5/4/25, 7:20 PM NBCE Part 4 Clinical & Set-Ups Exam Questions With Rationales: Latest Updated Solution
NBCE CLINICAL & SET-UPS PART 4 TEST BANK EXAM
NEWEST VERSION ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES |ALREADY
GRADED A+ BRAND NEW!!
- Identifying Data (name, age, etc.)
- Chief Complaint
- Present Illness (OPPQRST)
- Past History
- (SHITM)
Case History
- Family History
- Occupational History
- Social History
- Review of Systems
- Temperature
- Pulse
- Respiration
Vitals
- Blood Pressure
- Height
- Weight
How to do Blood Pressure:
1. Patient seated
2. Arm elevated (doctor braces patient's wrist)
3. Empty air from cuff, wrap tight on patient
4. Palpatory systolic (on the
Blood Pressure way up until disappears)
5. Place stethoscope in ears
6. Pump 30-40 higher
7. Auscultate to O (recording true
systolic/diastolic values)
… 1/37
,5/4/25, 7:20 PM NBCE Part 4 Clinical & Set-Ups Exam Questions With Rationales: Latest Updated Solution
- Skin Exam XXX
- Eye Exam
- Nose Exam XXX
- Ear Exam
- Mouth & Throat Exam XXX
- Endocrinology Exam XXX
Physical Exam - Genital Exam XXX
- Lymphatic Exam
- Peripheral Exam
- Lung Exam
- Heart Exam
- Abdominal Exam
Cardinal Field of Gaze
Eye Exam: CN III, IV, VI
- Direct (ipsilateral eye)
- Indirect ( contralateral eye)
Eye Exam: CN II & III
Accommodation: Converge & Constrict
Eye Exam: CN II & III
Accommodation reflex
- headaches?
- trouble reading?
Follow up questions to a + Eye
- last eye exam?
Exam?
- normally wear glasses/contacts?
- Preform WEBER first
- Then preform Rhinne on the EAR that CAN HEAR
Ear Exam: Weber & Rhinne - Every case has been
Meinier's disease (ask:
ringing?, deafness?,
dizzyness?)
palpate w/ 3 fingers
- Neck (EENT questions)
- Supraclavicular (ROS)
Lymphatic Exam: palpation
- Axillary (breast, chest, and
arms questions) 4 walls
- Inguinal (legs/STDs)
… 2/37
,5/4/25, 7:20 PM NBCE Part 4 Clinical & Set-Ups Exam Questions With Rationales: Latest Updated Solution
3 of them/ Seated
- Unlar
Peripheral Vascular Exam - Radial
(PVE): upper extremity - Subclavian
palpation - Carotid
- Temporal
Supine
- Femoral
Peripheral Vascular Exam
- Popliteal
(PVE): lower extremity - Posterior Tibial
palpation - Dorsal Pedis
- Capillary Refill
- Allen's Test
Peripheral Vascular Exam
- Claudication Test
(PVE): special tests - Buerger's test
- Homan's test
BELL
Peripheral Vascular Exam - @ carotid bifurcation (c4)
(PVE): auscultation - bruit
-turbulance
A - 2nd right intercostal
space (parasternal) P - 2nd
Heart Exam: palpate & left intercostal space
auscultate valve sites (parasternal) E - NOT A
VALVE
T - 4th/5th left intercostal
space ( parasternal) M - 5th
left intercostal space
(midclavicular) location of
the apical pulse
a) Left side (lateral to medial) 3,
Heart Exam: PERCUSSION 4, & 5 intercostal spaces
(borders of the heart) b) Right side (superior to
inferior) right sternal border
Auscultate with bell
Abdominal Aorta Exam
Palpate lateral to medial
… 3/37
, 5/4/25, 7:20 PM NBCE Part 4 Clinical & Set-Ups Exam Questions With Rationales: Latest Updated Solution
SEATED
- Respiratory Excursions/expansion
Lung Exam: Posterior Thoracic - Tactile Fremitus ("99"):
Palpation
"Scan APEX (3 taps)
Sounds
- Flat: tumor/collapse
- Dull: fluid
Lung Exam: Posterior Thoracic
Percussion - Resonant: normal
- Hyperresonant: Air (COPD)
Diaphragmatic Expansion
- deep breath
- whispered pectoriloquy ("1,2,3")
Lung Exam: Posterior Thoracic - bronchophony ("99")
Auscultation
- egophony ("E")
- Fremitus ("99")
- Percussion
Lung Exam: Anterior Thorax - Auscultation
- Bowel sounds (diaphragm) indicates: borborygmi
Abdominal Exam: auscultation - Vessels (bell) aorta, renal & iliac;
indicates: vessel turbulence
-9 quadrants
- organ size (liver & spleen)
Abdominal Exam: percussion
- LIGHT PALPATION: Masses,
tenderness, rigidity (hand on
hand, finger tips, circular
Abdominal Exam: palpation
motion)
-DEEP PALPATION: Delineate
mass, location, size, shape,
consistency, tenderness,
pulsation &
mobility
… 4/37
NBCE CLINICAL & SET-UPS PART 4 TEST BANK EXAM
NEWEST VERSION ACTUAL EXAM WITH COMPLETE
QUESTIONS AND CORECT DETAILED ANSWERS
(VERIFIED ANSWERS) WITH RATIONALES |ALREADY
GRADED A+ BRAND NEW!!
- Identifying Data (name, age, etc.)
- Chief Complaint
- Present Illness (OPPQRST)
- Past History
- (SHITM)
Case History
- Family History
- Occupational History
- Social History
- Review of Systems
- Temperature
- Pulse
- Respiration
Vitals
- Blood Pressure
- Height
- Weight
How to do Blood Pressure:
1. Patient seated
2. Arm elevated (doctor braces patient's wrist)
3. Empty air from cuff, wrap tight on patient
4. Palpatory systolic (on the
Blood Pressure way up until disappears)
5. Place stethoscope in ears
6. Pump 30-40 higher
7. Auscultate to O (recording true
systolic/diastolic values)
… 1/37
,5/4/25, 7:20 PM NBCE Part 4 Clinical & Set-Ups Exam Questions With Rationales: Latest Updated Solution
- Skin Exam XXX
- Eye Exam
- Nose Exam XXX
- Ear Exam
- Mouth & Throat Exam XXX
- Endocrinology Exam XXX
Physical Exam - Genital Exam XXX
- Lymphatic Exam
- Peripheral Exam
- Lung Exam
- Heart Exam
- Abdominal Exam
Cardinal Field of Gaze
Eye Exam: CN III, IV, VI
- Direct (ipsilateral eye)
- Indirect ( contralateral eye)
Eye Exam: CN II & III
Accommodation: Converge & Constrict
Eye Exam: CN II & III
Accommodation reflex
- headaches?
- trouble reading?
Follow up questions to a + Eye
- last eye exam?
Exam?
- normally wear glasses/contacts?
- Preform WEBER first
- Then preform Rhinne on the EAR that CAN HEAR
Ear Exam: Weber & Rhinne - Every case has been
Meinier's disease (ask:
ringing?, deafness?,
dizzyness?)
palpate w/ 3 fingers
- Neck (EENT questions)
- Supraclavicular (ROS)
Lymphatic Exam: palpation
- Axillary (breast, chest, and
arms questions) 4 walls
- Inguinal (legs/STDs)
… 2/37
,5/4/25, 7:20 PM NBCE Part 4 Clinical & Set-Ups Exam Questions With Rationales: Latest Updated Solution
3 of them/ Seated
- Unlar
Peripheral Vascular Exam - Radial
(PVE): upper extremity - Subclavian
palpation - Carotid
- Temporal
Supine
- Femoral
Peripheral Vascular Exam
- Popliteal
(PVE): lower extremity - Posterior Tibial
palpation - Dorsal Pedis
- Capillary Refill
- Allen's Test
Peripheral Vascular Exam
- Claudication Test
(PVE): special tests - Buerger's test
- Homan's test
BELL
Peripheral Vascular Exam - @ carotid bifurcation (c4)
(PVE): auscultation - bruit
-turbulance
A - 2nd right intercostal
space (parasternal) P - 2nd
Heart Exam: palpate & left intercostal space
auscultate valve sites (parasternal) E - NOT A
VALVE
T - 4th/5th left intercostal
space ( parasternal) M - 5th
left intercostal space
(midclavicular) location of
the apical pulse
a) Left side (lateral to medial) 3,
Heart Exam: PERCUSSION 4, & 5 intercostal spaces
(borders of the heart) b) Right side (superior to
inferior) right sternal border
Auscultate with bell
Abdominal Aorta Exam
Palpate lateral to medial
… 3/37
, 5/4/25, 7:20 PM NBCE Part 4 Clinical & Set-Ups Exam Questions With Rationales: Latest Updated Solution
SEATED
- Respiratory Excursions/expansion
Lung Exam: Posterior Thoracic - Tactile Fremitus ("99"):
Palpation
"Scan APEX (3 taps)
Sounds
- Flat: tumor/collapse
- Dull: fluid
Lung Exam: Posterior Thoracic
Percussion - Resonant: normal
- Hyperresonant: Air (COPD)
Diaphragmatic Expansion
- deep breath
- whispered pectoriloquy ("1,2,3")
Lung Exam: Posterior Thoracic - bronchophony ("99")
Auscultation
- egophony ("E")
- Fremitus ("99")
- Percussion
Lung Exam: Anterior Thorax - Auscultation
- Bowel sounds (diaphragm) indicates: borborygmi
Abdominal Exam: auscultation - Vessels (bell) aorta, renal & iliac;
indicates: vessel turbulence
-9 quadrants
- organ size (liver & spleen)
Abdominal Exam: percussion
- LIGHT PALPATION: Masses,
tenderness, rigidity (hand on
hand, finger tips, circular
Abdominal Exam: palpation
motion)
-DEEP PALPATION: Delineate
mass, location, size, shape,
consistency, tenderness,
pulsation &
mobility
… 4/37
