NBCE Part 4 Boards - Part IV NBCE Latest Update 2025-2026 Exam 275 Questions with 100% Verified Correct Answers Guaranteed A+
A/G ratio - CORRECT ANSWER: albumin: globulin
2:1
reversed with Multiple Myeloma
Abdominal Palpation - CORRECT ANSWER: perform with patients knees flexed to 30
deg.
Achilles reflex - CORRECT ANSWER: tibial nerve
S1 nerve root
Acid Phosphatase - CORRECT ANSWER: increased: prostatic carcinoma, mets to bone, hyperparathyroidism
Adson's Test AKA - CORRECT ANSWER: Scalenus Anticus Test
AIDs Screening - CORRECT ANSWER: two positive ELISA before ordering Western
Blot
Alkaline phos - CORRECT ANSWER: increased in osteoblastic lesions, hepatic
disease, hyperparathyroidism
Allen's Test - CORRECT ANSWER: Patient is seated with their elbow flexed and
forearm supinated. Ask patient to pump their hand while doctor occludes the radial and ulnar arteries until hand whitens. The patient the opens hand and doctor releases on artery, recording fill time (until hand regains color). Repeat for other artery. 1 / 4
Postive for delay more than 10 seconds -> occlusion of the tested artery
ALS - CORRECT ANSWER: affects corticospinal tract and anterior horns, usually
begins distally in hands/feet fasiculations present as well as spasticity and increased DTR's LMNL in arms; UMNL in legs
DDX: lateral canal stenosis
Amylase - CORRECT ANSWER: increased in pancreatitis
ANA - CORRECT ANSWER: aka FANA
seen with collagen disease (anti-DNP) and SLE (anti-DNA)
Antalgic gait - CORRECT ANSWER: gait is utilized to avoid provoking pain
Anterior Compartment Syndrome - CORRECT ANSWER: Deep peroneal nerve
entrapment Can affect any and all four muscles of the compartment: tib anterior, extensor hallucis L, extensor digitorum L, peroneus tertius s/s similar to charcot marie tooth
Anvil Test - CORRECT ANSWER: Patient is supine. Doctor raises leg and strikes the heel with their fist.
Positive: pain in the hip -> hip pathology or fracture
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Apley's Scratch Test - CORRECT ANSWER: Patient is seated and actively moves hand behind head in attempt to touch the superior angle of the scapula. The patient then moves hand behind back to touch the inferior angle of the same scapula.
Positive decreased ROM -> Degenerative tendonitis of the Rotator Cuff
Appendicitis - CORRECT ANSWER: Dull periumbillical or epigastric pain that rediates to LRQ Presents with fever, nausea, vomiting, anorexia Increase WBC, schilling shift to left Tests: McBurney's pount, rebound tendernes, blumberg's rebound tenderness, rovsing's sign, psoas sign, obturator sign CT is special test
Appendix pain referral - CORRECT ANSWER: early- epigastric
Late- RLQ
Apprehension Test - CORRECT ANSWER: The doctor abducts and slowly externally
rotates the affected shoulder.
Positive: Patient shows signs of apprehension that the arm will re-injure -> Chronic Shoulder Dislocation
Arteriosclerosis on eye exam - CORRECT ANSWER: AV nicking, silver wire arterioles, widened light reflex
ASO titre - CORRECT ANSWER: inceased in acute glomerulonephritis and rheumatic
fever
Aspiration - CORRECT ANSWER: gout, bacterial arthritis 3 / 4
Atelectasis - CORRECT ANSWER: Collapse of lung usually due to bronchial obstruction by mucous plug Presents with decreased tactile fremitus, dull percussion, decreased breath sounds, decreased chest expansion, decreased or absent breath sounds
on x-ray: lung appears as increased density with mediastinal shift to same side
Audiometer - CORRECT ANSWER: Hearing loss
Bakody's Test AKA Shoulder Abduction Test - CORRECT ANSWER: Patient is seated
and placed affected arm's palm on top of their head. The elbow should be at the level of the head.
Postive Relief of Pain -> IVF encroachment
Becterew's Test - CORRECT ANSWER: Patient seated. Doctor stabilizes thighs and
patient attempts to extend both legs.
Positive: pain or leaning back -> Disc (posteromedial disc IF pain when good leg is raised)
Bells Palsy vs Stroke - CORRECT ANSWER: bells palsy: forehead does NOT wrinkle with raising eyebrows
stroke: forehead DOES wrinkle with raising eyebrows
Belt Test - CORRECT ANSWER: 1) Patient bend forward (note when pain occurs)
2) Doctor applies L-M pressure on SI joints and patient bends forward again
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