OMM COMAT questions with correct answers
In a patient with scoliosis due to short leg syndrome, what should be measured to determine the height of the heel lift? CORRECT ANSWER sacral base unleveling
For a forward sacral torsion, which type of Fryette's mechanics will the L5 vertebrate follow? CORRECT ANSWER Type I mechanics (neutral dysfunction; rotation and sidebending are in opposite directions)
For a backward sacral torsion, which type of Fryette's mechanics will the L5 vertebrate follow? CORRECT ANSWER Type II mechanics (flexed or extended dysfunction; rotation and sidebending are in the same direction)
Which ganglion can treatment be directed toward for TMJ and sinusitis? CORRECT ANSWER sphenopalatine ganglion (parasympathetic, helps produce thin nasal secretions)
If a patient has decreased ROM on passive and active forearm supination and tenderness over the radial head, what is their dysfunction? CORRECT ANSWER posterior radial head dysfunction
A neonate with history of complicated birth and poor feeding is found to have a 'parallelogram head' with associated muscle tension at the cranial base. What is the dysfunction? CORRECT ANSWER Lateral strain with condylar compression
Which muscle would you treat for an exhalation dysfunction at ribs 1-2? CORRECT ANSWER scalenes
Which muscle would you treat for an exhalation dysfunction at ribs 3-5? CORRECT ANSWER pectoralis minor Which muscle would you treat for an exhalation dysfunction at ribs 6-8? CORRECT ANSWER serratus anterior
Which muscle would you treat for an exhalation dysfunction at ribs 9-12? CORRECT ANSWER latissimus dorsi
Which muscle would you treat for an exhalation dysfunction at rib 12? CORRECT ANSWER quadratus lumborum (patient action is lifting of iliac crest)
What is the cranial strain pattern if you palpate the greater wing of the sphenoid is more inferior on the left, and the occipital bone is lower on the right? CORRECT ANSWER right torsion (name for the side of the higher greater wing of the sphenoid)
What is the axis of rotation for a cranial torsion? CORRECT ANSWER 1 anterior-
posterior axis
What are the axes of rotation for a cranial sidebending-rotation dysfunction? CORRECT ANSWER 1 anterior-posterior axis and 2 vertical axes
A somatic dysfunction of which rib can lead to symptoms of Horner's syndrome? CORRECT ANSWER rib 1 (can impinge cervical chain ganglia)
What is the initial position to treat the transverse carpal ligament with direct myofascial release? CORRECT ANSWER forearm supinated with the wrist neutral or extended What is the initial setup to treat a vertebral segment with Still's technique? CORRECT ANSWER freedoms (indirect)
If a patient has recurrent episodes of acute otitis media, treatment should be aimed where? CORRECT ANSWER temporal bone (goal is to improve lymphatic drainage by restoring the full ROM of the bone)
In short leg syndrome, on which side will the sacral base be lower? CORRECT ANSWER the side of the short leg
In short leg syndrome, what is the likely innominate finding on the side of the short
leg? CORRECT ANSWER anterior rotation on the side of the short leg
In short leg syndrome, which direction will the lumbar spine sidebend and rotate towards? CORRECT ANSWER sidebent away and rotated toward the short leg side
Based on the femoral head difference, when should a heel lift be considered? CORRECT ANSWER >5mm
What is the recommended time frame to wait before increasing a heel lift by 3mm?
CORRECT ANSWER 1-2 weeks
If a patient falls on their elbow and then presents with claw hand, which nerve was injured? CORRECT ANSWER ulnar nerve
Which nerve is responsible for finger adduction (including thumb)? CORRECT ANSWER ulnar nerve
In a patient with scoliosis due to short leg syndrome, what should be measured to determine the height of the heel lift? CORRECT ANSWER sacral base unleveling
For a forward sacral torsion, which type of Fryette's mechanics will the L5 vertebrate follow? CORRECT ANSWER Type I mechanics (neutral dysfunction; rotation and sidebending are in opposite directions)
For a backward sacral torsion, which type of Fryette's mechanics will the L5 vertebrate follow? CORRECT ANSWER Type II mechanics (flexed or extended dysfunction; rotation and sidebending are in the same direction)
Which ganglion can treatment be directed toward for TMJ and sinusitis? CORRECT ANSWER sphenopalatine ganglion (parasympathetic, helps produce thin nasal secretions)
If a patient has decreased ROM on passive and active forearm supination and tenderness over the radial head, what is their dysfunction? CORRECT ANSWER posterior radial head dysfunction
A neonate with history of complicated birth and poor feeding is found to have a 'parallelogram head' with associated muscle tension at the cranial base. What is the dysfunction? CORRECT ANSWER Lateral strain with condylar compression
Which muscle would you treat for an exhalation dysfunction at ribs 1-2? CORRECT ANSWER scalenes
Which muscle would you treat for an exhalation dysfunction at ribs 3-5? CORRECT ANSWER pectoralis minor Which muscle would you treat for an exhalation dysfunction at ribs 6-8? CORRECT ANSWER serratus anterior
Which muscle would you treat for an exhalation dysfunction at ribs 9-12? CORRECT ANSWER latissimus dorsi
Which muscle would you treat for an exhalation dysfunction at rib 12? CORRECT ANSWER quadratus lumborum (patient action is lifting of iliac crest)
What is the cranial strain pattern if you palpate the greater wing of the sphenoid is more inferior on the left, and the occipital bone is lower on the right? CORRECT ANSWER right torsion (name for the side of the higher greater wing of the sphenoid)
What is the axis of rotation for a cranial torsion? CORRECT ANSWER 1 anterior-
posterior axis
What are the axes of rotation for a cranial sidebending-rotation dysfunction? CORRECT ANSWER 1 anterior-posterior axis and 2 vertical axes
A somatic dysfunction of which rib can lead to symptoms of Horner's syndrome? CORRECT ANSWER rib 1 (can impinge cervical chain ganglia)
What is the initial position to treat the transverse carpal ligament with direct myofascial release? CORRECT ANSWER forearm supinated with the wrist neutral or extended What is the initial setup to treat a vertebral segment with Still's technique? CORRECT ANSWER freedoms (indirect)
If a patient has recurrent episodes of acute otitis media, treatment should be aimed where? CORRECT ANSWER temporal bone (goal is to improve lymphatic drainage by restoring the full ROM of the bone)
In short leg syndrome, on which side will the sacral base be lower? CORRECT ANSWER the side of the short leg
In short leg syndrome, what is the likely innominate finding on the side of the short
leg? CORRECT ANSWER anterior rotation on the side of the short leg
In short leg syndrome, which direction will the lumbar spine sidebend and rotate towards? CORRECT ANSWER sidebent away and rotated toward the short leg side
Based on the femoral head difference, when should a heel lift be considered? CORRECT ANSWER >5mm
What is the recommended time frame to wait before increasing a heel lift by 3mm?
CORRECT ANSWER 1-2 weeks
If a patient falls on their elbow and then presents with claw hand, which nerve was injured? CORRECT ANSWER ulnar nerve
Which nerve is responsible for finger adduction (including thumb)? CORRECT ANSWER ulnar nerve
