NBCE PART 4 CLINICAL AND SET UPS EXAM QUESTIONS WITH COMPLETE ANSWERS

NBCE PART 4 CLINICAL AND SET UPS EXAM QUESTIONS
WITH COMPLETE SOLUTIONS |LATEST UPDATE

Eye Exam: CN II & III Accommodation reflex - CORRECT ANSWERS Accommodation:
Converge & Constrict


Follow up questions to a + Eye Exam? - CORRECT ANSWERS - headaches?
- trouble reading?
- last eye exam?
- normally wear glasses/contacts?


Ear Exam: Weber & Rhinne - CORRECT ANSWERS - Preform WEBER first
- Then preform Rhinne on the EAR that CAN HEAR
- *Every case has been Meinier's disease* (ask: ringing?, deafness?, dizzyness?)


Lymphatic Exam: palpation - CORRECT ANSWERS palpate w/ 3 fingers


- *Neck* (EENT questions)
- Supraclavicular (ROS)
- *Axillary* (breast, chest, and arms questions) 4 walls
- Inguinal (legs/STDs)


Peripheral Vascular Exam (PVE): upper extremity palpation - CORRECT ANSWERS *3 of
them/ Seated*
- Unlar
- Radial
- Subclavian
- Carotid
- Temporal


Peripheral Vascular Exam (PVE): lower extremity palpation - CORRECT ANSWERS
*Supine*
- Femoral

,- Popliteal
- Posterior Tibial
- Dorsal Pedis


Peripheral Vascular Exam (PVE): special tests - CORRECT ANSWERS - Capillary Refill
- Allen's Test
- Claudication Test
- Buerger's test
- Homan's test


Peripheral Vascular Exam (PVE): auscultation - CORRECT ANSWERS *BELL*
- @ carotid bifurcation (c4)
- bruit
-turbulance


Heart Exam: palpate & auscultate valve sites - CORRECT ANSWERS *A* - 2nd right
intercostal space (parasternal)
*P* - 2nd left intercostal space (parasternal)
E - *NOT A VALVE*
*T* - 4th/5th left intercostal space ( parasternal)
*M* - 5th left intercostal space (midclavicular) *location of the apical pulse*


Heart Exam: PERCUSSION (borders of the heart) - CORRECT ANSWERS a) Left side
(lateral to medial) 3, 4, & 5 intercostal spaces
b) Right side (superior to inferior) right sternal border


Abdominal Aorta Exam - CORRECT ANSWERS Auscultate with bell


Palpate lateral to medial


Lung Exam: Posterior Thoracic Palpation - CORRECT ANSWERS *SEATED*
- Respiratory Excursions/expansion
- *Tactile Fremitus* ("99"):

,Lung Exam: Posterior Thoracic Percussion - CORRECT ANSWERS "Scan APEX (3 taps)


*Sounds*
- Flat: tumor/collapse
- Dull: fluid
- Resonant: normal
- Hyperresonant: Air (COPD)


*Diaphragmatic Expansion*


Lung Exam: Posterior Thoracic Auscultation - CORRECT ANSWERS - deep breath
- whispered pectoriloquy ("1,2,3")
- bronchophony ("99")
- egophony ("E")


Case History - CORRECT ANSWERS - Identifying Data (name, age, etc.)
- Chief Complaint
- Present Illness (OPPQRST)
- Past History
- (SHITM)
- Family History
- Occupational History
- Social History
- Review of Systems


Vitals - CORRECT ANSWERS - Temperature
- Pulse
- Respiration
- Blood Pressure
- Height
- Weight

, Lung Exam: Anterior Thorax - CORRECT ANSWERS - Fremitus ("99")
- Percussion
- Auscultation


Abdominal Exam: auscultation - CORRECT ANSWERS - Bowel sounds (diaphragm)
indicates: borborygmi


- Vessels (bell) aorta, renal & iliac; indicates: vessel turbulence


Abdominal Exam: percussion - CORRECT ANSWERS - 9 quadrants
- organ size (liver & spleen)


Abdominal Exam: palpation - CORRECT ANSWERS - LIGHT PALPATION: Masses,
tenderness, rigidity (hand on hand, finger tips, circular motion)


-DEEP PALPATION: Delineate mass, location, size, shape, consistency, tenderness,
pulsation & mobility


Abdominal Exam: Special Maneuver - CORRECT ANSWERS - Palpate Liver, Gallbladder,
Kidney, Spleen
- Ascites
- Appendix
- Peritonitis


Range of Motion - CORRECT ANSWERS -Cervical
- Thoracic
- Lumbar
- Shoulder
- Elbow
- Wrist
- Hip
- Knee