NPTE EXAM QUESTIONS AND ANSWERS
The phosphagen system represents the most rapidly available source of ATP for use by
muscle. The energy system is able to function in the described manner: - Answers - -
doesn't depend on long chemical reactions
- doesn't depend on transport of o2 to working muscles
- ATP/PC are stored directly in contractile mechanisms of the muscle
ATP-PC system - Answers - - used for ATP production
- for high intensity short duration exercise- like 100 meters.
- provides energy for up to 15 seconds
Transverse plane is on what axis? - Answers - Vertical axis
Frontal plane is in what axis? - Answers - sagittal axis
Sagittal plane is in what axis? - Answers - frontal axis
Anaerobic glycolysis - Answers - Does not depend on O2- formation of lactic acid
Major supplier of ATP during high intensity- spiriting 400/800 meters
Glycogen splits into glucose and splits again into pyruvic acid
Anaerobic glycolysis system is 550% slower than phosphocreatine system. It can
provide 30-40 seconds of muscle contraction and is able to function described like this: -
Answers - -does not require O2
- uses carbs and glucose
- releases enough energy to resynthesis small amounts of ATP
The aerobic system is used predominately during? - Answers - Low intensity and long
duration exercise.
Like Marathon running
Aerobic system - Answers - Needs O2
Series of complex chemical reactions
Finish this one
A physical therapist assistant reviews the medical record of a patient with an arthritic
condition.
Which piece of information would be the MOST useful to assist in the definitive
diagnosis of
rheumatoid arthritis - Answers - Blood tests
By reviewing tests that showed the blood work, they would have found the
,RA gene factor that presents only when the patient has RA. The blood tests also shows
WBC,
RBC, hematocrit that can confirm the presence of RA
A patient is referred to physical therapy with a diagnosis of left shoulder impingement.
During
the session, the physical therapist assistant begins to suspect a systemic cause for the
patient's
pain. Which of the following symptoms would BEST support this hypothesis - Answers -
Pain remains unreleaved at rest
pain that is systemic makes it difficult to reproduce the pain. The symptom of
pain is unrelieved by rest or position changes
A physical therapist assistant instructs a patient in a self-stretching activity using the
FABER test
position. This test position should be MOST useful to stretch which of the following
muscle
groups of the hip? - Answers - internal rotators
because the internal rotators are stretched as you move the patients hips into
external rotation
A physical therapist assistant reviews the surface anatomy of the hand in preparation
for a
patient post wrist arthrodesis. Which of the following bony structures does NOT
articulate with
the lunate? - Answers - trapezium
the trapezium does not articulate with the lunate
A patient successfully completes 10 anterior lunges. The physical therapist assistant
would like
to modify the activity to maximally challenge the patient in the sagittal plane. Which of
the
following modifications would be the MOST appropriate to accomplish this goal? -
Answers - Anterior lunge with concurrent bilateral shoulder flexion to 90 degrees with
five pound
weights
Sagittal plane includes flexion and extension. Creating flexion at the
shoulders would create the most challenge in the sagittal plane for the patient
A physical therapist assistant is performing gait training on a patient who has a
transtibial
, amputation. After 15 minutes of training, the patellar tendon-bearing prosthesis is
removed for skin inspection. Redness is noted on multiple areas of the residual limb.
Which area of redness should be the GREATEST concern to the assistant? - Answers -
distal anterior tibia
Distal anterior tibia is not tolerant to weight distribution due to thin skin layer
and very little adipose tissue makes it difficult to distribute transmitted forces in that area
A patient sustained a non-displaced fracture of the proximal humerus. Which of the
following clinical findings would provide the BEST support for the patient being cleared
to perform active-assisted exercise? - Answers - callus formation
Due to only needed active ASSISTED exercise, the patient would need callus
formation because the healing had already started to occur and therefore strong enough
for
assisted active exercise
During a family meeting in an acute rehabilitation hospital a 26-year-old male with
complete C7 tetraplegia asks a variety of questions about self care and mobility
expectations. With an uncomplicated recovery, the patient can expect lower extremity
dressing to be performed with what level of assist in bed? - Answers - Modified
independence
A physical therapist assistant discusses fitness parameters with a 30-year-old patient
who is five months pregnant. Assuming the patient has not experienced any
complications from her pregnancy, which of the following would be the MOST
appropriate exercise program for the patient? - Answers - Mild to moderate walking
program performed three times per week
A physical therapist assistant prepares to complete a selected manual muscle test on a
patient with rotator cuff tendonitis by placing the upper extremity in the recommended
test position. The physical therapist assistant determines that the patient is unable to
maintain the test position and slowly allows the arm to sag. Which of the following
muscle grades is MOST consistent with this scenario? - Answers - Fair minus
A male patient with T10 paraplegia accompanies a physical therapist assistant and
occupational therapist on a home visit prior to discharge from a rehabilitation hospital.
The patient has been in the hospital for 12 weeks and has experienced an
unremarkable recovery. As part of the home visit the therapists assess accessibility.
Which item would be MOST problematic for the patient? - Answers - A doorway that is
28 inches wide
A physical therapist assistant reviews the medical record of a patient post myocardial
infarction. The patient is currently in the coronary care unit and is scheduled to begin
cardiac rehabilitation tomorrow. Which of the following complications is MOST common
following a myocardial infarction? - Answers - Arrhythmias
The phosphagen system represents the most rapidly available source of ATP for use by
muscle. The energy system is able to function in the described manner: - Answers - -
doesn't depend on long chemical reactions
- doesn't depend on transport of o2 to working muscles
- ATP/PC are stored directly in contractile mechanisms of the muscle
ATP-PC system - Answers - - used for ATP production
- for high intensity short duration exercise- like 100 meters.
- provides energy for up to 15 seconds
Transverse plane is on what axis? - Answers - Vertical axis
Frontal plane is in what axis? - Answers - sagittal axis
Sagittal plane is in what axis? - Answers - frontal axis
Anaerobic glycolysis - Answers - Does not depend on O2- formation of lactic acid
Major supplier of ATP during high intensity- spiriting 400/800 meters
Glycogen splits into glucose and splits again into pyruvic acid
Anaerobic glycolysis system is 550% slower than phosphocreatine system. It can
provide 30-40 seconds of muscle contraction and is able to function described like this: -
Answers - -does not require O2
- uses carbs and glucose
- releases enough energy to resynthesis small amounts of ATP
The aerobic system is used predominately during? - Answers - Low intensity and long
duration exercise.
Like Marathon running
Aerobic system - Answers - Needs O2
Series of complex chemical reactions
Finish this one
A physical therapist assistant reviews the medical record of a patient with an arthritic
condition.
Which piece of information would be the MOST useful to assist in the definitive
diagnosis of
rheumatoid arthritis - Answers - Blood tests
By reviewing tests that showed the blood work, they would have found the
,RA gene factor that presents only when the patient has RA. The blood tests also shows
WBC,
RBC, hematocrit that can confirm the presence of RA
A patient is referred to physical therapy with a diagnosis of left shoulder impingement.
During
the session, the physical therapist assistant begins to suspect a systemic cause for the
patient's
pain. Which of the following symptoms would BEST support this hypothesis - Answers -
Pain remains unreleaved at rest
pain that is systemic makes it difficult to reproduce the pain. The symptom of
pain is unrelieved by rest or position changes
A physical therapist assistant instructs a patient in a self-stretching activity using the
FABER test
position. This test position should be MOST useful to stretch which of the following
muscle
groups of the hip? - Answers - internal rotators
because the internal rotators are stretched as you move the patients hips into
external rotation
A physical therapist assistant reviews the surface anatomy of the hand in preparation
for a
patient post wrist arthrodesis. Which of the following bony structures does NOT
articulate with
the lunate? - Answers - trapezium
the trapezium does not articulate with the lunate
A patient successfully completes 10 anterior lunges. The physical therapist assistant
would like
to modify the activity to maximally challenge the patient in the sagittal plane. Which of
the
following modifications would be the MOST appropriate to accomplish this goal? -
Answers - Anterior lunge with concurrent bilateral shoulder flexion to 90 degrees with
five pound
weights
Sagittal plane includes flexion and extension. Creating flexion at the
shoulders would create the most challenge in the sagittal plane for the patient
A physical therapist assistant is performing gait training on a patient who has a
transtibial
, amputation. After 15 minutes of training, the patellar tendon-bearing prosthesis is
removed for skin inspection. Redness is noted on multiple areas of the residual limb.
Which area of redness should be the GREATEST concern to the assistant? - Answers -
distal anterior tibia
Distal anterior tibia is not tolerant to weight distribution due to thin skin layer
and very little adipose tissue makes it difficult to distribute transmitted forces in that area
A patient sustained a non-displaced fracture of the proximal humerus. Which of the
following clinical findings would provide the BEST support for the patient being cleared
to perform active-assisted exercise? - Answers - callus formation
Due to only needed active ASSISTED exercise, the patient would need callus
formation because the healing had already started to occur and therefore strong enough
for
assisted active exercise
During a family meeting in an acute rehabilitation hospital a 26-year-old male with
complete C7 tetraplegia asks a variety of questions about self care and mobility
expectations. With an uncomplicated recovery, the patient can expect lower extremity
dressing to be performed with what level of assist in bed? - Answers - Modified
independence
A physical therapist assistant discusses fitness parameters with a 30-year-old patient
who is five months pregnant. Assuming the patient has not experienced any
complications from her pregnancy, which of the following would be the MOST
appropriate exercise program for the patient? - Answers - Mild to moderate walking
program performed three times per week
A physical therapist assistant prepares to complete a selected manual muscle test on a
patient with rotator cuff tendonitis by placing the upper extremity in the recommended
test position. The physical therapist assistant determines that the patient is unable to
maintain the test position and slowly allows the arm to sag. Which of the following
muscle grades is MOST consistent with this scenario? - Answers - Fair minus
A male patient with T10 paraplegia accompanies a physical therapist assistant and
occupational therapist on a home visit prior to discharge from a rehabilitation hospital.
The patient has been in the hospital for 12 weeks and has experienced an
unremarkable recovery. As part of the home visit the therapists assess accessibility.
Which item would be MOST problematic for the patient? - Answers - A doorway that is
28 inches wide
A physical therapist assistant reviews the medical record of a patient post myocardial
infarction. The patient is currently in the coronary care unit and is scheduled to begin
cardiac rehabilitation tomorrow. Which of the following complications is MOST common
following a myocardial infarction? - Answers - Arrhythmias
