NPTE Practice Questions with Perfectly Detailed
Answers
1.A patient with a tracheostomy tube has been hospitalized for 2 days.
During PT the patient suddenly exhibits dyspnea, cyanosis of lips and
cramping of R calf muscle. What should the therapist suspect based off the
sx?
a. heart failure
b. DVT
c. respiratory distress
d. pulmonary embolism: C. Respiratory Distress
dyspnea, SOB or cramping in calf mms are common signs of
respiratory distress. Mucus plugging, tube displacement, disruption or
disconnection of O2 can cause respiratory distress
2.A 48 y/o female lawyer presents to an OP clinic with hx of LBP. The PT
mea- sures her B arch index at 0.30. Which of the following orthotic
interventions is MOST appropriate for this pt?
a. heel lift
b. post under 5th metatarsal head
c. longitudinal arch support
d. transverse arch support: c. longitudinal arch support
an arch index of > 0.3 indicates low arch or pes planus. longitudinal
arch support will be most appropriate and supplemented with foot
intrinsic exercises
3.According to the roll and slide mechanism, during right forearm
supination at the proximal radioulnar joint, the radial head will:
A. Roll and slide posteriorly
B. Roll anteriorly and slide posteriorly
C. Roll and slide anteriorly
D. Roll posteriorly and slide anteriorly: D. Roll posteriorly and slide
anteriorly
radial head slides opposite the direction of bone motion
4.A 23 y/o healthy male plans to start working out as his NY resolution.
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154
,The sympathetic nervous system would contribute to which of the
following responses to ACUTE exercise?
a. increased peristalsis
b. increased HR
c. increased rate of breathing
d. skeletal muscle contraction: c. increased rate of breathing
during an exercise, increased RR is due to stimulation of beta 2
receptors- SNS that causes bronchodilation. Initial increase in HR is due
withdrawal of PNS not the stimulation of SNS
5.Which of the following sympathetic CV changes occurs in a pt with
long standing Type 1 DM
a. HR becomes fixed
b. higher resting HR
c. lower resting HR
d. exercise increases HR: a. HR becomes fixed
long term complications - HR is unresponsive to exercise, stress or sleep
6.A PT was observing the gait of a pt with a R transtibial prosthesis The PT
suspects that the pt has an excessively firm heel wedge What
compensation is the pt MOST likely to exhibit?
a. excessive knee flexion in early stance
b. premature knee flexion in late stance
c. insufficient knee flexion in early stance
d. excessive knee flexion in late stance: a. excessive knee flexion in early
stance
excessive knee flexion in early stance results from firm heel in a
transtibial prosthe- sis. Premature knee flexion late stance occurs if DF
stop is too soft. Insufficient knee flexion in early stance is due to soft
heel cushion
7.During the initial exam, a PT determines a pt has 3/5 strength in R
subscapu- laris. Which of the following activities would be MOST difficult for
the pt to perform?
a. performing a push up with B UE
2/
154
,b. elevation of R scapula
c. extension of GH joint
d. flexion of humerus overhead: d. flexion of humerus overhead
subscapularis is an important RTC mms, stabilizing the humeral head in
the glenoid cavity;thus preventing superior translation of the humerus.
It's an important mms in overhead sports. Tear of subscapularis can
weaken its hold over long head of biceps causing difficulty in oveerhead
activity.
8.A patient came to a clinic with diagnosis of ESRD. The PT is most
concerned about prescribing a program for general conditioning. During
treatment, the PT notices that the pt is developing skin pallor, fatigue, and
dyspnea. The PT monitors their vitals, and will expect which value to be
MOST affected based on the pt's diagnosis?
a. Increased BP
b. Normal BP
c. Hyperglycemia
d. Hypoglycemia: a. Increased BP
In ESRD, the kidney is unable to function and a multitude of
complications appear w/ accompanying s&sx. Proteinuria is the hallmark
of stage 4; the kidneys are no longer able to excreet toxins, so there is a
progressive increase in BUN and creatinine levels. Most people in stage
4 are hypertensive because of an increased production of renin. HTN
accelerates the progression to stage 5 (ESRD) when the kidneys have
failed to fxn.
9.A 25 y/o pt had a traumatic fall off his bike 1 week ago. Since the injury,
the pt has not been able to elevate his scapula. Based on the information
given, what is the MOST likely physical therapy diagnosis?
a. anterior dislocation of shoulder joint
b. posterior dislocation of shoulder joint
c. inferior dislocation of SC joint
d. Superior dislocation of SC joint: d. Superior dislocation of SC joint
At the SC joint promixal articulating surface of the clavicle is convex
superiorly/in- feriorly and concave anteriorly/posteriorly. During
elevation, clavicle slides inferiorly and during depression it slides
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154
, superiorly. Hence, the superior dislocation of SC joint will cause inability
to elevate the scapula
10.A 70 y/o male pt presents to an OP clinic with sensory loss of the R face
and arm. This pt is taking medications for HTN, DM type 2, and
hydrocortisone for a rash on his leg. The pt initially seems confused but
otherwise has intact speech. The therapist would MOST likely suspect a
lesion in which vessel?
a. L MCA superior division
b. L MCA inferior division
c. R MCA superior division
d. R MCA inferior division: b. L MCA inferior division
infarct in MCA inferior division causes contralateral homonymous
hemianopsia, fluent aphasia (wernicke's area). Superior division MCA
infarct is responsible for Broca's
11.A PT is demonstrating the task of dribbling a basketball to a patient. The
PT instructs the pt to dribble the ball in their dominant hand and then
encourages them to switch to their L hand. In what phase of motor learning
is the pt MOST LIKELY in?
a. Cognitive
b. Associative
c. Autonomous
d. Proliferative: a. Cognitive
Bilateral transfer is performed in cognitive stage where the pt practices
the desired movement pattern using the less affected extremity first and
then the affected extremity enhances formation or recall of the necessar
motor program, which can then be applied to the opposite, involved
extremity
12.A 13 y/o girl has been diagnosed with structural idiopathic scoliosis.
The PT notices a L thoracic and R lumbar curvature of her spine. Which
postural deviation would be MOST expected in this pt?
a. Thoracic vertebral bodies rotated to the R
b. Elevated R shoulder
c. Spinous processes of thoracic spine rotated to the L
d. Posteriorly protruding L scapula: d. Posteriorly protruding L scapula
4/
154
Answers
1.A patient with a tracheostomy tube has been hospitalized for 2 days.
During PT the patient suddenly exhibits dyspnea, cyanosis of lips and
cramping of R calf muscle. What should the therapist suspect based off the
sx?
a. heart failure
b. DVT
c. respiratory distress
d. pulmonary embolism: C. Respiratory Distress
dyspnea, SOB or cramping in calf mms are common signs of
respiratory distress. Mucus plugging, tube displacement, disruption or
disconnection of O2 can cause respiratory distress
2.A 48 y/o female lawyer presents to an OP clinic with hx of LBP. The PT
mea- sures her B arch index at 0.30. Which of the following orthotic
interventions is MOST appropriate for this pt?
a. heel lift
b. post under 5th metatarsal head
c. longitudinal arch support
d. transverse arch support: c. longitudinal arch support
an arch index of > 0.3 indicates low arch or pes planus. longitudinal
arch support will be most appropriate and supplemented with foot
intrinsic exercises
3.According to the roll and slide mechanism, during right forearm
supination at the proximal radioulnar joint, the radial head will:
A. Roll and slide posteriorly
B. Roll anteriorly and slide posteriorly
C. Roll and slide anteriorly
D. Roll posteriorly and slide anteriorly: D. Roll posteriorly and slide
anteriorly
radial head slides opposite the direction of bone motion
4.A 23 y/o healthy male plans to start working out as his NY resolution.
1/
154
,The sympathetic nervous system would contribute to which of the
following responses to ACUTE exercise?
a. increased peristalsis
b. increased HR
c. increased rate of breathing
d. skeletal muscle contraction: c. increased rate of breathing
during an exercise, increased RR is due to stimulation of beta 2
receptors- SNS that causes bronchodilation. Initial increase in HR is due
withdrawal of PNS not the stimulation of SNS
5.Which of the following sympathetic CV changes occurs in a pt with
long standing Type 1 DM
a. HR becomes fixed
b. higher resting HR
c. lower resting HR
d. exercise increases HR: a. HR becomes fixed
long term complications - HR is unresponsive to exercise, stress or sleep
6.A PT was observing the gait of a pt with a R transtibial prosthesis The PT
suspects that the pt has an excessively firm heel wedge What
compensation is the pt MOST likely to exhibit?
a. excessive knee flexion in early stance
b. premature knee flexion in late stance
c. insufficient knee flexion in early stance
d. excessive knee flexion in late stance: a. excessive knee flexion in early
stance
excessive knee flexion in early stance results from firm heel in a
transtibial prosthe- sis. Premature knee flexion late stance occurs if DF
stop is too soft. Insufficient knee flexion in early stance is due to soft
heel cushion
7.During the initial exam, a PT determines a pt has 3/5 strength in R
subscapu- laris. Which of the following activities would be MOST difficult for
the pt to perform?
a. performing a push up with B UE
2/
154
,b. elevation of R scapula
c. extension of GH joint
d. flexion of humerus overhead: d. flexion of humerus overhead
subscapularis is an important RTC mms, stabilizing the humeral head in
the glenoid cavity;thus preventing superior translation of the humerus.
It's an important mms in overhead sports. Tear of subscapularis can
weaken its hold over long head of biceps causing difficulty in oveerhead
activity.
8.A patient came to a clinic with diagnosis of ESRD. The PT is most
concerned about prescribing a program for general conditioning. During
treatment, the PT notices that the pt is developing skin pallor, fatigue, and
dyspnea. The PT monitors their vitals, and will expect which value to be
MOST affected based on the pt's diagnosis?
a. Increased BP
b. Normal BP
c. Hyperglycemia
d. Hypoglycemia: a. Increased BP
In ESRD, the kidney is unable to function and a multitude of
complications appear w/ accompanying s&sx. Proteinuria is the hallmark
of stage 4; the kidneys are no longer able to excreet toxins, so there is a
progressive increase in BUN and creatinine levels. Most people in stage
4 are hypertensive because of an increased production of renin. HTN
accelerates the progression to stage 5 (ESRD) when the kidneys have
failed to fxn.
9.A 25 y/o pt had a traumatic fall off his bike 1 week ago. Since the injury,
the pt has not been able to elevate his scapula. Based on the information
given, what is the MOST likely physical therapy diagnosis?
a. anterior dislocation of shoulder joint
b. posterior dislocation of shoulder joint
c. inferior dislocation of SC joint
d. Superior dislocation of SC joint: d. Superior dislocation of SC joint
At the SC joint promixal articulating surface of the clavicle is convex
superiorly/in- feriorly and concave anteriorly/posteriorly. During
elevation, clavicle slides inferiorly and during depression it slides
3/
154
, superiorly. Hence, the superior dislocation of SC joint will cause inability
to elevate the scapula
10.A 70 y/o male pt presents to an OP clinic with sensory loss of the R face
and arm. This pt is taking medications for HTN, DM type 2, and
hydrocortisone for a rash on his leg. The pt initially seems confused but
otherwise has intact speech. The therapist would MOST likely suspect a
lesion in which vessel?
a. L MCA superior division
b. L MCA inferior division
c. R MCA superior division
d. R MCA inferior division: b. L MCA inferior division
infarct in MCA inferior division causes contralateral homonymous
hemianopsia, fluent aphasia (wernicke's area). Superior division MCA
infarct is responsible for Broca's
11.A PT is demonstrating the task of dribbling a basketball to a patient. The
PT instructs the pt to dribble the ball in their dominant hand and then
encourages them to switch to their L hand. In what phase of motor learning
is the pt MOST LIKELY in?
a. Cognitive
b. Associative
c. Autonomous
d. Proliferative: a. Cognitive
Bilateral transfer is performed in cognitive stage where the pt practices
the desired movement pattern using the less affected extremity first and
then the affected extremity enhances formation or recall of the necessar
motor program, which can then be applied to the opposite, involved
extremity
12.A 13 y/o girl has been diagnosed with structural idiopathic scoliosis.
The PT notices a L thoracic and R lumbar curvature of her spine. Which
postural deviation would be MOST expected in this pt?
a. Thoracic vertebral bodies rotated to the R
b. Elevated R shoulder
c. Spinous processes of thoracic spine rotated to the L
d. Posteriorly protruding L scapula: d. Posteriorly protruding L scapula
4/
154
