Test your basic knowledge |

Osteopathic Principles

Subjects : health-sciences, osteopathy

Instructions:

Answer 50 questions in 15 minutes.
If you are not ready to take this test, you can study here.
Match each statement with the correct term.
Don't refresh. All questions and answers are randomly picked and ordered every time you load a test.

This is a study tool. The 3 wrong answers for each question are randomly chosen from answers to other questions. So, you might find at times the answers obvious, but you will see it re-enforces your understanding as you take the test each time.

1. In applying stretching to the thoracic paravertebral muscles - care must be taken to introduce ________________.
Conservatively in proportion to the amount of tissue damage which is suspected.
And release force slowly and to avoid rolling the hands over spinous processes.
Vertebral body is rotated into the convexity
Negative intrathoracic pressure

2. Straight leg raising is a test for shortening or restriction of ____________
T10-T11
Groups
Hamstring muscles
Flex the knee on the thigh

3. Typical accomodation to an anatomically short left leg would be expected to be associated with what?
Deep sacral suclus left - lubar lateral curve convex left - low iliac crest left.
C7-T1
Different in every plane of motion
Facilitation

4. Psoas major is responsible for...
Forward bending of the lumbar spine
Different in every plane of motion
And release force slowly and to avoid rolling the hands over spinous processes.
Sympathetics via celiac plexus

5. What is the largest organ system of the body?
Musculoskeletal
T5-T9
Sympathetics via celiac plexus
Freedom of forward/backward bending

6. There are 10 gluteal muscles in the hip - seven of them are external rotators and three are internal rotators of the hip. The gluteus medius is part of which group?
Internal rotator
Sympathetics via celiac plexus
The major motions of the joint.
Unpaired cranial bone

7. In testing for adductor muscle shortening or restriction - you would do what?
Posterior articular facet approximation.
Somato-visceral reflex
Abduct the leg
Firm - fibrotic changes

8. Bilateral spondylolsis of L-5 predisposes to...
Engaging the barrier - followed by a short - quick thrust
Thoracic pump - resistive duction and muscle energy techniques - cervical soft tissue treatment - manipulation to improve sympathetic vasomotor function.
Proprioceptive muscle spindle reflex
Spondylolisthesis

9. What are the four skin changes that are most often signs of chronic somatic dysfunction?
Somato-visceral reflex
Thinning of skin - smooth shiny appearance - dryness and loss of hair
T10-T11
Hamstring muscles

10. A patient has been given specific manipulation twice for an acute tissue change at T3 on the right. The response has been equivocal. What would be the next step?
Freedom of forward/backward bending
Re-evaluate diagnosis
T10-T11
Anterior to the sacral base

11. Somatic dysfunction of the midthoracic spine can cause gastrointestinal symptoms. This is an example of ________
Somato-visceral reflex
The upper vertebral body in relation to the lower
Re-evaluation of motion of the treated area.
Groups

12. The function of the gastrocnemius-plantaris-soleus muscle comibation is to...
Evert the foot
Somato-visceral reflex
Hamstring muscles
The upper vertebral body in relation to the lower

13. The resistance to spinal movement observed in joint dysfunctions is...
The lower segment.
Thinning of skin - smooth shiny appearance - dryness and loss of hair
Different in every plane of motion
Facilitation

14. In foot and ankle dysfunction - restriction will generally be found in what?
Deep sacral suclus left - lubar lateral curve convex left - low iliac crest left.
Site predisposing to disease
The major motions of the joint.
Freedom of forward/backward bending

15. Most reliable palpatory finding of a suspected disease process.
Serve to thelp limit motion at the extremes
Conservatively in proportion to the amount of tissue damage which is suspected.
Different in every plane of motion
Mobility changes

16. When resting membrane potential of a neuron requires less stimulation to reach the threshold of excitation it is called _____
Spondylolisthesis
Batwing deformity
Hamstring muscles
Facilitation

17. A fulcrum and/or axis
Is stationary relative to the lever though which force is applied
Hamstring muscles
Sidebent to the left and rotated to the right
At the apex

18. The assessment of spinous processes is very useful in determining what?
Sympathetics via celiac plexus
Groups
Abduct the leg
Freedom of forward/backward bending

19. Proprioceptive impulses which may be responsible for the facilitated segment do not come from where?
The upper vertebral body in relation to the lower
Engaging the barrier - followed by a short - quick thrust
Difference in iliac crest heighths
Fascia

20. In a normally compensated scoliosis of the lumbar spine - the atructural rrelationship usually found is...
Palpating right vs. left and above vs. below
Rotates and sidebends to the same side
Vertebral body is rotated into the convexity
At the apex

21. The first professional organized school of Osteopathy.
C7-T1
Somato-visceral reflex
American School of Osteopathy - Kirksville - MO
The head of the rib does not articulate with the demifacet of the segment above.

22. If the Ferguson's lumbo-sacral angle is measure as 65 degrees - the line of weight bearing of the spine would be expected to pass______
Abduct the leg
Groups
Flex the knee on the thigh
Anterior to the sacral base

23. A physical finding as 'rotated right' would imply what?
Right roation is freer than left rotation and left rotation is restricted.
Engaging the barrier - followed by a short - quick thrust
Batwing deformity
For temperature sense

24. What is the arterial supply network to the major nerve trunks and their branches?
Posterior articular facet approximation.
Soft tissue treatment.
Vasa nervorum
The major motions of the joint.

25. Adrenal disturbances are related to somatic dysfuntion at what spinal segmental level?
Re-evaluate diagnosis
Serve to thelp limit motion at the extremes
T10-T11
Posterior articular facet approximation.

26. The ligaments of the vertebral column serve to help limit motion where?
Prominence of the concave side transverse processes due to vertebral rotation.
At its extremes
Anterior to the sacral base
Sympathetics via celiac plexus

27. Why is the first rib not classified as a typical rib?
The head of the rib does not articulate with the demifacet of the segment above.
And release force slowly and to avoid rolling the hands over spinous processes.
Sympathetics via celiac plexus
Thinning of skin - smooth shiny appearance - dryness and loss of hair

28. In lateral curves - the maximal rotation will occur where?
The head of the rib does not articulate with the demifacet of the segment above.
Re-evaluate diagnosis
Internal rotator
At the apex

29. What is the term for a congential enlargement of the transverse processes?
Costo-transverse area
Conservatively in proportion to the amount of tissue damage which is suspected.
Sympathetics via celiac plexus
Batwing deformity

30. Intervertebral somatic dysfunctions is named for the upper in relation to what?
Rotates and sidebends to the same side
Abduct the leg
The lower segment.
Proprioceptive muscle spindle reflex

31. The quick release component of the lymphatic pump technique as it is applied to the chse effects a ___________
Facilitation
Posterior articular facet approximation.
The upper vertebral body in relation to the lower
Negative intrathoracic pressure

32. Proper execution of direct thrust technique involves...
Engaging the barrier - followed by a short - quick thrust
T5-T9
Thoracic pump - resistive duction and muscle energy techniques - cervical soft tissue treatment - manipulation to improve sympathetic vasomotor function.
Serve to thelp limit motion at the extremes

33. In a patient who has a chronic lateral group curve of the thoracic spine - physical findings typically include what?
Conservatively in proportion to the amount of tissue damage which is suspected.
Re-evaluation of motion of the treated area.
Prominence of the concave side transverse processes due to vertebral rotation.
Facilitation

34. Existence of somatic dysfunction is clinically significant because it is...
Motion in a sagittal plane in relation to a transverse axis.
Thinning of skin - smooth shiny appearance - dryness and loss of hair
Mid-sagittal plane
Site predisposing to disease

35. The ligaments of the vertebral column...
Freedom of forward/backward bending
Costo-transverse area
Serve to thelp limit motion at the extremes
The major motions of the joint.

36. The maxilla is considered an...
Different in every plane of motion
At its extremes
Serve to thelp limit motion at the extremes
Unpaired cranial bone

37. In the standing position a test which gives a high degree of reliability for determing an anatomical short leg is...
Vasa nervorum
Engaging the barrier - followed by a short - quick thrust
The lower segment.
Difference in iliac crest heighths

38. When flexion or extension is sufficient to localize force to a single segment the vertebrae....
Vertebral body is rotated into the convexity
Rotates and sidebends to the same side
Horizontal - sagittal - coronal
Right roation is freer than left rotation and left rotation is restricted.

39. When the spine is in neutral and side bending is introduced - the segments move in ______.
Groups
At the apex
Serve to thelp limit motion at the extremes
Facilitation

40. Involvement of the greater splanchnic nerves directly modifies the....
For temperature sense
Sympathetics via celiac plexus
Internal rotator
Cuboid

41. Intervertebral somatic dysfunction is named for what?
Mobility changes
C7-T1
The upper vertebral body in relation to the lower
Evert the foot

42. Palmar aspects of the hands or fingers are most sensitive...
Difference in iliac crest heighths
Freedom of forward/backward bending
Mobility changes
For temperature sense

43. What relaxes or stimulates - depending on how it is applied?
American School of Osteopathy - Kirksville - MO
Sympathetics via celiac plexus
Soft tissue treatment.
External rotator muscles.

44. The vasomotor nerve supply for the upper extremity originates a the spinal segement level of...
Hamstring muscles
C7-T1
Posterior articular facet approximation.
Forward bending of the lumbar spine

45. A projection of the mid-heel line in a normal patient is the same as the what?
Mid-sagittal plane
Unpaired cranial bone
Motion in a sagittal plane in relation to a transverse axis.
Vasa nervorum

46. The 'keystone' of the lateral longitudinal arch of the foot is what?
And release force slowly and to avoid rolling the hands over spinous processes.
Abduct the leg
Cuboid
A Virginian whose family migrated to Missouri and Kansas

47. The best criterion of successful therapeutic application of a direct trust technique is determined by what?
Re-evaluation of motion of the treated area.
American School of Osteopathy - Kirksville - MO
Sympathetics via celiac plexus
Internal rotator

48. Involvement of the greater splanchnic nerves directly modifies what?
Batwing deformity
Sympathetics via celiac plexus
The upper vertebral body in relation to the lower
Rotates and sidebends to the same side

49. Chronic somatic dysfunction is best related to a palpatory finding of what?
Firm - fibrotic changes
Musculoskeletal
Different in every plane of motion
Anterior to the sacral base

50. Osteopathic manipulative treatment is to be done how?
Conservatively in proportion to the amount of tissue damage which is suspected.
Firm - fibrotic changes
Site predisposing to disease
External rotator muscles.