NBCE PART 3 EXAM LATEST 2024 ACTUAL EXAM QUESTIONS
AND CORRECT DETAILED ANSWERS
A disc bulge or herniation at the C4/5 level will affect which nerve root? - ANSWER:
C5
A disc bulge or herniation at the C7/T1 level will affect which nerve root? - ANSWER:
C8
A disc bulge or herniation at the C5/6 level will affect which nerve root? - ANSWER:
C6
A disc bulge or herniation at the T1/2 level will affect which nerve root? - ANSWER:
T1
A disc bulge or herniation at the C6/7 level will affect which nerve root? - ANSWER:
C7
A disc bulge or herniation at the C4/5 level will affect which muscles? - ANSWER:
Deltoid and biceps
A disc bulge or herniation at the C7/T1 level will affect which muscles? - ANSWER:
Finger flexors
A disc bulge or herniation at the C6/7 level will affect which muscles? - ANSWER:
Triceps and wrist flexors
A disc bulge or herniation at the T1/2 level will affect which muscles? - ANSWER:
Interossei
A disc bulge or herniation at the C5/6 level will affect which muscles? - ANSWER:
Brachioradialis and wrist extensors
A disc bulge or herniation at the L3/4 level will affect which nerve root? - ANSWER:
L4
A disc bulge or herniation at the L5/S1 level will affect which nerve root? - ANSWER:
S1
A disc bulge or herniation at the L4/5 level will affect which nerve root? - ANSWER:
L5
A disc bulge or herniation at the L5/S1 level will affect which muscles? - ANSWER:
Peroneus longus and brevis
,A disc bulge or herniation at the L3/4 level will affect which muscles? - ANSWER:
Tibialis anterior
A disc bulge or herniation at the L4/5 level will affect which muscles? - ANSWER:
Extensor hallucis longus
Fever __________ respiratory rate - ANSWER: Increases
Pulse range of newborn - ANSWER: 120-150 bpm
Pulse grading - ANSWER: 4 = bounding
3 = full or increased
2 = normal
1 = decreased, thready, barely palpable
0 = absent
Cyanosis - ANSWER: Bluish skin due to hypoxia
Pallor - ANSWER: pale/white color skin due to decreased blood flow (hypothermia,
frost bite, medication)
Jaundice - ANSWER: yellow tinge to skin
indicative of bile pigmentation
due to liver disease or increased RBC destruction
Thin skin - ANSWER: hyperthyroidism or elderly
Thick skin - ANSWER: hypothyroidism
Dry skin - ANSWER: hypothyroidism
Moist skin - ANSWER: hyperthyroidism
Paronychia - ANSWER: inflammation of nail folds
Onycholysis - ANSWER: painless separation of the nail from the nail bed
Nail pitting - ANSWER: usually associated with psoriasis
Koilonychia - ANSWER: thin, concave, spoon-shaped nails
seen with IDA or Raynaud's phenomenon
Splinter hemorrhages - ANSWER: line of bleeding under the nail
SLE
Increased sclera - ANSWER: hyperthyroidism (Grave's disease)
, Decreased sclera - ANSWER: may be due to edema around the eyes secondary to
hypothyroidism (myxedema), renal disease or ptosis of the eyelid that may have a
neurological component secondary to Myasthenia Gravis, CN III damage or Horner's
Syndrome
A pupil that is large on only one side and does not react briskly or at all to light reflex
- ANSWER: Adie's Syndrome (pupillary muscle involvement)
A pupil that is constricted - ANSWER: Horner's Syndrome (ptosis, unilateral miosis
and facial anhydrosis)
Pupils that are irregularly shaped and do not react to light but do accomodate -
ANSWER: Argyll-Robertson pupils (may be caused by CNS syphilis)
Opacities in pupil - ANSWER: Cataracts
Cotton wool exudates in eye - ANSWER: Hypertension
Flame hemorrhages in eye - ANSWER: papilledema and hypertension
Ear canal that is edematous and hyperemic - ANSWER: Otitis externa
Pus draining from ear canal - ANSWER: Otitis externa or media
Bulging of the tympanic membrane outward - ANSWER: Otitis media
Signs of hyperthyroidism - ANSWER: - Increased sweating
- Nervousness or agitation
- Dalrymple's Sign (exophthalmos)
- Pretibial myxedema
- Heat intolerance
- Fine peripheral tremors
- Increased pulse volume
Signs of hypothyroidism - ANSWER: - Cold intolerance
- Slowed mental function
- Hair loss or thinning of the hair (loss of lateral third of the eyebrow is
pathognomonic)
- Decreased pulse volume
- Obesity
- Dry, thickened skin
- Edema around eyes or puffiness of the face
Barrel chest - ANSWER: enlargement of A-P chest dimension due to COPD may be a
normal variant after the age of 55
AND CORRECT DETAILED ANSWERS
A disc bulge or herniation at the C4/5 level will affect which nerve root? - ANSWER:
C5
A disc bulge or herniation at the C7/T1 level will affect which nerve root? - ANSWER:
C8
A disc bulge or herniation at the C5/6 level will affect which nerve root? - ANSWER:
C6
A disc bulge or herniation at the T1/2 level will affect which nerve root? - ANSWER:
T1
A disc bulge or herniation at the C6/7 level will affect which nerve root? - ANSWER:
C7
A disc bulge or herniation at the C4/5 level will affect which muscles? - ANSWER:
Deltoid and biceps
A disc bulge or herniation at the C7/T1 level will affect which muscles? - ANSWER:
Finger flexors
A disc bulge or herniation at the C6/7 level will affect which muscles? - ANSWER:
Triceps and wrist flexors
A disc bulge or herniation at the T1/2 level will affect which muscles? - ANSWER:
Interossei
A disc bulge or herniation at the C5/6 level will affect which muscles? - ANSWER:
Brachioradialis and wrist extensors
A disc bulge or herniation at the L3/4 level will affect which nerve root? - ANSWER:
L4
A disc bulge or herniation at the L5/S1 level will affect which nerve root? - ANSWER:
S1
A disc bulge or herniation at the L4/5 level will affect which nerve root? - ANSWER:
L5
A disc bulge or herniation at the L5/S1 level will affect which muscles? - ANSWER:
Peroneus longus and brevis
,A disc bulge or herniation at the L3/4 level will affect which muscles? - ANSWER:
Tibialis anterior
A disc bulge or herniation at the L4/5 level will affect which muscles? - ANSWER:
Extensor hallucis longus
Fever __________ respiratory rate - ANSWER: Increases
Pulse range of newborn - ANSWER: 120-150 bpm
Pulse grading - ANSWER: 4 = bounding
3 = full or increased
2 = normal
1 = decreased, thready, barely palpable
0 = absent
Cyanosis - ANSWER: Bluish skin due to hypoxia
Pallor - ANSWER: pale/white color skin due to decreased blood flow (hypothermia,
frost bite, medication)
Jaundice - ANSWER: yellow tinge to skin
indicative of bile pigmentation
due to liver disease or increased RBC destruction
Thin skin - ANSWER: hyperthyroidism or elderly
Thick skin - ANSWER: hypothyroidism
Dry skin - ANSWER: hypothyroidism
Moist skin - ANSWER: hyperthyroidism
Paronychia - ANSWER: inflammation of nail folds
Onycholysis - ANSWER: painless separation of the nail from the nail bed
Nail pitting - ANSWER: usually associated with psoriasis
Koilonychia - ANSWER: thin, concave, spoon-shaped nails
seen with IDA or Raynaud's phenomenon
Splinter hemorrhages - ANSWER: line of bleeding under the nail
SLE
Increased sclera - ANSWER: hyperthyroidism (Grave's disease)
, Decreased sclera - ANSWER: may be due to edema around the eyes secondary to
hypothyroidism (myxedema), renal disease or ptosis of the eyelid that may have a
neurological component secondary to Myasthenia Gravis, CN III damage or Horner's
Syndrome
A pupil that is large on only one side and does not react briskly or at all to light reflex
- ANSWER: Adie's Syndrome (pupillary muscle involvement)
A pupil that is constricted - ANSWER: Horner's Syndrome (ptosis, unilateral miosis
and facial anhydrosis)
Pupils that are irregularly shaped and do not react to light but do accomodate -
ANSWER: Argyll-Robertson pupils (may be caused by CNS syphilis)
Opacities in pupil - ANSWER: Cataracts
Cotton wool exudates in eye - ANSWER: Hypertension
Flame hemorrhages in eye - ANSWER: papilledema and hypertension
Ear canal that is edematous and hyperemic - ANSWER: Otitis externa
Pus draining from ear canal - ANSWER: Otitis externa or media
Bulging of the tympanic membrane outward - ANSWER: Otitis media
Signs of hyperthyroidism - ANSWER: - Increased sweating
- Nervousness or agitation
- Dalrymple's Sign (exophthalmos)
- Pretibial myxedema
- Heat intolerance
- Fine peripheral tremors
- Increased pulse volume
Signs of hypothyroidism - ANSWER: - Cold intolerance
- Slowed mental function
- Hair loss or thinning of the hair (loss of lateral third of the eyebrow is
pathognomonic)
- Decreased pulse volume
- Obesity
- Dry, thickened skin
- Edema around eyes or puffiness of the face
Barrel chest - ANSWER: enlargement of A-P chest dimension due to COPD may be a
normal variant after the age of 55
