NBCE: Practice Test Questions with Correct
Answers Graded A+
A 40-year-old male presents w/ posterior ankle swelling. He reports that he heard a "pop" from his ankle
when he landed awkwardly after a jump. Which ortho test? - Answer Thompson
The case hx of a patient w/ Guillain Barre Syndrome is most likely to include which? - Answer recent
vaccination
Which of these complaints is most characteristic of cervical spondylotic myelopathy? - Answer difficulty
walking and neck pain
A patient w/ recurring unilateral periorbital pain, lacrimation, and rhinorrhea is most likely to report? -
Answer cluster headache
- lying in a dark room helps
Which of these patients statements is most characteristic of facet joint OA? - Answer i have constant
pain in my low back that radiates to my foot
the pain is at its worst upon awakening but decreases with activity
Which of these sports has a high incidence of stress fracture of the pars interarticularis? - Answer
gymnastics
A patient w/ upper crossed syndrome exhibits _____________ rhomboid and _________________
pectoralis musculature. - Answer Weak
Tight
,A gait in which the knee is fixed in extension and the ankle is plantarflexed while the leg swings forward
in a semicircular pattern is mostly likely caused by a _________________ lesion. - Answer corticospinal
tract
During the gait cycle, which action normally occurs immediately following heel strike? - Answer foot
supination
Which structures are most likely invovled when active range of motion reproduces symptoms, but
passive range of motion do not? - Answer muscles
Right arm and hand pain reproduced by cervical compression and relieved by flexion and distraction are
most characterisitic of? - Answer cervical radiculitis
Which test is used to isolate lesions in both the cervical and upper thoracic spine? - Answer SOTO Hall
Which of these tests is best utilized to distinguish inflamed pleura from neuritis in the thoracic spine? -
Answer Schepelmann
What orthopedic procedure best screens for lateral rib fracture? - Answer sternal compression test
During flexion of the patient's heel to the contralateral buttock, the patient begins to raise his pelvis off
the table in an attempt to avoid anterior thigh pain. This indicates a positive - Answer Ely's Sign
Which procedure, when positive, is most indicative of a medial disc protrusion? - Answer Fajersztajn
Test
The combination of which low back movements places the most weight on the left lumbar facet joints? -
Answer extension, left lateral flexion and left rotation
Patellofemoral pain syndrome is typically associated with which examination finding? - Answer
increased Q angle
, The McMurray test combines _________________ with _________________ of the knee to evaluate for
structural damage to the medial meniscus. - Answer external rotation
extension
Horner Syndrome is most likely to present with a ________________ reflex. - Answer Babinski
A patient who is unable to stand with his eyes open and feet together most likley has a
____________________ dysfunction. - Answer vestibular system
Which condition is most likely if a patient's pupils do NOT constrict with light but react with
accomodation? - Answer Tabes Dorsalis (Neurosyphilis)
A herniation of the L4 disc is most likely to cause weakness of the ____________________ muscle. -
Answer L5 nerve root and L5 IVF
- answer = extensor hallucis longus
Weakness of the biceps muscle w/ normal strength of the wrist extensors indicates a lesion of the ? -
Answer C5 nerve root
The anterior tibialis muscle test evaluates the ________________ nerve. - Answer deep fibular
Paresthesia on the palm and first, second, and third fingers most likely indicates nerve entrapment at
which location? - Answer pronator teres muscle
Which of these is most characteristic of a pyramidal tract lesion? - Answer apperance of pathological
reflexes
Which of these reflexes would most likely be abnormal in a patient w/ cauda equina syndrome? -
Answer cremasteric reflex
A lesion which impairs pain and temperature sensation only is most likely due to a _______________
lesion. - Answer anterior cord
Answers Graded A+
A 40-year-old male presents w/ posterior ankle swelling. He reports that he heard a "pop" from his ankle
when he landed awkwardly after a jump. Which ortho test? - Answer Thompson
The case hx of a patient w/ Guillain Barre Syndrome is most likely to include which? - Answer recent
vaccination
Which of these complaints is most characteristic of cervical spondylotic myelopathy? - Answer difficulty
walking and neck pain
A patient w/ recurring unilateral periorbital pain, lacrimation, and rhinorrhea is most likely to report? -
Answer cluster headache
- lying in a dark room helps
Which of these patients statements is most characteristic of facet joint OA? - Answer i have constant
pain in my low back that radiates to my foot
the pain is at its worst upon awakening but decreases with activity
Which of these sports has a high incidence of stress fracture of the pars interarticularis? - Answer
gymnastics
A patient w/ upper crossed syndrome exhibits _____________ rhomboid and _________________
pectoralis musculature. - Answer Weak
Tight
,A gait in which the knee is fixed in extension and the ankle is plantarflexed while the leg swings forward
in a semicircular pattern is mostly likely caused by a _________________ lesion. - Answer corticospinal
tract
During the gait cycle, which action normally occurs immediately following heel strike? - Answer foot
supination
Which structures are most likely invovled when active range of motion reproduces symptoms, but
passive range of motion do not? - Answer muscles
Right arm and hand pain reproduced by cervical compression and relieved by flexion and distraction are
most characterisitic of? - Answer cervical radiculitis
Which test is used to isolate lesions in both the cervical and upper thoracic spine? - Answer SOTO Hall
Which of these tests is best utilized to distinguish inflamed pleura from neuritis in the thoracic spine? -
Answer Schepelmann
What orthopedic procedure best screens for lateral rib fracture? - Answer sternal compression test
During flexion of the patient's heel to the contralateral buttock, the patient begins to raise his pelvis off
the table in an attempt to avoid anterior thigh pain. This indicates a positive - Answer Ely's Sign
Which procedure, when positive, is most indicative of a medial disc protrusion? - Answer Fajersztajn
Test
The combination of which low back movements places the most weight on the left lumbar facet joints? -
Answer extension, left lateral flexion and left rotation
Patellofemoral pain syndrome is typically associated with which examination finding? - Answer
increased Q angle
, The McMurray test combines _________________ with _________________ of the knee to evaluate for
structural damage to the medial meniscus. - Answer external rotation
extension
Horner Syndrome is most likely to present with a ________________ reflex. - Answer Babinski
A patient who is unable to stand with his eyes open and feet together most likley has a
____________________ dysfunction. - Answer vestibular system
Which condition is most likely if a patient's pupils do NOT constrict with light but react with
accomodation? - Answer Tabes Dorsalis (Neurosyphilis)
A herniation of the L4 disc is most likely to cause weakness of the ____________________ muscle. -
Answer L5 nerve root and L5 IVF
- answer = extensor hallucis longus
Weakness of the biceps muscle w/ normal strength of the wrist extensors indicates a lesion of the ? -
Answer C5 nerve root
The anterior tibialis muscle test evaluates the ________________ nerve. - Answer deep fibular
Paresthesia on the palm and first, second, and third fingers most likely indicates nerve entrapment at
which location? - Answer pronator teres muscle
Which of these is most characteristic of a pyramidal tract lesion? - Answer apperance of pathological
reflexes
Which of these reflexes would most likely be abnormal in a patient w/ cauda equina syndrome? -
Answer cremasteric reflex
A lesion which impairs pain and temperature sensation only is most likely due to a _______________
lesion. - Answer anterior cord
