NBCE PRACTICE TEST QUESTIONS
WITH COMPLETE SOLUTIONS
A0400year0old0male0presents0w/
0posterior0ankle0swelling.0He0reports0that0he0heard0a0"pop"0from0his0ankle0when0he0lande
d0awkwardly0after0a0jump.0Which0ortho0test?0-0ans--Thompson
The0case0hx0of0a0patient0w/0Guillain0Barre0Syndrome0is0most0likely0to0include0which?0-
0ans--recent0vaccination
Which0of0these0complaints0is0most0characteristic0of0cervical0spondylotic0myelopathy?0-
0ans--difficulty0walking0and0neck0pain
A0patient0w/
0recurring0unilateral0periorbital0pain,0lacrimation,0and0rhinorrhea0is0most0likely0to0report?0-
0ans--cluster0headache0
-0lying0in0a0dark0room0helps
Which0of0these0patients0statements0is0most0characteristic0of0facet0joint0OA?0-0ans--
i0have0constant0pain0in0my0low0back0that0radiates0to0my0foot0
the0pain0is0at0its0worst0upon0awakening0but0decreases0with0activity
Which0of0these0sports0has0a0high0incidence0of0stress0fracture0of0the0pars0interarticularis?
0-0ans--gymnastics
A0patient0w/
0upper0crossed0syndrome0exhibits0_____________0rhomboid0and0_________________ 0
pectoralis0musculature.0-0ans--Weak
Tight
A0gait0in0which0the0knee0is0fixed0in0extension0and0the0ankle0is0plantarflexed0while0the0leg
0swings0forward0in0a0semicircular0pattern0is0mostly0likely0caused0by0a0_______________
__0lesion.0-0ans--corticospinal0tract
During0the0gait0cycle,0which0action0normally0occurs0immediately0following0heel0strike?0-
0ans--foot0supination
,Which0structures0are0most0likely0invovled0when0active0range0of0motion0reproduces0symp
toms,0but0passive0range0of0motion0do0not?0-0ans--muscles
Right0arm0and0hand0pain0reproduced0by0cervical0compression0and0relieved0by0flexion0an
d0distraction0are0most0characterisitic0of?0-0ans--cervical0radiculitis
Which0test0is0used0to0isolate0lesions0in0both0the0cervical0and0upper0thoracic0spine?0-
0ans--SOTO0Hall
Which0of0these0tests0is0best0utilized0to0distinguish0inflamed0pleura0from0neuritis0in0the0tho
racic0spine?0-0ans--Schepelmann
What0orthopedic0procedure0best0screens0for0lateral0rib0fracture?0-0ans--
sternal0compression0test
During0flexion0of0the0patient's0heel0to0the0contralateral0buttock,0the0patient0begins0to0rais
e0his0pelvis0off0the0table0in0an0attempt0to0avoid0anterior0thigh0pain.0This0indicates0a0positi
ve0-0ans--Ely's0Sign
Which0procedure,0when0positive,0is0most0indicative0of0a0medial0disc0protrusion?0-0ans--
Fajersztajn0Test
The0combination0of0which0low0back0movements0places0the0most0weight0on0the0left0lumb
ar0facet0joints?0-0ans--extension,0left0lateral0flexion0and0left0rotation
Patellofemoral0pain0syndrome0is0typically0associated0with0which0examination0finding?0-
0ans--increased0Q0angle
The0McMurray0test0combines0_________________0with0_________________0of0the0kn
ee0to0evaluate0for0structural0damage0to0the0medial0meniscus.0-0ans--external0rotation0
extension
Horner0Syndrome0is0most0likely0to0present0with0a0________________0reflex.0-0ans--
Babinski
A0patient0who0is0unable0to0stand0with0his0eyes0open0and0feet0together0most0likley0has0a0
____________________0dysfunction.0-0ans--vestibular0system
Which0condition0is0most0likely0if0a0patient's0pupils0do0NOT0constrict0with0light0but0react0wi
th0accomodation?0-0ans--Tabes0Dorsalis0(Neurosyphilis)
A0herniation0of0the0L40disc0is0most0likely0to0cause0weakness0of0the0_________________
___0muscle.0-0ans--L50nerve0root0and0L50IVF
-0answer0=0extensor0hallucis0longus
, Weakness0of0the0biceps0muscle0w/
0normal0strength0of0the0wrist0extensors0indicates0a0lesion0of0the0?0-0ans--C50nerve0root
The0anterior0tibialis0muscle0test0evaluates0the0________________0nerve.0-0ans--
deep0fibular
Paresthesia0on0the0palm0and0first,0second,0and0third0fingers0most0likely0indicates0nerve0e
ntrapment0at0which0location?0-0ans--pronator0teres0muscle
Which0of0these0is0most0characteristic0of0a0pyramidal0tract0lesion?0-0ans--
apperance0of0pathological0reflexes
Which0of0these0reflexes0would0most0likely0be0abnormal0in0a0patient0w/
0cauda0equina0syndrome?0-0ans--cremasteric0reflex
A0lesion0which0impairs0pain0and0temperature0sensation0only0is0most0likely0due0to0a0____
___________0lesion.0-0ans--anterior0cord0
-anterospinothalamic0tract
A0600yr0old0patient0w/
0lower0lumbar0central0spinal0canal0stenosis0is0most0likely0to0demonstrate0____________
_____________.0-0ans--relief0of0pain0when0flexing0forward
Rigidity0during0passive0joint0movement0is0most0characteristic0of0a0__________________
__0lesion.0-0ans--basal0ganglia0
-0Cog0wheel,0pill0rolling0-0Parkinson's0disease
Which0of0these0is0characteristic0of0an0optic0chiasm0lesion?0-0ans--bitemporal0hemianopia
Muscle0weakness0that0becomes0worse0as0the0day0progresses0is0most0characteristic0of0_
____________________.0-0ans--myasthenia0gravis
Meralgia0paresthetica0may0mimic0irritation0of0the0___________0nerve0root(s).0-0ans--L2-
L3
-0lateral0femoral0cutaneous0nerve0
-0tight0pants
Which0of0these0is0characteristic0of0complex0regional0pain0syndrome?0-0ans--
persistent0burning0pain
Fixed0adduction0and0internal0rotation0of0the0shoulder0w/
0pronation0of0the0forearm0and0no0sensory0loss0is0most0characterisitic0of0_____________
______.0-0ans--Erb's0Palsy
WITH COMPLETE SOLUTIONS
A0400year0old0male0presents0w/
0posterior0ankle0swelling.0He0reports0that0he0heard0a0"pop"0from0his0ankle0when0he0lande
d0awkwardly0after0a0jump.0Which0ortho0test?0-0ans--Thompson
The0case0hx0of0a0patient0w/0Guillain0Barre0Syndrome0is0most0likely0to0include0which?0-
0ans--recent0vaccination
Which0of0these0complaints0is0most0characteristic0of0cervical0spondylotic0myelopathy?0-
0ans--difficulty0walking0and0neck0pain
A0patient0w/
0recurring0unilateral0periorbital0pain,0lacrimation,0and0rhinorrhea0is0most0likely0to0report?0-
0ans--cluster0headache0
-0lying0in0a0dark0room0helps
Which0of0these0patients0statements0is0most0characteristic0of0facet0joint0OA?0-0ans--
i0have0constant0pain0in0my0low0back0that0radiates0to0my0foot0
the0pain0is0at0its0worst0upon0awakening0but0decreases0with0activity
Which0of0these0sports0has0a0high0incidence0of0stress0fracture0of0the0pars0interarticularis?
0-0ans--gymnastics
A0patient0w/
0upper0crossed0syndrome0exhibits0_____________0rhomboid0and0_________________ 0
pectoralis0musculature.0-0ans--Weak
Tight
A0gait0in0which0the0knee0is0fixed0in0extension0and0the0ankle0is0plantarflexed0while0the0leg
0swings0forward0in0a0semicircular0pattern0is0mostly0likely0caused0by0a0_______________
__0lesion.0-0ans--corticospinal0tract
During0the0gait0cycle,0which0action0normally0occurs0immediately0following0heel0strike?0-
0ans--foot0supination
,Which0structures0are0most0likely0invovled0when0active0range0of0motion0reproduces0symp
toms,0but0passive0range0of0motion0do0not?0-0ans--muscles
Right0arm0and0hand0pain0reproduced0by0cervical0compression0and0relieved0by0flexion0an
d0distraction0are0most0characterisitic0of?0-0ans--cervical0radiculitis
Which0test0is0used0to0isolate0lesions0in0both0the0cervical0and0upper0thoracic0spine?0-
0ans--SOTO0Hall
Which0of0these0tests0is0best0utilized0to0distinguish0inflamed0pleura0from0neuritis0in0the0tho
racic0spine?0-0ans--Schepelmann
What0orthopedic0procedure0best0screens0for0lateral0rib0fracture?0-0ans--
sternal0compression0test
During0flexion0of0the0patient's0heel0to0the0contralateral0buttock,0the0patient0begins0to0rais
e0his0pelvis0off0the0table0in0an0attempt0to0avoid0anterior0thigh0pain.0This0indicates0a0positi
ve0-0ans--Ely's0Sign
Which0procedure,0when0positive,0is0most0indicative0of0a0medial0disc0protrusion?0-0ans--
Fajersztajn0Test
The0combination0of0which0low0back0movements0places0the0most0weight0on0the0left0lumb
ar0facet0joints?0-0ans--extension,0left0lateral0flexion0and0left0rotation
Patellofemoral0pain0syndrome0is0typically0associated0with0which0examination0finding?0-
0ans--increased0Q0angle
The0McMurray0test0combines0_________________0with0_________________0of0the0kn
ee0to0evaluate0for0structural0damage0to0the0medial0meniscus.0-0ans--external0rotation0
extension
Horner0Syndrome0is0most0likely0to0present0with0a0________________0reflex.0-0ans--
Babinski
A0patient0who0is0unable0to0stand0with0his0eyes0open0and0feet0together0most0likley0has0a0
____________________0dysfunction.0-0ans--vestibular0system
Which0condition0is0most0likely0if0a0patient's0pupils0do0NOT0constrict0with0light0but0react0wi
th0accomodation?0-0ans--Tabes0Dorsalis0(Neurosyphilis)
A0herniation0of0the0L40disc0is0most0likely0to0cause0weakness0of0the0_________________
___0muscle.0-0ans--L50nerve0root0and0L50IVF
-0answer0=0extensor0hallucis0longus
, Weakness0of0the0biceps0muscle0w/
0normal0strength0of0the0wrist0extensors0indicates0a0lesion0of0the0?0-0ans--C50nerve0root
The0anterior0tibialis0muscle0test0evaluates0the0________________0nerve.0-0ans--
deep0fibular
Paresthesia0on0the0palm0and0first,0second,0and0third0fingers0most0likely0indicates0nerve0e
ntrapment0at0which0location?0-0ans--pronator0teres0muscle
Which0of0these0is0most0characteristic0of0a0pyramidal0tract0lesion?0-0ans--
apperance0of0pathological0reflexes
Which0of0these0reflexes0would0most0likely0be0abnormal0in0a0patient0w/
0cauda0equina0syndrome?0-0ans--cremasteric0reflex
A0lesion0which0impairs0pain0and0temperature0sensation0only0is0most0likely0due0to0a0____
___________0lesion.0-0ans--anterior0cord0
-anterospinothalamic0tract
A0600yr0old0patient0w/
0lower0lumbar0central0spinal0canal0stenosis0is0most0likely0to0demonstrate0____________
_____________.0-0ans--relief0of0pain0when0flexing0forward
Rigidity0during0passive0joint0movement0is0most0characteristic0of0a0__________________
__0lesion.0-0ans--basal0ganglia0
-0Cog0wheel,0pill0rolling0-0Parkinson's0disease
Which0of0these0is0characteristic0of0an0optic0chiasm0lesion?0-0ans--bitemporal0hemianopia
Muscle0weakness0that0becomes0worse0as0the0day0progresses0is0most0characteristic0of0_
____________________.0-0ans--myasthenia0gravis
Meralgia0paresthetica0may0mimic0irritation0of0the0___________0nerve0root(s).0-0ans--L2-
L3
-0lateral0femoral0cutaneous0nerve0
-0tight0pants
Which0of0these0is0characteristic0of0complex0regional0pain0syndrome?0-0ans--
persistent0burning0pain
Fixed0adduction0and0internal0rotation0of0the0shoulder0w/
0pronation0of0the0forearm0and0no0sensory0loss0is0most0characterisitic0of0_____________
______.0-0ans--Erb's0Palsy
