ACOFP Answer Keys
"A group of diverse medical and health care systems, practices, and products that are not generally
considered part of conventional medicine." This statement defines - ANSWER-Complementary and
alternative medicine
"Reverse Rib" technique - ANSWER-Used to treat ribs 2, 3, and 4
Ex: Rib 2 -- If the right rib is involved and T1 is right rotated, the body of T1 is pushing against the head of
rib 2 attempting to translate it laterally and straining the costotransverse articulation
- The technique involves holding rib 2 and rotating the body of T1 away from the rib head
A 27 year old female admitted to the inpatient rehabilitation floor for management of a spinal cord
injury following a horseback riding accident complains of low back pain. Which of the following
techniques should be avoided in this patient? - ANSWER-HVLA
A 63 year old rehabilitation patient complains of pain over the left scapula region. Upon palpation of the
area you note that the patient exhibits tenderness over the insertion of the levator scapulae on the
superior medial border of the scapulae. Which of the following is true regarding this patient's somatic
dysfunction of the levator scapulae? - ANSWER-A tonic muscle which is dysfunctional and contracted
A 64 year old female presents with recent onset of sensory disturbance, dysesthesia, and pain involving
the left half of her body. If this is Larson's Syndrome, you should find the primary somatic dysfunction on
the left side in her - ANSWER-Upper thoracic spine
A functional short leg can be the result of an ipsilateral - ANSWER-Posterior ilium
A major determinant of preload is the distribution of blood volume between the - ANSWER-Intra and
extra thoracic compartments
A patient at your hospital is complaining of nausea and vomiting despite her doses of anti-emetics. You
decide to adjectively use OMT to help reduce her symptoms. What areas would you want to treat? -
ANSWER-A and C
C2 and T5-T9
A patient presents to the clinic complaining of eye pain. When considering the examination of a patient
with ocular complaints, areas of focus should include the following *except:* - ANSWER-Direct palpation
of conjunctiva
A patient presents to the ED complaining of a headache. Once more serious and life threatening etiology
are ruled out, you decide to screen for somatic dysfunction. When screening you should pay particular
attention to which of the following regions? - ANSWER-Cervical spine
A patient presents to your urgent care clinic complaining of left arm pain made worse with extension of
the wrist. You determine this to be lateral epicondylitis. What technique will be the most helpful to this
patient? - ANSWER-Counterstrain
, ACOFP Answer Keys
A patient presents to your urgent care clinic complaining of right knee and leg pain. After your
orthopedic tests are negative you decide to use your osteopathic skills to help this patient. You
determine that the fibular head glides easily anteriorly but resists posteriorly. What is the name of this
dysfunction? - ANSWER-Anterior fibular head
A patient presents to your urgent care clinic status post MVA 1 day prior. Patient states that she took
herself to the ED yesterday because her neck and back hurt. After some imaging that revealed no
fractures or intracranial bleeds, she was sent home with some Norco and muscle relaxants. She came in
today because she is still in pain. You decide to treat her with OMT. Which of the following modalities
would you likely utilize the most? - ANSWER-Indirect myofascial release
A patient presents with bilateral viscerosomatic reflexes present along T11-L2. The structures implicated
in this reflex are - ANSWER-Bladder and urethra
A patient sustaining a traumatic head injury is found to have increased intracranial pressure. Physical
examination demonstrates medial deviation of the left eye. The nerve most likely affected is - ANSWER-
Abducens (CN VI)
A patient who you are covering during your call night is complaining of constipation. The patient
recently had a total knee replacement and is on pain meds per Ortho. What specific OMT technique
might you utilize to help this patient relatively quickly? - ANSWER-Colonic milking
A prolonged red reflex is associated with - ANSWER-Vasomotor irritability with acute somatic
dysfunction
A renal disorder can cause dysfunction through adjacent structure's fascias. The renal fascia causes
dysfunction in the pelvic region through its communication with - ANSWER-Iliacus fascia
A short right leg would typically be expected to result in which of the following? - ANSWER-Right
anterior sacrum
A significant differentiation between osteopathic and allopathic medicine is - ANSWER-The diagnosis
and treatment of somatic dysfunction
A somatovisceral reflex at spinal levels T8-T10 would be expected to produce - ANSWER-Ileus
A thorough osteopathic treatment of the patient with Bell's palsy would not be complete without
proper evaluation of all cranial structures that run along the course of the facial nerve along with -
ANSWER-Appropriate cranial treatment
A viscerosomatic reflex consisting of bilateral grouped somatic dysfunction from T5 to T9 is most
consistent with clinical pathology affecting which of the following? - ANSWER-Pancreas
A viscerosomatic reflex is specifically addressed by treating - ANSWER-The underlying visceral pathology
A viscerosomatic reflex palpable at the level of T9-T10 right is most consistent with clinical pathology
affecting which of the following? - ANSWER-Gallbladder
Acute injuries may not tolerate palpation or motion testing for somatic dysfunction, so the clinician
should - ANSWER-Begin by diagnosing and treating distant, yet related, anatomic areas
"A group of diverse medical and health care systems, practices, and products that are not generally
considered part of conventional medicine." This statement defines - ANSWER-Complementary and
alternative medicine
"Reverse Rib" technique - ANSWER-Used to treat ribs 2, 3, and 4
Ex: Rib 2 -- If the right rib is involved and T1 is right rotated, the body of T1 is pushing against the head of
rib 2 attempting to translate it laterally and straining the costotransverse articulation
- The technique involves holding rib 2 and rotating the body of T1 away from the rib head
A 27 year old female admitted to the inpatient rehabilitation floor for management of a spinal cord
injury following a horseback riding accident complains of low back pain. Which of the following
techniques should be avoided in this patient? - ANSWER-HVLA
A 63 year old rehabilitation patient complains of pain over the left scapula region. Upon palpation of the
area you note that the patient exhibits tenderness over the insertion of the levator scapulae on the
superior medial border of the scapulae. Which of the following is true regarding this patient's somatic
dysfunction of the levator scapulae? - ANSWER-A tonic muscle which is dysfunctional and contracted
A 64 year old female presents with recent onset of sensory disturbance, dysesthesia, and pain involving
the left half of her body. If this is Larson's Syndrome, you should find the primary somatic dysfunction on
the left side in her - ANSWER-Upper thoracic spine
A functional short leg can be the result of an ipsilateral - ANSWER-Posterior ilium
A major determinant of preload is the distribution of blood volume between the - ANSWER-Intra and
extra thoracic compartments
A patient at your hospital is complaining of nausea and vomiting despite her doses of anti-emetics. You
decide to adjectively use OMT to help reduce her symptoms. What areas would you want to treat? -
ANSWER-A and C
C2 and T5-T9
A patient presents to the clinic complaining of eye pain. When considering the examination of a patient
with ocular complaints, areas of focus should include the following *except:* - ANSWER-Direct palpation
of conjunctiva
A patient presents to the ED complaining of a headache. Once more serious and life threatening etiology
are ruled out, you decide to screen for somatic dysfunction. When screening you should pay particular
attention to which of the following regions? - ANSWER-Cervical spine
A patient presents to your urgent care clinic complaining of left arm pain made worse with extension of
the wrist. You determine this to be lateral epicondylitis. What technique will be the most helpful to this
patient? - ANSWER-Counterstrain
, ACOFP Answer Keys
A patient presents to your urgent care clinic complaining of right knee and leg pain. After your
orthopedic tests are negative you decide to use your osteopathic skills to help this patient. You
determine that the fibular head glides easily anteriorly but resists posteriorly. What is the name of this
dysfunction? - ANSWER-Anterior fibular head
A patient presents to your urgent care clinic status post MVA 1 day prior. Patient states that she took
herself to the ED yesterday because her neck and back hurt. After some imaging that revealed no
fractures or intracranial bleeds, she was sent home with some Norco and muscle relaxants. She came in
today because she is still in pain. You decide to treat her with OMT. Which of the following modalities
would you likely utilize the most? - ANSWER-Indirect myofascial release
A patient presents with bilateral viscerosomatic reflexes present along T11-L2. The structures implicated
in this reflex are - ANSWER-Bladder and urethra
A patient sustaining a traumatic head injury is found to have increased intracranial pressure. Physical
examination demonstrates medial deviation of the left eye. The nerve most likely affected is - ANSWER-
Abducens (CN VI)
A patient who you are covering during your call night is complaining of constipation. The patient
recently had a total knee replacement and is on pain meds per Ortho. What specific OMT technique
might you utilize to help this patient relatively quickly? - ANSWER-Colonic milking
A prolonged red reflex is associated with - ANSWER-Vasomotor irritability with acute somatic
dysfunction
A renal disorder can cause dysfunction through adjacent structure's fascias. The renal fascia causes
dysfunction in the pelvic region through its communication with - ANSWER-Iliacus fascia
A short right leg would typically be expected to result in which of the following? - ANSWER-Right
anterior sacrum
A significant differentiation between osteopathic and allopathic medicine is - ANSWER-The diagnosis
and treatment of somatic dysfunction
A somatovisceral reflex at spinal levels T8-T10 would be expected to produce - ANSWER-Ileus
A thorough osteopathic treatment of the patient with Bell's palsy would not be complete without
proper evaluation of all cranial structures that run along the course of the facial nerve along with -
ANSWER-Appropriate cranial treatment
A viscerosomatic reflex consisting of bilateral grouped somatic dysfunction from T5 to T9 is most
consistent with clinical pathology affecting which of the following? - ANSWER-Pancreas
A viscerosomatic reflex is specifically addressed by treating - ANSWER-The underlying visceral pathology
A viscerosomatic reflex palpable at the level of T9-T10 right is most consistent with clinical pathology
affecting which of the following? - ANSWER-Gallbladder
Acute injuries may not tolerate palpation or motion testing for somatic dysfunction, so the clinician
should - ANSWER-Begin by diagnosing and treating distant, yet related, anatomic areas
