NBCE PART 3 40 HOUR TRAINING 2024 QUESTIONS WITH ANSWERS
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NBCE PART 3
Institution
NBCE PART 3
NBCE PART 3 40 HOUR TRAINING 2024 QUESTIONS WITH ANSWERS
L3 spinal N. Root (SNR) inervates which mm group? - Answer-adductors
L3/L4 SNR (L3 disc)
HX
MOI
SITE
AGE
MM
Dermatome site
Reflex? - Answer--previous back pain
-twist with bending
-below knee
-<40
-Tib ant M. test (invers...
NBCE PART 3 40 HOUR TRAINING
2024 QUESTIONS WITH ANSWERS
L3 spinal N. Root (SNR) inervates which mm group? - Answer-adductors
L3/L4 SNR (L3 disc)
HX
MOI
SITE
AGE
MM
Dermatome site
Reflex? - Answer--previous back pain
-twist with bending
-below knee
-<40
-Tib ant M. test (inversion)
-dermatome lower medial thigh to calf/or medial foot
-patellar reflex
-muscle girth difference
(medial hamstring reflex)
L5 SNR (L4) disc
HX
MOI
SITE
AGE
MM
Dermatome site
Reflex?
MM girth affected? - Answer--previous LBP
-twist with bending, below knee, <40yrs
-Ext dig longus muscle test (dorsi big toe)
-dermatomal lateral leg and top foot
-reflex intact
-muscle girth difference possible
S1 SNR (L5 disc)
HX
MOI
SITE
AGE
MM
,Dermatome site
Reflex?
MM girth affected? - Answer--previous LBP
-twist with bend, below knee,
-<40yrs
-peronii M. test (foot eversion)
-dermatomes post. calf and lateral and bottom foot
-achilles reflex
-muscle girth difference
Central disc
HX
MOI
SITE
Associated complication
MM
Dermatome site
Reflex?
MM girth affected? - Answer--previous LBP
-twist with bend, below knee
-bilateral
-weakness legs
-bowel/bladder dysfunction
-dermatome perineum, both legs,
-ankle and/or knee jerk, anal tone
-muscle girth difference
Lumbar Canal stenosis & accompanied ? aka ?
AGE?
HX?
ONSET/PROV/PALL?
SITE/SYMPTOMS?
Associated NEURO/Dermatome complication?
X-RAY METHODS AND MEASUREMENT for DX? - Answer--accompanied psuedo-
claudication (neuroclaudication)
-50+ yrs
-Hx LBP
-onset pain with walking, staying in postion, relief bending forward
-"sensory march" symptoms in feet travel up the legs to lumbopelvic region
-deficits cross nerve root boundaries
-x-ray Eisenstein or Beuler methods (>15mm relative, >10mm absolute)
, DDX W/DERMATOME EXAM - Answer--acute or chronically worsening from injury to
multiple nerve roots
-Loss bowel, bladder, groin fx
-bilateral leg symptoms-->numnbness and tingling in multiple dermatomes=canal
stenosis, central disc, or tumor
PNE: Piriformis Syndrome
MOI?
INSPECTION CLUES?
HX?
DERMATOME PE CAN MIMIC ?
YEAH OR NAH WITH MYOTOME OR DTR?
PALPATION OF ? REVEALS INVOLVEMENT? - Answer--non-traumatic
-short leg, pelvic rotation, pronation
-hx injections
-PE can mimic radiculopathy in dermatomes
-NOT myotome or DTR
-palpable gluteal involvement
Sciatica
Entrapment in ? ligament, deep ? mm's & ? hamstrings? - Answer-Entrapment in
sacrotuberous ligament, deep rotators and proximal hamstrings
Spondylolisthesis
ROM INDICATOR?
PROVOCATIVE?
AGE?
ABNORMAL ? CURVE OR ? SPINE
ADJUSTMENTS MUST INCORPORATE *NO* ?
EXAMPLES (2) - Answer--LBP worse with extension
-young or old
-sudden event=symptoms
-hyperlordosis
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