NBCE Part 4 Boards - Part IV NBCE Newest
Update) Actual Exam Questions with Verified
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Foraminal Compression Test
Ans: 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.
Positive Radicular Pain -> Nerve Root Compression
Positive Local Pain -> Foraminal Encroachment
Quiz Jackson's Compression Test
Ans: 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
,Quiz Distraction Test
Ans: 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
Quiz O'Donohue's Test is for....
Ans: Determining whether it is a SPRAIN or STRAIN
Quiz O'Donohue's Test Performed
Ans: 1) Patient actively moves part against resistance.
2) Then the doctor moves part passively through a full ROM.
Pain Active: STRAIN (damage in mm tissue)
Pain Passive: SPRAIN (damage I'm ligamentous tissue)
Quiz Valsalva's Maneuver
,Ans: The doctor asks the patient to take a deep breath and hold while bearing down.
Postive Radicular Pain -> SOL
Quiz Maximal Cervical Compression Test
Ans: Patient is seated and actively rotated and extended head. If no pain the patient is asked to
maximally laterally flex head in the same direction. Repeat on the other side. No compression applied.
Postive Radicular pain -> Nerve Root Compression
Quiz Shoulder Depression Test
Ans: Patient is seated, the doctor depressed the patient's shoulder while laterally flexing the cervical
spine away from the shoulder. Repeat on other side.
Postive Pain -> Nerve Root Adhesion
Quiz Soto Hall Sign
Ans: Patient supine and the doctor places one hand on the patient's stream and passively flexes the
patient's head towards his/her chest.
Positive localized pain -> ant: fracture/ post: ligament tear
Quiz Bakody's Test AKA Shoulder Abduction Test
, Ans: Patient is seated and placed affected arm's palm on top of their head. The elbow should be at the
level of the head.
Postive Relief of Pain -> IVF encroachment
Quiz Thoracic Outlet Syndrome AKA
Ans: Neurovascular Compression Syndrome
Quiz Allen's Test
Ans: Patient is seated with their elbow flexed and forearm supinated. Ask patient to pump their hand
while doctor occludes the radial and ulnar arteries until hand whitens. The patient the opens hand and
doctor releases on artery, recording fill time (until hand regains color). Repeat for other artery.
Postive for delay more than 10 seconds -> occlusion of the tested artery
Quiz Costoclavicular Maneuver AKA
Ans: Eden's Test
Quiz Eden's Test Performed
Ans: Patient is seated and doctor palpated for the radial pulse. Patient brings shoulder down and back
and then flexes chin to their chest.
Update) Actual Exam Questions with Verified
Answers A+ Graded ||100% Guaranteed A+
Foraminal Compression Test
Ans: 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.
Positive Radicular Pain -> Nerve Root Compression
Positive Local Pain -> Foraminal Encroachment
Quiz Jackson's Compression Test
Ans: 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
,Quiz Distraction Test
Ans: 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
Quiz O'Donohue's Test is for....
Ans: Determining whether it is a SPRAIN or STRAIN
Quiz O'Donohue's Test Performed
Ans: 1) Patient actively moves part against resistance.
2) Then the doctor moves part passively through a full ROM.
Pain Active: STRAIN (damage in mm tissue)
Pain Passive: SPRAIN (damage I'm ligamentous tissue)
Quiz Valsalva's Maneuver
,Ans: The doctor asks the patient to take a deep breath and hold while bearing down.
Postive Radicular Pain -> SOL
Quiz Maximal Cervical Compression Test
Ans: Patient is seated and actively rotated and extended head. If no pain the patient is asked to
maximally laterally flex head in the same direction. Repeat on the other side. No compression applied.
Postive Radicular pain -> Nerve Root Compression
Quiz Shoulder Depression Test
Ans: Patient is seated, the doctor depressed the patient's shoulder while laterally flexing the cervical
spine away from the shoulder. Repeat on other side.
Postive Pain -> Nerve Root Adhesion
Quiz Soto Hall Sign
Ans: Patient supine and the doctor places one hand on the patient's stream and passively flexes the
patient's head towards his/her chest.
Positive localized pain -> ant: fracture/ post: ligament tear
Quiz Bakody's Test AKA Shoulder Abduction Test
, Ans: Patient is seated and placed affected arm's palm on top of their head. The elbow should be at the
level of the head.
Postive Relief of Pain -> IVF encroachment
Quiz Thoracic Outlet Syndrome AKA
Ans: Neurovascular Compression Syndrome
Quiz Allen's Test
Ans: Patient is seated with their elbow flexed and forearm supinated. Ask patient to pump their hand
while doctor occludes the radial and ulnar arteries until hand whitens. The patient the opens hand and
doctor releases on artery, recording fill time (until hand regains color). Repeat for other artery.
Postive for delay more than 10 seconds -> occlusion of the tested artery
Quiz Costoclavicular Maneuver AKA
Ans: Eden's Test
Quiz Eden's Test Performed
Ans: Patient is seated and doctor palpated for the radial pulse. Patient brings shoulder down and back
and then flexes chin to their chest.
