COMSAE 115 EXAM / ACTUAL COMSAE 115 EXAM LATEST 2026
COMPLETE ACCURATE EXAM REAL QUESTIONS AND CORRECT
VERIFIED SOLUTIONS WITH RATIONALES (DETAILED ANSWERS)
NEWEST UPDATED VERSION
1. A 24-year-old man presents with acute low back pain after lifting a heavy box. Exam
shows paraspinal tenderness at L4–L5 with a right rotational restriction. Which spinal level
is most likely to demonstrate somatic dysfunction that refers pain to the anterior thigh?
Answer: L2–L4 (femoral nerve distribution).
2. A 55-year-old woman has fatigue, weight gain, and cold intolerance. Labs show high
TSH and low free T4. Which osteopathic viscerosomatic level is most associated with
thyroid dysfunction?
Answer: T1–T4.
3. A 30-year-old man has sudden onset of severe right flank pain radiating to the groin and
hematuria. CT shows a 4 mm ureteral stone. At which spinal levels would you expect
viscerosomatic reflex changes for the ureter?
Answer: T11–L2.
COMPLETE ACCURATE EXAM REAL QUESTIONS AND CORRECT
VERIFIED SOLUTIONS WITH RATIONALES (DETAILED ANSWERS)
NEWEST UPDATED VERSION
1. A 24-year-old man presents with acute low back pain after lifting a heavy box. Exam
shows paraspinal tenderness at L4–L5 with a right rotational restriction. Which spinal level
is most likely to demonstrate somatic dysfunction that refers pain to the anterior thigh?
Answer: L2–L4 (femoral nerve distribution).
2. A 55-year-old woman has fatigue, weight gain, and cold intolerance. Labs show high
TSH and low free T4. Which osteopathic viscerosomatic level is most associated with
thyroid dysfunction?
Answer: T1–T4.
3. A 30-year-old man has sudden onset of severe right flank pain radiating to the groin and
hematuria. CT shows a 4 mm ureteral stone. At which spinal levels would you expect
viscerosomatic reflex changes for the ureter?
Answer: T11–L2.
