NBCE Part 4 Ortho Test
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| A. Supine. Flex knees to 90 degrees with feet placed flat on table and aligned. Compare level and alignment of knees. B. Seated. The doctor applies moderate compression to the distal aspects of the radius and ulna.C. Supine. Patient's knees extended. Doctor applies S-I pressure with the thumb web at the superior pole of the patella and then asks the patient to contract the quads. D. Patient instructed to kneel on a table 18 inches from floor while doctor holds ankles, bend forward at the trunk, and touch the floor.E. Seated. Ask patient to rise from a seated position. F. Prone. Flex the knee fully by approximating heel to the SAME buttock. G. Prone. Approximate heel to opposite buttock and then use the other hand to lift knee off table inducing hyperextensionH. Seated. Doctor stands behind patient and palpates for radial pulse on affected side. Abduct arm to 180 degrees and note angle at which radial pulse diminishes or disappears. Repeat on other side and compare results. I. The patient reports that pain is brought on by coughing, sneezing, or straining at the stool.J. Seated. Patient's elbow is flexed to 90 degrees with the forearm pronated and wrist dorsiflexed. Doctor stabilizes the elbow and resists the patient's wrist dorsiflexion. K. Supine. Doctor flexes, abducts and externally rotates the thigh by crossing the ankle over the contralateral knee. The doctor then extends the hip by applying downward pressure on the knee while stabilizing opposite ASIS to the table. L. The doctor observes the patient's umbilicus while they do a partial sit up.M. Supine. Doctor grasps the patient's foot and passively inverts and everts it.N. Supine. Flex knee to 90 degrees. While holding heel, allow knee to drop in full extension. O. Prone. Doctor stabilizes pelvis on side they are standing on. Doctor grasps the ankle of opposite leg and flexes knee to 90 degrees and then pushes leg laterally away causing internal rotation of hip. P. Supine. Doctor percusses posterior to the medial malleolus (medial plantar nerve). Q. Supine. The doctor flexes the hip and knee to 90/90 position and then attempts to extend knee.R. Seated. Patient's elbow is flexed and forearm supinated with wrist in slight dorsiflexion. Percuss over the flexor retinaculum of wrist (median nerve) and the tunnel of guyon (ulnar nerve). S. Supine. The doctor displaces the patella medial to lateral.T. Prone. Flex patient's knee to 90 degrees. Doctor grasps foot & applies downward pressure & rotates leg internally and externally. Heel points towards side being tested. |
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