NBCE Part 4 Clinical & Set-Ups EXAM AND STUDY GUIDE LATEST 2025 ACTUAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES(VERIFIED ANSWERS)|ALREADY GRADED A+

NBCE Part 4 Clinical & Set-Ups
./ ./ ./ ./ ./ ./




Case./History./-./correct./answer./ -./Identifying./Data./(name,./age,./etc.)

-./Chief./Complaint

-./Present./Illness./(OPPQRST)

-./Past./History

-./(SHITM)

-./Family./History

-./Occupational./History

-./Social./History

-./Review./of./Systems



Vitals./-./correct./answer./ -./Temperature

-./Pulse

-./Respiration

-./Blood./Pressure

-./Height

-./Weight



Blood./Pressure./-./correct./answer./ 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./way./up./until./disappears)

5../Place./stethoscope./in./ears

6../Pump./30-40./higher

7../Auscultate./to./O./(recording./true./systolic/diastolic./values)

,Physical./Exam./-./correct./answer./ -./Skin./Exam./XXX

-./Eye./Exam

-./Nose./Exam./XXX

-./Ear./Exam./

-./Mouth./&./Throat./Exam./XXX

-./Endocrinology./Exam./XXX

-./Genital./Exam./XXX

-./Lymphatic./Exam

-./Peripheral./Exam

-./Lung./Exam

-./Heart./Exam

-./Abdominal./Exam



Eye./Exam:./CN./III,./IV,./VI./-./correct./answer./ Cardinal./Field./of./Gaze



Eye./Exam:./CN./II./&./III./-./correct./answer./ -./Direct./(ipsilateral./eye)./

-./Indirect./(./contralateral./eye)



Eye./Exam:./CN./II./&./III./Accommodation./reflex./-
./correct./answer./ Accommodation:./Converge./&./Constrict



Follow./up./questions./to./a./+./Eye./Exam?./-./correct./answer./ -./headaches?

-./trouble./reading?

-./last./eye./exam?

-./normally./wear./glasses/contacts?



Ear./Exam:./Weber./&./Rhinne./-./correct./answer./ -./Preform./WEBER./first

-./Then./preform./Rhinne./on./the./EAR./that./CAN./HEAR

-./*Every./case./has./been./Meinier's./disease*./(ask:./ringing?,./deafness?,./dizzyness?)

,Lymphatic./Exam:./palpation./-./correct./answer./ palpate./w/./3./fingers



-./*Neck*./(EENT./questions)

-./Supraclavicular./(ROS)./

-./*Axillary*./(breast,./chest,./and./arms./questions)./4./walls

-./Inguinal./(legs/STDs)



Peripheral./Vascular./Exam./(PVE):./upper./extremity./palpation./-
./correct./answer./ *3./of./them/./Seated*

-./Unlar

-./Radial

-./Subclavian

-./Carotid

-./Temporal



Peripheral./Vascular./Exam./(PVE):./lower./extremity./palpation./-./correct./answer./ *Supine*

-./Femoral

-./Popliteal

-./Posterior./Tibial

-./Dorsal./Pedis



Peripheral./Vascular./Exam./(PVE):./special./tests./-./correct./answer./ -./Capillary./Refill

-./Allen's./Test

-./Claudication./Test

-./Buerger's./test

-./Homan's./test



Peripheral./Vascular./Exam./(PVE):./auscultation./-./correct./answer./ *BELL*

, -./@./carotid./bifurcation./(c4)

-./bruit

-turbulance



Heart./Exam:./palpate./&./auscultate./valve./sites./-./correct./answer./ *A*./-
./2nd./right./intercostal./space./(parasternal)./


*P*./-./2nd./left./intercostal./space./(parasternal)

E./-./*NOT./A./VALVE*

*T*./-./4th/5th./left./intercostal./space./(./parasternal)

*M*./-./5th./left./intercostal./space./(midclavicular)./*location./of./the./apical./pulse*



Heart./Exam:./PERCUSSION./(borders./of./the./heart)./-
./correct./answer./ a)./Left./side./(lateral./to./medial)./3,./4,./&./5./intercostal./spaces

b)./Right./side./(superior./to./inferior)./right./sternal./border



Abdominal./Aorta./Exam./-./correct./answer./ Auscultate./with./bell./



Palpate./lateral./to./medial



Lung./Exam:./Posterior./Thoracic./Palpation./-./correct./answer./ *SEATED*

-./Respiratory./Excursions/expansion

-./*Tactile./Fremitus*./("99"):



Lung./Exam:./Posterior./Thoracic./Percussion./-./correct./answer./ "Scan./APEX./(3./taps)



*Sounds*

-./Flat:./tumor/collapse

-./Dull:./fluid

-./Resonant:./normal