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JAMES NBCE, Part II Study Guide (Key Revie Nd w Questions and Answers) > Pages: 1-21 (Neuromusculoskeletal Diagnosis) > Flashcards

Pages: 1-21 (Neuromusculoskeletal Diagnosis) Flashcards

1
Q

Scoliotic deviation toward the high side of the sacrum is called?

a. Lovett in reverse
b. Lovett failure
c. Lovett negative
d. Lovett static

A

a. Lovett in reverse

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2
Q

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 sign
d. Adson’s test

A

d. Adson’s test

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3
Q

Which muscle is most commonly torn in a positive Codman’s test?

a. supraspinatus
b. infraspinatus
c. teres minor
d. subscapularis

A

a. supraspinatus

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4
Q

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

a. Sicard’s
b. Ely’s
c. Patrick’s
d. Mill’s

A

c. Patrick’s

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5
Q

A patient is suspected of having sciatica. Which is the most appropriate test?

a. Yeoman’s test
b. Kernig’s test
c. Burns Bench test
d. Turyn’s test

A

d. Turyn’s test

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6
Q

Coxa Vera is a femoral angle less than _____ degrees.

a. 120
b. 150
c. 160
d. 180

A

a. 120

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7
Q

Which is not part of Charcot’s triad?

a. hyperreflexia
b. nystagmus
c. slurred speech
d. intention tremor

A

a. hyperreflexia

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8
Q

Which is associated with plasmocytosis?

a. Multiple myeloma
b. OA
c. RA
d. Enchondroma

A

a. Multiple myeloma

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9
Q

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

a. Yergason’s test
b. Speed’s test
c. Lundington’s test
d. Allen’s test

A

a. Yergason’s test

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10
Q

Stroke victims will most commonly have this type of paralysis?

a. diplegia
b. hemiplegia
c. paraplegia
d. quadriplegia

A

b. hemiplegia

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11
Q

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

A

d. Finkelstein’s

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12
Q

Which artery is checked for bruits in the vertebrobasilar maneuver?

a. basilar
b. carotid
c. common iliac
d. aorta

A

b. carotid

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13
Q

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

a. Kernig
b. Beevor’s sign
c. Lhermitte’s sign
d. Adam’s sign

A

b. Beevor’s sign

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14
Q

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

a. Codman’s test
b. Dugas test
c. Yergason’s test
d. Mill’s test

A

a. Codman’s test

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15
Q

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

a. shoulder dislocation
b. lateral epicondylitis
c. bicipital tendon instability
d. meniscus tear

A

c. bicipital tendon instability

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16
Q

What reflex should be performed for L5 neurological package?

a. patella
b. achilles
c. tibialis posterior
d. no reflex

A

c. tibialis posterior
- This is a tricky question… There is an actual reflex for L5. Although most chiropractic curriculums teach that there is no reflex here, questions like this can appear on the test.

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17
Q

Dawbarn’s sign has an indication of _____?

a. posterior shoulder dislocation
b. subacromial bursitis
c. rotator cuff tear
d. lateral disc protrusion

A

b. subacromial bursitis

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18
Q

Bow-legged is also known as?

a. genu varum
b. genu valgum
c. Dawbarn’s test
d. Codman’s test

A

a. genu varum

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19
Q

Which condition 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

A

c. Erb Duchenne paralysis

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20
Q

Rotation of the head is accomplished by the _____, which is innervated by the _____.

a. trapezius, cranial nerve XI
b. SCM, cranial nerve XI
c. coracobrachialis, musculocutaneous nerve
d. subclavius, nerve to the subclavius

A

b. SCM, cranial nerve XI

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21
Q

Which is not innervated by the tibial nerve?

a. Soleus
b. Plantaris
c. Tibialis anterior
d. Gastrocnemius

A

c. Tibialis anterior

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22
Q

Lack of elbow extension may show injury of the _____ nerve.

a. radial
b. ulnar
c. axillary
d. peroneal

A

a. radial

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23
Q

Lister’s tubercle is found on which anatomical structure?

a. transverse process of C6
b. radius
c. ulna
d. femur

A

b. radius

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24
Q

Which test does not have indications of bicep tendon instability?

a. Abbott Saunders
b. Lundington’s
c. Yergason’s
d. Lewin’s

A

d. Lewin’s

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25
Q

The _____ nerve is compressed in carpal tunnel syndrome.

a. radial
b. ulnar
c. median
d. axillary

A

c. median

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26
Q

Which is not related to hyperthyroidism?

a. Grave’s disease
b. Exophthalmos
c. Puffy face
d. Fast language

A

c. Puffy face

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27
Q

What nerve is being tested in the L4 dermatome?

a. deep peroneal
b. femoral
c. superficial peroneal
d. sciatic

A

a. deep peroneal

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28
Q

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. Buerger’s
d. Dugas

A

a. Apley’s compression

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29
Q

Normal hematocrit levels would be?

a. 20-30%
b. 35-45%
c. 70-87%
d. 12-25%

A

b. 35-45%

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30
Q

Normal internal rotation of the knee is _____ degrees.

a. 10
b. 5
c. 0
d. 20

A

a. 10

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31
Q

Contraction of the tensor fascia lata is a positive for?

a. Ely’s test
b. Ober’s test
c. Thomas test
d. Laguerre’s test

A

b. Ober’s test

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32
Q

Medial epicondylitis is suspected. Which test should you perform?

a. Cozen’s
b. Golfer’s elbow
c. Tinel’s
d. Mill’s

A

b. Golfer’s elbow

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33
Q

A sacroiliac joint lesion is suspected. Which test should no be performed?

a. Lewin-Gaenslen’s
b. Iliac compression
c. Hibb’s
d. Bonnet’s

A

d. Bonnet’s

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34
Q

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

a. medial collateral ligament test
b. Thomas test
c. Thompson test
d. Patella Apprehension test

A

c. Thompson test

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35
Q

Which is included in the case history of a patient?

a. sex of patient
b. chief complaint
c. site of pain
d. all the above

A

d. all the above

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36
Q

All of the following have a scoliosis deviating to the low side of the sacrum except?

a. Lovett in excess
b. Lovett static
c. Lovett negative
d. Lovett in reverse

A

d. Lovett in reverse

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37
Q

Which is best represented by urticaria?

a. Nodule
b. Macule
c. Wheal
d. Pustule

A

c. Wheal

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38
Q

Displacement of the femoral head is an indication for?

a. Ortolani’s Click test
b. Ober’s
c. Thomas
d. Ely’s

A

a. Ortolani’s Click test

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39
Q

Which is the most common cause of ascites?

a. M.I.
b. Peptic ulcer
c. Cirrhosis of the liver
d. Gallstones

A

c. Cirrhosis of the liver

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40
Q

The classic test for meningitis is?

a. Lhermitte’s sign
b. Linder’s
c. Brudzinksi
d. Thompson

A

c. Brudzinksi

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41
Q

Which of the following can test for lateral epicondylitis?

a. Cozen’s
b. Golfer’s elbow test
c. Dawbarn’s
d. Apley Scratch

A

a. Cozen’s

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42
Q

Which of the following have indications associated with multiple sclerosis?

a. Linder’s
b. Brudzinksi
c. Kernig
d. Lhermitte’s

A

d. Lhermitte’s

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43
Q

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

a. Dugas
b. Lundington’s
c. Yergason’s
d. Dawbarn’s

A

b. Lundington’s

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44
Q

Neurogenic claudication usually occurs in the _____ spine from a(n) _____ and of injury?

a. cervical, flexion
b. thoracic, flexion
c. lumbar, extension
d. thoracic, extension

A

c. lumbar, extension

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45
Q

Thoracic outlet syndrome is an indication of?

a. Wright’s test
b. Ober’s test
c. Lhermitte’s sign
d. Brudzinski sign

A

a. Wright’s test

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46
Q

Which neurological package tests for foot dorsiflexion?

a. T1
b. C7
c. L4
d. S1

A

c. L4

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47
Q

Which is a reflex of the L4 neurological package?

a. Patella
b. Achilles
c. No reflex
d. Tibialis posterior

A

a. Patella

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48
Q

C5 disc is injured, which nerve will be affected?

a. C5
b. C6
c. C7
d. T1

A

b. C6

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49
Q

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

a. tabes dorsalis
b. AS
c. Huntington’s chorea
d. amyotrophic lateral sclerosis

A

d. amyotrophic lateral sclerosis

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50
Q

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

a. graphesthesia
b. vibration
c. barognosis
d. stereognosis

A

c. barognosis

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51
Q

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

a. Carotid
b. Subclavian
c. Vertebral
d. none of the above

A

c. Vertebral

52
Q

Which of the following tests does not have an indication of sciatic radiculopathy?

a. Laseque’s test
b. Buckling sign
c. SLR
d. Hibb’s test

A

d. Hibb’s test

53
Q

The coracoid is found on the?

a. clavicle
b. scapula
c. femur
d. ulna

A

b. scapula

54
Q 
To test if there is a lack of tangential 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
A

b. Apley scratch test

55
Q

Normal hip flexion ROM is around _____ degrees. Normal hip extension is approximately _____ degrees.

a. 120, 30
b. 100, 10
c. 90, 10
d. 80, 30

A

a. 120, 30

56
Q

The pancreas is found primarily in the _____?

a. epigastric region
b. right hypochondriac region
c. left iliac region
d. umbilical region

A

a. epigastric region

57
Q

Constant itching sensations in cervical dermatome area, numbness of extremities and a positive Lhermitte’s test are indicative of what?

a. syringomyelia
b. Neurofibromatosis
c. Tabes Dorsalis
d. Multiple sclerosis

A

d. Multiple sclerosis

58
Q

Which of the following tests for carpal tunnel syndrome?

a. Finkelstein’s
b. Tinel’s
c. Wright’s
d. Bakody’s

A

b. Tinel’s

59
Q

How many degrees should a 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

A

d. approximately 130 degrees

60
Q

Which is not consistent with a lower motor neuron lesion?

a. Muscle weakness
b. Flaccid paralysis
c. Hypoactive deep tendon reflex
d. No fasciculations

A

d. No fasciculations

61
Q

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

a. Wright test

62
Q

Tear of the supraspinatus tendon is an indication of?

a. Codman’s sign
b. Apley scratch test
c. Dawbarn’s sign
d. Dugas test

A

a. Codman’s sign

63
Q

Multiple sclerosis is associated with?

a. Lindner’s sign
b. Lhermitte’s sign
c. Kernig’s sign
d. Brudzinski sign

A

b. Lhermitte’s sign

64
Q

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

a. Patrick’s test
b. Bracelet test
c. Shrivel test
d. Patella grinding

A

a. Patrick’s test

65
Q

Which is a sign of Duchenne muscular dystrophy?

a. Meryon’s sign
b. Enlargement of the calves
c. Waddling gait
d. all the above

A

a. Meryon’s sign

66
Q

A Babinski response is obtained upon stroking of the tibia:

a. Oppenheim’s
b. Gordon’s
c. Schaffer’s
d. Chaddock’s

A

a. Oppenheim’s

67
Q

Paralysis agitates and cogwheel rigidity are associated with _____?

a. M.S.
b. Parkinson’s
c. Meniere’s disease
d. SLE

A

b. Parkinson’s

68
Q

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

a. Ely’s
b. Ober’s
c. Tinel’s
d. Hibb’s

A

b. Ober’s

69
Q

Extension of the shoulder is performed by?

a. infraspinatus
b. deltoid
c. teres minor
d. serratus anterior

A

b. deltoid

70
Q

Protraction of the scapula is accomplished by?

a. teres minor
b. teres major
c. serratus anterior
d. subscapularis

A

c. serratus anterior

71
Q

Upper motor neuron lesions do not have?

a. muscle flaccidity
b. muscle spasticity
c. hyperactive deep tendon reflex
d. fasciculations

A

a. muscle flaccidity

72
Q

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

a. joint capsular contractures

73
Q

Irregularities of the pupil is seen in?

a. tabes dorsalis
b. gonorrhea
c. shingles
d. chicken pox

A

a. tabes dorsalis

74
Q

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

A

b. Allen’s

75
Q

Which is primarily affected in Leriche’s syndrome?

a. aorta
b. femoral artery
c. splenic artery
d. jugular vein

A

a. aorta

76
Q

Which muscle is not affected in Erb Duchenne Palsy?

a. Soleus
b. Biceps
c. Brachialis
d. Deltoid

A

a. Soleus

77
Q

Pain over the lateral epicondyle is found in which of the following tests?

a. Cozen’s
b. McMurray’s
c. Gofer’s Elbow
d. Bounce Home

A

a. Cozen’s

78
Q

Which does not test for lateral epicondylitis?

a. Mill’s
b. Golfer’s
c. Cozen’s
d. Tennis elbow

A

b. Golfer’s

79
Q

A positive is pain in the S.I. joint for all of the following except?

a. Yeoman’s
b. Hibb’s
c. Gaenslen’s
d. Trendelenburg’s

A

d. Trendelenburg’s

80
Q

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

a. Tinel’s

81
Q

Paralysis of the long thoracic nerve will cause?

a. inability to flex latissimus dorsi
b. winged scapula
c. hemiplegia
d. inability to walk

A

b. winged scapula

82
Q

Dorsiflexing the big toe gives radiating pain in the gluteal area, which designates sciatic radiculopathy. Which test does this represent?

a. Minor’s sign
b. Braggard’s test
c. Turyn’s sign
d. Laseque’s test

A

c. Turyn’s sign

83
Q

The best test to evaluate the liver function would be?

a. SGOT
b. SGPT
c. A:G ratio
d. amylase

A

b. SGPT

84
Q

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

A

d. femoral, leg flexion

85
Q

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

a. Bunnel Littler tets
b. Retinacular test
c. Allen’s test
d. Tinel’s Wrist sign

A

b. Retinacular test

86
Q

The classic test for meningitis is?

a. Brudzinski sign
b. Kernig’s
c. Adson’s
d. Allen’s test

A

a. Brudzinski sign

87
Q

Which is present in upper motor neuron lesions?

a. fasciculations
b. hyperactive reflex
c. plantar reflex
d. flaccidity

A

b. hyperactive reflex

88
Q

Which muscle is usually torn in a positive Drop Arm’s test?

a. subscapularis
b. teres minor
c. infraspinatus
d. supraspinatus

A

d. supraspinatus

89
Q

Which does not test arterial insufficiency?

a. Allen’s
b. Buerger’s
c. Mill’s Test
d. all the above

A

c. Mill’s Test

90
Q

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

a. Codman’s
b. Halstead’s
c. Adam’s
d. Maigne’s

A

b. Halstead’s

91
Q

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

a. subclavian
b. basilar
c. vertebral
d. femoral

A

a. subclavian

92
Q

All of the following have insertions of at the greater tubercle except?

a. teres minor
b. supraspinatus
c. infraspinatus
d. subscapularis

A

d. subscapularis

93
Q

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. Lindner’s

A

a. Barre-Leiou sign

94
Q

All of the following tests should be performed to check for a tear of the meniscus except?

a. Apley’s compression test
b. Bounce Home
c. McMurray’s
d. Apprehension knee test

A

d. Apprehension knee test

95
Q

Normal shoulder adduction is approximately _____ degrees?

a. 20
b. 45
c. 90
d. 180

A

b. 45

96
Q

Which type of lumbar scoliosis would be considered the least painful?

a. Lovett positive
b. Lovett negative
c. Lovett static
d. Lovett failure

A

a. Lovett positive

97
Q

Which if a positive for the Thompson test?

a. gapping of the fibula
b. absence of plantar flexion
c. pain at the patella
d. clicking or pain

A

b. absence of plantar flexion

98
Q

Which cranial nerve is affected in Meniere’s disease?

a. 3
b. 4
c. 5
d. 8

A

d. 8

99
Q

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

a. Adson’s
b. Wright’s
c. Halstead’s
d. Eden’s

A

d. Eden’s

100
Q

Charcot’s triad is associated with?

a. syphilis
b. gonorrhea
c. multiple sclerosis
d. muscular dystrophy

A

c. multiple sclerosis

101
Q

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

a. McMurray’s
b. Allis test
c. Ober test
d. Lachman’s test

A

c. Ober test

102
Q

Which nerve toot is responsible for toe extension?

a. L3
b. L4
c. L5
d. S1

A

c. L5

103
Q

Which is the most common hernia in males?

a. Femoral
b. Indirect inguinal
c. Direct inguinal
d. Indirect femoral

A

b. Indirect inguinal

104
Q

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

a. Lhermitte’s sign
b. Kernig sign
c. Adson’s sign
d. Lindner’s sign

A

a. Lhermitte’s sign

105
Q

The sciatic nerve would be compressed in?

a. positive Bounce Homes test
b. positive Jackson’s test
c. positive Laseque’s test
d. positive Soto-Hall test

A

c. positive Laseque’s test

106
Q

Which can indicate DeQuervain’s disease?

a. Retinacular test
b. Phalen’s test
c. Finkelstein’s test
d. Allen’s test

A

c. Finkelstein’s test

107
Q

Knee height difference is a positive for the _____ test?

a. Allis
b. Ober
c. Faber
d. Thomas

A

a. Allis

108
Q

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

a. meningeal irritation
b. sciatica
c. multiple sclerosis
d. malignering

A

a. meningeal irritation

109
Q

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

A

b. Prussian’s disease

110
Q

This is very painful type of lumbar scoliosis, which consists of scoliosis toward the right side of the sacrum with body rotation to the left high side of the sacrum.

a. Lovett negative
b. Lovett positive
c. Lovett in reverse
d. Lovett failure

A

a. Lovett negative

111
Q

Which is not associated with a disc problem?

a. Bowstring test
b. Kemp’s
c. Gaenslen’s
d. Bechterew’s

A

c. Gaenslen’s

112
Q

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

a. normal
b. good
c. poor
d. fair

A

d. fair

113
Q

Retraction of the scapula is accomplished by?

a. deltoid
b. levator scapula
c. rhomboid major
d. serratus anterior

A

c. rhomboid major

114
Q

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

a. 0
b. 1
c. 2
d. 4

A

d. 4

115
Q

Pain during resistive range of motion designates strain of a muscle. which test does this most closely describe?

a. Jackson’s
b. Maigne’s
c. Halstead’s
d. O’Donohue Maneuver

A

d. O’Donohue Maneuver

116
Q

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

a. Trommer’s
b. Schaffer’s
c. Hoffman’s
d. McCarthy’s

A

b. Schaffer’s

117
Q

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’s test
c. Phalen’s test
d. Finkelstein’s test

A

c. Phalen’s test

118
Q

Degenerative spondylolisthesis is most common at?

a. L3
b. L5
c. L4
d. S1

A

c. L4

119
Q

Which is seen with Argyll-Robertson pupil?

a. diabetes mellitus
b. cirrhosis
c. SLE
d. rubeola

A

a. diabetes mellitus

120
Q

The corneal reflex is of which type?

a. visceral
b. superficial
c. pathological
d. deep tendon

A

b. superficial

121
Q

Knock knees are referred to as?

a. genu varum
b. genu valgum
c. genu recurvatum
d. all the above

A

b. genu valgum

122
Q

All of the following are performed in the prone position except?

a. Femoral stretch test
b. Nachlas test
c. Sicard’s test
d. Ely’s sign

A

c. Sicard’s test

123
Q

Which is a positive finding of Laseque’s test?

a. Pain down the leg
b. Pain in the shoulder
c. Pain in the area of the A.S.I.S.
d. Relief of pain

A

a. Pain down the leg

124
Q

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

a. Trommer’s
b. Hoffman’s
c. Babinski’s
d. Ankle clonus

A

c. Babinski’s

125
Q

DeQuervain’s disease is associated with?

a. positive Bunnel Littler test
b. Allen’s test
c. positive Finkelstein’s test
d. Tinel’s wrist sign

A

c. positive Finkelstein’s test

JAMES NBCE, Part II Study Guide (Key Revie Nd w Questions and Answers) (12 decks)

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