NBCE PART 4 BOARDS EXAM WITH DETAILED
QUESTIONS AND VERIFIED ANSWERS WITH
100% CORRECT SOLUTIONS ALL GRADED A+
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
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. Done bilateral
Postive Radicular Pain -> Nerve Root Compression
Distraction Test - ............ANSWER.............. Witht the patient seated (maybe
supine) the doctor exerts upward pressure on the pt.'s head removing the wt. of the
pt.'s head from their neck.
"What does that feel like to you?"
Decreased Pain -> Nerve Root Compression
Increased Pain -> Sprain/Strain
O'Donohue's Test is for.... - ............ANSWER.............. Determining whether it is a
SPRAIN or STRAIN
1|Page
,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.............. DON'T TOUCH
THE PT.
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.
--Ask to take ear to shoulder and follow finger with head
Postive Radicular pain -> Nerve Root Compression
Brachial Plexus Tension Test - ............ANSWER.............. While seated, the
patient externally rotates the shoulders and places both hands behind the head
while dotor lightly supports. If no symptoms, the patient flexes the cervical spine
Positive: Reproduction of radicular symptoms
Indication:Nerve root lesion, most likely C5
2|Page
, 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.
"What dies that feel like to you?"
Positive 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 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
3|Page
QUESTIONS AND VERIFIED ANSWERS WITH
100% CORRECT SOLUTIONS ALL GRADED A+
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
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. Done bilateral
Postive Radicular Pain -> Nerve Root Compression
Distraction Test - ............ANSWER.............. Witht the patient seated (maybe
supine) the doctor exerts upward pressure on the pt.'s head removing the wt. of the
pt.'s head from their neck.
"What does that feel like to you?"
Decreased Pain -> Nerve Root Compression
Increased Pain -> Sprain/Strain
O'Donohue's Test is for.... - ............ANSWER.............. Determining whether it is a
SPRAIN or STRAIN
1|Page
,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.............. DON'T TOUCH
THE PT.
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.
--Ask to take ear to shoulder and follow finger with head
Postive Radicular pain -> Nerve Root Compression
Brachial Plexus Tension Test - ............ANSWER.............. While seated, the
patient externally rotates the shoulders and places both hands behind the head
while dotor lightly supports. If no symptoms, the patient flexes the cervical spine
Positive: Reproduction of radicular symptoms
Indication:Nerve root lesion, most likely C5
2|Page
, 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.
"What dies that feel like to you?"
Positive 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 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
3|Page
