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NBCE Part 4 Boards - Part IV NBCE Exam Questions with Complete Solutions.
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NBCE Part 4 Boards - Part IV NBCE Exam Questions with Complete Solutions.
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NBCE Part 4 Boards - Part IV NBCE ExamQuestions with Complete Solutions
Foraminal Compression Test - (correct answer) -The patient is seated and actively rotates head from
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side to side. Then the doctor exerts downward pressure and the head is rotated to each side with
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pressure.
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Positive Radicular Pain -> Nerve Root Compression
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Positive Local Pain -> Foraminal Encroachment
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Jackson's Compression Test - (correct answer) -The patient is seated and the doctor laterally flexes the
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patient head to the left and the right and applies downward pressure.
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Postive Radicular Pain -> Nerve Root Compression
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Distraction Test - (correct answer) -The patient is seated and the doctor holds under the mastoid and
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pulls the patient's head superior, removing the weight of the head.
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"What did you experience?"
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Decreased Pain -> Nerve Root Compression yi yi yi yi yi
Increased Pain -> Sprain/Strain yi yi yi
O'Donohue's Test is for.... - (correct answer) -Determining whether it is a SPRAIN or STRAIN
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O'Donohue's Test Performed - (correct answer) -1) Patient actively moves part against resistance.
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,2) Then the doctor moves part passively through a full ROM.
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Pain Active: STRAIN (damage in mm tissue)
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Pain Passive: SPRAIN (damage I'm ligamentous tissue)
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Valsalva's Maneuver - (correct answer) -The doctor asks the patient to take a deep breath and hold
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while bearing down.
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Postive Radicular Pain -> SOL
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Maximal Cervical Compression Test - (correct answer) -Patient is seated and actively rotated and
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extended head. If no pain the patient is asked to maximally laterally flex head in the same direction.
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Repeat on the other side. No compression applied.
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Postive Radicular pain -> Nerve Root Compression
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Shoulder Depression Test - (correct answer) -Patient is seated, the doctor depressed the patient's
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shoulder while laterally flexing the cervical spine away from the shoulder. Repeat on other side.
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Postive Pain -> Nerve Root Adhesion
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Soto Hall Sign - (correct answer) -Patient supine and the doctor places one hand on the patient's
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stream and passively flexes the patient's head towards his/her chest.
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Positive localized pain -> ant: fracture/ post: ligament tear
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Bakody's Test AKA Shoulder Abduction Test - (correct answer) -Patient is seated and placed affected
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arm's palm on top of their head. The elbow should be at the level of the head.
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Postive Relief of Pain -> IVF encroachment
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Thoracic Outlet Syndrome AKA - (correct answer) -Neurovascular Compression Syndrome
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, Allen's Test - (correct answer) -Patient is seated with their elbow flexed and forearm supinated. Ask
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patient to pump their hand while doctor occludes the radial and ulnar arteries until hand whitens. The
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patient the opens hand and doctor releases on artery, recording fill time (until hand regains color).
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Repeat for other artery.
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Postive for delay more than 10 seconds -> occlusion of the tested artery
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Costoclavicular Maneuver AKA - (correct answer) -Eden's Test yi yi yi yi yi yi yi
Eden's Test Performed - (correct answer) -Patient is seated and doctor palpated for the radial pulse.
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Patient brings shoulder down and back and then flexes chin to their chest.
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Positive if alteration to amplitude of radial pulse -> compression between first rib and clavicle
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Adson's Test AKA - (correct answer) -Scalenus Anticus Test
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Scalenus Anticus Test Performed (MUST KNOW) - (correct answer) -Patient is seated and doctor
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abducts, extends and externally rotates arm while taking the radial pulse. Patient rotates head
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TOWARDS the tested side and extends head. Patient takes a deep breath and holds it.
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Postive if alteration to amplitude of radial pulse -> Scalenus Anticus Syndrome (Cervical "Halstead" rib)
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Modified Adson's Test AKA - (correct answer) -Scalenus Medius Test
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Scalenus Medius Test Performed (MUST KNOW) - (correct answer) -Patient is seated and doctor
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abducts, extends and externally rotates arm while taking the radial pulse. Patient rotates head AWAY
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from the tested side and extends head. Patient takes a deep breath and holds it.
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Positive if alteration to amplitude of radial pulse -> Scalenus medium syndrome (Subclavian Artery)
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Wright's Test AKA - (correct answer) -Hyperabduction Maneuver
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Hyperabduction Maneuver Performed (MUST KNOW) - (correct answer) -Patient is seated and doctor
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palpated radial pulse. Both arms are abducted 180degrees. The doctor notes at what angle the radial
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pulse diminishes or disappears.
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Positive f pulses are lost greater than 10degrees difference -> Pectorals Minor Syndrome (Axillary
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Artery)
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