NBCE PART 3 EXAM QUESTIONS
ANSWERED CORRECTLY &
GRADED A+
Cumulative/ ? trauma? MUST document ? - Answer--repetitive
-document MOI
Repetitive motion becomes ? MUST document ? - Answer--becomes accumulated
trauma
-document MOI
Prolonged postural distortion is caused when pt? - Answer--primary MOI
-pt trauma holding body in one position for long periods of time with little or no
movement
Abnormality of Gait
2 descriptors and 2 instances?
Primary or 2ndary to other conditions? - Answer-unsteadiness/uncoordinated with
walking with loss or diminished motor ability
Secondary to other conditions
Diffuse Symptom Referral:
"Lumbar Facet Referral"
Where too, in what pattern?
Combines 2 structures?
Etiology?
Signif. of kemps?
Assoc. complicaiton?
common xray finding? - Answer--lumbar spine into lower extremity in non-dermatomal
pattern
-Hx traumatic cause
-combination facet and other soft tissues
-may/may not have referral on Kemps
-accompanied by claudicating S.S
-x-ray may show spinal arthrosis
Lumbar Facet Syndrome
Demographic?
MOI? HX?
Palliative?
Neuro PE resulit?
,XRAY: ??? angle is greater than ? degrees & ??????? curve findings? - Answer--
middle age +
-sudden misjudged movement, Hx LBP
-flexion improves pain
-no neurologic findings
-x-ray lumbosacral angle is greater than 15degrees
-Hadley's curve findings
SI Joint referral - Answer--Hx of pain with/without trauma that is local to joint or referring
into thigh and possibly down to the foot
-S/S from joint articulation and tissues and may have sclerotomal on coupled motion
-x-ray may have pathology
Lumbopelvic trigger point referral
HPI considerations?
referral?
Pt. presentation? - Answer--pt pain scenario that started local or diffuse; maybe
insidious (ie) repetitive motion or sustained postural distortion
-maybe peripheral referral into one or both lower etremities
-soft tissue spasm, edema
-antalgia
-altered lordosis or pelvic torque
Muscle Spasm defined and classes (2) - Answer-Sudden involuntary contraction.
Acute/subactute
Myofascitis defined and classed? - Answer-pain/tenderness in muscle and related CT.
Chronic nature (fibromalgia)
NOT fibroMYalgia
Visceral Referral
quality? - Answer-diffuse symptoms related to organs
ex. lower GI tract, kidney, bladder, sex organs
SOLS- L2/L3 Spinal N. Root (L1 Disc)
MOI?
AGE?
DT =/-?
mm test?
Dermatomal levels?
Reflex? - Answer--trauma/tumor
-<40
-DT +
-iliopsoas test
-dermatomes L1, L2, L3
-no reflex
, L3 spinal N. Root (SNR) inervates which mm group? - Answer-adductors
L3/L4 SNR (L3 disc)
HX
MOI
SITE
AGE
MM
Dermatome site
Reflex? - Answer--previous back pain
-twist with bending
-below knee
-<40
-Tib ant M. test (inversion)
-dermatome lower medial thigh to calf/or medial foot
-patellar reflex
-muscle girth difference
(medial hamstring reflex)
L5 SNR (L4) disc
HX
MOI
SITE
AGE
MM
Dermatome site
Reflex?
MM girth affected? - Answer--previous LBP
-twist with bending, below knee, <40yrs
-Ext dig longus muscle test (dorsi big toe)
-dermatomal lateral leg and top foot
-reflex intact
-muscle girth difference possible
S1 SNR (L5 disc)
HX
MOI
SITE
AGE
MM
Dermatome site
Reflex?
MM girth affected? - Answer--previous LBP
-twist with bend, below knee,
-<40yrs
ANSWERED CORRECTLY &
GRADED A+
Cumulative/ ? trauma? MUST document ? - Answer--repetitive
-document MOI
Repetitive motion becomes ? MUST document ? - Answer--becomes accumulated
trauma
-document MOI
Prolonged postural distortion is caused when pt? - Answer--primary MOI
-pt trauma holding body in one position for long periods of time with little or no
movement
Abnormality of Gait
2 descriptors and 2 instances?
Primary or 2ndary to other conditions? - Answer-unsteadiness/uncoordinated with
walking with loss or diminished motor ability
Secondary to other conditions
Diffuse Symptom Referral:
"Lumbar Facet Referral"
Where too, in what pattern?
Combines 2 structures?
Etiology?
Signif. of kemps?
Assoc. complicaiton?
common xray finding? - Answer--lumbar spine into lower extremity in non-dermatomal
pattern
-Hx traumatic cause
-combination facet and other soft tissues
-may/may not have referral on Kemps
-accompanied by claudicating S.S
-x-ray may show spinal arthrosis
Lumbar Facet Syndrome
Demographic?
MOI? HX?
Palliative?
Neuro PE resulit?
,XRAY: ??? angle is greater than ? degrees & ??????? curve findings? - Answer--
middle age +
-sudden misjudged movement, Hx LBP
-flexion improves pain
-no neurologic findings
-x-ray lumbosacral angle is greater than 15degrees
-Hadley's curve findings
SI Joint referral - Answer--Hx of pain with/without trauma that is local to joint or referring
into thigh and possibly down to the foot
-S/S from joint articulation and tissues and may have sclerotomal on coupled motion
-x-ray may have pathology
Lumbopelvic trigger point referral
HPI considerations?
referral?
Pt. presentation? - Answer--pt pain scenario that started local or diffuse; maybe
insidious (ie) repetitive motion or sustained postural distortion
-maybe peripheral referral into one or both lower etremities
-soft tissue spasm, edema
-antalgia
-altered lordosis or pelvic torque
Muscle Spasm defined and classes (2) - Answer-Sudden involuntary contraction.
Acute/subactute
Myofascitis defined and classed? - Answer-pain/tenderness in muscle and related CT.
Chronic nature (fibromalgia)
NOT fibroMYalgia
Visceral Referral
quality? - Answer-diffuse symptoms related to organs
ex. lower GI tract, kidney, bladder, sex organs
SOLS- L2/L3 Spinal N. Root (L1 Disc)
MOI?
AGE?
DT =/-?
mm test?
Dermatomal levels?
Reflex? - Answer--trauma/tumor
-<40
-DT +
-iliopsoas test
-dermatomes L1, L2, L3
-no reflex
, L3 spinal N. Root (SNR) inervates which mm group? - Answer-adductors
L3/L4 SNR (L3 disc)
HX
MOI
SITE
AGE
MM
Dermatome site
Reflex? - Answer--previous back pain
-twist with bending
-below knee
-<40
-Tib ant M. test (inversion)
-dermatome lower medial thigh to calf/or medial foot
-patellar reflex
-muscle girth difference
(medial hamstring reflex)
L5 SNR (L4) disc
HX
MOI
SITE
AGE
MM
Dermatome site
Reflex?
MM girth affected? - Answer--previous LBP
-twist with bending, below knee, <40yrs
-Ext dig longus muscle test (dorsi big toe)
-dermatomal lateral leg and top foot
-reflex intact
-muscle girth difference possible
S1 SNR (L5 disc)
HX
MOI
SITE
AGE
MM
Dermatome site
Reflex?
MM girth affected? - Answer--previous LBP
-twist with bend, below knee,
-<40yrs
