COMLEX-USA Level 1 ACTUAL EXAM ALL
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% VERIFIED SOLUTIONS |
UPDATED PER LATEST GUIDELINES |
GRADED A+
Osteopathic Principles & Practice (OPP)
Question 1
A patient presents with a right sacral sulcus that is shallow and a right ILA that is anterior and
superior. Motion testing reveals a positive sphinx test. Which of the following best describes the
muscle energy treatment used to correct this dysfunction?
A) Flex the hips to greater than 90 degrees
B) Apply anterior pressure to sacral base
C) Flex the hips to less than 90 degrees
D) Apply anterior pressure to sacral apex
Answer: C) Flex the hips to less than 90 degrees
Rationale: This presentation describes a non-neutral sacral torsion. The sphinx test is positive,
indicating the sacrum is fixed in extension . For non-neutral sacral torsions, the patient is
positioned with knees bent to less than 90 degrees (knees closer to chest) to engage the
appropriate muscular forces for correction .
Question 2
The diagnosis of somatic dysfunction requires identification of which of the following elements?
A) Tenderness (T)
B) Asymmetry (A)
, C) Range of motion abnormality (R)
D) Tissue texture changes (T)
E) All of the above
Answer: E) All of the above
Rationale: The diagnosis of somatic dysfunction is based on
the TART criteria: Tenderness, Asymmetry (of bony landmarks or posture), Range of motion
abnormality (restriction), and Tissue texture changes (e.g., warmth, bogginess, fibrosis, or
increased tone) . Positive findings of motion restriction coupled with one other component
supports the diagnosis. A single TART component alone is insufficient .
Question 3
A patient has a positive seated flexion test on the right. This suggests dysfunction at which of
the following?
A) Right sacroiliac joint
B) Left sacroiliac joint
C) L5 vertebra only
D) Sacral apex only
Answer: A) Right sacroiliac joint
Rationale: The seated flexion test identifies posterior innominate rotation or sacroiliac
restriction on the side of positivity. A positive test on the right indicates the right SI joint is
unable to rotate appropriately during forward flexion, suggesting somatic dysfunction . The
seated test eliminates hamstring tension, making it more specific for SI joint dysfunction than
the standing flexion test .
Question 4
Which osteopathic technique uses a direct, high-velocity, low-amplitude thrust to correct
somatic dysfunction?
A) Muscle energy
B) HVLA (high-velocity, low-amplitude)
C) Counterstrain
D) Myofascial release
Answer: B) HVLA (high-velocity, low-amplitude)
QUESTIONS AND ANSWERS ALREADY
GRADED A+. 100% VERIFIED SOLUTIONS |
UPDATED PER LATEST GUIDELINES |
GRADED A+
Osteopathic Principles & Practice (OPP)
Question 1
A patient presents with a right sacral sulcus that is shallow and a right ILA that is anterior and
superior. Motion testing reveals a positive sphinx test. Which of the following best describes the
muscle energy treatment used to correct this dysfunction?
A) Flex the hips to greater than 90 degrees
B) Apply anterior pressure to sacral base
C) Flex the hips to less than 90 degrees
D) Apply anterior pressure to sacral apex
Answer: C) Flex the hips to less than 90 degrees
Rationale: This presentation describes a non-neutral sacral torsion. The sphinx test is positive,
indicating the sacrum is fixed in extension . For non-neutral sacral torsions, the patient is
positioned with knees bent to less than 90 degrees (knees closer to chest) to engage the
appropriate muscular forces for correction .
Question 2
The diagnosis of somatic dysfunction requires identification of which of the following elements?
A) Tenderness (T)
B) Asymmetry (A)
, C) Range of motion abnormality (R)
D) Tissue texture changes (T)
E) All of the above
Answer: E) All of the above
Rationale: The diagnosis of somatic dysfunction is based on
the TART criteria: Tenderness, Asymmetry (of bony landmarks or posture), Range of motion
abnormality (restriction), and Tissue texture changes (e.g., warmth, bogginess, fibrosis, or
increased tone) . Positive findings of motion restriction coupled with one other component
supports the diagnosis. A single TART component alone is insufficient .
Question 3
A patient has a positive seated flexion test on the right. This suggests dysfunction at which of
the following?
A) Right sacroiliac joint
B) Left sacroiliac joint
C) L5 vertebra only
D) Sacral apex only
Answer: A) Right sacroiliac joint
Rationale: The seated flexion test identifies posterior innominate rotation or sacroiliac
restriction on the side of positivity. A positive test on the right indicates the right SI joint is
unable to rotate appropriately during forward flexion, suggesting somatic dysfunction . The
seated test eliminates hamstring tension, making it more specific for SI joint dysfunction than
the standing flexion test .
Question 4
Which osteopathic technique uses a direct, high-velocity, low-amplitude thrust to correct
somatic dysfunction?
A) Muscle energy
B) HVLA (high-velocity, low-amplitude)
C) Counterstrain
D) Myofascial release
Answer: B) HVLA (high-velocity, low-amplitude)
