NBCE Part 4 Boards - Part IV NBCE Exam Questions with Complete Solutions

NBCE Part 4 Boards - Part IV NBCE Exam Questions with Complete Solutions Foraminal Compression Test - 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 Encroachme nt Jackson's Compression Test - 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 - 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'Donohu e's Test is for.... - ANSWER Determining whether it is a SPRAIN or STRAIN O'Donohue's Test Performed - 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 - ANSWER The doctor asks the patient to take a deep breath and hold while bearing down. Postive Radicular Pain -> SOL Maximal Cervical Compression Test - 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. NBCE Part 4 Boards - Part IV NBCE Exam Questions with Complete Solutions Postiv e Radicular pain -> Nerve Root Compression Shoulder Depression Test - 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 - 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 - 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 - ANSWER Neurovascular Compression Syndrome Allen's Test - 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 p atient 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 - ANSWER Eden's Test Eden's Test Performed - 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 betwee n first rib and clavicle Adson's Test AKA - ANSWER Scalenus Anticus Test NBCE Part 4 Boards - Part IV NBCE Exam Questions with Complete Solutions Scalenus Anticus Test Performed (MUST KNOW) - 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 - ANSWER Scalenus Medius Test Scalenus Medius Test Performed (MUST KNOW) - ANSWER Patient is seated and doctor abducts, extends and externally rota tes 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 - ANSWER Hyperabduction Maneuver Hyperabduction Maneuver Performed (MUST KNOW) - ANSWER Patient is seated and doctor palpated radial pulse. Both arms are abducted 180degrees. The doctor notes at what angle the radial pulse di minishes or disappears. Positive f pulses are lost greater than 10degrees difference -> Pectorals Minor Syndrome (Axillary Artery) Reverse Bakody Maneuver - ANSWER Patient is seated and patient actively placed palm on top of their head. Posit ive is pain is increased -> TOS Halstead's Test - 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 amplitud e of the radial pulse -> cervical rib Rotator Cuff Injury...is muscle or tendon more commonly injured? - ANSWER TENDONS