COMSAE Phase 1 Form 115 Comprehensive
Practice Exam: Questions with Answers &
Rationales
,Section 1: Osteopathic Principles & Practice (OPP/OMT) - Questions 1-35
Question 1
A patient presents with a structural exam revealing a restricted T5 segment. The segment prefers
rotation to the right and side-bending to the right. It improves when the patient slumps forward into
spinal flexion. What is the correct diagnosis?
A) T5 Neutral SR RL
B) T5 Extended RR SR
C) T5 Flexed RR SR
D) T5 Flexed RL SL
Answer: C) T5 Flexed RR SR
Rationale: Because the dysfunction improves in flexion, the segment is diagnosed as Flexed.
According to Fryette's Second Law (Type II mechanics), when a single segment is in a non-neutral
,position (flexion or extension), rotation and side-bending occur in the same direction. Hence,
rotation right and side-bending right yields a diagnosis of "Flexed RR SR" .
Question 2
According to Fryette's first principle (Type I mechanics), when the spine is in a neutral position
(neither flexed nor extended), which of the following occurs?
A) Side-bending and rotation occur to the same side
B) Side-bending occurs without rotation
C) Side-bending and rotation occur to opposite sides
D) Rotation occurs without side-bending
Answer: C) Side-bending and rotation occur to opposite sides
, Rationale: Fryette's first principle (Type I mechanics) describes that when multiple vertebral
segments are in neutral position, side-bending and rotation occur in opposite directions .
Question 3
In Muscle Energy Technique (MET), the patient's contraction force should be:
A) Maximal contraction against a fixed barrier
B) Submaximal (approximately 20% of maximal) isometric contraction
C) Eccentric contraction only
D) Isotonic contraction through full range
Answer: B) Submaximal (approximately 20% of maximal) isometric contraction
Practice Exam: Questions with Answers &
Rationales
,Section 1: Osteopathic Principles & Practice (OPP/OMT) - Questions 1-35
Question 1
A patient presents with a structural exam revealing a restricted T5 segment. The segment prefers
rotation to the right and side-bending to the right. It improves when the patient slumps forward into
spinal flexion. What is the correct diagnosis?
A) T5 Neutral SR RL
B) T5 Extended RR SR
C) T5 Flexed RR SR
D) T5 Flexed RL SL
Answer: C) T5 Flexed RR SR
Rationale: Because the dysfunction improves in flexion, the segment is diagnosed as Flexed.
According to Fryette's Second Law (Type II mechanics), when a single segment is in a non-neutral
,position (flexion or extension), rotation and side-bending occur in the same direction. Hence,
rotation right and side-bending right yields a diagnosis of "Flexed RR SR" .
Question 2
According to Fryette's first principle (Type I mechanics), when the spine is in a neutral position
(neither flexed nor extended), which of the following occurs?
A) Side-bending and rotation occur to the same side
B) Side-bending occurs without rotation
C) Side-bending and rotation occur to opposite sides
D) Rotation occurs without side-bending
Answer: C) Side-bending and rotation occur to opposite sides
, Rationale: Fryette's first principle (Type I mechanics) describes that when multiple vertebral
segments are in neutral position, side-bending and rotation occur in opposite directions .
Question 3
In Muscle Energy Technique (MET), the patient's contraction force should be:
A) Maximal contraction against a fixed barrier
B) Submaximal (approximately 20% of maximal) isometric contraction
C) Eccentric contraction only
D) Isotonic contraction through full range
Answer: B) Submaximal (approximately 20% of maximal) isometric contraction
