age 1 of 134
COMLEX Level 1 Form 110 EXAM FOR COMSAE Exam
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR-JUST RELEASED.pdf
SECTION 1: OSTEOPATHIC PRINCIPLES AND PRACTICE
(Questions 1-50)
1. A patient with pyelonephritis would most likely have somatic
dysfunction at which spinal levels?
A) T5-T6
B) T9-T10
C) T11-L1
D) L2-L4
Correct Answer: C
,age 2 of 134
Rationale: Pyelonephritis (kidney infection) is associated with
somatic dysfunction at T11-L1. The kidneys receive sympathetic
innervation from T10-T11, with the upper ureter at T10-T11 and
the lower ureter at T12-L1 .
2. Which of the following organs receives parasympathetic
innervation from S2-S4?
A) Ovaries and testes
B) Fallopian tubes
C) Urinary bladder and lower ureters
D) Gallbladder
Correct Answer: C
,age 3 of 134
Rationale: The urinary bladder, lower ureters, urethra, uterus,
cervix, and erectile tissue receive parasympathetic innervation
from S2-S4. The gonads (ovaries and testes) are the only pelvic
organs that receive parasympathetic innervation from the vagus
nerve (CN X) .
3. A 64-year-old female presents with lower back pain after
gardening. Physical exam shows: right sacral sulcus shallow and
left ILA anterior/superior. Sphinx test is positive. Which muscle
energy treatment best normalizes this dysfunction?
A) Flex hips to greater than 90 degrees and apply anterior
pressure to the sacral base
B) Flex hips to less than 90 degrees and have the patient lift
ankles toward the ceiling
C) Flex hips to greater than 90 degrees on the side of the
oblique axis
, age 4 of 134
D) Apply anterior pressure to the sacral apex with hips
extended
Correct Answer: B
Rationale: For non-neutral sacral torsions, the patient is prone
with knees bent so that the side of the oblique axis is closest to
the table. The knees will be at less than 90 degrees (knees
closer to chest), and the patient lifts their ankles toward the
ceiling .
4. An L5 RLSL somatic dysfunction would most likely be
associated with which sacral somatic dysfunction?
A) Right unilateral sacral extension
B) Left unilateral sacral flexion
COMLEX Level 1 Form 110 EXAM FOR COMSAE Exam
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR-JUST RELEASED.pdf
SECTION 1: OSTEOPATHIC PRINCIPLES AND PRACTICE
(Questions 1-50)
1. A patient with pyelonephritis would most likely have somatic
dysfunction at which spinal levels?
A) T5-T6
B) T9-T10
C) T11-L1
D) L2-L4
Correct Answer: C
,age 2 of 134
Rationale: Pyelonephritis (kidney infection) is associated with
somatic dysfunction at T11-L1. The kidneys receive sympathetic
innervation from T10-T11, with the upper ureter at T10-T11 and
the lower ureter at T12-L1 .
2. Which of the following organs receives parasympathetic
innervation from S2-S4?
A) Ovaries and testes
B) Fallopian tubes
C) Urinary bladder and lower ureters
D) Gallbladder
Correct Answer: C
,age 3 of 134
Rationale: The urinary bladder, lower ureters, urethra, uterus,
cervix, and erectile tissue receive parasympathetic innervation
from S2-S4. The gonads (ovaries and testes) are the only pelvic
organs that receive parasympathetic innervation from the vagus
nerve (CN X) .
3. A 64-year-old female presents with lower back pain after
gardening. Physical exam shows: right sacral sulcus shallow and
left ILA anterior/superior. Sphinx test is positive. Which muscle
energy treatment best normalizes this dysfunction?
A) Flex hips to greater than 90 degrees and apply anterior
pressure to the sacral base
B) Flex hips to less than 90 degrees and have the patient lift
ankles toward the ceiling
C) Flex hips to greater than 90 degrees on the side of the
oblique axis
, age 4 of 134
D) Apply anterior pressure to the sacral apex with hips
extended
Correct Answer: B
Rationale: For non-neutral sacral torsions, the patient is prone
with knees bent so that the side of the oblique axis is closest to
the table. The knees will be at less than 90 degrees (knees
closer to chest), and the patient lifts their ankles toward the
ceiling .
4. An L5 RLSL somatic dysfunction would most likely be
associated with which sacral somatic dysfunction?
A) Right unilateral sacral extension
B) Left unilateral sacral flexion
