmetry
range of motion differences
tenderness
more TART components = more prominent SD
locked-up ribs - correct answer ✔✔move easier toward inhalation, will not go down during
exhalation
inhalation SD (way of ease)
exhalation restriction (way of asymmetry)
locked-down ribs - correct answer ✔✔move easier toward exhalation, will not go up during
inhalation
exhalation SD (way of ease)
inhalation restriction (way of asymmetry)
diagnosing key ribs - correct answer ✔✔locked up - most inferior rib, patient exhales
locked down - most superior rib, patient inhales
,locked down key rib muscles - correct answer ✔✔1 - anterior and middle scalenes
2 - posterior scalene
3-5 - pec minor
6-9 - serratus anterior
10-12 - lat dorsi
ASIS compression - left
pubic tubercle inferior - left - correct answer ✔✔inferior left pubic shear
ASIS compression - right
pubic tubercle inferior - right - correct answer ✔✔inferior right pubic shear
SeFT - left
deep sulcus - right
ILA inferior - right - correct answer ✔✔left unilateral extension
sphinx - neg
deep sulcus - right
ILA inferior - left - correct answer ✔✔left on left FST
deep sulcus - left
ILA inferior - left
sphinx - pos - correct answer ✔✔right unilateral extension
SeFT - right
deep sulcus - right
,ILA inferior - right
sphinx - neg - correct answer ✔✔right unilateral flexion
SeFT - left
deep sulcus - right
ILA inferior - left - correct answer ✔✔left on right BST
deep sulcus - left
ILA inferior - left
sphinx - neg - correct answer ✔✔left unilateral flexion
deep sulcus - left
ILA inferior - right
sphinx - pos - correct answer ✔✔right on left BST
SeFT - left
deep sulcus - left
ILA inferior - right - correct answer ✔✔right on right FST
ASIS compression - left
ASIS inferior - left
ASIS motion test - increased resistance on left when going posterior - correct answer ✔✔left
anterior rotation
Standing flexion - left
ASIS inferior - right
, ASIS motion test - increased resistance on left when going anterior - correct answer ✔✔left
posterior rotation
ASIS compression - right
ASIS inferior - left
ASIS motion test - increased resistance on right when going anterior - correct answer ✔✔right
posterior rotation
Standing flexion - right
ASIS further from midline - right - correct answer ✔✔right outflare
Standing flexion - right
High crest - right
PSIS superior - right
IT superior - right
ASIS superior - right
Pubic tubercle superior - right - correct answer ✔✔right upslip
Standing flexion - right
ASIS inferior - right
ASIS motion test - increased resistance on right when going posterior - correct answer ✔✔right
anterior rotation
Standing flexion - left
High crest - left
PSIS superior - left
IT superior - left
OSTEOPATHIC MANIPULATIVE MEDICINE STUDY GUIDE 2026/2027
type I vs type II - thoracics - correct answer ✔✔type 1 = 2+ vertebrae, neutral, opposite
sidebend and rotation
type 2 = just one vertebra, flexed or extended, same sidebend and rotation
TART - correct answer ✔✔tissue texture abnormality
asymmetry
range of motion differences
tenderness
more TART components = more prominent SD
locked-up ribs - correct answer ✔✔move easier toward inhalation, will not go down during
exhalation
inhalation SD (way of ease)
exhalation restriction (way of asymmetry)
locked-down ribs - correct answer ✔✔move easier toward exhalation, will not go up during
inhalation
exhalation SD (way of ease)
inhalation restriction (way of asymmetry)
diagnosing key ribs - correct answer ✔✔locked up - most inferior rib, patient exhales
locked down - most superior rib, patient inhales
,locked down key rib muscles - correct answer ✔✔1 - anterior and middle scalenes
2 - posterior scalene
3-5 - pec minor
6-9 - serratus anterior
10-12 - lat dorsi
ASIS compression - left
pubic tubercle inferior - left - correct answer ✔✔inferior left pubic shear
ASIS compression - right
pubic tubercle inferior - right - correct answer ✔✔inferior right pubic shear
SeFT - left
deep sulcus - right
ILA inferior - right - correct answer ✔✔left unilateral extension
sphinx - neg
deep sulcus - right
ILA inferior - left - correct answer ✔✔left on left FST
deep sulcus - left
ILA inferior - left
sphinx - pos - correct answer ✔✔right unilateral extension
SeFT - right
deep sulcus - right
,ILA inferior - right
sphinx - neg - correct answer ✔✔right unilateral flexion
SeFT - left
deep sulcus - right
ILA inferior - left - correct answer ✔✔left on right BST
deep sulcus - left
ILA inferior - left
sphinx - neg - correct answer ✔✔left unilateral flexion
deep sulcus - left
ILA inferior - right
sphinx - pos - correct answer ✔✔right on left BST
SeFT - left
deep sulcus - left
ILA inferior - right - correct answer ✔✔right on right FST
ASIS compression - left
ASIS inferior - left
ASIS motion test - increased resistance on left when going posterior - correct answer ✔✔left
anterior rotation
Standing flexion - left
ASIS inferior - right
, ASIS motion test - increased resistance on left when going anterior - correct answer ✔✔left
posterior rotation
ASIS compression - right
ASIS inferior - left
ASIS motion test - increased resistance on right when going anterior - correct answer ✔✔right
posterior rotation
Standing flexion - right
ASIS further from midline - right - correct answer ✔✔right outflare
Standing flexion - right
High crest - right
PSIS superior - right
IT superior - right
ASIS superior - right
Pubic tubercle superior - right - correct answer ✔✔right upslip
Standing flexion - right
ASIS inferior - right
ASIS motion test - increased resistance on right when going posterior - correct answer ✔✔right
anterior rotation
Standing flexion - left
High crest - left
PSIS superior - left
IT superior - left