COMLEX LEVEL 1 PRACTICE
COMPREHENSIVE TEST PAPER 2026
COMPLETE ANSWERS ACCURATE
⫸ Patient with a kidney stone in the upper ureter may have somatic
dysfunction at what spinal levels? Answer: T10-T11
⫸ Patient with a kidney stone in the lower ureter may have somatic
dysfunction at what spinal levels? Answer: T12-L1
⫸ Patient with cystitis or a kidney stone lodged in the urethra may have
somatic dysfunction at what spinal levels? Answer: T11-L2
⫸ Sympathetic innervation to the ovaries (& fallopian tubes!) and testes
comes from what spinal levels Answer: T10-T11
⫸ Sympathetic innervation to the erectile tissue of the penis or clitoris
comes from what spinal levels?
Ex: patient with premature ejaculation may have somatic dysfunction at
what spinal levels? Answer: T11-L2
⫸ What organs receive parasympathetics from S2-S4? Answer: Lower
GI tract
Lower ureters
,Urinary bladder
Urethra
Uterus
Cervix
Erectile Tissue
Everything in the pelvis except gonads and fallopian tubes!
⫸ What is the only pelvic organ who gets its parasympathetic
innervation from the vagus nerve? Answer: gonads (ovaries and testes)
**This includes the fallopian tubes!!!
⫸ What is the preferred OMM treatment for a patient with newly
diagnosed cancer? Answer: NONE - DON'T SPREAD THE TUMOR
⫸ What is the purpose of CV4 technique in pregnant women Answer:
Increased the strength of contractions during active labor
⫸ What is the result of the seated flexion test in someone with a
bilateral sacral extension? Answer: negative seated flexion (both bases
are jacked up yah feel?)
⫸ What does rib raising do for the sympathetic tone? Answer:
normalize it
,(nothing though)
⫸ To prevent compression of the IVC, pregnant women should lay in
the ____ position Answer: left lateral recumbent
⫸ Pregnant women have increased _____ of the ______ spine Answer:
lordosis of the lumbar spine
⫸ Patient has a rib that is "stuck up" and won't move down with
exhalation. What dis is Answer: Inhalation dysfunction aka inhaled rib
⫸ What is the key rib with inhalation dysfunction Answer: bottom rib
of the group
⫸ Patient has a rib that is "stuck down" and won't move up with
inhalation. What is this called Answer: Exhalation dysfunction aka
exhaled rib
⫸ What is the key rib with exhalation dysfunction Answer: top rib of
the group
⫸ What are the location of tender points for anterior ribs? Answer: Rib
1 - where rib meets manubrium
Rib 2 - MCL
, Ribs 3-6 - anterior axillary line
Ribs 7-12 are uncommon
⫸ What are the location of tender points for posterior ribs? Answer:
angle of the rib
⫸ Cranial flexion = sacral _____ Answer: extension
⫸ Cranial extension = sacral _______ Answer: flexion
⫸ Paired cranial bones __________ during cranial flexion Answer:
externally rotate (lateral aspects of bone move laterally)
⫸ Paired cranial bones __________ during cranial extension Answer:
internally rotate (lateral aspects of bone move medially)
⫸ Sacral motion during sphenobasilar synchondrosis (SBS) moves on
what axis located at what sacral level? Answer: 1. transverse axis
2. S2
⫸ What is the physiology behind Chapman's points? Answer: Trick
question, there is none.
COMPREHENSIVE TEST PAPER 2026
COMPLETE ANSWERS ACCURATE
⫸ Patient with a kidney stone in the upper ureter may have somatic
dysfunction at what spinal levels? Answer: T10-T11
⫸ Patient with a kidney stone in the lower ureter may have somatic
dysfunction at what spinal levels? Answer: T12-L1
⫸ Patient with cystitis or a kidney stone lodged in the urethra may have
somatic dysfunction at what spinal levels? Answer: T11-L2
⫸ Sympathetic innervation to the ovaries (& fallopian tubes!) and testes
comes from what spinal levels Answer: T10-T11
⫸ Sympathetic innervation to the erectile tissue of the penis or clitoris
comes from what spinal levels?
Ex: patient with premature ejaculation may have somatic dysfunction at
what spinal levels? Answer: T11-L2
⫸ What organs receive parasympathetics from S2-S4? Answer: Lower
GI tract
Lower ureters
,Urinary bladder
Urethra
Uterus
Cervix
Erectile Tissue
Everything in the pelvis except gonads and fallopian tubes!
⫸ What is the only pelvic organ who gets its parasympathetic
innervation from the vagus nerve? Answer: gonads (ovaries and testes)
**This includes the fallopian tubes!!!
⫸ What is the preferred OMM treatment for a patient with newly
diagnosed cancer? Answer: NONE - DON'T SPREAD THE TUMOR
⫸ What is the purpose of CV4 technique in pregnant women Answer:
Increased the strength of contractions during active labor
⫸ What is the result of the seated flexion test in someone with a
bilateral sacral extension? Answer: negative seated flexion (both bases
are jacked up yah feel?)
⫸ What does rib raising do for the sympathetic tone? Answer:
normalize it
,(nothing though)
⫸ To prevent compression of the IVC, pregnant women should lay in
the ____ position Answer: left lateral recumbent
⫸ Pregnant women have increased _____ of the ______ spine Answer:
lordosis of the lumbar spine
⫸ Patient has a rib that is "stuck up" and won't move down with
exhalation. What dis is Answer: Inhalation dysfunction aka inhaled rib
⫸ What is the key rib with inhalation dysfunction Answer: bottom rib
of the group
⫸ Patient has a rib that is "stuck down" and won't move up with
inhalation. What is this called Answer: Exhalation dysfunction aka
exhaled rib
⫸ What is the key rib with exhalation dysfunction Answer: top rib of
the group
⫸ What are the location of tender points for anterior ribs? Answer: Rib
1 - where rib meets manubrium
Rib 2 - MCL
, Ribs 3-6 - anterior axillary line
Ribs 7-12 are uncommon
⫸ What are the location of tender points for posterior ribs? Answer:
angle of the rib
⫸ Cranial flexion = sacral _____ Answer: extension
⫸ Cranial extension = sacral _______ Answer: flexion
⫸ Paired cranial bones __________ during cranial flexion Answer:
externally rotate (lateral aspects of bone move laterally)
⫸ Paired cranial bones __________ during cranial extension Answer:
internally rotate (lateral aspects of bone move medially)
⫸ Sacral motion during sphenobasilar synchondrosis (SBS) moves on
what axis located at what sacral level? Answer: 1. transverse axis
2. S2
⫸ What is the physiology behind Chapman's points? Answer: Trick
question, there is none.
