COMLEX LEVEL 1 - SAVERESE OMM
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
Patient with pyelonephritis may have somatic dysfunction at what spinal levels? - ANSWER T11-L1
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.
1. Increased sympathetic tone
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
Patient with pyelonephritis may have somatic dysfunction at what spinal levels? - ANSWER T11-L1
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.
1. Increased sympathetic tone
