NBCE Part 4 Clinical & Set-Ups 2025/2026 Questions And Answers (Verified Answers), 100% Guaranteed Pass ||Complete A+ Guide

NBCE Part 4 Clinical & Set-Ups 2025/2026 Questions And

Answers (Verified Answers), 100% Guaranteed Pass ||Complete

A+ Guide



1. Case History
q q



…Ans>> - Identifying Data (name, age, etc.)
q q q q q q



- Chief Complaint
q



- Present Illness (OPPQRST)
q q



- Past History
q



- (SHITM)
- Family History q



- Occupational History q



- Social History
q



- Review of Systems q q




2. Vitals
q



…Ans>> - Temperature q q



- Pulse
- Respiration
1 q/ q53

,- Blood Pressure
q



- Height
- Weight
3. Blood Pressure: How to do Blood Pressure:
q q q q q q q



1. Patient seated q



2. Arm elevated (doctor braces patient's wrist)
q q q q q



3. Empty air from cuff, wrap tight on patient
q q q q q q q



4. Palpatory systolic (on the way up until disappears)
q q q q q q q



5. Place stethoscope in ears
q q q



6. Pump 30-40 higher q q



7. Auscultate to O (recording true systolic/diastolic values)
q q q q q q




4. Physical Exam
q q



…Ans>> - Skin Exam XXX q q q q



- Eye Exam
q



- Nose Exam XXX
q q



- Ear Exam
q q



- Mouth & Throat Exam XXX
q q q q



- Endocrinology Exam XXX q q



- Genital Exam XXX q q



- Lymphatic Exam - Peripheral Exam q q q q



- Lung Exam
q



- Heart Exam q



- Abdominal Exam q




2 q/ q53

,5. Eye Exam: CN III, IV, VI
q q q q q



…Ans>> Cardinal Field of Gaze q q q q




q




6. Eye Exam: CN II & III
q q q q q



…Ans>> - Direct (ipsilateral eye) q q q q q



- Indirect ( contralateral eye)
q q q q




7. Eye Exam: CN II & III Accommodation
q q q q q q



q reflex


…Ans>> Accommodation: Converge & Constrict
q q q q




8. Follow up questions to a + Eye Exam?
q q q q q q q



…Ans>> - headaches? q q



- trouble reading? q



- last eye exam?
q q



- normally wear glasses/contacts?q q




9. Ear Exam: Weber & Rhinne
q q q q q



…Ans>> - Preform WEBER first
q q q q




3 q/ q53

, - Then preform Rhinne on the EAR that CAN HEAR
q q q q q q q q



- *Every case has been Meinier's disease* (ask:
q q q q q q



q ringing?, deafness?, dizzyness?)
q q




9. Lymphatic Exam: palpation q q



…Ans>> palpate w/ 3 fingers
q q q q




- *Neck* (EENT questions) q q



- Supraclavicular (ROS) q q



- *Axillary* (breast, chest, and arms questions) 4
q q q q q q



q walls - Inguinal (legs/STDs)
q q q




11. Peripheral Vascular Exam (PVE): upper
q q q q q



q extremity palpation q



…Ans>> *3 of them/ Seated* q q q q



- Unlar
- Radial
- Subclavian
- Carotid
- Temporal


12. Peripheral Vascular Exam (PVE): lower extremity palpation
q q q q q q q



…Ans>> *Supine* q q



- Femoral q



- Popliteal

4 q/ q53