COMSAE Phase 1 Form 115 Latest 2027 – 250
Questions & Answers with Rationales | A+
Guaranteed Pass
Most Covered Areas
Osteopathic Principles & Practice – Fryette mechanics, viscerosomatic
reflexes, somatic dysfunction, OMT techniques
Foundational Biomedical Sciences – Anatomy, physiology, biochemistry,
microbiology, immunology, pathology, pharmacology
Clinical Systems – Cardiovascular, pulmonary, gastrointestinal, renal,
neurology, psychiatry
Behavioral Science & Biostatistics – Study design, sensitivity/specificity,
ethics, prevention levels
Section 1: Osteopathic Principles & Practice (Questions 1–30)
1. A patient's structural exam reveals a restricted T5 segment that prefers rotation
and side-bending to the right and improves when the patient slumps forward into
spinal flexion. What is the correct diagnosis?
A) T5 Neutral SR RL
B) T5 Extended RR SR
,C) T5 Flexed RR SR
D) T5 Flexed RL SL
Correct Answer: C) T5 Flexed RR SR
Because the dysfunction improves in flexion, the segment is diagnosed as Flexed.
According to Fryette's Second Law (Type II mechanics), when a single segment is in a non-
neutral position (flexion or extension), rotation and side-bending occur in the same direction,
making it RR SR .
2. According to Fryette's principles, Type I spinal mechanics occur when the spine is
in which position?
A) Neutral position
B) Flexion
C) Extension
D) Side-bending
Correct Answer: A) Neutral position
Fryette's Type I mechanics occur when the spine is in a neutral position. In Type I, side-
bending and rotation occur in opposite directions, and multiple vertebrae move as a group .
,3. A 24-year-old male presents with acute lower back pain after lifting heavy boxes.
Physical exam reveals a right rotation restriction at L3. According to Fryette's
principles, which best describes Type II mechanics?
A) Side-bending and rotation occur in opposite directions in a neutral spine
B) Side-bending and rotation occur in the same direction in a non-neutral spine
C) Side-bending occurs without rotation
D) Rotation occurs without side-bending
Correct Answer: B) Side-bending and rotation occur in the same direction in a non-
neutral spine
Type II mechanics occur when the spine is in a non-neutral position (flexion or extension). In
this state, side-bending and rotation occur in the same direction, typically involving a single
vertebral segment .
4. A patient with a history of chronic constipation presents with somatic dysfunction
at T11–T12. This is most likely a:
A) Viscerosomatic reflex from the colon
B) Somaticovisceral reflex from the spine
C) Direct trauma to the spine
D) Congenital anomaly
Correct Answer: A) Viscerosomatic reflex from the colon
, The descending colon is associated with a viscerosomatic reflex at T11–T12.
Viscerosomatic reflexes link visceral dysfunction to somatic dysfunction at specific spinal
levels, with the colon innervated by sympathetic fibers from T11–L2 .
5. Which osteopathic manipulative treatment technique involves placing a muscle in
a shortened position and then having the patient actively contract it against a
counterforce?
A) High-velocity low-amplitude (HVLA)
B) Muscle energy technique
C) Counterstrain
D) Myofascial release
Correct Answer: B) Muscle energy technique
Muscle energy technique uses voluntary patient muscle contraction in a controlled direction
against a physician-applied counterforce. It is commonly used to treat somatic dysfunction
by engaging the muscle spindle and Golgi tendon reflex .
6. Chapman's points are best described as:
A) Areas of tenderness used to diagnose somatic dysfunction
B) Bony landmarks for spinal diagnosis
C) Trigger points in skeletal muscle
D) Points for acupuncture needle placement
Questions & Answers with Rationales | A+
Guaranteed Pass
Most Covered Areas
Osteopathic Principles & Practice – Fryette mechanics, viscerosomatic
reflexes, somatic dysfunction, OMT techniques
Foundational Biomedical Sciences – Anatomy, physiology, biochemistry,
microbiology, immunology, pathology, pharmacology
Clinical Systems – Cardiovascular, pulmonary, gastrointestinal, renal,
neurology, psychiatry
Behavioral Science & Biostatistics – Study design, sensitivity/specificity,
ethics, prevention levels
Section 1: Osteopathic Principles & Practice (Questions 1–30)
1. A patient's structural exam reveals a restricted T5 segment that prefers rotation
and side-bending to the right and improves when the patient slumps forward into
spinal flexion. What is the correct diagnosis?
A) T5 Neutral SR RL
B) T5 Extended RR SR
,C) T5 Flexed RR SR
D) T5 Flexed RL SL
Correct Answer: C) T5 Flexed RR SR
Because the dysfunction improves in flexion, the segment is diagnosed as Flexed.
According to Fryette's Second Law (Type II mechanics), when a single segment is in a non-
neutral position (flexion or extension), rotation and side-bending occur in the same direction,
making it RR SR .
2. According to Fryette's principles, Type I spinal mechanics occur when the spine is
in which position?
A) Neutral position
B) Flexion
C) Extension
D) Side-bending
Correct Answer: A) Neutral position
Fryette's Type I mechanics occur when the spine is in a neutral position. In Type I, side-
bending and rotation occur in opposite directions, and multiple vertebrae move as a group .
,3. A 24-year-old male presents with acute lower back pain after lifting heavy boxes.
Physical exam reveals a right rotation restriction at L3. According to Fryette's
principles, which best describes Type II mechanics?
A) Side-bending and rotation occur in opposite directions in a neutral spine
B) Side-bending and rotation occur in the same direction in a non-neutral spine
C) Side-bending occurs without rotation
D) Rotation occurs without side-bending
Correct Answer: B) Side-bending and rotation occur in the same direction in a non-
neutral spine
Type II mechanics occur when the spine is in a non-neutral position (flexion or extension). In
this state, side-bending and rotation occur in the same direction, typically involving a single
vertebral segment .
4. A patient with a history of chronic constipation presents with somatic dysfunction
at T11–T12. This is most likely a:
A) Viscerosomatic reflex from the colon
B) Somaticovisceral reflex from the spine
C) Direct trauma to the spine
D) Congenital anomaly
Correct Answer: A) Viscerosomatic reflex from the colon
, The descending colon is associated with a viscerosomatic reflex at T11–T12.
Viscerosomatic reflexes link visceral dysfunction to somatic dysfunction at specific spinal
levels, with the colon innervated by sympathetic fibers from T11–L2 .
5. Which osteopathic manipulative treatment technique involves placing a muscle in
a shortened position and then having the patient actively contract it against a
counterforce?
A) High-velocity low-amplitude (HVLA)
B) Muscle energy technique
C) Counterstrain
D) Myofascial release
Correct Answer: B) Muscle energy technique
Muscle energy technique uses voluntary patient muscle contraction in a controlled direction
against a physician-applied counterforce. It is commonly used to treat somatic dysfunction
by engaging the muscle spindle and Golgi tendon reflex .
6. Chapman's points are best described as:
A) Areas of tenderness used to diagnose somatic dysfunction
B) Bony landmarks for spinal diagnosis
C) Trigger points in skeletal muscle
D) Points for acupuncture needle placement
