OMM COMLEX 2 PRACTICE
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
Restriction in the talotibial joint is primary in what direction? Caused? - ANSWER Tightness in the
gastrocenemius and solues cause restriction of the talobibial joint in dosiflexion
Schueuermann Kyphosis - ANSWER Presence of 5 degrees or more anterior wedging in at least 3
adjacent vartebrae. Characterized by a rigid thoracic kyphosis, vertebral wedging, and degenerative end
plates (small disc herniations). Most commonly affects adolescent boys. Strong family correlation.
Treatment- bracing prior to skeletal maturity.
Appendix Chapman points:
- anterior
- posterior - ANSWER Anterior appendix point- Tip of R rib 12
Posterior: Tip of TP of T 11
Chapman points are nodular ganglions that aid in locating visceral pathology
Radial Head movement with supination and pronation - ANSWER THe radial head is a cause of a lot of
somatic dysfunciton.
Ex: falling forward onto a promated forearm can cause restricted supination and restricted anterior glide
of the radial head.
Biomechanics of the forearm...
- *Pronation*: radial head glides *posteriorly*
- *Supinated*- radial head will glide *anteriorly*
Lateral epicondylitis - ANSWER Tennis elbow
Strain of the extensor muscles of the forearm near the lateral epicondyle.
, Overuse of the extensors and supinators
Medial epicondylitis - ANSWER Golfer's elbow:
Strain of the flexor muscles in the forearm near the medial epicondyle. overuse of the forearm flexors
and pronators
Spring Test - ANSWER Involves applying an anterior pressure to the lumbosacral base, with the patient
prone and relaxed. If there is restriction, there will be little motion through the lumbosacral junction,
resulting in poor spring. This is considered a *+ test*.
I.e. Positive spring = no movement, i.e. does *not* spring (nomenclature is confusing here). Backward
torsion should have a positive spring.
Negative spring: springing *does occur* and is associated with forward flexion
Sphinx test (backward bending test) - ANSWER Involves palpating the sacral sulcus at rest while the
patietn is prone and then having the patient extend the lumbar spine, placing their torso off the table
and resting on their elbows.
If the dysfunction resolves and there is *more symmetry* at the sacral sulcus, this is a negative test.
If the dysfunction is *unchanged or worsens, resulting in asymmetry, this is a *positive test*
Backward torsions should have both positive backward torsions and positive spring (does not spring,
worse asym on sphinx)
Tender points, which do you treat first - ANSWER The most tender, tender point
When using CSC for somatic dysfunction- it is advised to identify the tender point that is most tender.
QUESTIONS AND ANSWERS WITH
SOLUTIONS 2024
Restriction in the talotibial joint is primary in what direction? Caused? - ANSWER Tightness in the
gastrocenemius and solues cause restriction of the talobibial joint in dosiflexion
Schueuermann Kyphosis - ANSWER Presence of 5 degrees or more anterior wedging in at least 3
adjacent vartebrae. Characterized by a rigid thoracic kyphosis, vertebral wedging, and degenerative end
plates (small disc herniations). Most commonly affects adolescent boys. Strong family correlation.
Treatment- bracing prior to skeletal maturity.
Appendix Chapman points:
- anterior
- posterior - ANSWER Anterior appendix point- Tip of R rib 12
Posterior: Tip of TP of T 11
Chapman points are nodular ganglions that aid in locating visceral pathology
Radial Head movement with supination and pronation - ANSWER THe radial head is a cause of a lot of
somatic dysfunciton.
Ex: falling forward onto a promated forearm can cause restricted supination and restricted anterior glide
of the radial head.
Biomechanics of the forearm...
- *Pronation*: radial head glides *posteriorly*
- *Supinated*- radial head will glide *anteriorly*
Lateral epicondylitis - ANSWER Tennis elbow
Strain of the extensor muscles of the forearm near the lateral epicondyle.
, Overuse of the extensors and supinators
Medial epicondylitis - ANSWER Golfer's elbow:
Strain of the flexor muscles in the forearm near the medial epicondyle. overuse of the forearm flexors
and pronators
Spring Test - ANSWER Involves applying an anterior pressure to the lumbosacral base, with the patient
prone and relaxed. If there is restriction, there will be little motion through the lumbosacral junction,
resulting in poor spring. This is considered a *+ test*.
I.e. Positive spring = no movement, i.e. does *not* spring (nomenclature is confusing here). Backward
torsion should have a positive spring.
Negative spring: springing *does occur* and is associated with forward flexion
Sphinx test (backward bending test) - ANSWER Involves palpating the sacral sulcus at rest while the
patietn is prone and then having the patient extend the lumbar spine, placing their torso off the table
and resting on their elbows.
If the dysfunction resolves and there is *more symmetry* at the sacral sulcus, this is a negative test.
If the dysfunction is *unchanged or worsens, resulting in asymmetry, this is a *positive test*
Backward torsions should have both positive backward torsions and positive spring (does not spring,
worse asym on sphinx)
Tender points, which do you treat first - ANSWER The most tender, tender point
When using CSC for somatic dysfunction- it is advised to identify the tender point that is most tender.
