NBCE Part 4 Clinical & Set-Ups Study
Guide Questions with verified correct
detailed answers latest update 2025
Case History --- correct answer ---- Identifying Data (name, age, etc.)
- Chief Complaint
- Present Illness (OPPQRST)
- Past History
- (SHITM)
- Family History
- Occupational History
- Social History
- Review of Systems
Vitals --- correct answer ---- Temperature
- Pulse
- Respiration
- Blood Pressure
- Height
,- Weight
Blood Pressure --- correct answer ---How to do Blood Pressure:
1. Patient seated
2. Arm elevated (doctor braces patient's wrist)
3. Empty air from cuff, wrap tight on patient
4. Palpatory systolic (on the way up until disappears)
5. Place stethoscope in ears
6. Pump 30-40 higher
7. Auscultate to O (recording true systolic/diastolic values)
Physical Exam --- correct answer ---- Skin Exam XXX
- Eye Exam
- Nose Exam XXX
- Ear Exam
- Mouth & Throat Exam XXX
- Endocrinology Exam XXX
- Genital Exam XXX
- Lymphatic Exam
- Peripheral Exam
,- Lung Exam
- Heart Exam
- Abdominal Exam
Eye Exam: CN III, IV, VI --- correct answer ---Cardinal Field of Gaze
Eye Exam: CN II & III --- correct answer ---- Direct (ipsilateral eye)
- Indirect ( contralateral eye)
Eye Exam: CN II & III Accommodation reflex --- correct answer ---
Accommodation: Converge & Constrict
Follow up questions to a + Eye Exam? --- correct answer ----
headaches?
- trouble reading?
- last eye exam?
- normally wear glasses/contacts?
Ear Exam: Weber & Rhinne --- correct answer ---- Preform WEBER
first
- Then preform Rhinne on the EAR that CAN HEAR
, - *Every case has been Meinier's disease* (ask: ringing?, deafness?,
dizzyness?)
Lymphatic Exam: palpation --- correct answer ---palpate w/ 3 fingers
- *Neck* (EENT questions)
- Supraclavicular (ROS)
- *Axillary* (breast, chest, and arms questions) 4 walls
- Inguinal (legs/STDs)
Peripheral Vascular Exam (PVE): upper extremity palpation --- correct
answer ---*3 of them/ Seated*
- Unlar
- Radial
- Subclavian
- Carotid
- Temporal
Peripheral Vascular Exam (PVE): lower extremity palpation --- correct
answer ---*Supine*
- Femoral
Guide Questions with verified correct
detailed answers latest update 2025
Case History --- correct answer ---- Identifying Data (name, age, etc.)
- Chief Complaint
- Present Illness (OPPQRST)
- Past History
- (SHITM)
- Family History
- Occupational History
- Social History
- Review of Systems
Vitals --- correct answer ---- Temperature
- Pulse
- Respiration
- Blood Pressure
- Height
,- Weight
Blood Pressure --- correct answer ---How to do Blood Pressure:
1. Patient seated
2. Arm elevated (doctor braces patient's wrist)
3. Empty air from cuff, wrap tight on patient
4. Palpatory systolic (on the way up until disappears)
5. Place stethoscope in ears
6. Pump 30-40 higher
7. Auscultate to O (recording true systolic/diastolic values)
Physical Exam --- correct answer ---- Skin Exam XXX
- Eye Exam
- Nose Exam XXX
- Ear Exam
- Mouth & Throat Exam XXX
- Endocrinology Exam XXX
- Genital Exam XXX
- Lymphatic Exam
- Peripheral Exam
,- Lung Exam
- Heart Exam
- Abdominal Exam
Eye Exam: CN III, IV, VI --- correct answer ---Cardinal Field of Gaze
Eye Exam: CN II & III --- correct answer ---- Direct (ipsilateral eye)
- Indirect ( contralateral eye)
Eye Exam: CN II & III Accommodation reflex --- correct answer ---
Accommodation: Converge & Constrict
Follow up questions to a + Eye Exam? --- correct answer ----
headaches?
- trouble reading?
- last eye exam?
- normally wear glasses/contacts?
Ear Exam: Weber & Rhinne --- correct answer ---- Preform WEBER
first
- Then preform Rhinne on the EAR that CAN HEAR
, - *Every case has been Meinier's disease* (ask: ringing?, deafness?,
dizzyness?)
Lymphatic Exam: palpation --- correct answer ---palpate w/ 3 fingers
- *Neck* (EENT questions)
- Supraclavicular (ROS)
- *Axillary* (breast, chest, and arms questions) 4 walls
- Inguinal (legs/STDs)
Peripheral Vascular Exam (PVE): upper extremity palpation --- correct
answer ---*3 of them/ Seated*
- Unlar
- Radial
- Subclavian
- Carotid
- Temporal
Peripheral Vascular Exam (PVE): lower extremity palpation --- correct
answer ---*Supine*
- Femoral
