For a connected graph G of order at least two, a set S of vertices in a graph G is said to be an outer connected monophonic set if S is a monophonic set of G and either S = V or the subgraph induced by V-S is connected. The minimum cardinality of an outer connected monophonic set of G is the outer connected monophonic number of G and is denoted by moc (G). The number of extreme vertices in G is its extreme order ex(G). A graph G is said to be an extreme outer connected monophonic graph if moc(G) = ex(G). Extreme outer connected monophonic graphs of order p with outer connected monophonic number p and extreme outer connected monophonic graphs of order p with outer connected monophonic number p-1 are characterized. It is shown that for every pair a,b of integers with 0 ≥,a ≥,b and b ≥,2, there exists a connected graph G with ex(G) = a and moc(G) = b. Also, it is shown that for positive integers r,d and k≥, 2 with r < d, there exists an extreme outer connected monophonic graph G with monophonic radius r, monophonic diameter d and outer connected monophonic number k.