COM Study Guide 2026
Everything you need to pass the COM exam in one place: the exam format, every topic to study, real practice questions with explanations, flashcards, and full-length practice tests. Free, no sign-up needed.
📋 COM Exam Format at a Glance
📚 COM Topics to Study (27)
✍️ Sample COM Questions & Answers
1. Which of the following is a common approach to treatment planning for patients with myofunctional disorders?
Myofunctional disorders often stem from improper muscle function and oral habits, which can also impact dental alignment. Therefore, treatment typically involves a combination of targeted myofunctional exercises to retrain muscles, behavioral changes to eliminate harmful habits (like tongue thrust), and often orthodontic interventions to correct any resulting dental or jaw malalignment. This integrated approach addresses both the functional and structural aspects for comprehensive improvement.
2. What should a COM professional do upon discovering a colleague's unethical conduct?
Professionals have an obligation to report misconduct through proper channels while documenting observations to support investigation.
3. When a child presents with suspected enlarged adenoids causing significant nasal obstruction, the appropriate management sequence is:
Enlarged adenoids create an anatomical barrier to nasal breathing; OMT cannot overcome structural obstruction, so ENT evaluation and potential adenoidectomy must precede myofunctional training.
4. What is scope creep in COM project management?
Scope creep adds requirements without formal evaluation, causing schedule delays and budget overruns.
5. Nail biting (onychophagia) is relevant to orofacial myofunctional therapy primarily because it:
Nail biting perpetuates an oral habit pattern, often keeping the lips apart and disrupting the nasal breathing posture that myofunctional therapy seeks to establish.
6. What is a COM professional's obligation regarding confidentiality?
Confidentiality requires protecting all client information from unauthorized disclosure, sharing only with consent or legal mandate.