NBCE PART 4 BOARDS - ORTHOPEDICS, EXAM LATEST 2024
ACTUAL EXAM
A patient with sciatica is most likely to describe relief of symptoms with:
sitting.
standing.
side lying or standing.
walking. - ANSWER: side lying or standing.
A patient has cut himself on a fence post while working outside. He has not had a
tetanus shot in more than 10 years. How long can he wait before getting the
immunization and still prevent tetanus?
24 hours
48 hours
72 hours
5 days - ANSWER: 72 hours
Which of the following is NOT true regarding cervical whiplash injury?
This occurs after a traumatic event.
It may be accompanied by severe pain, spasm.
Is identifiable on MRI or CT, but not x-ray.
Occipital pain and headache can occur. - ANSWER: Is identifiable on MRI or CT, but
not x-ray.
An 80 year-old patient is very active but presents today with posterior hip pain for
the past week. Which of the following is least likely part of the differential diagnosis?
Osteoarthritis
Sacroiliac joint disease
Lumbar radiculopathy
Herpes zoster - ANSWER: Osteoarthritis
.
An elderly patient had a total knee replacement (TKR) 10 months ago. He is doing
well. What information should he be given regarding the knee replacement?
He should take an aspirin daily for the first year.
He should receive an antibiotic prior to dental procedures.
He should take the flu shot annually.
There are no recommendations 6 months after his surgery. - ANSWER: He should
receive an antibiotic prior to dental
The average age of pubertal growth spurt in North American boys is:
, 9.5 - 11.5 years.
10 - 12 years.
12 - 14 years.
14 - 16 years. - ANSWER: 12 - 14 years.
A 12 year-old male with hip pain presents to the NP clinic. Hip pain has occurred with
activity for the past 4-6 weeks but his pain is worse and now involves the knee.
There is no history of trauma. How should the work-up be initiated?
Order a hip and knee x-ray
Order a hip x-ray and a sed rate
Perform Trendelenburg's test in the office
Have the child squat in the office to assess the hips - ANSWER: Perform
Trendelenburg's test in the office
A patient presents with right shoulder pain (7/10 on the pain scale) after an acute
shoulder injury yesterday. He fell against a brick wall while working at his home. He
reports pain that radiates into his upper arm. How should this be managed?
Immobilize the right shoulder for 3 days
Rest, ice, and naproxen for one week
Order an x-ray of the right shoulder
Prescribe physical therapy for the patient - ANSWER: Order an x-ray of the right
shoulder
A nurse practitioner has successfully reduced a nursemaid's elbow. How can the NP
know that it was successful?
X-rays
Child moves the affected arm at the elbow
A click is heard
The deformity has resolved - ANSWER: Child moves the affected arm at the elbow
Ankle inversion is a common complaint from a patient with a:
medial ankle sprain.
lateral ankle sprain.
severely torn ligament.
fracture of the medial malleolus. - ANSWER: lateral ankle sprain
Management of a sprained ankle includes:
x-rays.
rest, ice, compression, elevation.
anti-inflammatory medications.
activity as tolerated. - ANSWER: rest, ice, compression, elevation
ACTUAL EXAM
A patient with sciatica is most likely to describe relief of symptoms with:
sitting.
standing.
side lying or standing.
walking. - ANSWER: side lying or standing.
A patient has cut himself on a fence post while working outside. He has not had a
tetanus shot in more than 10 years. How long can he wait before getting the
immunization and still prevent tetanus?
24 hours
48 hours
72 hours
5 days - ANSWER: 72 hours
Which of the following is NOT true regarding cervical whiplash injury?
This occurs after a traumatic event.
It may be accompanied by severe pain, spasm.
Is identifiable on MRI or CT, but not x-ray.
Occipital pain and headache can occur. - ANSWER: Is identifiable on MRI or CT, but
not x-ray.
An 80 year-old patient is very active but presents today with posterior hip pain for
the past week. Which of the following is least likely part of the differential diagnosis?
Osteoarthritis
Sacroiliac joint disease
Lumbar radiculopathy
Herpes zoster - ANSWER: Osteoarthritis
.
An elderly patient had a total knee replacement (TKR) 10 months ago. He is doing
well. What information should he be given regarding the knee replacement?
He should take an aspirin daily for the first year.
He should receive an antibiotic prior to dental procedures.
He should take the flu shot annually.
There are no recommendations 6 months after his surgery. - ANSWER: He should
receive an antibiotic prior to dental
The average age of pubertal growth spurt in North American boys is:
, 9.5 - 11.5 years.
10 - 12 years.
12 - 14 years.
14 - 16 years. - ANSWER: 12 - 14 years.
A 12 year-old male with hip pain presents to the NP clinic. Hip pain has occurred with
activity for the past 4-6 weeks but his pain is worse and now involves the knee.
There is no history of trauma. How should the work-up be initiated?
Order a hip and knee x-ray
Order a hip x-ray and a sed rate
Perform Trendelenburg's test in the office
Have the child squat in the office to assess the hips - ANSWER: Perform
Trendelenburg's test in the office
A patient presents with right shoulder pain (7/10 on the pain scale) after an acute
shoulder injury yesterday. He fell against a brick wall while working at his home. He
reports pain that radiates into his upper arm. How should this be managed?
Immobilize the right shoulder for 3 days
Rest, ice, and naproxen for one week
Order an x-ray of the right shoulder
Prescribe physical therapy for the patient - ANSWER: Order an x-ray of the right
shoulder
A nurse practitioner has successfully reduced a nursemaid's elbow. How can the NP
know that it was successful?
X-rays
Child moves the affected arm at the elbow
A click is heard
The deformity has resolved - ANSWER: Child moves the affected arm at the elbow
Ankle inversion is a common complaint from a patient with a:
medial ankle sprain.
lateral ankle sprain.
severely torn ligament.
fracture of the medial malleolus. - ANSWER: lateral ankle sprain
Management of a sprained ankle includes:
x-rays.
rest, ice, compression, elevation.
anti-inflammatory medications.
activity as tolerated. - ANSWER: rest, ice, compression, elevation
