2024-2025 NBCE Practice test with Answers (303 Solved Questions)

Name: 2024-2025 NBCE Practice test with Answers (303 Solved Questions)
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NBCE practice test
questions 100% VERIFIED
ANSWERS 2024/2025
A 40 year old male presents w/ posterior ankle swelling. He reports that he heard
a "pop" from his ankle when he landed awkwardly after a jump. Which ortho test?
Thompson
The case hx of a patient w/ Guillain Barre Syndrome is most likely to include
which?
recent vaccination
Which of these complaints is most characteristic of cervical spondylotic
myelopathy?
difficulty walking and neck pain
A patient w/ recurring unilateral periorbital pain, lacrimation, and rhinorrhea is
most likely to report?
cluster headache
- lying in a dark room helps
Which of these patients statements is most characteristic of facet joint OA?
i have constant pain in my low back that radiates to my foot
the pain is at its worst upon awakening but decreases with activity

Which of these sports has a high incidence of stress fracture of the pars
interarticularis?
gymnastics
A patient w/ upper crossed syndrome exhibits _____________ rhomboid and
_________________ pectoralis musculature.
Weak
Tight
A gait in which the knee is fixed in extension and the ankle is plantarflexed while
the leg swings forward in a semicircular pattern is mostly likely caused by a
_________________ lesion.
corticospinal tract
During the gait cycle, which action normally occurs immediately following heel
strike?
foot supination
Which structures are most likely invovled when active range of motion
reproduces symptoms, but passive range of motion do not?
muscles
Right arm and hand pain reproduced by cervical compression and relieved by
flexion and distraction are most characterisitic of?
cervical radiculitis
Which test is used to isolate lesions in both the cervical and upper thoracic
spine?
SOTO Hall

Which of these tests is best utilized to distinguish inflamed pleura from neuritis in
the thoracic spine?
Schepelmann
What orthopedic procedure best screens for lateral rib fracture?
sternal compression test
During flexion of the patient's heel to the contralateral buttock, the patient begins
to raise his pelvis off the table in an attempt to avoid anterior thigh pain. This
indicates a positive
Ely's Sign
Which procedure, when positive, is most indicative of a medial disc protrusion?
Fajersztajn Test
The combination of which low back movements places the most weight on the
left lumbar facet joints?
extension, left lateral flexion and left rotation
Patellofemoral pain syndrome is typically associated with which examination
finding?
increased Q angle
The McMurray test combines _________________ with _________________ of the
knee to evaluate for structural damage to the medial meniscus.
external rotation
extension
Horner Syndrome is most likely to present with a ________________ reflex.

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Babinski
A patient who is unable to stand with his eyes open and feet together most likley
has a ____________________ dysfunction.
vestibular system
Which condition is most likely if a patient's pupils do NOT constrict with light but
react with accomodation?
Tabes Dorsalis (Neurosyphilis)
A herniation of the L4 disc is most likely to cause weakness of the
____________________ muscle.
L5 nerve root and L5 IVF
- answer = extensor hallucis longus
Weakness of the biceps muscle w/ normal strength of the wrist extensors
indicates a lesion of the ?
C5 nerve root
The anterior tibialis muscle test evaluates the ________________ nerve.
deep fibular
Paresthesia on the palm and first, second, and third fingers most likely indicates
nerve entrapment at which location?
pronator teres muscle
Which of these is most characteristic of a pyramidal tract lesion?
apperance of pathological reflexes

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Which of these reflexes would most likely be abnormal in a patient w/ cauda
equina syndrome?
cremasteric reflex
A lesion which impairs pain and temperature sensation only is most likely due to
a _______________ lesion.
anterior cord
-anterospinothalamic tract
A 60 yr old patient w/ lower lumbar central spinal canal stenosis is most likely to
demonstrate _________________________.
relief of pain when flexing forward
Rigidity during passive joint movement is most characteristic of a
____________________ lesion.
basal ganglia
- Cog wheel, pill rolling - Parkinson's disease
Which of these is characteristic of an optic chiasm lesion?
bitemporal hemianopia
Muscle weakness that becomes worse as the day progresses is most
characteristic of _____________________.
myasthenia gravis
Meralgia paresthetica may mimic irritation of the ___________ nerve root(s).
L2-L3

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- lateral femoral cutaneous nerve
- tight pants
Which of these is characteristic of complex regional pain syndrome?
persistent burning pain
Fixed adduction and internal rotation of the shoulder w/ pronation of the forearm
and no sensory loss is most characterisitic of ___________________.
Erb's Palsy
What is the most likely diagnosis for a patient with a history of smoking who
complains of leg pain after walking for a few minutes, but gets relief upon
resting?
intermittent claudication
Raynaud phenomenon is MC seen in patients diagnosed with which of these
conditions?
connective tissue disease
ex: Scleroderma
Lateral epicondylitis MC affects the _________________ muscle.
extensor carpi radialis brevis
Which muscle disorder has a significant association w/ giant cell arteritis?
polymyalgia rheumatica
A 30 yr old patient who recently began an aerobic program presents w/ anterior
hip and groin pain. The most likely diagnosis is ____________________.
iliopsoas bursitis

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Repetition of which activity is most likely to result in iliotibial syndrome?
running downhill
Foot drop, slowly progressive distal muscle atrophy, and high pedal arches are
characteristics of ______________________.
Charcot-Marie-Tooth disease
Gradual onset of pain and swelling at the tibial tuberosity in a young, athletic
patient is characteristic of _____________________.
Osgood-Schlatter disease
A 33 yr old patient with a history of hereditary multiple exostoses has recently
developed progressive, deep, unilateral hip pain w/ an associated soft tissue
mass. The most likely diagnosis is __________________________.
chondrosarcoma
Keinbock disease affects the ___________________ bone.
lunate
Which condition results in enlargement of cartilage at the costochondral
junctions?
rickets
A flexion deformity located at the proximal interphalangeal joint is known as
______________________.
hammer toe
What is the defining characteristic of remnant X-rays?
They pass through the patient and reach the film

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Scatter radiation is most effectively reduced by which of these?
collimators
Quantum mottle is minimized with ____________________.
high mAs
low kVp
The proper development temperature in an automatic processor is
_______________ degrees F.
75 degrees F
The dose of diagnostic x rays to skin, gonads, and bone marrow is measured in
______________________.
rads
Which radiographic cervical projection is most appropriate for depicting a
posttraumatic vacuum cleft sign?
AP
Tube angulation is necessary for an AP lower cervical radiograph in order to
____________________.
visualize the intervertebral disc spaces
Which radiographic view provides clear visualization of a Hahn venous groove?
lateral thoracic
What is the appropriate change in technique when taking lumbar radiographs of
an obese patient?
performs films with the patient in recumbent position

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What is the angulation of the central ray in a lateral lumbosacral projection?
no angulation
The iliac crest epiphysis first appears at which aspect of the crest?
directly in the middle of the crest
Visible lesser trochanters and foreshortened femoral necks noted on an AP pelvic
view are most likely due to _________________ of the ______________________.
external rotation
lower extremity
A dorsoplantar view of the foot requires a __________________ tube angulation.
10 degrees cephalad
Correct positioning for an AP radiograph of the elbow includes
_____________________.
full extension
What routine series is used to evaluate for sternal fracture?
RAO and lateral or PA and lateral (pick your poison)
Tarsal coalition most frequently occurs between which two tarsal bones?
calcaneonavicular
A well corticated ossification at the superolateral aspect of the patella after knee
trauma, demonstrated on AP and lateral knee radiographs, is most characteristic
of _____________________.
bipartite patella

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Approximately 50% of patients w/ cervical spondylolisthesis also have
___________________ of the affected vertebrae.
spina bifida
On a well positioned lateral elbow view, an elevated posterior fat pad may be
indicative of ___________________.
intra articular fracture
Dislocation of the symphysis pubis is termed ____________________.
diastasis
The MC fracture of the proximal femur is ______________________.
intertrochanteric
An avulsion at the origin of the rectus femoris muscle results in a downward
displacement of a fragment of bone from the __________________.
anterior inferior iliac spine
The triad of finger clubbing, athralgias, and periostitis is indicative of
____________________.
hypertrophic osteoarthropathy
A diseases that is characterized by a lack of joint destruction and joint
dislocations that are easily reversible?
SLE (systemic lupus erythematosus)
The presence of end plate sclerosis, vacuum phenomenon, and markedly
decreased disc height is characteristic of _____________________.
intervertebral osteoarthritis

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National Board of Chiropractic Examiners

2024-2025 NBCE Practice test with Answers (303 Solved Questions)

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