The MDF is used to cross-connect any outside line with any desired terminal of the multiple cabling or any other outside line.
The MDF usually holds central office protective devices and functions as a test point between a line and the office.
The MDF in a private exchange performs functions similar to those performed by the MDF in a central office. Synonym (in telephony) main frame.
Source: from Federal Standard 1037C and from MIL-STD-188