NPTE Exam 3 - Questions With Verified Solutions
The device shown in the photograph has been removed from a patient. Which
of the following tests is required prior to mobilizing the patient?
1.Radiograph
2.Electrocardiogram
3.Pulmonary function test
4.Computed tomography scan Right Ans - 1.Radiograph
The device shown in the photograph is a chest tube collection device. Removal
of a chest tube may result in pneumothorax. A radiograph of the chest is
needed to rule out pneumothorax prior to mobilization of the patient.
When using electrical stimulation to treat a patient's nonhealing, infected
wound, which of the following waveforms and parameters will be MOST
helpful in facilitating wound closure?
1.Symmetrical biphasic waveform, 35 pps
2.Interferential current waveform, 100 beats/second
3.High-voltage pulsed current waveform, positive electrode in wound, 4 pps
4.High-voltage pulsed current waveform, negative electrode in wound, 100
pps Right Ans - 4.High-voltage pulsed current waveform, negative
electrode in wound, 100 pps
The principle behind wound healing with electrical stimulation is
galvanotaxis. The current's polarity introduced into the wound attracts cells
that promote healing. Thus, a generator that has polarity must be used. High-
voltage pulsed currents are polar currents. The other stimulators are not
polar because they have a counter-pulse in the opposite direction that cancels
out any polar effects. The negative electrode will attract neutrophils and is
used in infected wounds. The positive electrode attracts macrophages and
epidermal cells and is used in treating noninfected wound states. The
frequency of 100 pps provides a continuous, comfortable current and has
been demonstrated to promote healing
The photograph depicts the end range of a patient's hip motion. Which of the
following arthrokinematic motions is MOST likely restricted?
1.Anterior glide
2.Posterior glide
3.Inferior glide
,4.Superior glide Right Ans - 2.Posterior glide
The photograph depicts passive assessment of hip medial (internal) rotation
range of motion. A posterior glide facilitates this motion because of the
convex-concave rule and would be most likely be restricted given the
limitation.
Changes in the level of which hormone are MOST likely to contribute to
development of chondromalacia patella in a pregnant woman?
1.Calcitonin
2.Progesterone
3.Relaxin
4.Insulin Right Ans - 3.Relaxin
Chondromalacia is a roughening of the cartilage behind the kneecap, and
relaxin causes an increase in tendon and ligament laxity, exacerbating any
friction between the patella and the femur
A physical therapist is reviewing the laboratory report of a patient who
received a diagnosis of pneumonia 2 weeks ago. The patient's white blood cell
count is currently 9,000 cells/mm3. Which of the following conditions does
this value indicate for the patient?
1.Anemia
2.Development of leukocytosis
3.Immunosuppression
4.Resolution of the pneumonia infection Right Ans - 4.Resolution of the
pneumonia infection
The patient's white blood cell count is within the normal range of 4500-
11,000/mm3, so the infection has resolved.
A patient has the deformity shown in the photograph. Which of the following
shoe modifications is MOST likely to be beneficial for this patient?
1.High toe box
2.Metatarsal pad
3.Rocker bar
4.Metatarsal bar Right Ans - 1.High toe box
, The photograph depicts a hammer toe (p. 1003). A high toe box would allow
space for the hammer toe and would decrease irritation
Which of the following positions of the humerus is BEST for application of an
ultrasound treatment to the supraspinatus tendon insertion?
1.Flexion and lateral (external) rotation
2.Extension and medial (internal) rotation
3.Abduction and lateral (external) rotation
4.Flexion and medial (internal) rotation Right Ans - 2.Extension and medial
(internal) rotation
Extension and medial (internal) rotation of the shoulder puts the
supraspinatus tendon in the most accessible position.
A patient reports an insidious onset of swelling of 1 month's duration on the
dorsum of the left foot. Which of the following conditions is the MOST likely
cause?
1.Heart failure
2.Chronic venous insufficiency
3.Lymphedema
4.Lipedema Right Ans - 3.Lymphedema
Lymphedema is usually unilateral with typical presentation distally on the
extremity (dorsum of the foot or hand)
The patient being assessed in the photographs reports a deep pain in the
shoulder when a physical therapist applies a downward force to the forearm.
The patient MOST likely has which of the following conditions?
1.Rotator cuff tear
2.Superior labrum tear
3.Subacromial bursitis
4.Supraspinatus tendinitis Right Ans - 2.Superior labrum tear
The Speed test is shown in the photograph. Deep shoulder pain produced
during this maneuver suggests a labral tear, (Dutton, p. 640) or a superior
labrum anterior to posterior (SLAP) (Type II) lesion
One day after lumbar laminectomy surgery, a patient refuses to wear a
thoracolumbosacral orthosis because of a painful and itching rash that
The device shown in the photograph has been removed from a patient. Which
of the following tests is required prior to mobilizing the patient?
1.Radiograph
2.Electrocardiogram
3.Pulmonary function test
4.Computed tomography scan Right Ans - 1.Radiograph
The device shown in the photograph is a chest tube collection device. Removal
of a chest tube may result in pneumothorax. A radiograph of the chest is
needed to rule out pneumothorax prior to mobilization of the patient.
When using electrical stimulation to treat a patient's nonhealing, infected
wound, which of the following waveforms and parameters will be MOST
helpful in facilitating wound closure?
1.Symmetrical biphasic waveform, 35 pps
2.Interferential current waveform, 100 beats/second
3.High-voltage pulsed current waveform, positive electrode in wound, 4 pps
4.High-voltage pulsed current waveform, negative electrode in wound, 100
pps Right Ans - 4.High-voltage pulsed current waveform, negative
electrode in wound, 100 pps
The principle behind wound healing with electrical stimulation is
galvanotaxis. The current's polarity introduced into the wound attracts cells
that promote healing. Thus, a generator that has polarity must be used. High-
voltage pulsed currents are polar currents. The other stimulators are not
polar because they have a counter-pulse in the opposite direction that cancels
out any polar effects. The negative electrode will attract neutrophils and is
used in infected wounds. The positive electrode attracts macrophages and
epidermal cells and is used in treating noninfected wound states. The
frequency of 100 pps provides a continuous, comfortable current and has
been demonstrated to promote healing
The photograph depicts the end range of a patient's hip motion. Which of the
following arthrokinematic motions is MOST likely restricted?
1.Anterior glide
2.Posterior glide
3.Inferior glide
,4.Superior glide Right Ans - 2.Posterior glide
The photograph depicts passive assessment of hip medial (internal) rotation
range of motion. A posterior glide facilitates this motion because of the
convex-concave rule and would be most likely be restricted given the
limitation.
Changes in the level of which hormone are MOST likely to contribute to
development of chondromalacia patella in a pregnant woman?
1.Calcitonin
2.Progesterone
3.Relaxin
4.Insulin Right Ans - 3.Relaxin
Chondromalacia is a roughening of the cartilage behind the kneecap, and
relaxin causes an increase in tendon and ligament laxity, exacerbating any
friction between the patella and the femur
A physical therapist is reviewing the laboratory report of a patient who
received a diagnosis of pneumonia 2 weeks ago. The patient's white blood cell
count is currently 9,000 cells/mm3. Which of the following conditions does
this value indicate for the patient?
1.Anemia
2.Development of leukocytosis
3.Immunosuppression
4.Resolution of the pneumonia infection Right Ans - 4.Resolution of the
pneumonia infection
The patient's white blood cell count is within the normal range of 4500-
11,000/mm3, so the infection has resolved.
A patient has the deformity shown in the photograph. Which of the following
shoe modifications is MOST likely to be beneficial for this patient?
1.High toe box
2.Metatarsal pad
3.Rocker bar
4.Metatarsal bar Right Ans - 1.High toe box
, The photograph depicts a hammer toe (p. 1003). A high toe box would allow
space for the hammer toe and would decrease irritation
Which of the following positions of the humerus is BEST for application of an
ultrasound treatment to the supraspinatus tendon insertion?
1.Flexion and lateral (external) rotation
2.Extension and medial (internal) rotation
3.Abduction and lateral (external) rotation
4.Flexion and medial (internal) rotation Right Ans - 2.Extension and medial
(internal) rotation
Extension and medial (internal) rotation of the shoulder puts the
supraspinatus tendon in the most accessible position.
A patient reports an insidious onset of swelling of 1 month's duration on the
dorsum of the left foot. Which of the following conditions is the MOST likely
cause?
1.Heart failure
2.Chronic venous insufficiency
3.Lymphedema
4.Lipedema Right Ans - 3.Lymphedema
Lymphedema is usually unilateral with typical presentation distally on the
extremity (dorsum of the foot or hand)
The patient being assessed in the photographs reports a deep pain in the
shoulder when a physical therapist applies a downward force to the forearm.
The patient MOST likely has which of the following conditions?
1.Rotator cuff tear
2.Superior labrum tear
3.Subacromial bursitis
4.Supraspinatus tendinitis Right Ans - 2.Superior labrum tear
The Speed test is shown in the photograph. Deep shoulder pain produced
during this maneuver suggests a labral tear, (Dutton, p. 640) or a superior
labrum anterior to posterior (SLAP) (Type II) lesion
One day after lumbar laminectomy surgery, a patient refuses to wear a
thoracolumbosacral orthosis because of a painful and itching rash that
