Part 3 NBCE practice questions with Verified Solutions

Part 3 NBCE practice questions with Verified Solutions What motion should normally be felt when palpating for ext between atlas and occiput? occiput and posterior arch of atlas should approximate Asymmetrical rib prominence seen during forward bending is characteristic of a __ scoliotic curvature structural Which vitamin supplement is most appropriate for a pregnant patient with soreness and cracking of the lips, corners of the mouth, and an oily facial dermatitis? riboflavin a deficiency of which vitamin is most likely for an alcoholic with bilateral paresthesia in the toes, burning in the feet, and tachycardia? pyridoxine what is the most appropriate initial case management for the previously untreated asymptomatic 14 yof with a left thoracic and right lumbar scoliosis? A. perform SI manipulation B. prescribe custom shoe orthotic C. presribe PT D. refer for ortho consult D which treatment is most appropriate for a patient with rounded shoulders and forward head carriage with numbness of the medial aspect of the left forearm and hand that is worsened by sustained arm abduction? A. wrist cock-up splint B. rhomboid muscle stretching C. pec minor muscle stretching D. soft cervical collar C what is the most appropriate subsequent course of action for a 12 yom who is overweight with acute localized right hip pain whose radiographs reveal a slipped epiphysis? refer for further ortho eval What is the most likely dx for a 62 yom with right hip pain whose blood tests reveal elevated serum alkaline phosphatase and his radiographs demonstrate a mottled increase in bone density of the proximal femur? Paget disease Which of these is not associated with an UMNL? A. muscle weakness B. spasticity C. hyporeflexia D. Hoffmann sign C The most appropriate recommendation for a high school baseball pitcher with cubital tunnel syndrome is __ sleep with the elbow splinted in 45 degrees of flexion Decreased hematocrit is most characteristic of __ A. severe dehydration B. polycythemia vera C. chronic hypoxia D. cirrhosis D retrosternal pain and dysphagia are the most common initial presenting symptoms of __ A. esophagitis B. pancreatitis C. duodenal ulcer D. angina pectoris A mild, aching LBP that encompasses the entire lumbar region and posterior pelvis and worsens with active movement is characteristic of lumbar __ A. fracture B. strain C. disc syndrome D. facet syndrome B The Hibbs test is used to assess __ of the hip A. ext rot B. int rot C. flex D. ext B Which of these motions occur in a coronal plane around a sagittal axis? A. wrist flexion and extension B. ankle dorsiflexion and plantarflexion C. hip abd and adduciton D. int and ext shoulder rotation C lumbar disc degeneration is most likely to result in __ A. decreased load on facets B. enlargement of lateral recesses C. nucleus pulposus engorgement D. dysfunction of the vertebral motion segment D To correct a left lateral flex fixation subluxation in the lumbar spine, the patient should be placed __ as the doctor utilizes a __ contact in the side posture, right side up; right mammillary which of these is the most appropriate initial procedure to perform on a 53 yof with a hx of RA who presents with cervical myospasm? cervical radiographic series what is the most appropriate initial case management for an intoxicated male who fell down the stairs and is complaining of neck stiffness and is supporting the weight of his head with his hands? refer patient to hospital what is the most appropriate case management for a patient with an acute quadriceps contusion? rest and ice which of these is most likely present in the case hx of a 9 y/o with osteomyelitis? previous upper respiratory infection which type of HA is most likely in a 30 yom who complains of unilateral periorbital pain, rhinorrhea, and indicates that the symptoms coincide with alcohol consumption? cluster what additional finding is most likely for a 45 yof with bilateral carpal tunnel like symptoms, cold intolerance, and dry skin? increased TSH which blood test is the most appropriate initial follow up if an elevated serum calcium level is found? parathyroid hormone what lumbar position most often aggravates facet syndrome? extension which landmark is used as the zero point for measuring venous pressure? sternal angle which of these involuntary movements is most characteristic of a patient with cerebral palsy? A. hemiballismus B. sydenham chorea C. athetosis D. fasciculation C The part of the eye most likely to become the site of a melanoma is the __ A. conjunctiva B. lens C. sclera D. cornea ??? choroid is the answer so maybe conjunctiva? small irregular pupils that accommodate but do not react to light are characteristic of __ argyll robertson pupil what is the most likely diagnosis for an elderly person with hip pain as the result of a fall whose inspection reveals a shortened ipsilateral leg and the hip fixed in 90 deg of ext rotation? extracapsular femoral fracture an abnormal pinch test indicates injury to what nerve? ulnar which fingers are most often affected by dupuytren contractures? ring and middle (really its ring and pinky but this was the only good option) the primary muscle for opening the mouth is the __ external pterygoid which of these is characteristic of acute midthoracic rib dysfunction? A. increased pain on inspiration B. pain referred to upper shoulder C. intercostal anesthesia D. epigastric pain A most appropriate for initial treatment of pseudotorticollis? cervical adjustments what is the most likely diagnosis for a 20 y/o with a hx of smoking who is experiencing acute stabbing chest pain? pleurisy which of these conditions predisposes and individual to dupuytren's contractures? diabetes mellitus what is the most likely dx for a female patient with intermittent joint arthralgia and reversible ulnar deviation of the IP joints? SLE Most likely dx if radiographs of a 12 yom with acute localized hip pain reveals a disruption of shenton line? slipped femoral capital epiphysis B/L hilar adenopathy in a 30 yof with painless cervical lymphadenopathy is most characteristic of __ Hodgkin lymphoma carpal tunnel view is most appropriate for determining fractures of the __ hook of hamate elevation of the alkaline phosphatase level to 3x the normal adult level in a 19 yom is __ suggestive of bone pathology such as osteosarcoma what is the most likely diagnosis for a 70 yom with calf pain that occurs when walking and is relieved by bending forward? neurogenic claudication most likely dx for a 60 yof who reports the recent appearance of a painless, raised, irregular lesion on her left leg, approximately 1 cm which has several blue and blue-black spots within it? malignant melanoma most appropriate referral for a 56 y/o obese female with a one year hx of pain in the midchest that occurs most frequently after meals? gastroenterologist absolute contraindication to use of mobilization technique? A. osteoporosis B. pregnancy C. arthrodesis D. Infectious arthritis D most appropriate for initial management of a patient with weak abdominal muscles and a hyperlordotic lumbar curvature? A. Supine leg raises B. abdominal hollowing C. lumbar extensions D. gluteal stretching C