NBCE Part 2 example questions

This ossifying hematoma is found in the adduction magnus muscle and is common in horseback riders. Which condition does this represent?

a. pseudosarcoma

b. prussian's disease

c. paget's disease

d. multiple myeloma

B. Prussian's disease (Myositis Ossificans)

Dawbarn's sign has an indication of

a. posterior shoulder dislocation

b. subacromial bursitis

c. rotator cuff tear

d. lateral disc protrusion

B. Subacromial bursitis

Rotator cuff tear is a positive indication in which of the following?

a. codman's test

b. dugas test

c. yergason's

d. mill's test

A. Codman's test

Which muscle is usually torn in a positive drop arm's test?

a. subscapularis

b. teres minor

c. infraspinatus

d. supraspinatus

D. Supraspinatus

Which test does not have indication of bicep tendon instability?

a. Abbott Saunders

b. Lundington's

c. Yergason's

d. Lewin's

D. Lewin's

Perceptible click in the bicipital groove area is a positive finding in?

a. yergason test

b. speeds test

c. Lundington's test

d. Allen's test

A. Yergason Test

Which can indicate DeQuervain's disease?

a. retinacular test

b. phalen's test

c. finklestein's test

d. allen's test

C. Finklestein's test

Knock knees are referred to as-

a. genu varum

b. genu valgum

c. genu recurvatum

d. all of the above

B. Genu Valgum

Which has a positive sign of the leg staying in abduction?

a. McMurray's

b. Allis test

c. Ober test

d. Lachman's test

Ober test

Achilles tendon rupture is an indication of which of the follow?

a. medical collateral ligament test

b. thomas test

c. thompson test

d. patella apprehension test

C. Thompson

Which artery is checked for bruits in the vertebrobasilar maneuver?

a. basilar

b. carotid

c. common iliac

d. aorta

B. Carotid

Which artery is checked for bruits in the vertebrobasilar artery functional maneuver?

a. subclavian

b. basilar

c. vertebral

d. femoral

A. Subclavian

Which test would have the patient in a cervical flexion position?

a. adsons

b. wrights

c. halsteads

d. edens

D. Eden's

On x-ray, there is a cervical rib. Which of the following tests should be performed to rule out compression of the neurovasuclar bundle?

a. Codman's

b. Halstead's

c. Adam's

d. Maigne's

B. Halstead's

Hip joint pathology is suspected. Which test should be performed?

a. Patrick

b. Bracelet test

c. Shrivel test

d. Patella grinding

A. Patrick

What reflex should be performed for L5 neurological package?

a. patella

b. achilles

c. tibialis anterior

d. no reflex

C. Tibialis anterior

C5 disc is injured, which nerve will be affected?

a. C5

b. C6

c. C7

d. T1

B. C6

What nerve is being tested in the L4 dermatome?

a. Deep peroneal

b. Femoral

c. Superficial peroneal

d. sciatic

A. Deep peroneal

Which is consistent with a lower motor neuron lesion?

a. muscle weakness

b. flaccid paralysis

c. hypoactive deep tendon reflex

d. no fasciculation

D. No fasciculations

The ability to tell the difference between two different weights is called:

a. graphesthesia

b. vibration

c. baragnosis

d. stereognosis

C. Baragnosis

Upper motor neuron lesions do not have?

a. muscle flaccidity

b. muscle spasticity

c. hyperactive deep tendon reflex

d. fasciculations

A. Muscle flaccidity

Which of the following is not always considered a pathological reflex?

a. tromner's

b. hoffman's

c. babinski's

d. ankle clonus

C. Babinski

A babinski response is obtained upon stroking of the tibia:

a. Oppenheim's

b. Gordon's

c. Schaffer's

d. Chaddock's

A. Oppenheim's

Lack of elbow extension may show injury of the ______ nerve?

a. radial

b. ulnar

c. axillary

d. peroneal

A. Radial

The _______ nerve is compressed in carpal tunnel syndrome?

a. radial

b. ulnar

c. median

d. axillary

C. Median

Yergason's test is positive. What is the indication?

a. shoulder dislocation

b. lateral epicondylitis

c. bicipital tendon instability

d. meniscus tear

C. Bicipital tendon instability

Which of the following has a positive sign of a non-palpable biceps tendon?

a. Dugas

b. Lundington's

c. Yergason's

d. Dawbarn's

B. Lundington's

Which of the following can test for lateral epicondylitis?

a. Cozen's

b. Golfer's elbow test

c. Dawbarn's test

d. Codman's sign

A. Cozen's

Bow-legged is also known as:

a. genu varum

b. genu valgum

c. dawbarn's test

d. codman's sign

A. Genu Varum

The doctor flexes the patient's neck to his chest and there is pain down the sciatic pathway or knee flexion is present. What does this indicate since this is Linder's test?

a. meningeal irritation

b. sciatica

c. multiple sclerosis

d. malingering

A. Meningeal irritation

The classic test for meningitis is

a. Lhermitte's sign

b. Linder's

c. Brudzinksi

d. Thompson

C Brudzinski

Which of the following have indications associated with multiple sclerosis?

a. linder's

b. brudzinski

c. kernig

d. lhermitte's

D. Lhermitte's

Which of the following can test for a possible T10 nerve root lesion?

a. kernig

b. beevor's sign

c. lhemitte's sign

d. adam's sign

B. Beevor's sign

Stroke victims will most commonly have this type of paralysis:

a. diplegia

b. hemiplegia

c. paraplegia

d. quadriplegia

B. Hemiplegia

Degeneration of both upper and lower motor neurons is associated with:

a. tabes dorsalis

b. AS

c. huntington's chorea

d. amytrophic lateral sclerosis

D. Amytrophic Lateral sclerosis

Which is a sign of Duchenne muscular dystrophy?

a. meryon's sign

b. enlargement of calves

c. waddling gait

d. all of the above

D. All of the above

Which is a reflex of the L4 neurological package?

a. patella

b. achilles

c. no reflex

d. tibialis posterior

A. Patella

Paralysis of the long thoracic nerve will cause?

a. inability to flex latissimus dorsi

b. winged scapula

c. hemiplegia

d. inability to walk

B. Winged Scapula

Which muscle is not affected in Erb Duchenne Palsy?

a. soleus

b. biceps

c. brachialis

d. deltoid

A. Soleus

Which condition occurs in newborns during the birth process which is characteristic of a waiter's tip?

a. meralgia paresthetica

b. marfan's syndrome

c. erb duchenne paralysis

d. neurofibromatosis

C. Erb Duchenne Paralysis

Stenosis or compression of the vertebral, carotid, or basilar arteries are all indications for all of the following except:

a. dekleyn's test

b. hauntant's test

c. barre-leiou test

d. adson's test

D. Adson's test

Which artery is not auscultated in the vertebrobasilar artery functional maneuver?

a. carotid

b. subclavian

c. vertebral

C. Vertebral

Occlusion of the radial or ulnar artery is an indication in which test?

a. hoover's

b. allen's

c. adson's

d. libman's

B. Allen's

Positive indicator of tenosynovitis of the abductor pollicis longus is found in which test?

a. hoover's

b. tinel's

c. golfer's elbow

d. finkelstein's

D. Finkelstein's

Carpal tunnel syndrome is suspected in a 28 year old computer operator. Which test is most relevant?

a. tinel's

b. finkelstein's

c. mcmurray's

d. magnuson's

A. Tinel's

21 year old college football player has hurt his knee in an unfortunate tackle. Which test would be most relevant to use?

a. apley's compression

b. burn's bench

c. buergers

d. dugas

A. Apley's compression

Pain found of the lateral epicondyle is found in which of the follow tests?

a. cozen's

b. mcmurray's

c. golfer's

d. bounce home

A. Cozen's

The corneal reflex is of which type?

a. visceral

b. superficial

c. pathological

d. deep tendon

B. Superficial

Which does not test arterial insufficiency?

a. allen's

b. buerger's

c. mill's test

C. Mill's test

Which of the following tests for carpal tunnel syndrome?

a. finkelstein's

b. tinel's

c. wright's

d. bakody

B. Tinel's

Which is a positive for the thompson test?

a. gapping of the fibula

b. absence of the plantar flexion

c. pain in the patella

d. clicking or pain

B. Absence of the plantar flexion

Contracture of the iliotibial band is an indication of which test?

a. ely's

b. ober's

c. tinel's

d. hibb's

B. Ober's

Which muscle is most commonly torn in a positive codman's test?

a. supraspinatius

b. infraspinatus

c. teres minor

d. subscapularis

A. Supraspinatus

Protraction of the scapula is accomplished by

a. teres minor

b. teres major

c. serratus anterior

d. subscapularis

C. Serratus anterior

Medial epicondylitis is suspected. Which test should you perform?

a. cozen's

b. golfer's elbow

c. tinel's

d. mill's

B. Golfer's elbow

Constant itching sensations in cervical dermatome area, numbness of extremities and positive lhermitte's test are indicative of:

a. syringomyelia

b. neurofibromatosis

c. tabes dorsalis

d. multiple sclerosis

D. Multiple sclerosis

Which is not a part of charcot's triad?

a. hyperreflexia

b. nystagmus

c. slurred speech

d. intention tremor

A. Hyperrefelxia

Charcot's triad is associated with

a. syphilis

b. gonorrhea

c. multiple sclerosis

d. muscular dystrophy

C. Multiple sclerosis

In muscle grading, complete range of motion in opposition to gravity is given a rating of:

a. normal

b. good

c. poor

d. fair

D. Fair

In muscle grading complete ROM with some resistance is given a rating of:

a. 0

b. 1

c. 2

d. 4

D. 4

Multiple sclerosis is associated with

a. linder's sign

b. lhermitte's sign

c. kernig's sign

d. brudzinski sign

B. Lhermitte's sign

The classic test for meningitis is

a. brudzinski sign

b. kernig's

c. adson's

d. allen test

A. Brudzinski

Thoracic outlet syndrome is an indication of

a. wright's test

b. ober's test

c. lhermitte's sign

d. brudzinski sign

A. Wright's test

Which neurological package tests for foot dorsiflexion?

a. T1

b. C7

c. L4

d. S1

C. L4

Electrical shock-like sensations through entire spine is indicative of:

a. lhermitte's sign

b. kernig sign

c. adson's sign

d. linder's sign

A. Lhermitte's sign

Stenosis of the carotid and vertebral arteries is suspected in a patient. Which is the most appropriate test to perform?

a. barre-leiou sign

b. distraction test

c. spurling's test

d. linder's

A. Barre-leiou sign

Tear of the supraspinatus tendon is an indication of:

a. codman's sign

b. apley's scratch test

c. dawbarn's sign

d. dugas test

A. Codman's sign

To test the if there is a lack of range of motion in the shoulder, which test would be most appropriate?

a. dawbarn's sign

b. apley scratch test

c. dugas test

d. codman's sign

B. Apley scratch test

A patient's axillary artery may be compressed. Choose most appropriate test?

a. wright test

b. apley scratch test

c. dugas test

d. drop arm test

A. Wright test

How many degrees should patient's arm be abducted in codman's test?

a. approximately 45 degrees

b. approximately 65 degrees

c. approximately 75 degrees

d. approximately 130 degrees

D. Approximately 130 degrees

Patient Mr. X has pain at the median nerve distribution at fingers 2, 3 and 4. Which test would demonstrate this finding?

a. bunnel littler test

b. allen test

c. phalen's test

d. finkelstein's test

C. Phalen's test

DeQuervain's disease is associated with:

a. positive bunnel littler test

b. allen test

c. positive finkelstein's test

d. tinel's wrist sign

C. Positive finkelstein's test

In the bunnel littler test, if flexion of the proximal interphalangeal joint is not accomplished, this indicates:

a. joint capsular contractures

b. tight intrinsic muscles

c. tight retinacular ligaments

d. stenosing tenosynovitis

A. Joint capsular contractures

Flexion of the DIP joint is attained and is a positive finding in:

a. bunnel littler test

b. retinacular test

c. allen test

d. tinel's wrist sign

B. Retinacular test

Normal internal rotation of the knee is ______ degrees.

a. 10

b. 5

c. 0

d. 20

A. 10

All of the following tests shoulder be performed to check for a tear of the meniscus except:

a. apley's compression

b. bounce home

c. mcmurray's

d. apprehension knee test

C. Apprehension knee test

Retraction of the scapula is accomplished by:

a. deltoid

b. levator scapula

c. rhomboid major

d. serratus anterior

C. Rhomboid major

All of the following have insertions of greater tubercle except:

a. teres minor

b. supraspinatus

c. infraspinatus

d. subscapularis

D. Subscapularis

Which cranial nerve is affected in Meniere's disease?

a. 3

b. 4

c. 5

d. 8

D. 8

Irregularities of the pupils is seen in

a. tabes dorsalis

b. gonorrhea

c. shingles

d. chicken pox

A. Tabes Dorsalis

Which is the most common cause ascites?

a. M.I.

b. Peptic ulcer

c. Cirrhosis of liver

d. Gallstones

C. Cirrhosis of the liver

Which is best represented by urticaria?

a. nodule

b. macule

c. wheal

d. pustule

C. Wheal

Which is the most common hernia in males?

a. femoral

b. indirect inguinal

c. direct inguinal

d. indirect femoral

B. indirect inguinal

The pancreas is found primarily in the

a. epigastric region

b. right hypchondriac region

c. left iliac region

d. umbilical region

A. Epigastric region

Paralysis agitans and cogwheel rigidity are associated with:

a. M.S.

b. parkinson's

c. meniere's disease

d. SLE

B. Parkinson's

The iliopsoas is innervated by the _______ nerve and has an action of ________.

a. deep peroneal, hip flexion

b. tibial, knee flexion

c. femoral, leg extension

d. femoral, leg flexion

D. Femoral, Leg Flexion

Which is not innervated by the tibial nerve?

a. soleus

b. plantaris

c. tibialis anterior

d. gastrocnemius

C. Tibialis anterior

Which nerve root is responsible for toe extension?

a. L3

b. L4

c. L5

d. S1

C. L5

Which is present in upper motor neuron lesions?

a. fasciculations

b. hyperactive reflex

c. plantar reflex

d. flaccidity

B. Hyperactive reflex

Which of the following is a pathological reflex found in the lower extremity of a patient?

a. tromner's

b. schaffer's

c. hoffman's

d. mccarthy's

B. Schaffer's

Which is not associated with a disc problem?

a. bowstring test

b. kemp's

c. gaenslen's

d. bechterew's

C. Gaenslen's

Which is not related to hyperthyroidism?

a. grave's disease

b. exopthalmos

c. puffy face

d. fast language

C. Puffy face

Which is seen with Argyll-Robertson pupil?

a. diabetes mellitus

b. cirrhosis

c. SLE

d. rubeola

A. Diabetes Mellitus

Normal shoulder adduction is approximately ________degrees.

a. 20

b. 45

c. 90

d. 180

B. 45

A sacroiliac joint lesion is suspected. Which test should not be performed?

a. lewin-gaenslen's

b. iliac compression

c. hibb's

d. bonnet's

D. Bonnet's

Which of the following is most similar to the Laguerre's test?

a. sicard's

b. ely's

c. patrick's

d. mill's

C. Patrick's

Which does not test for lateral epicondylitis?

a. mill's

b. golfer's

c. cozen's

d. tennis elbow

B. Golfer's

Normal hematocrit levels would be:

a. 20-30%

b. 35-45%

c. 70-87%

d. 12-25%

B. 35-45%

The best test to evaluate for liver function would be:

a. SGOT

b. SGPT

c. A:G ratio

d. amylase

B. SGPT

Which is associated with plasmocytosis?

a. multiple myeloma

b. OA

c. RA

d. enchondroma

A. Multiple myeloma