NBCE PART 4 EXAM PRACTICES COMPREHENSIVE
QUESTIONS AND ANSWERS GET IT RIGHT GRADE A+
2024 UPDATE
Foraminal Compression Test - (correct answer) 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 - (correct answer) 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 - (correct answer) 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
Increased Pain -> Sprain/Strain
O'Donohue's Test is for.... - (correct answer) Determining whether it
is a SPRAIN or STRAIN
O'Donohue's Test Performed - (correct answer) 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 - (correct answer) The doctor asks the patient
to take a deep breath and hold while bearing down.
Postive Radicular Pain -> SOL
Maximal Cervical Compression Test - (correct answer) 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.
,Postive Radicular pain -> Nerve Root Compression
Shoulder Depression Test - (correct answer) 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 - (correct answer) 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 - (correct answer)
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 - (correct answer) Neurovascular
Compression Syndrome
, Allen's Test - (correct answer) Patient is seated with their elbow
flexed and forearm supinated. Ask patient to pump their hand while
doctor occludes the radial and 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 - (correct answer) Eden's Test
Eden's Test Performed - (correct answer) 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 - (correct answer) Scalenus Anticus Test
Scalenus Anticus Test Performed (MUST KNOW) - (correct answer)
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.
QUESTIONS AND ANSWERS GET IT RIGHT GRADE A+
2024 UPDATE
Foraminal Compression Test - (correct answer) 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 - (correct answer) 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 - (correct answer) 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
Increased Pain -> Sprain/Strain
O'Donohue's Test is for.... - (correct answer) Determining whether it
is a SPRAIN or STRAIN
O'Donohue's Test Performed - (correct answer) 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 - (correct answer) The doctor asks the patient
to take a deep breath and hold while bearing down.
Postive Radicular Pain -> SOL
Maximal Cervical Compression Test - (correct answer) 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.
,Postive Radicular pain -> Nerve Root Compression
Shoulder Depression Test - (correct answer) 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 - (correct answer) 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 - (correct answer)
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 - (correct answer) Neurovascular
Compression Syndrome
, Allen's Test - (correct answer) Patient is seated with their elbow
flexed and forearm supinated. Ask patient to pump their hand while
doctor occludes the radial and 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 - (correct answer) Eden's Test
Eden's Test Performed - (correct answer) 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 - (correct answer) Scalenus Anticus Test
Scalenus Anticus Test Performed (MUST KNOW) - (correct answer)
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.
