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OMM Exam| Questions Solved with VerifiedCorrect Answers | Latest Update 2024-2025
A 2-year-old female is brought to the office after her father noticed that she was reluctant
to move her left elbow. There was no known trauma to the area. but the father
acknowledges that she is very active, frequently running and jumping around the house.
Physical examination reveals no point tenderness, swelling, or effusions. There is diffuse
tenderness to palpation over the radial head on the left. Anterior radial head dysfunction is
diagnosed. Based on this diagnosis, which motion would most likely be restricted?
A. inferior glide of the radial
head B. pronation of the forearm
C. anterior glide of the radial head
D. superior glide of the radial head
E. supination of the forearm
B. pronation of the forearm
A 19-year-old female with left ankle pain for the past week when her left ankle to suddenly
twist outward. She was able to walk immediately after the incident, but she still has a dull,
achy, 3/10 pain. The pain does not radiate, and there is no numbness or tingling sensation in
the lower extremity. There is a tender point below the left medial malleolus and posterior
on the medial calcaneus. The physician decides to use counterstrain to treat the affected
tender point-positioning?
A. Patient supine with pillow under thigh, physician pushes tibia posteriorly
B. Patient supine with leg off table, physician internally rotates and abducts leg
C. Patient supine with toes pointing up, foot dorsiflexed, inverted, and internally rotated
D Patient on side with affected leg up and towel placed under ankle, physician everts foot
E. Patient on side with affected leg up and towel placed under ankle, physician inverts foot
E. Patient on side with affected leg up and towel placed under ankle, physician inverts foot
A 1-year-old male presents to the office with his mother, who reports that he has had a fever
and irritability. He has also been pulling at his right ear for the past 2 days. Vital signs reveal a
temperature of 38.9°C (102.1°F). Physical examination reveals a bulging erythematous
tympanic membrane with a decreased cone of light. Osteopathic manipulative therapy
should be directed toward which of the following bones?
A. Temporal
B. Maxillary
,C. Frontal
D. Occipital
E. Parietal
A. Temporal
A 53-year-old female patient presents for pain located to the right side of her jaw after a
recent dental procedure. She states that she is unable to open her mouth fully due to pain
on the right side. She states that she returned to her dentist for evaluation and he did not
find any clinical issue. You choose to palpate her cranium using the vault hold and notice the
greater wings of the sphenoid moving in a caudad direction, while the base of the sphenoid
deviates cephalad in relation to the occiput. The most likely diagnosis is A. SBS Compression
B. Right Lateral Strain
C. Superior Vertical Strain
D. Inferior Vertical Strain
E. Left Lateral Strain
C. Superior Vertical Strain
A 17-year-old male presents to the office with the complaint of right thigh pain. History
reveals the pain began after beginning to train for track and field. Physical examination
reveals hypertonicity and a tenderpoint in the vastus intermedius. The most appropriate
treatment with counterstrain involves what action?
A. Having the patient contract the hamstrings against resistance
B. Shortening the hamstrings
C. Stretching the quadriceps
D. Positioning the quadriceps at its restrictive
barrier E. Shortening the quadriceps
E. Shortening the quadriceps
A 19-year-old male presents to the emergency department with the complaint of abdominal
pain. History reveals that the pain began around the umbilicus but is now located in the right
lower quadrant. Vital signs reveal a temperature of 38.1°C (100.6F), blood pressure of 110/72
mmHg heart rate of 92/min and respiratory rate of 18/min. Physical examination reveals
rebound tenderness and guarding in the right lower quadrant. Tissue texture changes related to
sympathetic innervation of the involved structure are likely to be found where?
A. T10
B. T5
C. T4
D. L1
E. OA
, A. T10
A 27-year-old female presents to the office with a sore throat. History reveals the patient
has had a hoarse voice since the onset of symptoms. Physical examination reveals bilateral
anterior cervical lymphadenopathy and erythema in the posterior pharynx. Given her voice
changes, where would you expect an anterior Chapman point? A. Second rib
B. Lower third of the sternum
C. Superior medial aspect of the clavicle
D. Greater tubercle of the humerus
E. Fourth intercostal space
A. Second rib
A 48-year-old female presents with neck pain radiating to the right upper extremity.
Spurling's maneuver is performed as part of the physical examination. What is the correct
positioning of the patient for this maneuver?
A. Flex and sidebend the C-spine to the left and apply compression
B. Extend and sidebend the C-spine to the right and apply compression C.
Flex and sidebend the C-spine to the right and apply distraction
D. Extend and sidebend the C-spine to the right and apply distraction
E. Extend and sidebend the C-spine to the left and apply compression
B. Extend and sidebend the C-spine to the right and apply compression
A 34-year-old male presents to your office with 2 weeks of increasingly worse right calf pain
that first occurred while he was training for a local triathlon. He describes the pain as dull
and achy. He has tried ice, stretching, and NSAIDs with no relief of symptoms. He previously
had a similar injury after running a marathon and remembers his symptoms were effectively
treated when you performed counterstrain. Which of the following exam findings is
consistent with a Jones counterstrain tenderpoint of the right calf muscle?
A. 3/4 cm tender area in right calf muscle radiating to patella when
palpated B. 1 cm tender area in muscle belly at lower popliteal margin
C. 3/4 cm tender area at distal end of right patellar
tendon D. 1 cm tender area above right patella
E. 3 cm boggy, cool, nontender region in the belly of the right gastrocnemius
B. 1 cm tender area in muscle belly at lower popliteal margin
A 16-year-old male presents to the office with the complaint of mid back pain. History reveals the
pain began 1 month ago after a difficult wrestling match The patient reports no medical history
prior to this event. On physical exam he has no boney tenderness over his thoracic spine.
Osteopathic structural exam reveals a markedly posterior transverse process on the right at
about the level of the inferior angle of the scapula. Upon flexing and extending the
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