COMLEX-USA Practice Test

Question 1

A patient appears with an absent triceps tendon reflex and weakness in the extensors of the hand, wrist, and elbow due 
to a neurological deficiency. Which nerve is the most likely to be affected?

Accepted Answer

Radial

Answer

Musculocutaneous

Answer

Axillary

Answer

Median

Question 2

A 50-year-old man is experiencing low back pain. On examination, the TP of L5 is seen to be posterior
 on the R. The asymmetry is worsened by extending L5, but flexion restores rotational symmetry. Which 
of the following statements about this Pt's SD is the most accurate?

Accepted Answer

In the stretched posture, L5 will oppose L-rotation.

Answer

The Pt would be requested to rotate his torso to the L against isometric contraction when using a muscular
 energy (post-isometric relaxation) approach.

Answer

A group dysfunction of the high Lumbar area will be present because to the non-neutral L5 SD.

Answer

This patient has psoas syndrome on the right side.

Question 3

A 40-year-old man with diabetes presents to the emergency department with acute low back pain. He was 
sliding into home plate during a softball game earlier today when the pain began. The discomfort is acute 
and has spread to his right lower extremities. He says he feels an electric ache in his R foot. What are some
 of the things you'd anticipate to find if you examined him?

Accepted Answer

Warm tissue alterations, hypertonic muscles, and reduced L-Spine ROM

Answer

With palpation of Lumbar tissues, guarded ROM of the L-Spine, and enhanced deep tendon reflexes of 
the R lower extremities, there is severe, intense pain.

Answer

With palpation and full active ROM of the L-Spine, edematous, swampy tissue is seen. On the dorsum of the foot, there is a loss of sensation.

Answer

Palpation reveals a dull ache. Straight leg raising test results were positive.

Question 4

The malfunctioning T12 segment has limitation in a transverse plane and around a transverse axis in a 
patient with low back pain. T12's position best describes which of the following dysfunctions?

Accepted Answer

T12 is rotated R and sidebent R.

Answer

R is sidebent T12.

Answer

T12 is flexed

Answer

T12 is rotated to the left.

Question 5

In which plane(s) does the 1st cervical segment (AA) have the most degree of freedom?

Accepted Answer

Transverse

Answer

Sagittal

Answer

Oblique

Answer

Transverse & Coronal

Question 6

Which of the following is regarded the most frequent L-Spine congenital anomaly?

Accepted Answer

Facet tropism

Answer

Spina bifida occulta

Answer

Lumbarization

Answer

Facet hypertorphy

Question 7

Guyon's canal nerve entrapment is likely to result in:

Accepted Answer

Weakness in finger abduction

Answer

Weakness in wrist flexion

Answer

Weakness in wrist adduction

Answer

Weakness in the thumb abductor

Question 8

During menses, a 16-year-old female experiences low, midline, wave-like cramping pelvic pain. The pain has
 been there for three months and has become increasingly severe. Her pain frequently radiates to her L-Spine
 and is accompanied by nausea. Which OMM approach, in conjunction to suitable oral drugs, can most successfully
 reduce the Pt's symptoms by modifying sympathetic tone?

Accepted Answer

To the thoraco-lumbar junction, rib raising & paraspinal inhibition

Answer

Release of celiac ganglion

Answer

Sacral inhibition

Answer

Release of the pelvic diaphragm

Question 9

Chronic renal insufficiency affects a 45-year-old diabetic male. An analysis of the structure is likely to reveal:

Accepted Answer

T10 - L1 ropy paraspinals

Answer

T5 and T6 have severe acute tender points.

Answer

Ropy paraspinals at C3

Answer

T8 and T9 fibrotic paraspinals

Question 10

Leg edema affects a 25-year-old woman in her 36th week of pregnancy. What is the most effective first treatment

Accepted Answer

Thoracic inlet release

Answer

L1 - L3 muscle energy

Answer

Pedal pump

Answer

Rib raising to the thoraco-lumbar junction