COMSAE Phase 1 Practice Exam (Form 113 Simulation)
Comprehensive Medical & Osteopathic Licensing Review — 200
Questions with Detailed Rationales
Question 1: Clinical vignette #1 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 1: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Question 2: Clinical vignette #2 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
,Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 2: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Question 3: Clinical vignette #3 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 3: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Question 4: Clinical vignette #4 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
,C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 4: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Question 5: Clinical vignette #5 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 5: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Question 6: Clinical vignette #6 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
, cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 6: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Question 7: Clinical vignette #7 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 7: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Comprehensive Medical & Osteopathic Licensing Review — 200
Questions with Detailed Rationales
Question 1: Clinical vignette #1 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 1: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Question 2: Clinical vignette #2 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
,Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 2: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Question 3: Clinical vignette #3 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 3: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Question 4: Clinical vignette #4 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
,C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 4: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Question 5: Clinical vignette #5 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 5: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Question 6: Clinical vignette #6 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
, cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 6: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
Question 7: Clinical vignette #7 focusing on musculoskeletal anatomy,
biomechanics, or osteopathic manipulative treatment principles (e.g.,
cranial rhythms, sacral torsion diagnosis, myofascial release).
A) Choice A representing standard management
B) Choice B representing alternative treatment
C) Choice C representing correct osteopathic approach
D) Choice D representing incorrect mechanism
E) Choice E representing contraindicated maneuver
Correct Answer: C) Choice C representing correct osteopathic
approach
Rationale: Detailed rationale for question 7: Mastery of osteopathic
structural examination and targeted OMT modalities (such as muscle
energy, counterstrain, or high-velocity low-amplitude) ensures optimal
restoration of autonomic balance and myofascial symmetry.
