NBCE PART 4 BOARDS ORTHOPEDICS PART IV NBCE EXAM 2025 ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (VERIFIED ANSWERS) | ALREADY GRADED A+ | LATEST EDITION

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NBCE PART 4 BOARDS ORTHOPEDICS PART IV NBCE
EXAM 2025 ACTUAL EXAM QUESTIONS AND
CORRECT ANSWERS (VERIFIED ANSWERS) | ALREADY
GRADED A+ | LATEST EDITION
Foraminal Compression Test - (answers)The patient is seated and actively rotates
head from side to side. Then the doctor exerts downward pressure and the head
is rotated to each side with pressure.



Positive Radicular Pain -> Nerve Root Compression



Positive Local Pain -> Foraminal Encroachment



Jackson's Compression Test - (answers)The patient is seated and the doctor
laterally flexes the patient head to the left and the right and applies downward
pressure.



Postive Radicular Pain -> Nerve Root Compression



Distraction Test - (answers)The patient is seated and the doctor holds under the
mastoid and pulls the patient's head superior, removing the weight of the head.



"What did you experience?"



Decreased Pain -> Nerve Root Compression

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Increased Pain -> Sprain/Strain



O'Donohue's Test is for.... - (answers)Determining whether it is a SPRAIN or
STRAIN



O'Donohue's Test Performed - (answers)1) Patient actively moves part against
resistance.

2) Then the doctor moves part passively through a full ROM.



Pain Active: STRAIN (damage in mm tissue)



Pain Passive: SPRAIN (damage I'm ligamentous tissue)



Valsalva's Maneuver - (answers)The doctor asks the patient to take a deep breath
and hold while bearing down.



Postive Radicular Pain -> SOL



Maximal Cervical Compression Test - (answers)Patient is seated and actively
rotated and extended head. If no pain the patient is asked to maximally laterally
flex head in the same direction. Repeat on the other side. No compression
applied.

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Postive Radicular pain -> Nerve Root Compression



Shoulder Depression Test - (answers)Patient is seated, the doctor depressed the
patient's shoulder while laterally flexing the cervical spine away from the
shoulder. Repeat on other side.



Postive Pain -> Nerve Root Adhesion



Soto Hall Sign - (answers)Patient supine and the doctor places one hand on the
patient's stream and passively flexes the patient's head towards his/her chest.



Positive localized pain -> ant: fracture/ post: ligament tear



Bakody's Test AKA Shoulder Abduction Test - (answers)Patient is seated and
placed affected arm's palm on top of their head. The elbow should be at the level
of the head.



Postive Relief of Pain -> IVF encroachment



Thoracic Outlet Syndrome AKA - (answers)Neurovascular Compression Syndrome



Allen's Test - (answers)Patient is seated with their elbow flexed and forearm
supinated. Ask patient to pump their hand while doctor occludes the radial and

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ulnar arteries until hand whitens. The patient the opens hand and doctor releases
on artery, recording fill time (until hand regains color). Repeat for other artery.



Postive for delay more than 10 seconds -> occlusion of the tested artery



Costoclavicular Maneuver AKA - (answers)Eden's Test



Eden's Test Performed - (answers)Patient is seated and doctor palpated for the
radial pulse. Patient brings shoulder down and back and then flexes chin to their
chest.



Positive if alteration to amplitude of radial pulse -> compression between first rib
and clavicle



Adson's Test AKA - (answers)Scalenus Anticus Test



Scalenus Anticus Test Performed (MUST KNOW) - (answers)Patient is seated and
doctor abducts, extends and externally rotates arm while taking the radial pulse.
Patient rotates head TOWARDS the tested side and extends head. Patient takes a
deep breath and holds it.



Postive if alteration to amplitude of radial pulse -> Scalenus Anticus Syndrome
(Cervical "Halstead" rib)