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COMLEX Level 2 OMM | Practice Questions & Verified Answers | Osteopathic Manipulative Medicine Review 2026/2027

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Comprehensive COMLEX Level 2 OMM review covering osteopathic manipulative medicine concepts including counterstrain, muscle energy, HVLA, Chapman points, cranial mechanics, viscerosomatic reflexes, rib dysfunctions, spinal mechanics, sacral diagnosis, and other high-yield OMM topics with practice questions and verified answers for 2026/2027 preparation.

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COMLEX Level 2 Final Exam - OMM
Osteoporosis Name all patient types that HVLA is contraindicated in?
Fractures
Bone Cancer
RA
Downsyndrome


RIGHT sidebending 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?



F StRa In what directions (F/E Sidebending & Rotation) does the SCM normally flex
toward?



AC7 What COUNTERSTRAIN point is the SCM's Clavicular Head at?




AC8 What COUNTERSTRAIN point is the SCM's Sternal Head at?




T1-T3: at LEVEL According to Rules of 3, name each level for each spinous process:
T4-T6: 1/2 LEVEL DOWN T1-T3
T7-T9: 1 LEVEL DOWN T4-T6
T10: 1 full LEVEL DOWN T7-T9
T11: 1/2 LEVEL DOWN T10
T12: at LEVEL T11
T12


Mandibular Fossa: POSTERIORLY EXTERNAL rotation of the Temporal bone will cause the Mandibular
Chin: TOWARD side of EXTERNAL ROTATION of the Fossa and Chin to move in what direction?
Temporal bone


Mandibular Fossa: PANTERIORLY INTERNAL rotation of the Temporal bone will cause the Mandibular
Chin: AWAY from EXTERNAL ROTATION of the Fossa and Chin to move in what direction?
Temporal bone


Cervical: BUM What does "BUM BUL BM" stand for (what segments of the spine do each word
Thoracic: BUL apply to)?
Lumbar: BM


Serratus Anterior For an EXHALATION dysfunction of ribs 6-8, what is the key muscle?




Latissimus Dorsi For an EXHALATION dysfunction of ribs 9-10, what is the key muscle?




Anterior & Middle Scalenes For an EXHALATION dysfunction of rib 1, what is the key muscle?




Posterior Scalene For an EXHALATION dysfunction of rib 2, what is the key muscle?




Osteopathic Manipulation Short Leg Syndrome is FIRST TREATED w/_____________. If this fails, then
next step is Xray of hip.



Xray of hip What is the NEXT STEP in management of Short Leg Syndrome, AFTER OMM
Tx fails?

, COMLEX Level 2 Final Exam - OMM
1. Counterstrain What are the 3 MAJOR OMM techniques that are INDIRECT?
2. FPR
3. Myofascial Release (can be indirect or direct)


BOTH Indirect & Direct What type of OMM technique is Myofascial Release?




>50° At what Cobb angle is there Respiratory function compromised?
(!!!GREATER THAN 50!!!)



>75° At what Cobb angle is there Cardio function compromised?




20° - 45° At what Cobb angle is PT, Konstantin Exercises, OMT and Bracing indicated?
(moderate)



>50° At what Cobb angle is surgery indicated?
(severe)



5° - 15° At what Cobb angle range is it considered to be MILD?




Adson Test What SPECIFIC Special Test is used to diagnose Thoracic Outlet Syndrome if
the SCALENE Muscles are involved?



Wright's Test What SPECIFIC Special Test is used to diagnose Thoracic Outlet Syndrome if
the PECTORALIS MINOR Muscles are involved?



Military Poster Test What SPECIFIC Special Test is used to diagnose Thoracic Outlet Syndrome if
the FIRST RIB is involved?



Other hand monitors the PULSE 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


3rd intercostal space Where is the Chapman point for the UPPER LUNG lobes?
(between ribs 3 & 4)



4th intercostal space Where is the Chapman point for the LOWER LUNG lobes?
(between ribs 4 & 5)



Appendix What organ is this the COUNTERSTRAIN point for: Tip of transverse process
(source: Comquest) of T11?



B Which diagram demonstrates NORMAL Cranial FLEXION (of sphenoid &
occiput)?

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