NBCE practice test questions with
complete solutions33
A 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? - ANSWERS-Thompson
The case hx of a patient w/ Guillain Barre Syndrome is most likely to include which? - ANSWERS-
recent vaccination
Which of these complaints is most characteristic of cervical spondylotic myelopathy? -
ANSWERS-difficulty walking and neck pain
A patient w/ recurring unilateral periorbital pain, lacrimation, and rhinorrhea is most likely to
report? - ANSWERS-cluster headache
- lying in a dark room helps
Which of these patients statements is most characteristic of facet joint OA? - ANSWERS-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? -
ANSWERS-gymnastics
A patient w/ upper crossed syndrome exhibits _____________ rhomboid and
_________________ pectoralis musculature. - ANSWERS-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. -
ANSWERS-corticospinal tract
During the gait cycle, which action normally occurs immediately following heel strike? -
ANSWERS-foot supination
Which structures are most likely invovled when active range of motion reproduces symptoms,
but passive range of motion do not? - ANSWERS-muscles
Right arm and hand pain reproduced by cervical compression and relieved by flexion and
distraction are most characterisitic of? - ANSWERS-cervical radiculitis
Which test is used to isolate lesions in both the cervical and upper thoracic spine? - ANSWERS-
SOTO Hall
Which of these tests is best utilized to distinguish inflamed pleura from neuritis in the thoracic
spine? - ANSWERS-Schepelmann
What orthopedic procedure best screens for lateral rib fracture? - ANSWERS-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 -
ANSWERS-Ely's Sign
Which procedure, when positive, is most indicative of a medial disc protrusion? - ANSWERS-
Fajersztajn Test
,The combination of which low back movements places the most weight on the left lumbar facet
joints? - ANSWERS-extension, left lateral flexion and left rotation
Patellofemoral pain syndrome is typically associated with which examination finding? -
ANSWERS-increased Q angle
The McMurray test combines _________________ with _________________ of the knee to
evaluate for structural damage to the medial meniscus. - ANSWERS-external rotation
extension
Horner Syndrome is most likely to present with a ________________ reflex. - ANSWERS-
Babinski
A patient who is unable to stand with his eyes open and feet together most likley has a
____________________ dysfunction. - ANSWERS-vestibular system
Which condition is most likely if a patient's pupils do NOT constrict with light but react with
accomodation? - ANSWERS-Tabes Dorsalis (Neurosyphilis)
A herniation of the L4 disc is most likely to cause weakness of the ____________________
muscle. - ANSWERS-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 ? - ANSWERS-C5 nerve root
The anterior tibialis muscle test evaluates the ________________ nerve. - ANSWERS-deep
fibular
, Paresthesia on the palm and first, second, and third fingers most likely indicates nerve
entrapment at which location? - ANSWERS-pronator teres muscle
Which of these is most characteristic of a pyramidal tract lesion? - ANSWERS-apperance of
pathological reflexes
Which of these reflexes would most likely be abnormal in a patient w/ cauda equina syndrome?
- ANSWERS-cremasteric reflex
A lesion which impairs pain and temperature sensation only is most likely due to a
_______________ lesion. - ANSWERS-anterior cord
-anterospinothalamic tract
A 60 yr old patient w/ lower lumbar central spinal canal stenosis is most likely to demonstrate
_________________________. - ANSWERS-relief of pain when flexing forward
Rigidity during passive joint movement is most characteristic of a ____________________
lesion. - ANSWERS-basal ganglia
- Cog wheel, pill rolling - Parkinson's disease
Which of these is characteristic of an optic chiasm lesion? - ANSWERS-bitemporal hemianopia
Muscle weakness that becomes worse as the day progresses is most characteristic of
_____________________. - ANSWERS-myasthenia gravis
complete solutions33
A 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? - ANSWERS-Thompson
The case hx of a patient w/ Guillain Barre Syndrome is most likely to include which? - ANSWERS-
recent vaccination
Which of these complaints is most characteristic of cervical spondylotic myelopathy? -
ANSWERS-difficulty walking and neck pain
A patient w/ recurring unilateral periorbital pain, lacrimation, and rhinorrhea is most likely to
report? - ANSWERS-cluster headache
- lying in a dark room helps
Which of these patients statements is most characteristic of facet joint OA? - ANSWERS-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? -
ANSWERS-gymnastics
A patient w/ upper crossed syndrome exhibits _____________ rhomboid and
_________________ pectoralis musculature. - ANSWERS-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. -
ANSWERS-corticospinal tract
During the gait cycle, which action normally occurs immediately following heel strike? -
ANSWERS-foot supination
Which structures are most likely invovled when active range of motion reproduces symptoms,
but passive range of motion do not? - ANSWERS-muscles
Right arm and hand pain reproduced by cervical compression and relieved by flexion and
distraction are most characterisitic of? - ANSWERS-cervical radiculitis
Which test is used to isolate lesions in both the cervical and upper thoracic spine? - ANSWERS-
SOTO Hall
Which of these tests is best utilized to distinguish inflamed pleura from neuritis in the thoracic
spine? - ANSWERS-Schepelmann
What orthopedic procedure best screens for lateral rib fracture? - ANSWERS-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 -
ANSWERS-Ely's Sign
Which procedure, when positive, is most indicative of a medial disc protrusion? - ANSWERS-
Fajersztajn Test
,The combination of which low back movements places the most weight on the left lumbar facet
joints? - ANSWERS-extension, left lateral flexion and left rotation
Patellofemoral pain syndrome is typically associated with which examination finding? -
ANSWERS-increased Q angle
The McMurray test combines _________________ with _________________ of the knee to
evaluate for structural damage to the medial meniscus. - ANSWERS-external rotation
extension
Horner Syndrome is most likely to present with a ________________ reflex. - ANSWERS-
Babinski
A patient who is unable to stand with his eyes open and feet together most likley has a
____________________ dysfunction. - ANSWERS-vestibular system
Which condition is most likely if a patient's pupils do NOT constrict with light but react with
accomodation? - ANSWERS-Tabes Dorsalis (Neurosyphilis)
A herniation of the L4 disc is most likely to cause weakness of the ____________________
muscle. - ANSWERS-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 ? - ANSWERS-C5 nerve root
The anterior tibialis muscle test evaluates the ________________ nerve. - ANSWERS-deep
fibular
, Paresthesia on the palm and first, second, and third fingers most likely indicates nerve
entrapment at which location? - ANSWERS-pronator teres muscle
Which of these is most characteristic of a pyramidal tract lesion? - ANSWERS-apperance of
pathological reflexes
Which of these reflexes would most likely be abnormal in a patient w/ cauda equina syndrome?
- ANSWERS-cremasteric reflex
A lesion which impairs pain and temperature sensation only is most likely due to a
_______________ lesion. - ANSWERS-anterior cord
-anterospinothalamic tract
A 60 yr old patient w/ lower lumbar central spinal canal stenosis is most likely to demonstrate
_________________________. - ANSWERS-relief of pain when flexing forward
Rigidity during passive joint movement is most characteristic of a ____________________
lesion. - ANSWERS-basal ganglia
- Cog wheel, pill rolling - Parkinson's disease
Which of these is characteristic of an optic chiasm lesion? - ANSWERS-bitemporal hemianopia
Muscle weakness that becomes worse as the day progresses is most characteristic of
_____________________. - ANSWERS-myasthenia gravis
