COMSAE Phase 1 (Form 107)
Questions and Answers| Latest- Guaranteed Pass
,1. In Jones counterstrain technique, the tender point is monitored while the patient is
positioned:
A. At the restrictive barrier
B. In the position of maximum comfort, away from the barrier
C. At the end of active range of motion
D. In a neutral position only
Answer: B) In the position of maximum comfort, away from the barrier
Rationale: Counterstrain works by passively positioning the tissue to shorten the
affected muscle, reducing tender point tenderness, which is monitored during the
hold.
2. The standard hold time for a counterstrain treatment is approximately:
A. 3-5 seconds
B. 20 seconds
C. 90 seconds
D. 5 minutes
Answer: C) 90 seconds
Rationale: Counterstrain positions are typically held for about 90 seconds to allow
the proprioceptive reflex arc to reset before slow return to neutral.
3. Anterior counterstrain tender points are most commonly associated with somatic
dysfunctions in which direction?
A. Extension
B. Flexion
C. Sidebending only
D. None; anterior points indicate rotation only
Answer: B) Flexion
Rationale: Anterior tender points generally correspond to flexion-type somatic
dysfunctions, while posterior tender points correspond to extension-type dysfunctions.
4. Sympathetic innervation to the heart arises from which spinal levels?
A. T1-T5
B. T5-T9
C. T10-T11
D. T12-L2
Answer: A) T1-T5
, Rationale: Cardiac sympathetic fibers classically originate from spinal levels T1-T5,
which is clinically relevant for treating cardiac-related somatic dysfunction.
5. Sympathetic innervation to the adrenal medulla arises from spinal levels:
A. T5-T9
B. T8-T10
C. T10-T11
D. L1-L2
Answer: B) T8-T10
Rationale: The adrenal medulla receives direct preganglionic sympathetic innervation
classically taught as arising from T8-T10.
6. Sympathetic innervation to the stomach originates from spinal levels:
A. T1-T4
B. T5-T9
C. T10-T11
D. T12-L2
Answer: B) T5-T9
Rationale: Foregut structures, including the stomach, typically receive sympathetic
innervation from T5-T9 via the greater splanchnic nerve.
7. Sympathetic innervation to the kidneys arises from:
A. T5-T9
B. T10-T11
C. T12-L2
D. L1-L2
Answer: B) T10-T11
Rationale: The kidneys classically receive sympathetic innervation from spinal levels
T10-T11.
8. Sympathetic innervation to the small intestine arises from:
A. T5-T9
B. T9-T11
C. T10-T12
D. L1-L2
Answer: B) T9-T11
Rationale: Midgut structures, including the small intestine, receive sympathetic
innervation classically taught as T9-T11 via the lesser splanchnic nerve.
Questions and Answers| Latest- Guaranteed Pass
,1. In Jones counterstrain technique, the tender point is monitored while the patient is
positioned:
A. At the restrictive barrier
B. In the position of maximum comfort, away from the barrier
C. At the end of active range of motion
D. In a neutral position only
Answer: B) In the position of maximum comfort, away from the barrier
Rationale: Counterstrain works by passively positioning the tissue to shorten the
affected muscle, reducing tender point tenderness, which is monitored during the
hold.
2. The standard hold time for a counterstrain treatment is approximately:
A. 3-5 seconds
B. 20 seconds
C. 90 seconds
D. 5 minutes
Answer: C) 90 seconds
Rationale: Counterstrain positions are typically held for about 90 seconds to allow
the proprioceptive reflex arc to reset before slow return to neutral.
3. Anterior counterstrain tender points are most commonly associated with somatic
dysfunctions in which direction?
A. Extension
B. Flexion
C. Sidebending only
D. None; anterior points indicate rotation only
Answer: B) Flexion
Rationale: Anterior tender points generally correspond to flexion-type somatic
dysfunctions, while posterior tender points correspond to extension-type dysfunctions.
4. Sympathetic innervation to the heart arises from which spinal levels?
A. T1-T5
B. T5-T9
C. T10-T11
D. T12-L2
Answer: A) T1-T5
, Rationale: Cardiac sympathetic fibers classically originate from spinal levels T1-T5,
which is clinically relevant for treating cardiac-related somatic dysfunction.
5. Sympathetic innervation to the adrenal medulla arises from spinal levels:
A. T5-T9
B. T8-T10
C. T10-T11
D. L1-L2
Answer: B) T8-T10
Rationale: The adrenal medulla receives direct preganglionic sympathetic innervation
classically taught as arising from T8-T10.
6. Sympathetic innervation to the stomach originates from spinal levels:
A. T1-T4
B. T5-T9
C. T10-T11
D. T12-L2
Answer: B) T5-T9
Rationale: Foregut structures, including the stomach, typically receive sympathetic
innervation from T5-T9 via the greater splanchnic nerve.
7. Sympathetic innervation to the kidneys arises from:
A. T5-T9
B. T10-T11
C. T12-L2
D. L1-L2
Answer: B) T10-T11
Rationale: The kidneys classically receive sympathetic innervation from spinal levels
T10-T11.
8. Sympathetic innervation to the small intestine arises from:
A. T5-T9
B. T9-T11
C. T10-T12
D. L1-L2
Answer: B) T9-T11
Rationale: Midgut structures, including the small intestine, receive sympathetic
innervation classically taught as T9-T11 via the lesser splanchnic nerve.
