NBCE EXAM PART 3 EXAM AND STUDY GUIDE 300
QUESTIONS WITH DETAILED VERIFIED ANSWERS AND
RATIONALES (100% CORRECT) /A+ GRADE ASSURED
Goal of the Case Hx is to establish? - ANSWER: The how and why
How/Why details which aspect of the HX?e - ANSWER: Mech Of Injury-forces and
energy dissipated to create trauma
Trauma - ANSWER: Singular or multiply "the framework"
Other conditions must be detailed d/t - ANSWER: Directly/indirectly relate to the
complaint or the well being of the pt.
Understanding the whole patient, is best accomplished through the creation of -
ANSWER: Doing a clinical impression aka prioritized problems list
Clinical impression:
Basis upon?
Determines?
Contents to ensure thoroughness (5) - ANSWER: Based on Hx alone and determines
what further testing needs to be done.
1. Describe subluxation
2. Describe complaint with modifiers
3. Describe co-morbid factors
4. Describe diagnoses
5. Describe complications
Subluxation aka? What priority? - ANSWER: aka intersegmental dysfunction, always
number one
Complaints with modifiers
What dictates treatment plan?
? & ? provide markers for improvement? - ANSWER: Phase of injury dictates
treatment plan
Severity and Frequency provide markers for improvement
Description of symptoms with location helps determine what tissues are involved
a(quality & site)
Phases of Injury (3) and duration? - ANSWER: Acute: 0-72 hours
Subactue: 72 hrs-2 weeks
Chronic: 2 weeks +
acute exacerbation of a problem... responsablity of D.C - ANSWER: MUST be properly
documented
,Measurements of "Severity"(4) can be documented with numerical values ranging
from ?-? which = for these "descriptors" - ANSWER: 0-2.5 mild/minimal
2.6-5.0 slight
5.1-7.5 moderate
7.6-10 severe
"Frequency" Scale (4) can be documented with numerical values ranging from ?-?
which = for these "descriptors" - ANSWER: Occasional: 0-25%
Intermittent: 26-50%
Frequent: 51-75%
Constant: 76-100%
Description of Local Symptoms is in whose words? - ANSWER: only what the patient
says and describe each side.
ie subjective
"Algia" can only be used in assoc w/ what regions>? - ANSWER: cervicals, lumbars,
and headache
Complaint with modifiers require the DC to - ANSWER: Need extra paperwork for
mild/minimal and occasional + severe and constant.
"umbrella" subluxation encompass what (3) aspects - ANSWER: Co-morbidities,
complications, and diagnoses
Co-morbid factors defined and examples (2) - ANSWER: Presence of one or more
conditions in addition to a primary conditions that has an effect on another Ddx or
the overall well being
Ex. High blood pressure, diabetes etc.
Diagnoses - ANSWER: Always subluxation, there are some allopathic diagnoses.
Ex. osteoarthritis, AS, S/S, Fx, facet syndrome etc.
This determines treatment
Dejerene's Triad + has (?) steps, will increase pressure on ?, and is used to DDX? -
ANSWER: 3
Nerve Root
Disc, tumor, stenosis, severe trauma (fx)
"Complications" include minimum (8) aspects name them - ANSWER: demographics,
lifestyle, occupation, social, age, sex, religion, ADL's
#1 Hx predicts incidence LBP - ANSWER: previous LBP
Chief Complaint - ANSWER: MNOOPPQRST
PSOFMD
, Review of Systems - ANSWER: SHITMD
GREENCRUMS
Facet Referral - ANSWER: just going somewhere
Facet Syndrome - ANSWER: had for a long time along with other signs and symptoms
ARTHROSIS OF FACETS (DJD)
Syndrome classified and name examples - ANSWER: Set of symptoms occuring
together
ex. facet syndrome, TOS, fibromyalgia, restless leg, chronic fatigue, Reiter's (ddx with
AS and infx spondylitis),
Late Effects of S/S - ANSWER: recurring S/S in area of previous injury with
NO NEW TRAUMA!
EXACERBATION
well documented
S/S - ANSWER: identifiable injury/incident causing present symptoms.
Ddx fx
Pain on active, active resisted, and passive ROM
"Sclerotome" pain pattern
Quality?
DT - or +
ORIGINate for what tissue?
Dermatome? - ANSWER: diffuse, non-specific
ABSENCE DT
From muscle, lig, faschia, tendon
Not dermatome
Dermatome pain pattern
assoc DX
4 structures involved or complications
Unilateral ? Bilateral ?
DT + or -
Can DDX b/w sclerotome and ? - ANSWER: SOL (disc, tumor, stenosis, fx)
Unilateral IVF
Bilateral Cord
+ DT
Ddx between sclerotome and PNE
SOL
Name Complication and common Demographic seen w/ each - ANSWER: Disc-
younger, 40yrs, may not be trauma
stenosis-age varies but increases with age
Tumor-increases age, insidious
QUESTIONS WITH DETAILED VERIFIED ANSWERS AND
RATIONALES (100% CORRECT) /A+ GRADE ASSURED
Goal of the Case Hx is to establish? - ANSWER: The how and why
How/Why details which aspect of the HX?e - ANSWER: Mech Of Injury-forces and
energy dissipated to create trauma
Trauma - ANSWER: Singular or multiply "the framework"
Other conditions must be detailed d/t - ANSWER: Directly/indirectly relate to the
complaint or the well being of the pt.
Understanding the whole patient, is best accomplished through the creation of -
ANSWER: Doing a clinical impression aka prioritized problems list
Clinical impression:
Basis upon?
Determines?
Contents to ensure thoroughness (5) - ANSWER: Based on Hx alone and determines
what further testing needs to be done.
1. Describe subluxation
2. Describe complaint with modifiers
3. Describe co-morbid factors
4. Describe diagnoses
5. Describe complications
Subluxation aka? What priority? - ANSWER: aka intersegmental dysfunction, always
number one
Complaints with modifiers
What dictates treatment plan?
? & ? provide markers for improvement? - ANSWER: Phase of injury dictates
treatment plan
Severity and Frequency provide markers for improvement
Description of symptoms with location helps determine what tissues are involved
a(quality & site)
Phases of Injury (3) and duration? - ANSWER: Acute: 0-72 hours
Subactue: 72 hrs-2 weeks
Chronic: 2 weeks +
acute exacerbation of a problem... responsablity of D.C - ANSWER: MUST be properly
documented
,Measurements of "Severity"(4) can be documented with numerical values ranging
from ?-? which = for these "descriptors" - ANSWER: 0-2.5 mild/minimal
2.6-5.0 slight
5.1-7.5 moderate
7.6-10 severe
"Frequency" Scale (4) can be documented with numerical values ranging from ?-?
which = for these "descriptors" - ANSWER: Occasional: 0-25%
Intermittent: 26-50%
Frequent: 51-75%
Constant: 76-100%
Description of Local Symptoms is in whose words? - ANSWER: only what the patient
says and describe each side.
ie subjective
"Algia" can only be used in assoc w/ what regions>? - ANSWER: cervicals, lumbars,
and headache
Complaint with modifiers require the DC to - ANSWER: Need extra paperwork for
mild/minimal and occasional + severe and constant.
"umbrella" subluxation encompass what (3) aspects - ANSWER: Co-morbidities,
complications, and diagnoses
Co-morbid factors defined and examples (2) - ANSWER: Presence of one or more
conditions in addition to a primary conditions that has an effect on another Ddx or
the overall well being
Ex. High blood pressure, diabetes etc.
Diagnoses - ANSWER: Always subluxation, there are some allopathic diagnoses.
Ex. osteoarthritis, AS, S/S, Fx, facet syndrome etc.
This determines treatment
Dejerene's Triad + has (?) steps, will increase pressure on ?, and is used to DDX? -
ANSWER: 3
Nerve Root
Disc, tumor, stenosis, severe trauma (fx)
"Complications" include minimum (8) aspects name them - ANSWER: demographics,
lifestyle, occupation, social, age, sex, religion, ADL's
#1 Hx predicts incidence LBP - ANSWER: previous LBP
Chief Complaint - ANSWER: MNOOPPQRST
PSOFMD
, Review of Systems - ANSWER: SHITMD
GREENCRUMS
Facet Referral - ANSWER: just going somewhere
Facet Syndrome - ANSWER: had for a long time along with other signs and symptoms
ARTHROSIS OF FACETS (DJD)
Syndrome classified and name examples - ANSWER: Set of symptoms occuring
together
ex. facet syndrome, TOS, fibromyalgia, restless leg, chronic fatigue, Reiter's (ddx with
AS and infx spondylitis),
Late Effects of S/S - ANSWER: recurring S/S in area of previous injury with
NO NEW TRAUMA!
EXACERBATION
well documented
S/S - ANSWER: identifiable injury/incident causing present symptoms.
Ddx fx
Pain on active, active resisted, and passive ROM
"Sclerotome" pain pattern
Quality?
DT - or +
ORIGINate for what tissue?
Dermatome? - ANSWER: diffuse, non-specific
ABSENCE DT
From muscle, lig, faschia, tendon
Not dermatome
Dermatome pain pattern
assoc DX
4 structures involved or complications
Unilateral ? Bilateral ?
DT + or -
Can DDX b/w sclerotome and ? - ANSWER: SOL (disc, tumor, stenosis, fx)
Unilateral IVF
Bilateral Cord
+ DT
Ddx between sclerotome and PNE
SOL
Name Complication and common Demographic seen w/ each - ANSWER: Disc-
younger, 40yrs, may not be trauma
stenosis-age varies but increases with age
Tumor-increases age, insidious
