NBCE Part 4 Boards - Part IV NBCE questions and answers, clinical chiropractic test, board prep

NBCE Part 4 Boards - Part IV NBCE
questions and answers, clinical chiropractic test,
board prep

Foraminal Compression Test - ANSWER>>The patient is seated and actively
rotates head from side to side. Then the doctor exerts downward pressure and
the head is rotated to each side with pressure.


Myasthenia Gravis - ANSWER>>Early signs: ptosis, diplopia, dysarthria, and mm
fatigue
worse at end of day
ACHr test, cholinesterase inhibiting drugs


ALS - ANSWER>>affects corticospinal tract and anterior horns, usually begins
distally in hands/feet
fasiculations present as well as spasticity and increased DTR's LMNL in arms;
UMNL in legs
DDX: lateral canal stenosis


Parkinsons - ANSWER>>Aka: paralysis agitans, extrapyramidal tract disorder
chronic progressive condition assoc with loss of dopamine in substantia nigra
causing basal ganglionic dysfunction
presents with resting tremors, mask like face, festinating gait, cogwheel rigidity,
forward stooped posture, bradykinesia

,Guillain- Barre Syndrome - ANSWER>>Inflammatory demyelinating
polyneuropathy of PNS linked to immunization and recent illness, ascending
paralysis and sensory symptoms


Carpal Tunnel Syndrome - ANSWER>>Median Nerve Entrapment
presents with nocturnal pain, paresthesia of the hand, thenar atrophy, weak
opponens pollicis, affects the first three fingers
Tx: adjust, cock up splint, diuretic, B6
Tests: tinel, phalen's thumb abduction strength, dynamometer


Pronator Teres Syndrome - ANSWER>>Median Nerve Entrapment
presents with pain on the volar aspect of the forearm, paresthesia in the
median distribution of the hand (first three fingers), pain with pronation, thenar
atrophy
tx: trigger point therapy, spray and stretch
tests: pinch grip


Cubital Tunnel Syndrome - ANSWER>>Ulnar nerve entrapment
presents with pain, tingling, and numbness of the last two digits and weakness
of the adductor pollicis, hypothenar atrophy
tx: adjust, tape and support
tests: tinel's, froment's paper sign


Radial nerve entrapment - ANSWER>>wrist drop (unable to extend elbow and
wrist), loss of triceps reflex, decreased sensation to posterior arm

,tx: adjust, increase strength, stretch


Meralgia Paresthetica - ANSWER>>Lateral femoral cutaneous nerve entrapment
presents with durning dysesthesia on anterolateral thigh
tx: advise wt loss and looser clothing


Sciatic Nerve entrapment - ANSWER>>pelvis, hip, or popliteal fossa
sensory pain in posterior buttocks, thigh, leg down to floor, weakness in knee
flexion and decreased achilles reflex
ddx with facet


Tarsal Tunnel Syndrom - ANSWER>>Tibial nerve/medial plantar nerve
entrapment
burining paresthesia on soles of feet aggravated by walking or standing,
decreased sensation on soles of feet and weak muscles of the foot
tx: adjust, orthotic support to keep foot in slight inversion
tests: tinel's ankle


Morton's neuroma - ANSWER>>Between third and fourth metatarsal
pain in the toes and dorsum of the foot
tx: surgery may be necessary
tests: morton's squeeze


Anterior Compartment Syndrome - ANSWER>>Deep peroneal nerve entrapment

, Can affect any and all four muscles of the compartment: tib anterior, extensor
hallucis L, extensor digitorum L, peroneus tertius
s/s similar to charcot marie tooth

Positive Radicular Pain -> Nerve Root Compression


Positive Local Pain -> Foraminal Encroachment


Jackson's Compression Test - ANSWER>>The patient is seated and the doctor
laterally flexes the patient head to the left and the right and applies downward
pressure.


Postive Radicular Pain -> Nerve Root Compression


Distraction Test - ANSWER>>The patient is seated and the doctor holds under
the mastoid and pulls the patient's head superior, removing the weight of the
head.


"What did you experience?"


Decreased Pain -> Nerve Root Compression


Increased Pain -> Sprain/Strain


O'Donohue's Test is for.... - ANSWER>>Determining whether it is a SPRAIN or
STRAIN