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OMM Review - COMLEX High Yield Exam
Questions and Answers
What is TART? - ANSWER ✔✔-tissue texture change
asymmetry
restriction of motion
tenderness
Fryette's laws 1-3 - ANSWER ✔✔-1. neutral, SB and R opposite
2. Non-neutral, SB and R same
3. Motion one plane alters other planes
Rule of 3's - ANSWER ✔✔-T1-T3 - spinous process in line w/ transverse
T4-T6 - spinous process half way to transverse process of segment below
T7-T9 - spinous process is level with transverse process of segment below
T10 - one segment below
T11 - half segment below
T12 - in line
Movement of OA - C0-C1 - ANSWER ✔✔-SB and R opposite in non-neutral
Movement of AA - C1-C2 - ANSWER ✔✔-Rotation
C2-C7 - ANSWER ✔✔-Type II Fryette's
Created by Grace Amelia © 2025, All Rights Reserved.
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HVLA - direct or indirect - ANSWER ✔✔-Direct
Muscle energy - direct or indirect - ANSWER ✔✔-Direct
Counterstrain - direct or indirect - ANSWER ✔✔-Indirect
MFR -direct or indirect - ANSWER ✔✔-Both
Cranial - direct or indirect - ANSWER ✔✔-Adults: indirect
Infants: direct
FPR - direct or indirect - ANSWER ✔✔-Indirect
Still- direct or indirect - ANSWER ✔✔-Indirect to direct
Which ribs are "true" and why? - ANSWER ✔✔-1-7, articulate w/ sternum
Which ribs are false and why? - ANSWER ✔✔-8-10, articulation w/ cartilage
Which ribs are floating and why? - ANSWER ✔✔-11-12, no anterior articulation
Which ribs exhibit pump handle motion? Explain motion. - ANSWER ✔✔-1-5 = AP diameter expansion
w/ respiration
Which ribs exhibit bucket handle motion? Explain motion. - ANSWER ✔✔-6-10 = lateral diameter
expansion w/ respiration
Which ribs exhibit caliper motion? - ANSWER ✔✔-11-12
Elevated ribs are stuck in ...
Which is key rib? - ANSWER ✔✔-Inhalation
Tx bottom rib
Created by Grace Amelia © 2025, All Rights Reserved.
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Depressed ribs are stuck in...
Which is key rib? - ANSWER ✔✔-Exhalation
Tx top rib
SNS effect on eye - ANSWER ✔✔-Mydriasis
PNS effect on eye - ANSWER ✔✔-Miosis
SNS effect on heart - ANSWER ✔✔-Increased rate, contractility, and conduction
PNS effect on heart - ANSWER ✔✔-Decrease rate, contractility, conduction
SNS effect on arterioles - ANSWER ✔✔-constriction
PNS effect on arterioles - ANSWER ✔✔-Dilation
SNS effect on lung - ANSWER ✔✔-Bronchial dilation
PNS effect on lung - ANSWER ✔✔-Bronchial construction
SNS effect on stomach/intestine - ANSWER ✔✔-Decrease motility
PNS effect on stomach/intestine - ANSWER ✔✔-Increase motility
SNS effect on male sex organs - ANSWER ✔✔-ejaculation
PNS effect on male sex organs - ANSWER ✔✔-erection
VS head and neck - ANSWER ✔✔-T1-T4
VS heart - ANSWER ✔✔-T1-T5
VS lung - ANSWER ✔✔-T2-T5
VS cervical upper esophagus - ANSWER ✔✔-T2-T4
Created by Grace Amelia © 2025, All Rights Reserved.
OMM Review - COMLEX High Yield Exam
Questions and Answers
What is TART? - ANSWER ✔✔-tissue texture change
asymmetry
restriction of motion
tenderness
Fryette's laws 1-3 - ANSWER ✔✔-1. neutral, SB and R opposite
2. Non-neutral, SB and R same
3. Motion one plane alters other planes
Rule of 3's - ANSWER ✔✔-T1-T3 - spinous process in line w/ transverse
T4-T6 - spinous process half way to transverse process of segment below
T7-T9 - spinous process is level with transverse process of segment below
T10 - one segment below
T11 - half segment below
T12 - in line
Movement of OA - C0-C1 - ANSWER ✔✔-SB and R opposite in non-neutral
Movement of AA - C1-C2 - ANSWER ✔✔-Rotation
C2-C7 - ANSWER ✔✔-Type II Fryette's
Created by Grace Amelia © 2025, All Rights Reserved.
,2|Page
HVLA - direct or indirect - ANSWER ✔✔-Direct
Muscle energy - direct or indirect - ANSWER ✔✔-Direct
Counterstrain - direct or indirect - ANSWER ✔✔-Indirect
MFR -direct or indirect - ANSWER ✔✔-Both
Cranial - direct or indirect - ANSWER ✔✔-Adults: indirect
Infants: direct
FPR - direct or indirect - ANSWER ✔✔-Indirect
Still- direct or indirect - ANSWER ✔✔-Indirect to direct
Which ribs are "true" and why? - ANSWER ✔✔-1-7, articulate w/ sternum
Which ribs are false and why? - ANSWER ✔✔-8-10, articulation w/ cartilage
Which ribs are floating and why? - ANSWER ✔✔-11-12, no anterior articulation
Which ribs exhibit pump handle motion? Explain motion. - ANSWER ✔✔-1-5 = AP diameter expansion
w/ respiration
Which ribs exhibit bucket handle motion? Explain motion. - ANSWER ✔✔-6-10 = lateral diameter
expansion w/ respiration
Which ribs exhibit caliper motion? - ANSWER ✔✔-11-12
Elevated ribs are stuck in ...
Which is key rib? - ANSWER ✔✔-Inhalation
Tx bottom rib
Created by Grace Amelia © 2025, All Rights Reserved.
, 3|Page
Depressed ribs are stuck in...
Which is key rib? - ANSWER ✔✔-Exhalation
Tx top rib
SNS effect on eye - ANSWER ✔✔-Mydriasis
PNS effect on eye - ANSWER ✔✔-Miosis
SNS effect on heart - ANSWER ✔✔-Increased rate, contractility, and conduction
PNS effect on heart - ANSWER ✔✔-Decrease rate, contractility, conduction
SNS effect on arterioles - ANSWER ✔✔-constriction
PNS effect on arterioles - ANSWER ✔✔-Dilation
SNS effect on lung - ANSWER ✔✔-Bronchial dilation
PNS effect on lung - ANSWER ✔✔-Bronchial construction
SNS effect on stomach/intestine - ANSWER ✔✔-Decrease motility
PNS effect on stomach/intestine - ANSWER ✔✔-Increase motility
SNS effect on male sex organs - ANSWER ✔✔-ejaculation
PNS effect on male sex organs - ANSWER ✔✔-erection
VS head and neck - ANSWER ✔✔-T1-T4
VS heart - ANSWER ✔✔-T1-T5
VS lung - ANSWER ✔✔-T2-T5
VS cervical upper esophagus - ANSWER ✔✔-T2-T4
Created by Grace Amelia © 2025, All Rights Reserved.
