COMSAE 115 COMPREHENSIVE
PRACTICE EXAM QUESTIONS AND
ANSWERS
1. A 45-year-old male presents with hypertension. During the osteopathic examination, a
Chapman point is noted 2 inches superior and 1 inch lateral to the umbilicus. Which organ is
most likely associated with this finding?
A. Adrenal glands
B. Kidneys
C. Bladder
D. Ovaries
Answer: A
Conceptual Explanation: The anterior Chapman reflex point for the adrenal glands is
located 2 inches superior and 1 inch lateral to the umbilicus. The kidney point is 1 inch
superior and 1 inch lateral to the umbilicus.
,2. A patient presents with a positive seated flexion test on the right, a deep sacral sulcus on
the left, and a posterior inferior ILA on the right. What is the most likely sacral diagnosis?
A. Right on right forward torsion
B. Left on left forward torsion
C. Right on left backward torsion
D. Left on right backward torsion
Answer: C
Conceptual Explanation: A positive seated flexion test on the right indicates a right-sided
restriction. A deep sulcus on the left and posterior ILA on the right with a right-sided
seated flexion test indicates a backward torsion, specifically a right on left torsion.
3. Regarding Fryette’s Laws, which of the following is true concerning the thoracic spine?
A. Type I mechanics occur in the flexed position.
B. Type II mechanics involve neutral positioning.
C. In Type I mechanics, sidebending and rotation occur to opposite sides.
D. In Type II mechanics, sidebending and rotation occur to opposite sides.
Answer: C
Conceptual Explanation: Fryette Law I states that in a neutral position, sidebending and
rotation occur to opposite sides. Law II states that in non-neutral (flexed or extended)
positions, they occur to the same side.
, 4. Which level of the spinal cord provides viscerosomatic sympathetic innervation to the
heart?
A. T5-T9
B. T1-T5
C. T10-T11
D. T12-L2
Answer: B
Conceptual Explanation: The heart receives sympathetic innervation from the T1 to T5
spinal segments. T5-T9 corresponds to upper GI organs like the stomach and liver.
5. A patient has an inhalation dysfunction of rib 2 on the right. Which muscle should be used
for muscle energy correction?
A. Anterior scalene
B. Serratus anterior
C. Pectoralis minor
D. Posterior scalene
Answer: D
Conceptual Explanation: For exhalation dysfunctions (where the rib is stuck down),
muscle energy uses specific muscles. For rib 2, the posterior scalene is used. However, if
PRACTICE EXAM QUESTIONS AND
ANSWERS
1. A 45-year-old male presents with hypertension. During the osteopathic examination, a
Chapman point is noted 2 inches superior and 1 inch lateral to the umbilicus. Which organ is
most likely associated with this finding?
A. Adrenal glands
B. Kidneys
C. Bladder
D. Ovaries
Answer: A
Conceptual Explanation: The anterior Chapman reflex point for the adrenal glands is
located 2 inches superior and 1 inch lateral to the umbilicus. The kidney point is 1 inch
superior and 1 inch lateral to the umbilicus.
,2. A patient presents with a positive seated flexion test on the right, a deep sacral sulcus on
the left, and a posterior inferior ILA on the right. What is the most likely sacral diagnosis?
A. Right on right forward torsion
B. Left on left forward torsion
C. Right on left backward torsion
D. Left on right backward torsion
Answer: C
Conceptual Explanation: A positive seated flexion test on the right indicates a right-sided
restriction. A deep sulcus on the left and posterior ILA on the right with a right-sided
seated flexion test indicates a backward torsion, specifically a right on left torsion.
3. Regarding Fryette’s Laws, which of the following is true concerning the thoracic spine?
A. Type I mechanics occur in the flexed position.
B. Type II mechanics involve neutral positioning.
C. In Type I mechanics, sidebending and rotation occur to opposite sides.
D. In Type II mechanics, sidebending and rotation occur to opposite sides.
Answer: C
Conceptual Explanation: Fryette Law I states that in a neutral position, sidebending and
rotation occur to opposite sides. Law II states that in non-neutral (flexed or extended)
positions, they occur to the same side.
, 4. Which level of the spinal cord provides viscerosomatic sympathetic innervation to the
heart?
A. T5-T9
B. T1-T5
C. T10-T11
D. T12-L2
Answer: B
Conceptual Explanation: The heart receives sympathetic innervation from the T1 to T5
spinal segments. T5-T9 corresponds to upper GI organs like the stomach and liver.
5. A patient has an inhalation dysfunction of rib 2 on the right. Which muscle should be used
for muscle energy correction?
A. Anterior scalene
B. Serratus anterior
C. Pectoralis minor
D. Posterior scalene
Answer: D
Conceptual Explanation: For exhalation dysfunctions (where the rib is stuck down),
muscle energy uses specific muscles. For rib 2, the posterior scalene is used. However, if
