, STUVIA EXAM LIBRARY
EXAMINATION DOCUMENT 2026/2027
COMSAE Phase 1 Form 114 Practice Exam - OMM & Osteopathic
Principles Complete Review 2025|2026
A+ VERIFIED
NBOME COMSAE Phase 1 Form 114 - OMM Domain
Latest Update 2025|2026 | Expert Verified | Just Released | Verified Solutions | Pass Guaranteed | Instant Download Pdf
, TABLE OF CONTENTS - OMM &
OSTEOPATHIC PRINCIPLES
Section A: OPP & Somatic Dysfunction (Q1-Q50)
Section B: Counterstrain, Muscle Energy & HVLA (Q51-Q110)
Section C: Myofascial, Cranial & Viscerosomatic (Q111-Q165)
Section D: Autonomic, Lymphatic & Chapman Points (Q166-Q210)
Section E: Spine, Pelvis & Extremity Integrated OMM (Q211-Q275)
Answer Key
, 1. [COM114-OMM-Q1] Vignette 1: 68-year-old male presents to clinic with abdominal pain -
Labs: Glucose 210 - 2025 COMSAE Form 114 - Regarding Osteopathic Principles and
Philosophy, what is most likely diagnosis / best next step?
A. Management for osteopathic principles and philosophy that omits indicated diagnostic step or contradicts
current guidelines and osteopathic principles
B. Diagnosis for osteopathic principles and philosophy inconsistent with vignette, labs, or foundational
science principles in COMLEX/COMSAE blueprint
C. Incorrect mechanism for osteopathic principles and philosophy that fails to account for key clinical findings
or pathophysiology tested on COMSAE
D. Diagnosis and management consistent with osteopathic principles and philosophy per NBOME COMSAE
Phase 1 blueprint, with appropriate workup, OMM considerations, and evidence-based treatment
Correct answer: D. Diagnosis and management consistent with osteopathic principles and
philosophy per NBOME COMSAE Phase 1 blueprint, with appropriate workup, OMM considerations,
and evidence-based treatment.
Rationale: COMSAE Phase 1 Form 114 tests Osteopathic Principles and Philosophy. Correct answer integrates
foundational biomedical sciences and clinical reasoning per NBOME blueprint. The vignette points to classic presentation,
labs, and OMM correlation. Distractors are incorrect because they misinterpret pathophysiology, miss key distinguishing
features, or propose inappropriate management. For osteopathic principles and philosophy, COMLEX-style reasoning
requires linking anatomy, phys, biochem, micro, pharm, and OPP, selecting evidence-based next step.
2. [COM114-OMM-Q2] Vignette 2: 35-year-old pregnant woman presents to osteopathic clinic
with abdominal pain - Labs: CRP elevated - 2026 COMSAE Form 114 - Regarding Somatic
Dysfunction Diagnosis, what is most likely diagnosis / best next step?
A. Diagnosis for somatic dysfunction diagnosis inconsistent with vignette, labs, or foundational science
principles in COMLEX/COMSAE blueprint
B. Management for somatic dysfunction diagnosis that omits indicated diagnostic step or contradicts current
guidelines and osteopathic principles
C. Best next step for somatic dysfunction diagnosis includes focused history, physical, labs/imaging, and
consideration of somatic dysfunction and OMM as per osteopathic practice
D. Incorrect mechanism for somatic dysfunction diagnosis that fails to account for key clinical findings or
pathophysiology tested on COMSAE
Correct answer: C. Best next step for somatic dysfunction diagnosis includes focused history,
physical, labs/imaging, and consideration of somatic dysfunction and OMM as per osteopathic
practice.
Rationale: COMSAE Phase 1 Form 114 tests Somatic Dysfunction Diagnosis. Correct answer integrates foundational
biomedical sciences and clinical reasoning per NBOME blueprint. The vignette points to classic presentation, labs, and
OMM correlation. Distractors are incorrect because they misinterpret pathophysiology, miss key distinguishing features, or
propose inappropriate management. For somatic dysfunction diagnosis, COMLEX-style reasoning requires linking anatomy,
phys, biochem, micro, pharm, and OPP, selecting evidence-based next step.
3. [COM114-OMM-Q3] Vignette 3: 5-year-old boy presents to clinic with abdominal pain - Labs:
Na 138 K 4.1 - 2025 COMSAE Form 114 - Regarding Counterstrain Technique, what is most
likely diagnosis / best next step?
A. Diagnosis and management consistent with counterstrain technique per NBOME COMSAE Phase 1
blueprint, with appropriate workup, OMM considerations, and evidence-based treatment
B. Incorrect mechanism for counterstrain technique that fails to account for key clinical findings or
pathophysiology tested on COMSAE
C. Management for counterstrain technique that omits indicated diagnostic step or contradicts current
guidelines and osteopathic principles
EXAMINATION DOCUMENT 2026/2027
COMSAE Phase 1 Form 114 Practice Exam - OMM & Osteopathic
Principles Complete Review 2025|2026
A+ VERIFIED
NBOME COMSAE Phase 1 Form 114 - OMM Domain
Latest Update 2025|2026 | Expert Verified | Just Released | Verified Solutions | Pass Guaranteed | Instant Download Pdf
, TABLE OF CONTENTS - OMM &
OSTEOPATHIC PRINCIPLES
Section A: OPP & Somatic Dysfunction (Q1-Q50)
Section B: Counterstrain, Muscle Energy & HVLA (Q51-Q110)
Section C: Myofascial, Cranial & Viscerosomatic (Q111-Q165)
Section D: Autonomic, Lymphatic & Chapman Points (Q166-Q210)
Section E: Spine, Pelvis & Extremity Integrated OMM (Q211-Q275)
Answer Key
, 1. [COM114-OMM-Q1] Vignette 1: 68-year-old male presents to clinic with abdominal pain -
Labs: Glucose 210 - 2025 COMSAE Form 114 - Regarding Osteopathic Principles and
Philosophy, what is most likely diagnosis / best next step?
A. Management for osteopathic principles and philosophy that omits indicated diagnostic step or contradicts
current guidelines and osteopathic principles
B. Diagnosis for osteopathic principles and philosophy inconsistent with vignette, labs, or foundational
science principles in COMLEX/COMSAE blueprint
C. Incorrect mechanism for osteopathic principles and philosophy that fails to account for key clinical findings
or pathophysiology tested on COMSAE
D. Diagnosis and management consistent with osteopathic principles and philosophy per NBOME COMSAE
Phase 1 blueprint, with appropriate workup, OMM considerations, and evidence-based treatment
Correct answer: D. Diagnosis and management consistent with osteopathic principles and
philosophy per NBOME COMSAE Phase 1 blueprint, with appropriate workup, OMM considerations,
and evidence-based treatment.
Rationale: COMSAE Phase 1 Form 114 tests Osteopathic Principles and Philosophy. Correct answer integrates
foundational biomedical sciences and clinical reasoning per NBOME blueprint. The vignette points to classic presentation,
labs, and OMM correlation. Distractors are incorrect because they misinterpret pathophysiology, miss key distinguishing
features, or propose inappropriate management. For osteopathic principles and philosophy, COMLEX-style reasoning
requires linking anatomy, phys, biochem, micro, pharm, and OPP, selecting evidence-based next step.
2. [COM114-OMM-Q2] Vignette 2: 35-year-old pregnant woman presents to osteopathic clinic
with abdominal pain - Labs: CRP elevated - 2026 COMSAE Form 114 - Regarding Somatic
Dysfunction Diagnosis, what is most likely diagnosis / best next step?
A. Diagnosis for somatic dysfunction diagnosis inconsistent with vignette, labs, or foundational science
principles in COMLEX/COMSAE blueprint
B. Management for somatic dysfunction diagnosis that omits indicated diagnostic step or contradicts current
guidelines and osteopathic principles
C. Best next step for somatic dysfunction diagnosis includes focused history, physical, labs/imaging, and
consideration of somatic dysfunction and OMM as per osteopathic practice
D. Incorrect mechanism for somatic dysfunction diagnosis that fails to account for key clinical findings or
pathophysiology tested on COMSAE
Correct answer: C. Best next step for somatic dysfunction diagnosis includes focused history,
physical, labs/imaging, and consideration of somatic dysfunction and OMM as per osteopathic
practice.
Rationale: COMSAE Phase 1 Form 114 tests Somatic Dysfunction Diagnosis. Correct answer integrates foundational
biomedical sciences and clinical reasoning per NBOME blueprint. The vignette points to classic presentation, labs, and
OMM correlation. Distractors are incorrect because they misinterpret pathophysiology, miss key distinguishing features, or
propose inappropriate management. For somatic dysfunction diagnosis, COMLEX-style reasoning requires linking anatomy,
phys, biochem, micro, pharm, and OPP, selecting evidence-based next step.
3. [COM114-OMM-Q3] Vignette 3: 5-year-old boy presents to clinic with abdominal pain - Labs:
Na 138 K 4.1 - 2025 COMSAE Form 114 - Regarding Counterstrain Technique, what is most
likely diagnosis / best next step?
A. Diagnosis and management consistent with counterstrain technique per NBOME COMSAE Phase 1
blueprint, with appropriate workup, OMM considerations, and evidence-based treatment
B. Incorrect mechanism for counterstrain technique that fails to account for key clinical findings or
pathophysiology tested on COMSAE
C. Management for counterstrain technique that omits indicated diagnostic step or contradicts current
guidelines and osteopathic principles
