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Part 2 Board - 100 Common Questions
Part 2 Board - 100 Common Questions
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NBCE Part 2 Study Questions
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100 cards
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Practice quiz
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Questions
100
Answers
1
32 y.o. male runner
Plantar fasciitis
Achilles tendinitis
Tarsal tunnel syndrome
Fifth metatarsal stress fracture
2
Which of the following interactions with matter is considered a total absorption interaction?
Pair production
Comptom
Classic
Photoelectric
3
Scissors gait best demonstrates a
Injury to either ankle
Weakness in the gluteus maximus
Paralysis or spasm of the hip adductor muscles
Shortening of one of the extremities
4
Syringomyelia is associated with which finding?
Dry, pale skin in the affected area
Loss of light touch sensation
Loss of pain sensation at the affected level
Tremor in the affected muscles
5
Asking the elderly patient about which of these abilities might be part of a functional status assessment?
Ability to recall the name of objects placed in the hand
Ability to remember name, date, year, and season
Ability to do laundry, get dressed, and to prepare meals
Ability to name an object placed in the hand
6
D.D. Palmer's concept of subluxation was based upon:
Nerve compression and muscle strength loss
Upper cervical subluxation and myelopathy
Arterial supply and change in the four humors
Nerve vibratory activity known as tome
7
the most common cause of ocular infection in a newborn is:
Chancroid
Genital herpes
Condylomata accuminata
Gonorrhea
8
What is the BEST radiographic view to see a fat-blood interface (FBI sign) after severe knee trauma?
Cross-table lateral
AP Knee
Intercondylar view
Sunrise view
9
The cause of the "sausage digit" appearance in psoriatic arthritis is:
Tenosynovitis
Cellulitis
Intra-articular swelling
Periostitis
10
What is the term for lice infestation?
Ichthyosis
Pediculosis
Sarcoidosis
Scabies
11
The correction of foot pronation should cause femur heads to do what on radiography?
Fall
Translate medially
Elevate
Translate laterally
12
The irritation of anterior horn cells during the neuro-patho-physiological component of the subluxation complex causes:
Muscle spasm
Sensory changes
Sympathetic vasomotor changes
Anesthesia
13
10 y.o. boy with significant limp
Congenital hip dysplasia
Transient hip synovitis
Slipped femoral capital epiphysis
Legg-calve-perthes
14
Variations in power distribution to the x-ray machine are corrected by the:
Full-wave rectifier
Line voltage compensator
High voltage transformer
Automatic exposure control
15
Which of the following is MOST appropriate for rehab mgmt of the middle-aged female PT w/ hip joint osteoarthritis?
Impact-style aerobics
Long walks
Pool exercises and weight reduction
Pilates
16
Geometrical unsharpness is also known as
Penumbra
Magnification
Distortion
Umbra
17
PT w/ cough & erythma nodosum in both pretibial regions. Chest xray shows B/L hilar adenopathy. Most likely diagnosis?
Asbestosis
Lung cancer
Pneumocystitis carinii pneumonia
Sarcoidosis
18
For a patient with cervical disc herniation, the following tests would likely reproduce the patient's symptoms EXCEPT
Spurling's test
Distraction Test
Jackson's compression test
Foraminal compression test
19
Osteochondrosis of the capitulum is known as:
Sever's disease
Kohler's disease
Panner's disease
Keinboch's disease
20
Which explanation of body fct states that proper fct req more than just the physical and chemical processes of the body?
Humanism
Holism
Naturalism
Vitalism
21
33-yo F tired & reduced ADL, 25lb wt gain, course brittle hair, clonus, normal mm strength. Always feels cold.
Anemia
Hypothyroidism
Hyperthyroidism
Cushing syndrome
22
A good tool to use as a baseline measurement of patient status for the cervical spine is:
Major Injuries Category
Global Well Being Scale
Neck Disability Index
Pain Disability Index
23
the audible cavitation during fixation release is the result of:
Joint plan shear
Ligament distortion
CO2 release from synovial fluid
Muscle releasing
24
What is the term for yellowish discoloration of the skin?
Ecchymosis
Jaundice
Petechiae
Erythema
25
The most radiolucent radiographic density is
Air
Fat
Water
Bone
26
The forces imparted into the pelvic ring fm femur heads into the standing patient tend to cause the pubic symphysis to
Laterally translate
Open
Rotate
Close
27
Which of these describes Murphy's sign?
Pain over the stomach when palpating McBurney's point
Pain on inspiration during deep palpation of the gallbladder
Rebound tenderness in the lower left quadrant
Right lower quadrant pain when palpation of the left is performed
28
A 68 yo patient walks for 100 yards and feels leg pain. If the pain disappears at rest, what is the most likely cause?
Osteophytes
Vascular compression
Muscular
Neurogenic
29
A firefighter inhaled smoke from a fire which burned his lungs. what are his first symptoms?
Blisters of the mouth and vomiting
Dry eyes and mucous membranes of the mouth
Hemoptysis, epistaxis, and sneezing
Hoarseness, dyspnea, coughing, and cyanosis
30
Which of the following BEST defines "radiographic contrast"?
Difference btwn number of photons that strike the anode
Difference in gray scale btwn adjacent regions on a radiograph
Difference btwn the number of photos that strike the cathode
Difference btwn the darkest and lightest areas on a radiograph
31
Barium is used as a contrast agent for which of the following imaging techniques?
Arthroscopy
MRI
Discography
Gastrointestinal imaging
32
A 60 yo male presents w/ prolonged expiration, hyperresonance of lung fields, mild wheezing, and scattered rhonci.
Pneumonia
Upper lung carcinoma
Congestive heart failure
Chronic obstructive pulmonary disease
33
Pt presents w/ posterior neck pain fol an MVA. What component of history would BEST describe how the tissue was injured?
Date of the accident and onset of symptoms
Factor that made the symptoms worse
Character of complaint of the symptoms
Mechanism of Injury
34
On an AP external rotation shoulder radiograph, one can see the lesser tuberosity:
Overlapping the acromion process
Overlapping the greater trochanter
Overlapping with the glenoid fossa
Overlapping with the greater tuberosity
35
Which of the following would likely reproduce the chief complaint in a pt w/ facet syndrome (capsulitis) at the TL junct
Kemp's test
Adam's test
Bechterew's test
Straight leg raise test
36
Presbycusis initially causes hearing loss in which frequency range?
Neurotic paitnets (so much so they cross questions!)
High range (15,000-20,000 Hz)
Upper mid range (10,000-15,000 Hz)
Low to mid range (4,000-8,000 Hz)
37
Which is the most common causative factor in stroke?
Hemorrhage into the internal capsule
Arterial hypertension
Ruptured aneurysm of the basilar artery
Thrombosis and atherosclerosis
38
A burrowing feeling itchy condition of the skin of the pubis in an Occupy Wall Street protest is likely caused by:
Scabies
Tinea Corporis
Condyloma accuminata
Granuloma inguinale
39
Pt presents w/ headaches
Myofascitis
Migraine headache
Cluster headache
Cervicogenic headache
40
6 yo M, 102° fever, painful swallowing, sore throat, submandib. tenderness, angle of mandible obliterated by swelling.
Acute pharyngitis
Hodgkin disease
Mumps
Peritonsillar abscess
41
Which one of the following forms of headache has been shown to be the MOST responsive to manipulative care?
Tension
Cervicogenic
Cluster
Temporal arteritis
42
A self-limited, mild, inflammatory skin disease which is characterized by a "herald" or "mother" patch is:
Psoriasis
Pemphigus
Pityriasis rosea
Lichen planus
43
7 y.o. boy with groin and anteromedial knee pain.
Slipped femoral capital epiphysis
Legg-calve-parthes
Posttraumatic fracture
Congenital hip dysplasia
44
Which one of the following conditions would be considered an absolute contraindication to manipulation?
Joint hypermobility/instability
Severe pain
Inflammatory arthritis
Bone infection
45
PT w/ thoracic pain, during exam Adam's sign shows a left posterior rib protrusion fm T10-T3, that remains w/ fwd flxn
Functional scoliosis
Structural scoliosis
Negative Adam's sign
Normal spine
46
Notochordal impression is associated with which of the following radiographic signs?
Risser's sign
Cupid's bow
Inverted Napoleon hat
Ring epiphysis
47
what is the BEST imaging modality for detecting the changes in the articular cartilage seen with chondromalacia patella?
Bone scan
CT Scan
Plain film radiography
MRI
48
The sacroiliac belt (trochanter belt) is recommend for which of these situations?
Facet syndrome
Lumbar disc bulge
Sacroiliac instability
Canal stenosis
49
Neurapraxia result from microcirculation ischemia commonly manifests as:
Increased muscle tone
Paresthesia
Tendon hyperreflexia
Skin changes
50
Which of these conditions is characterized by polydipsia, polyphagia, and polyuria?
Idiopathic thrombocytopenic purpura
Gallstones
Ulcerative colitis
Diabetes mellitus
51
According to Bergmann and colleagues, a complete loss of end feel (empty end feel) may be indicative of joint
Misalignment
Restriction
Hypomobility
Instability
52
The C7 spinal nerve emits or exits the IVF between which two vertebrae?
C7-T1
Both
Neither
C6-C7
53
Cozen's orthopedic test is indicative of:
Carpal Tunnel Syndrome
De Quervain's Syndrome
Medial meniscus tear
Lateral epicondylitis
54
65 y.o. female w/ localized mid thoracic pain
Pathological fracture of a thoracic vertebral body
Zona (herpes zoster)
Pleurisy
Intercostal neuritis
55
Which condition may involve atlantoaxial instability?
Reactive arthritis (Reiter's)
Klippel-Feil syndrome
Cervical spine osteoarthritis
Diffuse idiopathic skeletal hyperostosis (DISH)
56
Which shoulder view BEST demonstrates the greater tubercle?
Baby arm
External rotation
Internal rotation
Transthoracic
57
What is the term for increased sensitivity to pain?
Hyperalgesia
Hypoalgesia
Hypotropism
Hypertropism
58
Palmer's earliest concept of subluxation centered upon which of these ideas?
Aperrant motion
Hypermobility
Joint fixation
Nerve compression
59
what is the preferred method of measurement for analysis of scoliosis?
Cobb's method
Meyerding's method
Jackson's method
Risser's method
60
Which of these is the most common fungal infection?
Stasis dermatitis
Eczema
Moniliasis
Dermatophytosis
61
Convulsions caused by drug poisoning are most likely associated with:
Phenobarbital
Diazepam
Strychnine
Chlorpromazine
62
What is the research term for a defined group of people observed for a period of time?
Cohort
Active control
Case series
Control group
63
The major intersegmental nodding occurs between
Occiput and C1
C5 and C6
C3 and C4
C1 and C2
64
A woman presents w/ foul smelling yellow discharge x 5 days. Adnexal tenderness on the L during exam. Diagnosis?
Bacterial vaginosis
Pelvic inflammatory disease
Syphilis
Vulvovaginitis
65
Patient w/ a long history of COPD. Which of the following are you most likely to observe?
Atrophied neck and trapezius muscles
Anteroposterior = lateral chest diameter
Increased tactile fremitus
Unequal chest expansion
66
Which of the following is NOT part of the SCORE questionnaire (Simple Calculated Osteoporosis Risk Estimate)?
Ethnic group or race
BMP < 19 kg/m2 or weight <57g
Patient over age 50
History of corticosteriod treatment for immune and inflammatory disorder
67
Which demographic is most likely to develop carcinoma?
Older men with gallstones
Patients with hepatic cirrhosis
Neurotic patients
Neurotic patients (so much so they're listed twice)
68
45 y.o. woman w/ left foot pain for some time
Neuroma
Plantar fasciiis
Metatarsalgia
Neuritis
69
Young M with complaint of low back pain after he tried to lift a heavy box. Which question should be asked immediately?
Can you lift your arms above your head?
Have you ever seen a chiropractor before?
What is the location of your pain?
Do you have insurance?
70
A 25 yo pt w/ severe pain in RLQ. Temp 102°, pulse 110, white cell count 16,000. What is the probable diagnosis?
Intestinal obstruction
Ovarian cyst
Salpingitis
Appendicitis
71
Barlow's sign, performed by strongly pulling on the supine infant's femur then pushing proximal & medial is a test for:
Laxity of the SI joint
Meningeal inflammation
Cerebral dysfunction
Instability or dislocation of the femur in the acetabelum
72
The referred pain frequently associated with musculoskeletal disorders can typically be described as
Superficial and ill defined
Deep and ill defined
Superficial and well defined
Deep and well defined
73
In which area on the joint motion diagram does a chiropractic adjustment occur?
Active range of motion
Limit of anatomical integrity
Paraphysiological space
Passive range of motion
74
Degenerative bone pain that is worse in the morning but improves as the day goes on is classic for:
Osteoarthritis
Rheumatoid Arthritis
Gouty Arthritis
Psoriatic Arthritis
75
A 60 year-old woman presents w/ a history of renal calculi and pink urine. Which of these is most likely the cause?
Nephrosis
Urethritis
Cystitis
Kidney stone
76
Insulin overdose will result in:
Hyperglycemia
Sugar hungar
Excessive salivation
Hypoglycemia
77
Otosclerosis, a common form of conductive deafness, is caused by which means?
Adherence of the stapes to the oval window
Labrinthin disorder
Chronic otitis externa
Atresia of the eustachian tube
78
What structure is the tangential view of the elbow (Jones) taken to better visualize?
Olecranon process
Coronoid
Lateral epicondyle
Capitellum
79
The Webster In-Utero Constraint Analysis and Reduction procedure:
Test and corrects for gestational diabetes
Tests and corrects the breech infant
Tests for and reduces a tilted uterus
Tests for umbilical cord compression
80
Injury to a nerve that results in a total severance of that nerve is called:
Axonopraxia
Axonotmesis
Neurotmesis
Neuropraxia
81
Which of the following imaging modalities does NOT give a radiation dose to the patient?
MRI
Bone scan
CT
Mamography
82
What is the best INITIAL study to confirm an abdominal aortic aneurysm?
US
X-Ray
MRA
CT
83
Which is an absolute contraindication to adjusting?
Osteoporosis
Spondylolisthesis
Rheumatoid Arthritis
Malignancy
84
Pain in the lower left quadrant is likely to indicate which of these conditions?
Diverticulitis
Appendicitis
Cholecystitis
Gastric ulcer
85
Filtration is used in diagnostic radiography to:
Manufacture gonad shields
Remove high-energy x-rays
Restrict the useful beam to the body part image
Absorb low-energy x-rays
86
22 yo M tennis player w/ acute R knee pain
Varus stress test
Lachman's test
Posterior drawer test
Patellofemoral tests
87
The "Get up and Go" test is a common geriatric assessment for:
Socioeconomic status
Cognitive status
Functional status
Bladder function
88
Injury to the sixth cervical disc is most likely to cause which of these signs?
Reduction in the triceps reflex
Paresthesia of the lateral forearm
Paresthesia of the thumb
Reduction in the brachioradialis reflex
89
Allodynia refers to:
An absence of pain sensation
Presence of mult. pain qualities at same site-tingling, burning, throbbing
Pain from an ordinarily non-painful stimulus
Pain in multiple regions of the body
90
What component of the case history identifies if the patient's condition is acute, subacute or chronic?
Mode of onset
Character of the complaint
Aggravating factors
Date of onset
91
Which of these antidotes may be used in the ingestion of toxic levels or warfarin?
Atropine
Phytoadione (Vitamin K)
Fab fragments
Dimercaprol
92
The pars interarticularis in the lumbar spine is best seen on which view?
Lateral flexion
Oblique
Lateral
AP
93
Palpatory pain at the origin and insertion of the sartorius muscle may indicate:
Anterior rotation of the upper sacroiliac area
Lateral meniscus tear at the knee
Internal rotation of the femur head
Posteror rotation of the upper sacroiliac area
94
Fatigue, with palpitations and orthopnea is indicative of which of these?
Rheumatic fever
Adrenal insufficiency
Myocardial infarction
Cardiac insufficiency
95
Which of these is a clinical feature of Grave disease?
Tachycardia
Exopthalmos
Thyroid atrophy
Facial edema
96
A male pt complains of R arm weakness and tingling x 2 wks. Which would not be important in a further hx followup?
He lifts weights every day
His job requires overhead work
He always sleeps on his right sid
He slipped and fell on his outstretched hand 1 wk ago
97
A 16 year old breaks out in total body hives. Which question below is clinically significant?
Do you have frequent blackout spells?
Are you taking any new medications?
Is there a family history of hives?
Are you sexually active?
98
Vertiginous symptoms elicited during the dix-Hallpike (or Nylen-Baranay) test would be pathognomonic for:
Meniere's disease
Cushing's disease
Cervicogenic vertigo
Benign paroxysmal positional vertigo
99
Afferent fibers returning to the spinal cord from the viscera pass through which of these structures?
Named somatic nerves
Vagus nerve
Anterior primary rami
Paravertebral sympathetic ganglia
100
A 60 yo M w/ hx of angina reports an episode of several hours like a fist clenched behind sternum, not relieved by rest.
Hiatal hernia
Angina pectoris
Corinary spasm
Myocardial infarction