NBCE PART 4 BOARDS - ORTHOPEDICS, EXAM LATEST 2024 ACTUAL EXAM 200 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+

NBCE PART 4 BOARDS - ORTHOPEDICS,

EXAM LATEST 2024 ACTUAL EXAM 200

QUESTIONS AND CORRECT DETAILED

ANSWERS WITH RATIONALES (VERIFIED

ANSWERS) |ALREADY GRADED A+

Dugas' Test - ANSWER- The patient places the hand of the affected

shoulder on the opposite shoulder and attempts to touch the elbow to the

chest.

Positive: unable to perform -> Shoulder Dislocation (Active & Acute)

Yergason's Test - ANSWER- The patient flexes their elbow to 90

degrees while seated. The doctor palpates the biceps tendon and actively

resists the patient's attempt to actively supinate the hand and flex the

elbow.

Positive: Audible click or snap in bicipital groove -> Bicipital Tendon

Instability

Dawbarn's Sign - ANSWER- The doctor palpates the subacromial bursa

and elicits pain. The doctor passively abducts patient's shoulder without

moving his/her fingers off of the subacromial bursa.

Positive: Reduction of pain in second maneuver -> Subacromial Bursitis

Impingement Sign - ANSWER- The patient slightly abducts their arm

and the doctor passively moves their arm through a full flexion. This

causes a jam of the greater tuberosity against the lacrimal surface.

Positive: Pain -> Tendonitis (overuse of tendons)

Supraspinatus Press Test AKA - ANSWER- Empty Can Test

Empty Can Test Performed - ANSWER- Patient abducts shoulders to

90degrees and the doctor apple resistance. The patient flexes shoulders

to 30 degrees and points thumbs downward and resistance is applied

again. (Hold & push the proximal elbow).

Positive: Weakness -> Supraspinatus Tear

Speed's Test - ANSWER- Patient is seated with elbow slightly flexed

and palm up. The doctor resists the patient's attempt to flex shoulder

while extending and supinating the forearm.

Positive: Pain -> Bicipital Tendonitis

Subacromial Push Button Test - ANSWER- Doctor applies a deep

pressure over the subacromial bursa.

Postive: Pain -> Supraspinatus degeneration OR Subacromial bursitis

Passive Shoulder Approximation - ANSWER- Patient is standing and

the doctor asks patient to lift shoulders up and back (squeeze the

shoulder blades together).

Positive: Pain in scapular region -> T1 or T2 Nerve Root problem on

side of pain

Bryant's Test - ANSWER- Doctor observed patient standing and notes

the heights of axillary folds.

Positive: lower axillary fold on involved side -> Shoulder Dislocation

Brachial Plexus Tension Test - ANSWER- Patient is seated. Patient

places both hands behind his/her head and pulls elbows posteriorly.

Positive: Pain -> C5 Nerve Root Lesion and/or TOS

Lateral Epicondylitis AKA - ANSWER- Radiohumeral Bursitis

Radiohumeral Bursitis AKA - ANSWER- Tennis Elbow

Lateral Epicondylitis Affects - ANSWER- Extensor Carpi Radialis

Brevis

Pain in extension of wrist and pronation of elbow (overhand swing)

Medial Epicondylitis AKA - ANSWER- Little Leaguer's Elbow

or

Golfer's Elbow

Medial Epicondylitis Affects - ANSWER- Flexor Carpi Ulnaris

Pain at elbow with flexion of the wrist

Cozen's Test

(C6 Biker Chicks) - ANSWER- Patient's elbow is flexed to 90degrees

with forearm pronated and fist dorsiflexed. Doctor stabilizes patient's

elbow and resists patient's dorsiflexed wrist.

Postive: Pain in the lateral elbow-> Lateral Epicondylitis

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