2nd PEAT Part IV – NPTE Practice Exam Study Guide (Physical Therapy Review, Clinical
Reasoning & Answer Explanations)
A female patient had a radical mastectomy with axillary node removal. Which of the following
signs would indicate initial development of lymphedema in the patient?
1. Increased blood pressure
2. Numbness in the antecubital fossa
3. Atrophy of the brachioradialis muscle
4. Decreased flexibility of the digits of the hand - ANS ✔✔4
A patient has impaired sensory and motor function of the left limbs and the left side of the face.
The patient is unable to sit independently. In which of the following regions of the nervous
system is the lesion MOST likely located?
1. Cerebrum
2. Brainstem
3. Spinal cord
4. Peripheral nerve - ANS ✔✔1
During auscultation of the chest wall, a physical therapist notes an area of decreased breath
sounds. Which of the following additional findings would support the suspicion of
consolidation?
1. Tympanic sound with percussion
2. Increased fremitus
3. Hypertrophy of accessory muscles
4. High-pitched wheezes - ANS ✔✔2
If the test shown in the photograph has positive findings, which of the following muscles is
MOST likely affected?
, 1. Pronator teres
2. Adductor pollicis
3. Pronator quadratus
4. Abductor pollicis longus - ANS ✔✔4
A patient reports a burning sensation along the medial aspect of the knee and lower leg. The
sensation is increased during resisted hip adduction and knee flexion. The patient MOST likely
has which of the following conditions?
1. Meralgia paresthetica
2. Neuropathy of the obturator nerve
3. Complex regional pain syndrome
4. Neuropathy of the saphenous nerve - ANS ✔✔4
A patient reports audible clicking in the temporomandibular joint while chewing food. When a
physical therapist is palpating the joint, which of the following pairs of active mandible motions
would be MOST informative to confirm temporomandibular dysfunction?
1. Elevation and protrusion
2. Elevation and retrusion
3. Protrusion and retrusion
4. Depression and elevation - ANS ✔✔4
The parent of a 2-year-old child reports that while holding the child's hand when walking down
a street, the child fell down. The parent tried to hold the child up while the child regained
balance. The child now holds the arm at the side with the palm facing down. Which of the
following conditions is MOST likely present?
1. Radial tunnel syndrome
2. Necrosis of the capitellum
3. Valgus extension overload syndrome
Reasoning & Answer Explanations)
A female patient had a radical mastectomy with axillary node removal. Which of the following
signs would indicate initial development of lymphedema in the patient?
1. Increased blood pressure
2. Numbness in the antecubital fossa
3. Atrophy of the brachioradialis muscle
4. Decreased flexibility of the digits of the hand - ANS ✔✔4
A patient has impaired sensory and motor function of the left limbs and the left side of the face.
The patient is unable to sit independently. In which of the following regions of the nervous
system is the lesion MOST likely located?
1. Cerebrum
2. Brainstem
3. Spinal cord
4. Peripheral nerve - ANS ✔✔1
During auscultation of the chest wall, a physical therapist notes an area of decreased breath
sounds. Which of the following additional findings would support the suspicion of
consolidation?
1. Tympanic sound with percussion
2. Increased fremitus
3. Hypertrophy of accessory muscles
4. High-pitched wheezes - ANS ✔✔2
If the test shown in the photograph has positive findings, which of the following muscles is
MOST likely affected?
, 1. Pronator teres
2. Adductor pollicis
3. Pronator quadratus
4. Abductor pollicis longus - ANS ✔✔4
A patient reports a burning sensation along the medial aspect of the knee and lower leg. The
sensation is increased during resisted hip adduction and knee flexion. The patient MOST likely
has which of the following conditions?
1. Meralgia paresthetica
2. Neuropathy of the obturator nerve
3. Complex regional pain syndrome
4. Neuropathy of the saphenous nerve - ANS ✔✔4
A patient reports audible clicking in the temporomandibular joint while chewing food. When a
physical therapist is palpating the joint, which of the following pairs of active mandible motions
would be MOST informative to confirm temporomandibular dysfunction?
1. Elevation and protrusion
2. Elevation and retrusion
3. Protrusion and retrusion
4. Depression and elevation - ANS ✔✔4
The parent of a 2-year-old child reports that while holding the child's hand when walking down
a street, the child fell down. The parent tried to hold the child up while the child regained
balance. The child now holds the arm at the side with the palm facing down. Which of the
following conditions is MOST likely present?
1. Radial tunnel syndrome
2. Necrosis of the capitellum
3. Valgus extension overload syndrome
