OMM (COMBANK) UPDATED ACTUAL
Exam Questions and CORRECT
Answers 2026/2027 A+ eXAM
Name all patient types that HVLA is contraindicated in? - ANSWER-Osteoporosis
Fractures
Bone Cancer
RA
Downsyndrome
If the ease of motion in TRANSLATION of a cervical spine vertebrae is to the LEFT. In
what SIDEBENDING direction will this equal the ease of motion? - ANSWER-RIGHT
sidebending
In what directions (F/E Sidebending & Rotation) does the SCM normally flex toward? -
ANSWER-F StRa
What COUNTERSTRAIN point is the SCM's Clavicular Head at? - ANSWER-AC7
What COUNTERSTRAIN point is the SCM's Sternal Head at? - ANSWER-AC8
According to Rules of 3, name each level for each spinous process:
T1-T3
T4-T6
T7-T9
T10
T11
T12 - ANSWER-T1-T3: at LEVEL
T4-T6: 1/2 LEVEL DOWN
T7-T9: 1 LEVEL DOWN
T10: 1 full LEVEL DOWN
T11: 1/2 LEVEL DOWN
T12: at LEVEL
EXTERNAL rotation of the Temporal bone will cause the Mandibular Fossa and Chin to
move in what direction? - ANSWER-Mandibular Fossa: POSTERIORLY
Chin: TOWARD side of EXTERNAL ROTATION of the Temporal bone
,INTERNAL rotation of the Temporal bone will cause the Mandibular Fossa and Chin to
move in what direction? - ANSWER-Mandibular Fossa: PANTERIORLY
Chin: AWAY from EXTERNAL ROTATION of the Temporal bone
What does "BUM BUL BM" stand for (what segments of the spine do each word apply
to)? - ANSWER-Cervical: BUM
Thoracic: BUL
Lumbar: BM
For an EXHALATION dysfunction of ribs 6-8, what is the key muscle? - ANSWER-
Serratus Anterior
For an EXHALATION dysfunction of ribs 9-10, what is the key muscle? - ANSWER-
Latissimus Dorsi
For an EXHALATION dysfunction of rib 1, what is the key muscle? - ANSWER-Anterior
& Middle Scalenes
For an EXHALATION dysfunction of rib 2, what is the key muscle? - ANSWER-Posterior
Scalene
Short Leg Syndrome is FIRST TREATED w/_____________. If this fails, then next step
is Xray of hip. - ANSWER-Osteopathic Manipulation
What is the NEXT STEP in management of Short Leg Syndrome, AFTER OMM Tx
fails? - ANSWER-Xray of hip
What are the 3 MAJOR OMM techniques that are INDIRECT? - ANSWER-1.
Counterstrain
2. FPR
3. Myofascial Release (can be indirect or direct)
What type of OMM technique is Myofascial Release? - ANSWER-BOTH Indirect &
Direct
At what Cobb angle is there Respiratory function compromised? - ANSWER->50°
(!!!GREATER THAN 50!!!)
At what Cobb angle is there Cardio function compromised? - ANSWER->75°
At what Cobb angle is PT, Konstantin Exercises, OMT and Bracing indicated? -
ANSWER-20° - 45°
(moderate)
At what Cobb angle is surgery indicated? - ANSWER->50°
(severe)
,At what Cobb angle range is it considered to be MILD? - ANSWER-5° - 15°
What SPECIFIC Special Test is used to diagnose Thoracic Outlet Syndrome if the
SCALENE Muscles are involved? - ANSWER-Adson Test
What SPECIFIC Special Test is used to diagnose Thoracic Outlet Syndrome if the
PECTORALIS MINOR Muscles are involved? - ANSWER-Wright's Test
What SPECIFIC Special Test is used to diagnose Thoracic Outlet Syndrome if the
FIRST RIB is involved? - ANSWER-Military Poster Test
One hand moves the body into position, and the OTHER hand monitors WHAT in these
3 Thoracic Outlet Syndrome Special Tests:
1. Military Poster Test
2. Adson Test
3. Wright's Test - ANSWER-Other hand monitors the PULSE
Where is the Chapman point for the UPPER LUNG lobes? - ANSWER-3rd intercostal
space
(between ribs 3 & 4)
Where is the Chapman point for the LOWER LUNG lobes? - ANSWER-4th intercostal
space
(between ribs 4 & 5)
What organ is this the COUNTERSTRAIN point for: Tip of transverse process of T11? -
ANSWER-Appendix
(source: Comquest)
Which diagram demonstrates NORMAL Cranial FLEXION (of sphenoid & occiput)? -
ANSWER-B
What Cobb angle will result in Respiratory dysfunction? - ANSWER->50°
(MUST be GREATER than)
What Cobb angle will result in Cardiovascular dysfunction? - ANSWER->75°
(MUST be GREATER than)
Treatment:
1) Place it in position of EASE
2) Apply FORCE VECTOR
3) Move into RESTRICTIVE BARRIER
What OMM technique is this? - ANSWER-Still Technique
What is the viscerosomatic segment for the ADRENAL Glands? - ANSWER-T8-T10
, (right above the Kidney's at T10-T11)
What is this IMAGE describing (FLEXION or EXTENSION of the Cranial motion)? -
ANSWER-Flexion
(counternutation)
What is the main purpose of the V-spread technique? - ANSWER-Separate restricted or
impacted sutures
Chapman point at the 2nd intercostal space is specific for what structures (hint: 4 total)?
- ANSWER-1. Esophagus
2. Bronchi
3. Thyroid
4. Heart (myocardium)
What Cranial Dysfunction is this describing: (left hand) second digit moves MEDIAL and
(left hand) fifth digit moves LATERAL? - ANSWER-LEFT Lateral Strain
What Cranial Dysfunction is this describing: (right hand) second digit moves MEDIAL
and (left hand) fifth digit moves MEDIAL? - ANSWER-RIGHT Lateral Strain
What CRANIAL Joint dysfunction needs to have the cervical spine positioned at 45
degrees during treatment set up? - ANSWER-AA Joint
*first step:
1. Flex cervical spine 45 degrees
**AA joint's ONLY motion is ROTATION
What cranial joint ONLY has motion is ROTATION? - ANSWER-AA Joint
What is a good OMM treatment technique for GERD? - ANSWER-Myofascial Release
at the Diaphragm
Iso-_________ Contractions is when the muscle shortens and lengthens at a constant
speed. - ANSWER-Isokinetic Contractions
POSTERIOR iliotibial band Chapman point is for ___________. - ANSWER-Prostate
Gland
External Rotation of the TEMPORAL bone will result in what deviation of the chin. -
ANSWER-TOWARD the side of the External Rotation
Which one of these is a TYPE I Somatic Dysfunction:
T3NSrRl
T3FRrSr - ANSWER-T3NSrRl
(sidebending & rotation: OPPOSITE)