NBCE Part 4 Boards - Part IV NBCE Exam Questions with Complete Solutions
Question : 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
Question : 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
Question : 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
Question : O'Donohue's Test is for....
CORRECT ANSWER : Determining whether it is a SPRAIN
or STRAIN
Question : 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)
Question : Valsalva's Maneuver
CORRECT ANSWER : The doctor asks the patient to take a
deep breath and hold while bearing down. Postive Radicular Pain -> SOL
Question : 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
Question : 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
Question : 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
Question : 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
Question : Thoracic Outlet Syndrome AKA
CORRECT ANSWER : Neurovascular Compression
Syndrome
Question : 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
Question : Costoclavicular Maneuver AKA
CORRECT ANSWER : Eden's Test
Question : 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