NPTE: PRACTICE EXAM 1 QUESTIONS WITH CORRECT ANSWERS ALL UPDATED A+

NPTE: PRACTICE EXAM 1
QUESTIONS WITH
CORRECT ANSWERS ALL
UPDATED 2026\2027 A+
ABphysicalBtherapistBexaminesBaBthree-year-
oldBpatientBdiagnosedBwithBaBgeneticBconditionBwhichBaffectsBcollagenBsynthesis.BThe
BpatientBbruisesBeasilyBandBhasBaBlifelongBhistoryBofBpathologicalBfractures.BWhatBisB
theBpatient'sBMOSTBlikelyBdiagnosis?

1.Osteomalacia

2.Osteopetrosis

3.PediatricBosteoporosis

4.OsteogenesisBimperfectaB-BAnswerB4.OsteogenesisBimperfecta



PathologicalBfracturesBassociatedBwithBmilderBpresentationsBofBosteogenesisBimperfect
aB(OI)BmayBraiseBsuspicionsBofBchildBabuseBbeforeBaBformalBdiagnosisBisBmade.BMore
BsevereBformsBofBOIBareBtypicallyBdiagnosedBearlyBinBtheBchild'sBlifeBwithBfracturesBs
ustainedBeitherBinButeroBorBduringBbirth.



MilderBpresentationsBofBOIB(typesBIBandBIV)BareBinheritedBasBautosomalBdominantBtr
aitsBwhileBmoreBsevereBformsB(typesBIIBandBIII)BareBinheritedBasBautosomalBrecessive
Btraits.BTheBconditionBisBcharacterizedBbyBboneBfragilityBthatBisBlinkedBtoBanBabnorm
alityBinBtheBsynthesisBofBtypeBIBcollagen.



ABpatientBdiagnosedBwithBrheumatoidBarthritisBisBreferredBtoBphysicalBtherapy.BTheBp
hysicalBtherapistBobservesBbilateralBthumbBdeformitiesBcharacterizedBbyBmetacarpophal
angealBjointBflexionBwithBinterphalangealBhyperextension.BWhichBdeformityBisBMOSTBc
onsistentBwithBtheBdescribedBpresentation?

1.Boutonniere

2.SwanBneck

3.MalletBfinger

,4.DupuytrenB-BAnswerBBoutonniere



boutonniereBdeformityBmayBoccurBinBtheBfingersBorBthumbBasBaBresultBofBtraumaBor
BprogressiveBarthriticBchanges.BInBpatientsBdiagnosedBwithBrheumatoidBarthritis,Bbouto
nniereBdeformityBisBtheBmostBcommonlyBoccurringBthumbBdeformity.

1.InBtheBthumb,BchronicBsynovitisBeventuallyBforcesBtheBmetacarpophalangealB(MCP)Bj
ointBintoBaBflexedBposition.BTheBassociatedBpalmarBdisplacementBcausesBtensionBonBt
heBextensorBmechanismBofBtheBinterphalangealB(IP)BjointBresultingBinBhyperextension.
BInBtheBfingers,BthisBdeformityBpresentsBwithBflexionBinBtheBproximalBinterphalangeal
B(PIP)BjointBandBextensionBofBtheBdistalBinterphalangealB(DIP)Bjoint.



ABphysicalBtherapistBworksBwithBaBpatientBrecoveringBfromBsurgeryBonBgaitBactivitiesB
onBaBlevelBsurface.BWhichBvalueBrepresentsBtheBMAXIMUMBamountBofBkneeBflexionB
requiredBtoBcompleteBtheBdescribedBactivity?

1.0-90Bdegrees

2.0-60Bdegrees

3.0-30Bdegrees

4.0-20BdegreesB-BAnswerB2.0-60Bdegrees



TheBgaitBcycleBisBcomprisedBofBaBstanceBphaseBandBswingBphase.BEachBphaseBhasBa
nticipatedBmotionBthatBisBexpectedBthroughoutBtheBcycleBforBeachBjoint.BStanceBphas
eBaccountsBforB60BpercentBofBtheBgaitBcycleBandBswingBphaseBaccountsBforB40Bperce
nt.BManyBfunctionalBactivitiesB(e.g.,BstairBclimbing)BmayBrequireBmoreBthanB60Bdegre
esBofBkneeBflexion.



ABpatientBrequiresB0-
60BdegreesBofBkneeBflexionBwithBgaitBonBaBlevelBsurface.BTheBgreatestBamountBofBk
neeBflexionBisBrequiredBfromBtheBinitialBswingBtoBmidswing.



AB28-year-
oldBfemaleBwithBlowBbackBpainBisBreferredBtoBphysicalBtherapy.BTheBpatientBindicates
BthatBherBpainBstartedBtheBpreviousBweekendBafterBpaintingBaBceilingBandBcurrentlyBi
sBlocalizedBonBtheBleftBsideBofBherBlowBback.BTheBpatientBstatesBtheBpainBisBbetterB
whenBsittingBinBaB"slouched"BpostureBandBisBworseBduringBperiodsBofBprolongedBstan

,ding.BAnBexaminationBrevealsBaBpositiveBquadrantBtestBandBpositiveBKemp'sBtestBonBt
heBleft.BBasedBonBtheBpresentedBinformation,BwhichBstructuresBareBMOSTBlikelyBinvol
ved?

1.RightBthoracicBfacets

2.LeftBthoracicBfacets

3.LeftBlumbarBfacets

4.RightBlumbarBfacetsB-BAnswerBLeftBlumbarBfacets



TheBfacetBjointsBareBlikelyBtoBbeBstressedBinBpositionsBofBspinalBextension,Bespecially
BwhenBcombinedBwithBaBrotationBand/orBlateralBflexionBcomponentB(e.g.,BpositionBus
edBwhenBpaintingBoverhead).BFlexionB(i.e.,BslouchedBposture)BwillBrelieveBtheBpainBsi
nceBpressureBisBtakenBoffBofBtheBfacetBjoints.BTheBquadrantBtestBandBKemp'sBtestBar
eBtestsBwhichBareBusedBtoBindicateBpathologyBofBtheBfacetBjoints.



DuringBtheBquadrantBtestBorBKemp'sBtest,BtheBpatientBextendsBandBlaterallyBflexesBor
BrotatesBtoBtheBsideBofBpain.BThisBcausesBmaximalBnarrowingBofBtheBintervertebralBf
oramenBandBstressBonBtheBfacetBjoint.BSinceBtheBpatientBhadBaBpositiveBtestBwhenB
movingBtoBtheBleft,BtheBleftBlumbarBfacetBjointsBareBlikelyBtheBsourceBofBtheBpain.



ABpatientBexperiencesBleftBlowerBextremityBsciaticaBsecondaryBtoBposteriorBderangeme
ntBofBtheBL5Bdisk.BTheBpatientBtoleratedBaBproneBonBelbowsBpositionBwithoutBanBinc
reaseBinBsymptoms,Bhowever,BafterBperformingBtheBexerciseBshownBinBtheBvideoBtheB
patientBreportsBincreasedBradicularBpainBinBtheBleftBlowerBextremity.BWhatBwouldBbe
BtheBphysicalBtherapist'sBMOSTBappropriateBresponse?

1.InstructBtheBpatientBtoBassumeBaBproneBposition

2.InstructBtheBpatientBtoBassumeBaBproneBonBelbowsBposition

3.InstructBtheBpatientBtoBassumeBaBstandingBextensionBposition

4.DiscontinueBtheBextensionBprogressionB-
BAnswerB2.InstructBtheBpatientBtoBassumeBaBproneBonBelbowsBposition



CentralizedBpainBisBoftenBconsideredBtoBbeBaBpositiveBoutcomeBduringBanBextensionB
progression.BPatientsBmayBexperienceBdiscomfortBduringBpositioning,Bhowever,BanBincr

, easeBinBradiatingBsymptomsBwarrantsBreassessmentBofBtheBappropriatenessBofBtheBint
ervention.



TheBproneBpress-
upBpositionBmayBhaveBbeenBinitiatedBprematurely.BReturningBtoBtheBnon-
exacerbatingBproneBonBelbowsBpositionBshouldBassistBtheBtherapistBtoBdetermineBhow
BtoBbestBproceedBwithBtheBpatient'sBcareB(e.g.,BmoreBtimeBaccommodatingBtoBprone
BonBelbowsBpositionBorBdiscontinuingBtheBextensionBprogression).



AnBindividualBwithBdecliningBhealthBdueBtoBunhealthyBlifestyleBchoicesBplansBtoBenga
geBinBanBindependentBexerciseBprogramBdesignedBtoBimproveBtheirBcardiovascularBhe
alth.BWhichBformBofBself-
monitoringBwouldBbeBtheBMOSTBappropriateBforBtheBindividualBtoButilizeBwhenBexerci
sing?

1.MetabolicBequivalents

2.SystolicBbloodBpressure

3.RateBofBperceivedBexertion

4.RespirationBrateB-
BAnswerBThereBareBaBvarietyBofBsubjectiveBandBobjectiveBmethodsBavailableBtoBmoni
torBexerciseBintensity.BTheBmostBappropriateBmethodBforBaBgivenBclinicalBscenarioBisBi
nfluencedBbyBaBnumberBofBvariablesBincludingBmeasurementBpurpose,BmedicalBstatus,
Bpatient'sBabilities,Bsetting,BandBequipmentBavailable.



PatientsBcanButilizeBaBperceivedBexertionBscale,BsuchBasBBorg'sBRatingBofBPerceivedBE
xertionB(RPE)BScale,BasBaBsubjectiveBmeansBofBself-
monitoringBduringBexercise.BTheBRPEBquantifiesBtheBsubject'sBoverallBsenseBofBeffortB
byBquantifyingBtheBamountBofBstrainBorBlevelBofBexertionBtheBpatientBisBexperiencing
BduringBactivity.



AfterBpalpatingBseveralBperipheralBpulseBsitesBaBphysicalBtherapistBconcludesBthatBaBp
atientBhasBaBstrongBpulseBatBtheBpoplitealBartery,BbutBaBweakBpulseBatBtheBdorsalisB
pedisBartery.BWhichBmedicalBfindingBidentifiedBduringBexerciseBwouldBbeBMOSTBlikely
BbasedBonBtheBpatient'sBcurrentBstatus?

1.Orthopnea