NBCE PART 3 VIGNETTES EXAM REPORTED QUESTIONS WITH CORRECT ANSWERS
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Course
NBCE PART 3 VIGNETTES
Institution
NBCE PART 3 VIGNETTES
NBCE PART 3 VIGNETTES EXAM REPORTED QUESTIONS WITH CORRECT ANSWERS
Other findings most commonly associated: - Answer-1) Congenital block
2) Occipitalization
3) Atlas hyperplasia
Tests that will most likely be performed: - Answer-1) Flexion and Extension x-rays
2) Neurological Evaluation
3)...
NBCE PART 3 VIGNETTES EXAM
REPORTED QUESTIONS WITH
CORRECT ANSWERS
Other findings most commonly associated: - Answer-1) Congenital block
2) Occipitalization
3) Atlas hyperplasia
Tests that will most likely be performed: - Answer-1) Flexion and Extension x-rays
2) Neurological Evaluation
3) CT Scan (tells you fracture versus non-union)
32 year old female presents with bilateral leg weakness, vertigo, diplopia, and recent
bladder issues. She has been smoking for 10 years. Babinski's is positive, Straight Leg
Raise is negative, L-hermitte's is positive. - Answer-Multiple Sclerosis and Upper Motor
Neuron Lesion via Cord Compression
Follow up Procedures - Answer-1) MRI of brain
2) Refer to neurologist
3) Electrodiagnosis
42 year old female presents with insidious onset of right knee pain in the popliteal fossa
and swelling. There was no injury or trauma. Also present is swelling and redness of
MCP joints bilaterally in hands. - Answer-Rheumatoid Arthritis
Most likely reason for the pain: - Answer-1) RA
2) Bakers Cyst
3) Popliteal bursitis
, Tests to confirm diagnosis: - Answer-1) Hand films
2) ESR
3) RA latex
24 year old female presents with headaches, neck pain, and spasms in the suboccipital
region. X-ray showed a missing posterior arch of atlas. - Answer-Agenesis of posterior
arch of atlas.
Best Diagnoses: - Answer-1) Agenesis of posterior arch of Atlas
2) Hypertrophy of anterior tubercle of Atlas
3) Congenital anomaly
Best initial follow up: - Answer-1) Flexion and extension x-rays
2) Neurological evaluation
3) Avoid adjusting upper cervical region
50 year old male presents with hip pain that is 6-7/10. Positive Hibb's and positive Anvil
test. X-ray showed lytic lesions in femur. - Answer-Multiple Myeloma
Most likely Diagnosis: - Answer-1) Primary neoplasm
2) Hematopoietic disease (affects bone marrow)
3) Multiple Myeloma
• Most likely future sequelae: - Answer-1) Anemia (Aplastic)
2) Increase in occurrences of infection
3) Unexplained weight loss
28 year old male presents with asthma and a history of corticosteroid use. He has a
decrease in right lateral flexion and an increased kyphosis. X-ray showed hemivertebra,
hyperkyphosis, and scoliosis. - Answer-Structural scoliosis due to hemivertebra
• Most likely found with condition: - Answer-1) Hemivertebra
2) Structural scoliosis (congenital)
3) Primary defect of a growth center
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