NBCE - PART 2 BOLDED ACTUAL EXAM QUESTIONS WITH ALL CORRECT ANSWERS

NBCE - PART 2 BOLDED ACTUAL EXAM QUESTIONS WITH ALL CORRECT ANSWERS Which test is performed by patient actively rotating head, doctor then exerts downward pressure in neutral then pressure with rotation; *positive is radiating pain (NR comp)*? - Answer-Foraminal compression test Test that is performed by doctor laterally flexing patients head and applying downward pressure; *radicular pain down arm indicates SOL or nerve root compression*? - Answer-Jackson's compression test Patient actively rotates the head and hyperextends neck to each side, then maximally lateral flexes; doctors does not contact patient for this test? - Answer-Maximum cervical compression test If pain is increased by a Cervical Distraction test, suspect _________: if pain is decreased suspect ______________? - Answer-Sprain/strain, NR compression A positive finding (pain) when performing a *Shoulder Depression test* is indicative of? - Answer-Burner/stinger, NR adhesion Test that is performed with patient supine, doctor places knife edge of hand on sternum while passively flexing the patients head toward the chest; *positive is pain (fracture)*? - Answer-Soto-Hall Invasive test where patient actively rotates and laterally flexes head, doctor delivers downward pressure and extends neck; *localized pain is indicative of facet, radiating NR comp*? - Answer-Spurlings test Test where doctor instructs patient to take a deep breath and hold it while bearing down? - Answer-Valsalva manuever Test where doctor holds digital pressure over jugular veins, patient is instructed to cough (we didn't perform in class)? - Answer-Naffziger's TOS test for vascular compromise; performed with patient seated and elbow flexed, ask patient to *pump the hand* while examiner occludes radial and ulnar arteries to blanch? - Answer-Allen's test TOS test where doctor *abducts, extends and externally rotates* the arm taking radial pulse, patient *rotates to tested side and extends*, takes deep breath; positive is alteration in amplitude of pulse, affects *subclavian artery*? - Answer-Adson's test (scalenus *anticus*) Modified Adson's test is performed by patient *rotating head to side opposite tested arm extending head* and taking deep breath, positive is indicative of? - Answer-Scalenus medius syndrome TOS test performed by pulling both patients *shoulders down and into extension* while taking both radial pulses, ask patient to *flex chin to chest*; + is altered or lost pulse? - Answer-Eden's costoclavicular manuever The *Wright's* TOS test is cogwheel abduction of arms to 180 degrees, doctor notes angle where radial pulse diminishes or is lost, + is 10 degree differential; what is syndrome? - Answer-Pec minor syndrome (*axillary artery*) TOS test where doctor exerts downward traction on arm while taking radial pulse, patient extends neck, if nothing look away; + is alteration in the amplitude of pulse? - Answer-Halstead's test Test where patient actively abducts the shoulder to 90 with elbow flexed and extends the shoulders back (touchdown) + is resistance or radiating pain means TOS, meningeal? - Answer-Bikele's sign How long is Roo's (chicken dance) test to be performed? - Answer-3-5 minutes Which tendon of the rotator cuff is *most frequently torn* (tear usually occurs at its point of insertion onto the humeral head at the *GREATER tuberosity*)? - Answer-Supraspinatus Of the four rotator cuff muscles (SITS) which is the *only one that inserts at the LESSER tubercle* of the humerus? - Answer-Subscapularis *Elevation of the scapula* is the responsibility of which 2 muscle groups? - Answer-Trapezius and levator scapula *Retraction of the scapula* is the responsibility of which 2 muscle groups? - Answer-Rhomboid major and minor *Protraction of the scapula* is the responsibility of which muscle group? - Answer-Serratus anterior Which shoulder test is performed by passive abduction of arm then suddenly removing support causing deltoid to contract; inability to hold arm position indicates? - Answer-Supraspinatus tear Apley's scratch test positives include pain or decreased ROM which indicates what to examiner? - Answer-General rotator cuff pathology or tendonitis Which test for chronic shoulder dislocation involves the doctor *abducting and slowly externally rotating* the affected shoulder while watching for signs of alarm? - Answer-Apprehension test If unable to perform the *Dugas test* (place hand of affected shoulder on opposite shoulder and attempt to bring shoulder down to chest) examiner suspects? - Answer-Shoulder dislocation Which test *follows the elicting of pain over the subacromial bursa* via palpation, then the *reduction of pain when the arm is passively abducted*? - Answer-Dawbarn's sign *Yergason's test* is positive when you hear an audible clicking or snapping of _____________ while palpating the shoulder and resisting patients attempt to supinate and flex the elbow? - Answer-Bicipital tendon Lateral epicondylitis or "tennis elbow" causes pain with extension of wrist and pronation of the elbow, what muscle is primarily involved? - Answer-Extensor carpi radialis *brevis* (ECRB) Medial epicondylitis "golfers elbow" or "little leaguers elbow" involves pain with flexion of wrist at medial portion of elbow, what muscle is involved? - Answer-Flexor carpi ulnaris (FCU) Two tests for lateral epicondylitis or "tennis elbow" are? - Answer-Cozen and Mills tests Test for medial epicondylitis or "golfers elbow" that is performed with patient seated, making a fist and flexing wrist with supination; doctor resists wrist flexion? - Answer-Reverse Cozen test Test for DeQuervain's tenosynovitis which cause pain over anatomical snuff box (STAPLE the PB)? - Answer-Finkelstein's test Froments paper sign tests for palsy of which nerve? - Answer-Ulnar *Phalen's sign or the reverse prayer sign* is performed by flexing wrists maximally and holding position for _______ while pushing both wrists together (carpal tunnel)? - Answer-1 min