NBCE - PART 2 – NMS EXAM
REPORTED QUESTIONS WITH
CORRECT ANSWERS
Dorsal Scapular Nerve - Answer-Motor: Elevation & Retraction of Scapula
Muscle: Rhomboids & Levator Scapula
Sensory: N/A
Disorder: Medial flaring of the scapula.
Long Thoracic Nerve - Answer-Motor: Protraction of the Scapula
Muscle: Serratus Anterior
Sensory: N/A
Disorder: Lateral winging of the scapula.
Lateral Femoral Cutaneous Nerve - Answer-Motor: N/A
Muscle: N/A
Sensory: Lateral Thigh
Disorder: Meralgia Paresthetica
Posterior Femoral Cutaneous Nerve - Answer-Motor: N/A
Muscle: N/A
Sensory: Posterior Thigh
Disorder: N/A
Saphenous Nerve - Answer-Motor: N/A
Muscle: N/A
Sensory: Anteromedial Knee, Medial Leg
Disorder: N/A
Obturator Nerve - Answer-Motor: Hip Adduction
Muscle: Hip Adductor Muscles
Sensory: Medial Thigh
Disorder: Impingement
Femoral Nerve - Answer-Motor: Hip Flexion, Knee Extension
Muscle: Iliopsoas, Quadriceps
Sensory: Anteromedial Thigh and Leg
Disorder: Impingment
Sciatic Nerve - Answer-Motor: Flexion of the Knee
Muscle: Hamstrings
Sensory: Ant./Post. Leg, Sole/Dorsum of Foot
,Disorder: Piriformis Syndrome
Peroneal Nerve - Answer-Motor: Foot Dorsiflexion, Inversion, Eversion
Muscle: Tib. Anterior, Toe Extensors, Peroneals
Sensory: Anterior Leg, Dorsum of Foot
Disorder: Fibular Head Fracture
Medial Plantar Nerve - Answer-Motor: Toe Flexion
Muscle: Toe Flexor Muscles
Sensory: N/A
Disorder: Tarsal Tunal Syndrome
Dermatogenous Pain - Answer-Pain along the sensory distribution of a nerve root.
Myotogenous Pain - Answer-Pain that originates within a muscle.
Cramping, spasm, aching, dull.
Scleratogenous Pain - Answer-Pain that arises from structures derived from
ebryological sclerotomes (joint pain).
Poorly localized, dull, ache.
Radiating Pain - Answer-Pain along one nerve or from the same tissue.
Radicular Pain - Answer-Radiating pain along the course of a dermatome due to
irritation of a nerve root.
Referred Pain - Answer-Pain along scleroderm of origination involving more than one
kind of tissue (shared pathway).
Nerve Pain - Answer-Shooting, radiating, causalgia, tingling.
Circulation Pain - Answer-Throbbing, pulsating.
Cancer Pain - Answer-Constant, deep, boring, nocturnal, progressive, unremitting.
Myofascial Pain - Answer-Trigger points, jump sign.
Eye Referral - Answer-Forehead/Occiput
TMJ Referral - Answer-Temporal Headache
Liver/Gallbladder Referral - Answer-Right Shoulder and Right Inferior Scapula
Pancreas Referral - Answer-Spine @ T10 (Epigastric)
(Flank Bruising)
, Heart Referral - Answer-Left Shoulder & Medial Left Arm
Intestinal Referral - Answer-Periumbilical
Appendix Referral - Answer-Epigastric - Early
RLQ - Late
Kidney Referral - Answer-Flank
Ureter Referral - Answer-Groin
Bladder Referral - Answer-Suprapubic Area
(Cystitis = bladder infection)
Carpal Tunnel Syndrome - Answer-Median Nerve Involvement (Ape Hand)
Under Flexor Retinaculum
Caused by trauma, obesity, fluid retention, pregnancy, hypothyroidism, RA.
Nocturnal pain, paresthesia of the hand, thenar atrophy, weak opponens pollicis.
Adjust, cock-up splint, diuretic, B6.
Pronator Teres Syndrome - Answer-Median Nerve Involvement (Ape Hand)
B/t heads of pronator teres at elbow.
Ant. Interosseous Nerve
Pain on the volar aspect of forearm.
Paresthesia in median distribution of hand.
Decreased grip strength.
Caused by hypertonicity of the muscle (flexor based activities).
Trigger point therapy, spray and stretch.
Ulnar Nerve Entrapment - Answer-Claw Hand
Tunnel of Guyon (under hook of hamate)
Cubital Tunnel (elbow)
Direct trauma or repetitive microtrauma.
Pain, tingling, and numbness, in ulnar nerve distribution.
Weakness of the adductor pollicis.
Hypothenar Atrophy
Adjust, tape, and support.
Radial Nerve Entrapment - Answer-Wrist Drop, Erb's Palsy, Saturday Night Palsy,
Crutch Palsy
Spiral Groove
Trauma, lead poisoning, or pressure from crutches.
Adjust, increase strength, or stretch muscle.
Lateral Femoral Cutaneous Nerve Entrapment - Answer-Meralgia Paresthetica
Over pubic brim and under inguinal ligament.