NBCE PART 2 - ALL SECTIONS COMBINED EXAM 2024
AND STUDY GUIDE | CONTAINS ALL 6 SECTIONS EACH
CONTAINING 50 QUESTIONS AND ANSWERS GRADED
A|
Flat percussion in the lungs may indicate? - CORRECT ANSWER Solids, there could be
atelectasis, tumor, or pneumononiosis
Tympany percussed in the lungs may indicate? - CORRECT ANSWER GI or air, can be
Meganblase (gastric air bubble) or flatulence.
Fremitis in atelectasis, tumors, or pneumoconiusis causing a flat percussion, will have what kind
of fremitus? - CORRECT ANSWER Decreased
Dull percussion in the lungs may indicate? - CORRECT ANSWER Fluid. Can be bacterial
pneumonia, Congestive heart failure, edema, massive pleural effusion.
MC location of bacterial pneumonia in lungs? - CORRECT ANSWER R middle lobe, then R
lateral lobe
Low pitch auscultation - CORRECT ANSWER Bronchitis
High pitch auscultation - CORRECT ANSWER Wheeze, musical rales, crackles
Fluid in the lungs: 1) Brochophony 2) Egophony 3) Whispered pectoriloquey - CORRECT
ANSWER 1) Spoken word louder
2) Sounds like eh
3) Louder
Auscultation of a friction rub - CORRECT ANSWER Pleurisy
Auscultation of respiratory lag - CORRECT ANSWER Pneumothorax
Prolonged expiration seen in - CORRECT ANSWER COPD
No casts, no fever, nitrates seen, e. coli detected. First occurs in urethra and ascends up to
bladder. - CORRECT ANSWER Cystitis
hemorrhoids are often symptom free unless deficating - CORRECT ANSWER External
hemorrhois
, hemorrhoids lead to bloody defication and are often painful - CORRECT ANSWER
Internal hemorrhoids
Strain producing a donut shaped anus - CORRECT ANSWER Rectal prolapse
Linear tear in anus causing bloody defecation - CORRECT ANSWER Rectal fissure
Congenital defect, opening side of urethra is on ventral surface of penis - CORRECT ANSWER
Hypospadias
Congenital defect, opening side of urethra is on dorsal side of penis - CORRECT ANSWER
Epispadias
E is next to D in alphabet
Non tender, transilluminates, accumulation of serous fluids in one or both testicles - CORRECT
ANSWER Hydrocele
What is borborygmi? - CORRECT ANSWER a rumbling or gurgling noise made by the
movement of fluid and gas in the intestines.
HCG levels high, painless nodule that does not transilluminate - CORRECT ANSWER Tumor
Bag of worms - CORRECT ANSWER Varicocele
Reddened testes that is tender, transilluminates, with posterior superior scrotal swelling -
CORRECT ANSWER Epididymitis
Blunt trauma, painful, swollen, male adolescence - CORRECT ANSWER Testicular torsion
Non-descending testicle, increase risk of cancer - CORRECT ANSWER Cryptorchism
Sustained erection for more than 4 hours. - CORRECT ANSWER Priapism
Fever, warm tender prostate - CORRECT ANSWER Acute prostatitis
This type of prostatitis leads to painful ejaculation - CORRECT ANSWER Chronic
Lateral lobes of prostate, boggy, smooth, non tender - CORRECT ANSWER BPH
Posterior lobe, firm, nodular, nontender - CORRECT ANSWER Prostate cancer
Femoral hernias most likely seen in - CORRECT ANSWER Females
,Direct hernias most likely seen in - CORRECT ANSWER Older males
Indirect hernias most likely seen in - CORRECT ANSWER Young male
Bells are to hear pitch to detect . - CORRECT ANSWER Low pitch sounds to detect
stenosis.
"BelLO-steno"
Diaphragms are to hear pitch to detect _ - CORRECT ANSWER High pitch sounds
to detect regurgitation
"Di-Hi-Regurg"
To hear mitral better - CORRECT ANSWER Left lateral decubitus
Best place to hear S1 splitting - CORRECT ANSWER Tricuspid location
S1 Split Tri
Best place to hear S2 splitting - CORRECT ANSWER Physiological: During inspiration
Pathological: Always splitting
"S2 Split-Inspire"
Best place to hear S3 - CORRECT ANSWER Near Xiphoid, AV regurgitation
Physiological: Under 40
Pathological: Over 40
"Hear S3-Xip for AV regur (patho>40)"
Best place to hear S4 - CORRECT ANSWER Heard at apex, pulmonic stenosis and pulmonary
hypertension. Always pathological.
Midsystolic murmur - CORRECT ANSWER Semilunar stenosis
Pansystolic murmur - CORRECT ANSWER AV regurgitation
Cor pulmonae is caused by hypertension - CORRECT ANSWER Pulmonary
Congestive heart failure (left sided) is caused by _ hypertension - CORRECT ANSWER
Systemic
Cardiac output is - CORRECT ANSWER One minute of ventricle output
Stroke volume is - CORRECT ANSWER One beat of ventricle output
, Sounds that you are listening for when taking blood pressure - CORRECT ANSWER Korotkoff
sounds
An auscultatory gap indicatse - CORRECT ANSWER Hypertension
Myocardial infarct enzymes - CORRECT ANSWER Troponin -> CK -> SGOT/AST -> LDH
Turbulence in an artery can be felt and heard. What are the abnormals called? - CORRECT
ANSWER Bruit (heard), thrills (felt)
A case history includes - CORRECT ANSWER Chief complaint
Present illness
Past History
Family,
occupational,
social,
review of systems
Answers given from a *chief complaint* should be.. - CORRECT ANSWER Own words, open
ended.
Temperature can be taken where? - CORRECT ANSWER Anal, oral, otic, axilary, vaginal,
testicular
What is the difference in temperatures between *bacterial infection verses viral infection*? -
CORRECT ANSWER Bacterial is sustained.
Viral has spikes, where they will have combination of *fevers and chills*.
What is the average blood pressure? - CORRECT ANSWER 140/110 over 90/60 S/D
is the *difference between the systolic and diastolic* readings. What is the average? -
CORRECT ANSWER Pulse pressure. 30-40
Orthostatic hypotension that can cause *syncope* is a result of para or sympathetic nervous
system? - CORRECT ANSWER Parasympathetic
What time of day are *bacterial fevers the worst*? - CORRECT ANSWER At night
Medical term for *jaundice in eyes* - CORRECT ANSWER Icterus
Absent red light reflex, lens opacity worsens. - CORRECT ANSWER Cataracts
Retinal detachment risks increase after surgery for? - CORRECT ANSWER Cataracts
AND STUDY GUIDE | CONTAINS ALL 6 SECTIONS EACH
CONTAINING 50 QUESTIONS AND ANSWERS GRADED
A|
Flat percussion in the lungs may indicate? - CORRECT ANSWER Solids, there could be
atelectasis, tumor, or pneumononiosis
Tympany percussed in the lungs may indicate? - CORRECT ANSWER GI or air, can be
Meganblase (gastric air bubble) or flatulence.
Fremitis in atelectasis, tumors, or pneumoconiusis causing a flat percussion, will have what kind
of fremitus? - CORRECT ANSWER Decreased
Dull percussion in the lungs may indicate? - CORRECT ANSWER Fluid. Can be bacterial
pneumonia, Congestive heart failure, edema, massive pleural effusion.
MC location of bacterial pneumonia in lungs? - CORRECT ANSWER R middle lobe, then R
lateral lobe
Low pitch auscultation - CORRECT ANSWER Bronchitis
High pitch auscultation - CORRECT ANSWER Wheeze, musical rales, crackles
Fluid in the lungs: 1) Brochophony 2) Egophony 3) Whispered pectoriloquey - CORRECT
ANSWER 1) Spoken word louder
2) Sounds like eh
3) Louder
Auscultation of a friction rub - CORRECT ANSWER Pleurisy
Auscultation of respiratory lag - CORRECT ANSWER Pneumothorax
Prolonged expiration seen in - CORRECT ANSWER COPD
No casts, no fever, nitrates seen, e. coli detected. First occurs in urethra and ascends up to
bladder. - CORRECT ANSWER Cystitis
hemorrhoids are often symptom free unless deficating - CORRECT ANSWER External
hemorrhois
, hemorrhoids lead to bloody defication and are often painful - CORRECT ANSWER
Internal hemorrhoids
Strain producing a donut shaped anus - CORRECT ANSWER Rectal prolapse
Linear tear in anus causing bloody defecation - CORRECT ANSWER Rectal fissure
Congenital defect, opening side of urethra is on ventral surface of penis - CORRECT ANSWER
Hypospadias
Congenital defect, opening side of urethra is on dorsal side of penis - CORRECT ANSWER
Epispadias
E is next to D in alphabet
Non tender, transilluminates, accumulation of serous fluids in one or both testicles - CORRECT
ANSWER Hydrocele
What is borborygmi? - CORRECT ANSWER a rumbling or gurgling noise made by the
movement of fluid and gas in the intestines.
HCG levels high, painless nodule that does not transilluminate - CORRECT ANSWER Tumor
Bag of worms - CORRECT ANSWER Varicocele
Reddened testes that is tender, transilluminates, with posterior superior scrotal swelling -
CORRECT ANSWER Epididymitis
Blunt trauma, painful, swollen, male adolescence - CORRECT ANSWER Testicular torsion
Non-descending testicle, increase risk of cancer - CORRECT ANSWER Cryptorchism
Sustained erection for more than 4 hours. - CORRECT ANSWER Priapism
Fever, warm tender prostate - CORRECT ANSWER Acute prostatitis
This type of prostatitis leads to painful ejaculation - CORRECT ANSWER Chronic
Lateral lobes of prostate, boggy, smooth, non tender - CORRECT ANSWER BPH
Posterior lobe, firm, nodular, nontender - CORRECT ANSWER Prostate cancer
Femoral hernias most likely seen in - CORRECT ANSWER Females
,Direct hernias most likely seen in - CORRECT ANSWER Older males
Indirect hernias most likely seen in - CORRECT ANSWER Young male
Bells are to hear pitch to detect . - CORRECT ANSWER Low pitch sounds to detect
stenosis.
"BelLO-steno"
Diaphragms are to hear pitch to detect _ - CORRECT ANSWER High pitch sounds
to detect regurgitation
"Di-Hi-Regurg"
To hear mitral better - CORRECT ANSWER Left lateral decubitus
Best place to hear S1 splitting - CORRECT ANSWER Tricuspid location
S1 Split Tri
Best place to hear S2 splitting - CORRECT ANSWER Physiological: During inspiration
Pathological: Always splitting
"S2 Split-Inspire"
Best place to hear S3 - CORRECT ANSWER Near Xiphoid, AV regurgitation
Physiological: Under 40
Pathological: Over 40
"Hear S3-Xip for AV regur (patho>40)"
Best place to hear S4 - CORRECT ANSWER Heard at apex, pulmonic stenosis and pulmonary
hypertension. Always pathological.
Midsystolic murmur - CORRECT ANSWER Semilunar stenosis
Pansystolic murmur - CORRECT ANSWER AV regurgitation
Cor pulmonae is caused by hypertension - CORRECT ANSWER Pulmonary
Congestive heart failure (left sided) is caused by _ hypertension - CORRECT ANSWER
Systemic
Cardiac output is - CORRECT ANSWER One minute of ventricle output
Stroke volume is - CORRECT ANSWER One beat of ventricle output
, Sounds that you are listening for when taking blood pressure - CORRECT ANSWER Korotkoff
sounds
An auscultatory gap indicatse - CORRECT ANSWER Hypertension
Myocardial infarct enzymes - CORRECT ANSWER Troponin -> CK -> SGOT/AST -> LDH
Turbulence in an artery can be felt and heard. What are the abnormals called? - CORRECT
ANSWER Bruit (heard), thrills (felt)
A case history includes - CORRECT ANSWER Chief complaint
Present illness
Past History
Family,
occupational,
social,
review of systems
Answers given from a *chief complaint* should be.. - CORRECT ANSWER Own words, open
ended.
Temperature can be taken where? - CORRECT ANSWER Anal, oral, otic, axilary, vaginal,
testicular
What is the difference in temperatures between *bacterial infection verses viral infection*? -
CORRECT ANSWER Bacterial is sustained.
Viral has spikes, where they will have combination of *fevers and chills*.
What is the average blood pressure? - CORRECT ANSWER 140/110 over 90/60 S/D
is the *difference between the systolic and diastolic* readings. What is the average? -
CORRECT ANSWER Pulse pressure. 30-40
Orthostatic hypotension that can cause *syncope* is a result of para or sympathetic nervous
system? - CORRECT ANSWER Parasympathetic
What time of day are *bacterial fevers the worst*? - CORRECT ANSWER At night
Medical term for *jaundice in eyes* - CORRECT ANSWER Icterus
Absent red light reflex, lens opacity worsens. - CORRECT ANSWER Cataracts
Retinal detachment risks increase after surgery for? - CORRECT ANSWER Cataracts
