NBCE PART 3 WITH WELL ELABORATED ANSWERS
ACTUAL EXAM!!!
Goal of the Case Hx is to establish? - ANSWER☑️⭐-The how and why
How/Why details which aspect of the HX?e - ANSWER☑️⭐-Mech Of Injury-forces and energy dissipated
to create trauma
Trauma - ANSWER☑️⭐-Singular or multiply "the framework"
Other conditions must be detailed d/t - ANSWER☑️⭐-Directly/indirectly relate to the complaint or the
well being of the pt.
Understanding the whole patient, is best accomplished through the creation of - ANSWER☑️⭐-Doing a
clinical impression aka prioritized problems list
Clinical impression:
Basis upon?
Determines?
Contents to ensure thoroughness (5) - ANSWER☑️⭐-Based on Hx alone and determines what further
testing needs to be done.
1. Describe subluxation
2. Describe complaint with modifiers
3. Describe co-morbid factors
,4. Describe diagnoses
5. Describe complications
Subluxation aka? What priority? - ANSWER☑️⭐-aka intersegmental dysfunction, always number one
Complaints with modifiers
What dictates treatment plan?
? & ? provide markers for improvement? - ANSWER☑️⭐-Phase of injury dictates treatment plan
Severity and Frequency provide markers for improvement
Description of symptoms with location helps determine what tissues are involved a(quality & site)
Phases of Injury (3) and duration? - ANSWER☑️⭐-Acute: 0-72 hours
Subactue: 72 hrs-2 weeks
Chronic: 2 weeks +
acute exacerbation of a problem... responsablity of D.C - ANSWER☑️⭐-MUST be properly documented
Measurements of "Severity"(4) can be documented with numerical values ranging from ?-? which = for
these "descriptors" - ANSWER☑️⭐-0-2.5 mild/minimal
2.6-5.0 slight
5.1-7.5 moderate
7.6-10 severe
"Frequency" Scale (4) can be documented with numerical values ranging from ?-? which = for these
"descriptors" - ANSWER☑️⭐-Occasional: 0-25%
Intermittent: 26-50%
Frequent: 51-75%
Constant: 76-100%
, Description of Local Symptoms is in whose words? - ANSWER☑️⭐-only what the patient says and
describe each side.
ie subjective
"Algia" can only be used in assoc w/ what regions>? - ANSWER☑️⭐-cervicals, lumbars, and headache
Complaint with modifiers require the DC to - ANSWER☑️⭐-Need extra paperwork for mild/minimal and
occasional + severe and constant.
"umbrella" subluxation encompass what (3) aspects - ANSWER☑️⭐-Co-morbidities, complications, and
diagnoses
Co-morbid factors defined and examples (2) - ANSWER☑️⭐-Presence of one or more conditions in
addition to a primary conditions that has an effect on another Ddx or the overall well being
Ex. High blood pressure, diabetes etc.
Diagnoses - ANSWER☑️⭐-Always subluxation, there are some allopathic diagnoses.
Ex. osteoarthritis, AS, S/S, Fx, facet syndrome etc.
This determines treatment
Dejerene's Triad + has (?) steps, will increase pressure on ?, and is used to DDX? - ANSWER☑️⭐-3
Nerve Root
Disc, tumor, stenosis, severe trauma (fx)
"Complications" include minimum (8) aspects name them - ANSWER☑️⭐-demographics, lifestyle,
occupation, social, age, sex, religion, ADL's
#1 Hx predicts incidence LBP - ANSWER☑️⭐-previous LBP
Chief Complaint - ANSWER☑️⭐-MNOOPPQRST
ACTUAL EXAM!!!
Goal of the Case Hx is to establish? - ANSWER☑️⭐-The how and why
How/Why details which aspect of the HX?e - ANSWER☑️⭐-Mech Of Injury-forces and energy dissipated
to create trauma
Trauma - ANSWER☑️⭐-Singular or multiply "the framework"
Other conditions must be detailed d/t - ANSWER☑️⭐-Directly/indirectly relate to the complaint or the
well being of the pt.
Understanding the whole patient, is best accomplished through the creation of - ANSWER☑️⭐-Doing a
clinical impression aka prioritized problems list
Clinical impression:
Basis upon?
Determines?
Contents to ensure thoroughness (5) - ANSWER☑️⭐-Based on Hx alone and determines what further
testing needs to be done.
1. Describe subluxation
2. Describe complaint with modifiers
3. Describe co-morbid factors
,4. Describe diagnoses
5. Describe complications
Subluxation aka? What priority? - ANSWER☑️⭐-aka intersegmental dysfunction, always number one
Complaints with modifiers
What dictates treatment plan?
? & ? provide markers for improvement? - ANSWER☑️⭐-Phase of injury dictates treatment plan
Severity and Frequency provide markers for improvement
Description of symptoms with location helps determine what tissues are involved a(quality & site)
Phases of Injury (3) and duration? - ANSWER☑️⭐-Acute: 0-72 hours
Subactue: 72 hrs-2 weeks
Chronic: 2 weeks +
acute exacerbation of a problem... responsablity of D.C - ANSWER☑️⭐-MUST be properly documented
Measurements of "Severity"(4) can be documented with numerical values ranging from ?-? which = for
these "descriptors" - ANSWER☑️⭐-0-2.5 mild/minimal
2.6-5.0 slight
5.1-7.5 moderate
7.6-10 severe
"Frequency" Scale (4) can be documented with numerical values ranging from ?-? which = for these
"descriptors" - ANSWER☑️⭐-Occasional: 0-25%
Intermittent: 26-50%
Frequent: 51-75%
Constant: 76-100%
, Description of Local Symptoms is in whose words? - ANSWER☑️⭐-only what the patient says and
describe each side.
ie subjective
"Algia" can only be used in assoc w/ what regions>? - ANSWER☑️⭐-cervicals, lumbars, and headache
Complaint with modifiers require the DC to - ANSWER☑️⭐-Need extra paperwork for mild/minimal and
occasional + severe and constant.
"umbrella" subluxation encompass what (3) aspects - ANSWER☑️⭐-Co-morbidities, complications, and
diagnoses
Co-morbid factors defined and examples (2) - ANSWER☑️⭐-Presence of one or more conditions in
addition to a primary conditions that has an effect on another Ddx or the overall well being
Ex. High blood pressure, diabetes etc.
Diagnoses - ANSWER☑️⭐-Always subluxation, there are some allopathic diagnoses.
Ex. osteoarthritis, AS, S/S, Fx, facet syndrome etc.
This determines treatment
Dejerene's Triad + has (?) steps, will increase pressure on ?, and is used to DDX? - ANSWER☑️⭐-3
Nerve Root
Disc, tumor, stenosis, severe trauma (fx)
"Complications" include minimum (8) aspects name them - ANSWER☑️⭐-demographics, lifestyle,
occupation, social, age, sex, religion, ADL's
#1 Hx predicts incidence LBP - ANSWER☑️⭐-previous LBP
Chief Complaint - ANSWER☑️⭐-MNOOPPQRST
