NPTE EXAM 2024/2025 WITH 100%
ACCURATE SOLUTIONS
Which of the following monofilament grades indicates that only
protective sensation is intact?
1. 3.61
2. 4.37
3. 5.07
4. 6.65 - Precise Answer ✔✔3. 5.07
The 5.07 monofilament supplies the least amount of force that can be
sensed by patients with only protective sensation intact. Ability to sense
only the 6.65 monofilament indicates a loss of protective sensation.
Ability to sense the 3.61 and 4.37 monofilaments indicates fully normal
sensation.
Which of the following afferent fiber types transmits information
regarding aching pain?
1. Large unmyelinated fibers
2. Small unmyelinated fibers
3. Small myelinated fibers
4. Large myelinated fibers - Precise Answer ✔✔2. Aching pain is
transmitted on small, unmyelinated Type C fibers
,Which of the following examination findings would MOST likely be
positive in a patient with cauda equina syndrome?
1. Ankle clonus
2. Babinski sign
3. Urinary retention
4. Positive prone knee flexion test - Precise Answer ✔✔3. Urinary
retention
Cauda equina causes lower motor neuron dysfunction, including urinary
retention and incontinence. Positive Babinski and clonus responses
indicate upper motor neuron dysfunction. A positive prone knee flexion
test is more likely with upper lumbar nerve root impairment
A physical therapist is evaluating a patient with low back pain and
associated symptoms. Which of the following findings should cause the
therapist to refer the patient back to the physician?
1. Good (4/5) strength of the hamstrings
2. Pain radiating down the back of the thigh into the calf
3. Positive straight-leg test at 60° of hip flexion
4. Saddle anesthesia around the perineum - Precise Answer ✔✔4.
Saddle anesthesia around the perineum
, Options 1, 2, and 3 are typical with low back pain, and none alone
requires immediate referral. Saddle anesthesia around the perineum is a
sign of cauda equine syndrome and usually requires immediate treatment
by someone other than a physical therapist
Which of the following lower extremity proprioceptive neuromuscular
facilitation patterns is MOST appropriate for a patient who needs
strengthening of the tibialis posterior?
1. Hip extension, abduction, and medial (internal) rotation, with ankle
plantar flexion and eversion
2. Hip flexion, adduction, and lateral (external) rotation, with ankle
dorsiflexion and inversion
3. Hip extension, adduction, and lateral (external) rotation, with ankle
plantar flexion and inversion
4. Hip flexion, abduction, and medial (internal) rotation, with ankle
dorsiflexion and eversion - Precise Answer ✔✔3. Hip extension,
adduction, and lateral (external) rotation, with ankle plantar flexion and
inversion
A patient who had a C6 traumatic spinal cord injury 1 month ago reports
a severe, pounding headache and restlessness while standing in a
standing frame. The patient's vital signs indicate hypertension and
bradycardia. The MOST appropriate immediate response of the physical
therapist is to:
1. instruct the patient in deep breathing techniques.
2. apply a cervical cold pack.
ACCURATE SOLUTIONS
Which of the following monofilament grades indicates that only
protective sensation is intact?
1. 3.61
2. 4.37
3. 5.07
4. 6.65 - Precise Answer ✔✔3. 5.07
The 5.07 monofilament supplies the least amount of force that can be
sensed by patients with only protective sensation intact. Ability to sense
only the 6.65 monofilament indicates a loss of protective sensation.
Ability to sense the 3.61 and 4.37 monofilaments indicates fully normal
sensation.
Which of the following afferent fiber types transmits information
regarding aching pain?
1. Large unmyelinated fibers
2. Small unmyelinated fibers
3. Small myelinated fibers
4. Large myelinated fibers - Precise Answer ✔✔2. Aching pain is
transmitted on small, unmyelinated Type C fibers
,Which of the following examination findings would MOST likely be
positive in a patient with cauda equina syndrome?
1. Ankle clonus
2. Babinski sign
3. Urinary retention
4. Positive prone knee flexion test - Precise Answer ✔✔3. Urinary
retention
Cauda equina causes lower motor neuron dysfunction, including urinary
retention and incontinence. Positive Babinski and clonus responses
indicate upper motor neuron dysfunction. A positive prone knee flexion
test is more likely with upper lumbar nerve root impairment
A physical therapist is evaluating a patient with low back pain and
associated symptoms. Which of the following findings should cause the
therapist to refer the patient back to the physician?
1. Good (4/5) strength of the hamstrings
2. Pain radiating down the back of the thigh into the calf
3. Positive straight-leg test at 60° of hip flexion
4. Saddle anesthesia around the perineum - Precise Answer ✔✔4.
Saddle anesthesia around the perineum
, Options 1, 2, and 3 are typical with low back pain, and none alone
requires immediate referral. Saddle anesthesia around the perineum is a
sign of cauda equine syndrome and usually requires immediate treatment
by someone other than a physical therapist
Which of the following lower extremity proprioceptive neuromuscular
facilitation patterns is MOST appropriate for a patient who needs
strengthening of the tibialis posterior?
1. Hip extension, abduction, and medial (internal) rotation, with ankle
plantar flexion and eversion
2. Hip flexion, adduction, and lateral (external) rotation, with ankle
dorsiflexion and inversion
3. Hip extension, adduction, and lateral (external) rotation, with ankle
plantar flexion and inversion
4. Hip flexion, abduction, and medial (internal) rotation, with ankle
dorsiflexion and eversion - Precise Answer ✔✔3. Hip extension,
adduction, and lateral (external) rotation, with ankle plantar flexion and
inversion
A patient who had a C6 traumatic spinal cord injury 1 month ago reports
a severe, pounding headache and restlessness while standing in a
standing frame. The patient's vital signs indicate hypertension and
bradycardia. The MOST appropriate immediate response of the physical
therapist is to:
1. instruct the patient in deep breathing techniques.
2. apply a cervical cold pack.
