NBCE PART 4 BOARDS ORTHOPEDICS PART IV NBCE
EXAM 2025 ACTUAL 200 EXAM QUESTIONS AND
CORRECT ANSWERS | ALREADY GRADED A+ ||
BRAND NEW!!
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.
Postive if alteration to amplitude of radial pulse -> Scalenus Anticus Syndrome (Cervical
"Halstead" rib)
Modified Adson's Test AKA -CORRECT ANSWER Scalenus Medius Test
Scalenus Medius 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 AWAY from the tested side and extends head. Patient takes
a deep breath and holds it.
Positive if alteration to amplitude of radial pulse -> Scalenus medium syndrome
(Subclavian Artery)
Wright's Test AKA -CORRECT ANSWER Hyperabduction Maneuver
Hyperabduction Maneuver Performed (MUST KNOW) -CORRECT ANSWER Patient is
seated and doctor palpated radial pulse. Both arms are abducted 180degrees. The
doctor notes at what angle the radial pulse diminishes or disappears.
Positive f pulses are lost greater than 10degrees difference -> Pectorals Minor
Syndrome (Axillary Artery)
Reverse Bakody Maneuver -CORRECT ANSWER Patient is seated and patient actively
placed palm on top of their head.
Positive is pain is increased -> TOS
Halstead's Test -CORRECT ANSWER Patient is seated and extends their head
backwards. The examiner exerts downward traction and slight abduction on arm while
taking patient's pulse.
Positive if alteration in the amplitude of the radial pulse -> cervical rib
Rotator Cuff Injury...is muscle or tendon more commonly injured? -CORRECT
ANSWER TENDONS
Which Rotator cuff tendon is most likely injured? -CORRECT ANSWER
SUPRASPINATUS
EXAM 2025 ACTUAL 200 EXAM QUESTIONS AND
CORRECT ANSWERS | ALREADY GRADED A+ ||
BRAND NEW!!
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.
Postive if alteration to amplitude of radial pulse -> Scalenus Anticus Syndrome (Cervical
"Halstead" rib)
Modified Adson's Test AKA -CORRECT ANSWER Scalenus Medius Test
Scalenus Medius 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 AWAY from the tested side and extends head. Patient takes
a deep breath and holds it.
Positive if alteration to amplitude of radial pulse -> Scalenus medium syndrome
(Subclavian Artery)
Wright's Test AKA -CORRECT ANSWER Hyperabduction Maneuver
Hyperabduction Maneuver Performed (MUST KNOW) -CORRECT ANSWER Patient is
seated and doctor palpated radial pulse. Both arms are abducted 180degrees. The
doctor notes at what angle the radial pulse diminishes or disappears.
Positive f pulses are lost greater than 10degrees difference -> Pectorals Minor
Syndrome (Axillary Artery)
Reverse Bakody Maneuver -CORRECT ANSWER Patient is seated and patient actively
placed palm on top of their head.
Positive is pain is increased -> TOS
Halstead's Test -CORRECT ANSWER Patient is seated and extends their head
backwards. The examiner exerts downward traction and slight abduction on arm while
taking patient's pulse.
Positive if alteration in the amplitude of the radial pulse -> cervical rib
Rotator Cuff Injury...is muscle or tendon more commonly injured? -CORRECT
ANSWER TENDONS
Which Rotator cuff tendon is most likely injured? -CORRECT ANSWER
SUPRASPINATUS
