COMLEX OMM

Question 1

Primary motions of the following regions of the C-spine

OA
AA
C2-7

Answer 1

OA: flexion/extension

AA: rotation

C2-7: side-bending

Question 2

Short-leg syndrome treatment

Answer 2

Lift to the level of the sacral base. Start by 1/8” and increase by 1/16” each 2 weeks.

In elderly, start with 1/16”. With trauma, replace full length.

Question 3

Pump handle ribs

Answer 3

T1-5

Question 4

Bucket handle ribs

Answer 4

T6-10

Question 5

Muscle target: rib 1

Answer 5

Anterior/middle scalene mm.

Question 6

Muscle target: rib 2

Answer 6

Posterior scalene m.

Question 7

Muscle target: ribs 3-5

Answer 7

Pectoralis minor m.

Question 8

Muscle target: ribs 6-8

Answer 8

Serratus anterior m.

Question 9

Muscle target: ribs 9-11

Answer 9

Latissimus dorsi m.

Question 10

Muscle target: rib 12

Answer 10

Quadratus lumborum m.

Question 11

Sacral axes motion:

Superior transverse axis
Middle transverse axis
Inferior transverse axis

Answer 11

Superior transverse axis: respiratory

Middle transverse axis: postural (F/E)

Inferior transverse axis: LE motion

Question 12

Radial head dysfunctions

Answer 12

Anterior RH associated with supination

Posterior RH associated with pronation

Question 13

Increased Q angle

Decreased Q angle

Answer 13

Increased: genu valgus

Decreased: genu varus

Question 14

3 paired motions/phases of cranial flexion

Answer 14

Inhalation
ER of paired structures
Counternutation

Question 15

3 paired motions/phases of cranial extension

Answer 15

Exhalation
IR of paired structures
Nutation

Question 16

Axes: lateral strain

Answer 16

2 vertical axes

Question 17

Axes: vertical strain

Answer 17

2 transverse axes

Question 18

Axes: torsion

Answer 18

1 AP axis

Question 19

Axes: SB/rotation

Answer 19

1 AP (same)
2 vertical (opposite)

Question 20

Anterior cervical CS

Answer 20

AC1: Ra

AC2-6: FSaRa

AC7: FStRa

AC8: FSaRa

Question 21

Posterior cervical CS

Answer 21

PC1 inion: FStRa

PC1 occiput: ESaRa

PC2: ESaRa

PC3: FSaRa

PC4-8: ESaRa

Question 22

Anterior thoracic CS

Answer 22

AT1-6: F

AT7-12: FStRa

Question 23

Posterior lumbar CS

Answer 23

PL1-5: ESaRa

Question 24

Anterior lumbar CS (and locations)

Answer 24

AL1 (ASIS): FStRa

AL2 (medial AIIS): FSaRt
AL3 (lateral AIIS): FSaRt
AL4 (inferior AIIS): FSaRt

AL5 (pubic symphysis): FSaRa

Question 25

Anterior ribs CS Posterior ribs CS

Answer 25

Anterior: FStRt Posterior: PR1: ESaRt PR2-10: FSaRa

Question 26

Eyes CP

Answer 26

Surgical neck of humerus

Question 27

Middle ear CP

Answer 27

Superior to proximal 1/3 of clavicle

Question 28

Nasal sinuses CP

Answer 28

Below proximal 1/3 of clavicle

Question 29

Pharynx CP

Answer 29

Below 1st rib/manubrium jct.

Question 30

Larynx CP

Answer 30

2-3 cm. lateral to strenocostal jct.

Question 31

Tonsils CP

Answer 31

1st ICS

Question 32

Tongue CP

Answer 32

On 2nd rib

Question 33

Appendix CP (A vs. P)

Answer 33

Ant.: tip of 12th rib Post.: TP of T11

Question 34

Increased carrying angle Decreased carrying angle

Answer 34

>15 deg. = cubitus valgus and abduction of ulna <3 deg. = cubitus varus and adduction of ulna

Question 35

What type of mechanics do compensation of forward vs. backward torsions follow?

Answer 35

Forward: type 1 (N SR same) Backward: type 2 (F/E SR opposite)

Question 36

VS head/neck

Answer 36

T1-4

Question 37

VS heart

Answer 37

T1-5

Question 38

VS lungs

Answer 38

T2-7

Question 39

VS esophagus

Answer 39

T2-8

Question 40

VS upper GI, middle GI, lower GI, appendix

Answer 40

Upper: T5-9 Middle: T10-11 Lower: T12-L2 Appendix: T12

Question 41

VS kidney

Answer 41

T10-11

Question 42

VS adrenals

Answer 42

T10

Question 43

VS upper ureter, lower ureter

Answer 43

Upper ureter: T10-11 | Lower ureter: T12-L1

Question 44

VS bladder

Answer 44

T11-L2

Question 45

VS gonads

Answer 45

T10-11

Question 46

VS uterus/cervix

Answer 46

T10-L2

Question 47

VS erectile tissues

Answer 47

T11-L2

Question 48

SNS nerve and ganglion: upper GI

Answer 48

Greater splanchnic n. | Celiac ganglion

Question 49

SNS nerve and ganglion: middle GI

Answer 49

Lesser splanchnic n. | Superior mesenteric ganglion

Question 50

SNS nerve and ganglion: lower GI

Answer 50

Least splanchnic n. | Inferior mesenteric ganglion

Question 51

VS prostate

Answer 51

T12-L2

Question 52

VS UE, LE

Answer 52

UE: T2-8 LE: T11-L2

Question 53

PSNS of GI

Answer 53

CN X until distal half of transverse colon Pelvic splanchnic n. past distal half of transverse colon

Question 54

Fibular head mechanics

Answer 54

Posterior fibular head is paired with supination (adduction, PF, inversion) Anterior fibular head is paired with pronation (abduction, DF, eversion)

Question 55

CS and location: psoas m.

Answer 55

2/3 from ASIS to midline; F St

Question 56

CS and location: iliacus m.

Answer 56

1/3 from ASIS to midline; F ER w/ knees flexed

Question 57

CS and location: low ilium

Answer 57

Anterior and superior aspect of pubic ramus; IL flexion

Question 58

CS and location: inguinal

Answer 58

Lateral to pubic tubercle; F Add IR

Question 59

CS and location: piriformis m.

Answer 59

Anywhere from lateral sacrum to greater trochantor; F Abd

Question 60

CS and location: UPL5, LPL5

Answer 60

UPL5: superior PSIS; E Add IR/ER LPL5: inferior PSIS; F Add IR

Question 61

CS and location: gluteus medius m.

Answer 61

2/3 from PSIS to TFL; E Abd ER