COMLEX-USA Osteopathic Manipulative Medicine 3

Question 1

Which type of somatic dysfunction is described as Type I (group) mechanics in the thoracic spine?

Accepted Answer

Multiple segments in neutral with side-bending and rotation opposite

Answer

Type I (Fryette's first law) involves neutral, multiple vertebral segments where side-bending and rotation occur in opposite directions.

Question 2

Strain-counterstrain tender points for lumbar flexion dysfunction are typically found:

Accepted Answer

On the anterior abdominal wall or ASIS region

Answer

Anterior lumbar strain-counterstrain tender points (L1–L5) are located anteriorly on the lower abdominal wall or near the ASIS.

Question 3

What is the end result of successfully treating a somatic dysfunction using indirect OMT techniques?

Accepted Answer

Resolution of all four TART criteria

Answer

Successful OMT resolves somatic dysfunction, eliminating the TART findings: tissue texture changes, asymmetry, restriction, and tenderness.

Question 4

The Galbreath technique is a mandibular drainage technique primarily used to treat dysfunction of which structure?

Accepted Answer

Eustachian tube / middle ear

Answer

The Galbreath technique uses rhythmic mandibular traction to open the Eustachian tube and facilitate middle ear drainage.

Question 5

Which nerve root level is primarily responsible for the knee jerk reflex and can be assessed via segmental facilitation at T12–L1?

Accepted Answer

L3–L4

Answer

The patellar (knee jerk) reflex is mediated by L3–L4 nerve roots; somatic dysfunction at L3–L4 may affect this reflex.

COMLEX-USA Practice Test