COMSAE Phase 1 Form 114 Practice
Exam Questions And Correct Answers
(Verified Answers) Plus Rationales
2025|2026 Q&A
**Q1. A patient presents with a somatic dysfunction of the sacrum. You
note that the left sulcus is deeper than the right, and the left ILA is
more posterior than the right. What is the diagnosis?**
A. Left-on-Left L5 dysfunction
B. Right On Left Torsion
C. Left On Right Torsion
D. Bilateral Sacral Flexion
**Correct Answer: C. Left On Right Torsion**
**Rationale:** In a sacral torsion, a deep sulcus and a posterior ILA on
the same side indicate a forward sacral torsion about an oblique axis.
The naming convention is "side of the deep sulcus" on "side of the
posterior ILA" . Therefore, deep left sulcus and posterior left ILA
indicates a Left on Right Torsion.
---
, **Q2. Which of the following cranial techniques is specifically designed
to enhance the amplitude of the cranial rhythmic impulse (CRI)?**
A. Venous sinus traction
B. Bulb compression (CV4)
C. V-spread technique
D. Frontal lift
**Correct Answer: B. Bulb compression (CV4)**
**Rationale:** Compression of the fourth ventricle (CV4) is a technique
used to encourage fluid movement, enhance the amplitude of the CRI,
and help balance the autonomic nervous system .
---
**Q3. A 24-year-old male presents with acute lower back pain after
lifting heavy boxes. Physical examination reveals that the right L4
transverse process is more posterior than the left. The asymmetry
normalizes in extension. What is the correct somatic dysfunction?**
A. L4 Neutral, Rotated Right, Sidebent Left
B. L4 Flexed, Rotated Left, Sidebent Left
C. L4 Extended, Rotated Right, Sidebent Right
D. L4 Extended, Rotated Left, Sidebent Left
Exam Questions And Correct Answers
(Verified Answers) Plus Rationales
2025|2026 Q&A
**Q1. A patient presents with a somatic dysfunction of the sacrum. You
note that the left sulcus is deeper than the right, and the left ILA is
more posterior than the right. What is the diagnosis?**
A. Left-on-Left L5 dysfunction
B. Right On Left Torsion
C. Left On Right Torsion
D. Bilateral Sacral Flexion
**Correct Answer: C. Left On Right Torsion**
**Rationale:** In a sacral torsion, a deep sulcus and a posterior ILA on
the same side indicate a forward sacral torsion about an oblique axis.
The naming convention is "side of the deep sulcus" on "side of the
posterior ILA" . Therefore, deep left sulcus and posterior left ILA
indicates a Left on Right Torsion.
---
, **Q2. Which of the following cranial techniques is specifically designed
to enhance the amplitude of the cranial rhythmic impulse (CRI)?**
A. Venous sinus traction
B. Bulb compression (CV4)
C. V-spread technique
D. Frontal lift
**Correct Answer: B. Bulb compression (CV4)**
**Rationale:** Compression of the fourth ventricle (CV4) is a technique
used to encourage fluid movement, enhance the amplitude of the CRI,
and help balance the autonomic nervous system .
---
**Q3. A 24-year-old male presents with acute lower back pain after
lifting heavy boxes. Physical examination reveals that the right L4
transverse process is more posterior than the left. The asymmetry
normalizes in extension. What is the correct somatic dysfunction?**
A. L4 Neutral, Rotated Right, Sidebent Left
B. L4 Flexed, Rotated Left, Sidebent Left
C. L4 Extended, Rotated Right, Sidebent Right
D. L4 Extended, Rotated Left, Sidebent Left
