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Exam (elaborations)

OCS2 Exam Q&A (90) | OMM, MSK, Special Tests, Clinical Reasoning | 2025/2026 | Osteopathic Clinical Skills

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This document contains 90 verified and graded exam questions with answers for the OCS2 (Osteopathic Clinical Skills) course from the 2025/2026 academic year at [University Name]. It serves as a high-yield, clinically integrated review covering osteopathic manipulative techniques (OMT), musculoskeletal diagnosis, physical exam skills, clinical reasoning, and patient-centered care. Topics include the application and diagnosis of somatic dysfunctions using Still’s technique, FPR (Facilitated Positional Release), BLT (Balanced Ligamentous Tension), and MFR (Myofascial Release). Specific spinal levels and barrier types are examined in detail with clear instructions for treatment positioning. The document also includes differential diagnoses and special tests for orthopedic, abdominal, cardiovascular, pulmonary, neurologic, and ENT conditions. Key areas covered: OMT techniques (active/passive, direct/indirect modalities) with examples Musculoskeletal pathology (e.g., tennis elbow, radial head dysfunction, IT band syndrome) Special tests (e.g., Spurling, Neer, Lift-Off, Straight Leg Raise, Murphy’s, Rovsing’s) Cranial nerves and neurological signs (DTR ratings, gait types, sensory tracts) Ophthalmologic and ENT findings (e.g., otitis media, glaucoma, cataracts) Clinical pearls for OSCE exams (e.g., SOAP notes, orthostatic vitals, MMSE vs. MOCA, caput medusae, ulcers) This document is especially useful for: Medical students in osteopathic or clinical skills training Students preparing for OSCE/OSPE-style exams Physician assistant or physical therapy students needing OMM and orthopedic review Anyone studying for COMLEX or board-style practical exams involving physical diagnosis Every question includes a clearly reasoned answer and is aligned with clinical presentations to bridge theory with real-world application. Ideal for rapid review or in-depth study. Keywords: OCS2, osteopathic exam, OMM, FPR, Still’s technique, BLT, MFR, somatic dysfunction, MSK, special tests, Spurling’s, Neer’s, Murphy’s, radial head, rotator cuff, cranial nerves, gait assessment, SOAP note, caput medusae, pleural effusion, pneumonia, otitis media, glaucoma, IBS, appendicitis, carpal tunnel, clubbing, osteopathic medicine, OSCE prep, COMLEX review, palpation, physical diagnosis, clinical skills, OMPT

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Uploaded on
December 14, 2025
Number of pages
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Written in
2025/2026
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OCS2 - Summative Exam 1 Review
2025/2026 Exam Questions and Verified
Answers | Already Graded A+



OA, type1 mechanics ? - 🧠ANSWER ✔✔= neutral law, opposite SB and

Rotation


OA, e-S(r)R(l) diagnosis would have findings? - 🧠ANSWER ✔✔dx


better in extension

better translate from right to left(R>L)

rotated opposite aka left


C3, f-SlRl, treat with Still? - 🧠ANSWER ✔✔= ease->compress->direct

barrier

,-ease in flexion, SB left

-compress down

-indirectly into extension, SB right


C3 again, e-SrRr something, FPR? - 🧠ANSWER ✔✔= neutral->ease->hold

for 3-5s

-NEUTRAL sit up

-ease with extend, SB right

-hold 3-5s

neck can sidebend to 35 degrees right, 45 degrees left, what barrier type? -

🧠ANSWER ✔✔=right has restrictive barrier


active and direct technique example?@ - 🧠ANSWER ✔✔=just BLT and ME

(active and direct)


C3, f-SlRl, FPR treatment? - 🧠ANSWER ✔✔=neutral->indirect ease


-neutral sit up

-flex, SB left, rotate left

-hold 3-5s, or until tissue change

, C3, FPR treat describe? - 🧠ANSWER ✔✔= ease, compresses, further into

ease, 3-5 sec


case with neck pain, Still's? - 🧠ANSWER ✔✔= indirect flex-->compress

neck->finally into extension direct

BLT of clavical= pt (LEAN) on doctor, lift up, arms pulled back

(IPSLATERAL or CONTRALATERAL)? @ - 🧠ANSWER ✔✔=clavicle LEAN

in, lift up, pt move CONTRAlateral arm back (this opens the SC joint using

pull from contralateral arm without interrupting tx on the ipslateral arm)


2 example of indirect, passive? @ - 🧠ANSWER ✔✔=both, facilitated

positional release and counterstain (FRP+CS)




*i chose stills, but stills has both a indirect and passive component


MFR hold for how long? - 🧠ANSWER ✔✔= hold for 20-30s


BLT treatment define? - 🧠ANSWER ✔✔= balance the muscle TONE,

reduce tension to minimum, and wait for release or reset


allen's test to check what? - 🧠ANSWER ✔✔= decrease circulation, which

the pt would not be eligible for arterial line


3
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