©FYNDLAY 2025 ALL RIGHTS RESERVED 5:17 PM A+
OPP II Exam 1 Questions And Answers
|Latest 2025 | Guaranteed Pass
What kind of technique is counterstrain? - Answer✔indirect and passive
What is a tender point? - Answer✔areas of tissue structure abnormalities which often exhibit
tenderness and respond to a additional release technique
What is a passive and indirect technique? - Answer✔placing the patient away from their barrier
and into a direction of ease
direct technique - Answer✔towards a restrictive barrier
counterstain treatment algorithm - Answer✔1.Locate the most significant tender point, based
on patient's chief complaint
2.Establish a tenderness scale ("this is 10/10")
3.Positioning - start with gross positioning, then fine tune if needed, to reduce tenderness by at
least 70% on reassessment
4.Reassess point for tenderness and ask for an actual number ("before it was 10/10, what
number is it now?" - aim for 3/10 or less)
1
, ©FYNDLAY 2025 ALL RIGHTS RESERVED 5:17 PM A+
5.Treat for 90 seconds by "shortening the muscle" around the tender point - this involves
bringing the muscle's origin and insertion closer together
6.Slowly, passively return patient to neutral (remind them not to help). Don't lose contact with
the tender point.
7.Reassess point for tenderness (again say, "before it was 10/10, what number is it now?" - aim
for 3/10 or less)
When treating the patient with counterstain, you place the patient in a position of ease and
then? - Answer✔release pressure on the tenderpoint
Counterstain treatment technique is dependent on positioning the patient around the tender
point to relieve pain, and the patient remaining relaxed and passive during which part of the
treatment? - Answer✔entire procedure
When fine tuning the patient's position for counterstain technique, what is the minimum
acceptable reduction of pain? - Answer✔70%
What is the tender point a sign of? - Answer✔somatic dysfunction of the involved joint
you use the tenderpoint to treat the somatic dysfunction
What classifies a tender point/ counterstain point? - Answer✔small, tense, edematous area of
tenderness
Where are tender points found? - Answer✔muscle, tendons, ligaments, and fascia
does a tenderpoint have a taut band within the muscle? - Answer✔no
2
, ©FYNDLAY 2025 ALL RIGHTS RESERVED 5:17 PM A+
what is a sign of a tender point? - Answer✔jump sign
does a tenderpoint relate to pain? - Answer✔no characteristic pain pattern
do tenderpoints radiate pain when pressed? - Answer✔no
what do tender points respond to? - Answer✔specific positioning to treat underlying somatic
dysfunction
what is a characteristic of a trigger point? - Answer✔small, tense, hypersensitive areas of
tenderness
trigger points - Answer✔taut band of muscle
characteristic pain pattern
radiating pain pattern when pressed
twitch response
what do trigger points respond to? - Answer✔treatment targeted to point itself, followed by
stretch (spray and stretch, needling)
indications for counterstain treatment - Answer✔acute or chronic somatic dysfunction with an
associated counterstain point
patients that tolerate indirect treatments better
3
OPP II Exam 1 Questions And Answers
|Latest 2025 | Guaranteed Pass
What kind of technique is counterstrain? - Answer✔indirect and passive
What is a tender point? - Answer✔areas of tissue structure abnormalities which often exhibit
tenderness and respond to a additional release technique
What is a passive and indirect technique? - Answer✔placing the patient away from their barrier
and into a direction of ease
direct technique - Answer✔towards a restrictive barrier
counterstain treatment algorithm - Answer✔1.Locate the most significant tender point, based
on patient's chief complaint
2.Establish a tenderness scale ("this is 10/10")
3.Positioning - start with gross positioning, then fine tune if needed, to reduce tenderness by at
least 70% on reassessment
4.Reassess point for tenderness and ask for an actual number ("before it was 10/10, what
number is it now?" - aim for 3/10 or less)
1
, ©FYNDLAY 2025 ALL RIGHTS RESERVED 5:17 PM A+
5.Treat for 90 seconds by "shortening the muscle" around the tender point - this involves
bringing the muscle's origin and insertion closer together
6.Slowly, passively return patient to neutral (remind them not to help). Don't lose contact with
the tender point.
7.Reassess point for tenderness (again say, "before it was 10/10, what number is it now?" - aim
for 3/10 or less)
When treating the patient with counterstain, you place the patient in a position of ease and
then? - Answer✔release pressure on the tenderpoint
Counterstain treatment technique is dependent on positioning the patient around the tender
point to relieve pain, and the patient remaining relaxed and passive during which part of the
treatment? - Answer✔entire procedure
When fine tuning the patient's position for counterstain technique, what is the minimum
acceptable reduction of pain? - Answer✔70%
What is the tender point a sign of? - Answer✔somatic dysfunction of the involved joint
you use the tenderpoint to treat the somatic dysfunction
What classifies a tender point/ counterstain point? - Answer✔small, tense, edematous area of
tenderness
Where are tender points found? - Answer✔muscle, tendons, ligaments, and fascia
does a tenderpoint have a taut band within the muscle? - Answer✔no
2
, ©FYNDLAY 2025 ALL RIGHTS RESERVED 5:17 PM A+
what is a sign of a tender point? - Answer✔jump sign
does a tenderpoint relate to pain? - Answer✔no characteristic pain pattern
do tenderpoints radiate pain when pressed? - Answer✔no
what do tender points respond to? - Answer✔specific positioning to treat underlying somatic
dysfunction
what is a characteristic of a trigger point? - Answer✔small, tense, hypersensitive areas of
tenderness
trigger points - Answer✔taut band of muscle
characteristic pain pattern
radiating pain pattern when pressed
twitch response
what do trigger points respond to? - Answer✔treatment targeted to point itself, followed by
stretch (spray and stretch, needling)
indications for counterstain treatment - Answer✔acute or chronic somatic dysfunction with an
associated counterstain point
patients that tolerate indirect treatments better
3
