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NBCE practice test questions
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NBCE practice test questionsA 40 year old male presents w/ posterior ankle swelling. He reports that he heard a "pop" from his ankle
when he landed awkwardly after a jump. Which ortho test? - ANS Thompson
The case hx of a patient w/ Guillain Barre Syndrome is most likely to include which? - ANS recent
vaccination
Which of these complaints is most characteristic of cervical spondylotic myelopathy? - ANS difficulty
walking and neck pain
A patient w/ recurring unilateral periorbital pain, lacrimation, and rhinorrhea is most likely to report? -
ANS cluster headache
- lying in a dark room helps
Which of these patients statements is most characteristic of facet joint OA? - ANS i have constant pain in
my low back that radiates to my foot
the pain is at its worst upon awakening but decreases with activity
Which of these sports has a high incidence of stress fracture of the pars interarticularis? - ANS
gymnastics
A patient w/ upper crossed syndrome exhibits _____________ rhomboid and _________________
pectoralis musculature. - ANS Weak
Tight
,A gait in which the knee is fixed in extension and the ankle is plantarflexed while the leg swings forward
in a semicircular pattern is mostly likely caused by a _________________ lesion. - ANS corticospinal
tract
During the gait cycle, which action normally occurs immediately following heel strike? - ANS foot
supination
Which structures are most likely invovled when active range of motion reproduces symptoms, but
passive range of motion do not? - ANS muscles
Right arm and hand pain reproduced by cervical compression and relieved by flexion and distraction are
most characterisitic of? - ANS cervical radiculitis
Which test is used to isolate lesions in both the cervical and upper thoracic spine? - ANS SOTO Hall
Which of these tests is best utilized to distinguish inflamed pleura from neuritis in the thoracic spine? -
ANS Schepelmann
What orthopedic procedure best screens for lateral rib fracture? - ANS sternal compression test
During flexion of the patient's heel to the contralateral buttock, the patient begins to raise his pelvis off
the table in an attempt to avoid anterior thigh pain. This indicates a positive - ANS Ely's Sign
Which procedure, when positive, is most indicative of a medial disc protrusion? - ANS Fajersztajn Test
The combination of which low back movements places the most weight on the left lumbar facet joints? -
ANS extension, left lateral flexion and left rotation
,Patellofemoral pain syndrome is typically associated with which examination finding? - ANS increased Q
angle
The McMurray test combines _________________ with _________________ of the knee to evaluate for
structural damage to the medial meniscus. - ANS external rotation
extension
Horner Syndrome is most likely to present with a ________________ reflex. - ANS Babinski
A patient who is unable to stand with his eyes open and feet together most likley has a
____________________ dysfunction. - ANS vestibular system
Which condition is most likely if a patient's pupils do NOT constrict with light but react with
accomodation? - ANS Tabes Dorsalis (Neurosyphilis)
A herniation of the L4 disc is most likely to cause weakness of the ____________________ muscle. - ANS
L5 nerve root and L5 IVF
- answer = extensor hallucis longus
Weakness of the biceps muscle w/ normal strength of the wrist extensors indicates a lesion of the ? -
ANS C5 nerve root
The anterior tibialis muscle test evaluates the ________________ nerve. - ANS deep fibular
Paresthesia on the palm and first, second, and third fingers most likely indicates nerve entrapment at
which location? - ANS pronator teres muscle
Which of these is most characteristic of a pyramidal tract lesion? - ANS apperance of pathological
reflexes
, Which of these reflexes would most likely be abnormal in a patient w/ cauda equina syndrome? - ANS
cremasteric reflex
A lesion which impairs pain and temperature sensation only is most likely due to a _______________
lesion. - ANS anterior cord
-anterospinothalamic tract
A 60 yr old patient w/ lower lumbar central spinal canal stenosis is most likely to demonstrate
_________________________. - ANS relief of pain when flexing forward
Rigidity during passive joint movement is most characteristic of a ____________________ lesion. - ANS
basal ganglia
- Cog wheel, pill rolling - Parkinson's disease
Which of these is characteristic of an optic chiasm lesion? - ANS bitemporal hemianopia
Muscle weakness that becomes worse as the day progresses is most characteristic of
_____________________. - ANS myasthenia gravis
Meralgia paresthetica may mimic irritation of the ___________ nerve root(s). - ANS L2-L3
- lateral femoral cutaneous nerve
- tight pants
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