NPTE Practice Exams 132 Questions with Verified Answers
A patient with multiple sclerosis (MS) presents with dysmetria in both upper
extremities. Which of the following interventions is the BEST choice to deal with
this problem? - CORRECT ANSWER PNF patterns using dynamic reversals w graded
resistance
A therapist wishes to use behavior modification techniques as part of a plan of
care to help shape the behavioral responses of a patient recovering from
traumatic brain injury (TBI). What intervention is the BEST to use? - CORRECT
ANSWER use frequent positive reinforcement for all desired behaviors
What does an empty end feel of a joint indicate? - CORRECT ANSWER Muscle
guarding
A patient is seen in a physical therapy clinic several months after a total knee
arthroplasty. The patient exhibits limited knee flexion with an empty end-feel
detected by the therapist. There is no visible or palpable joint swelling. The
therapist determines that manual therapy intervention is appropriate. Which
tibiofemoral mobilization technique is the BEST initial choice to address these
examination findings? - CORRECT ANSWER Grade 1-2 for muscle guarding AP
mobes
A patient who sustained a crush injury of the shoulder and upper arm has
successfully completed a course of rehabilitation and is about to return to work as
a painter. The patient now complains of frequent aching and pain in the axilla.
The therapist is concerned that the patient is at risk for the development of
lymphedema. The patient is active in team and individual sports. What is the BEST
recreational activity for the patient to consider? - CORRECT ANSWER Cycling bc it
does not use UEs
running, softball and bowling do
What is sulfamylon used for? - CORRECT ANSWER antibiotic cream for burn
wounds
,An office worker complains of intermittent numbness and tingling in the thumb,
index finger, and middle finger of the right hand. Carpal tunnel syndrome is
suspected. What is the BEST physical examination item to corroborate this
diagnosis? - CORRECT ANSWER Monofilament testing
What does the Allen test assess? - CORRECT ANSWER blood refilling of radial and
ulnar arteries
-press down on arteries, have pt make fist and hand should turn white, then let go
and watch for 3 sec refill
A patient is referred to physical therapy after an antero-inferior dislocation of the
right shoulder. What positive examination finding on the involved side is expected
as a result of this dislocation? - CORRECT ANSWER Weak deltoids
-axillary nerve position makes it vulnerable to damage w anterior dislocation of
humerus (weak delts)
A physical therapist is analyzing data as part of a research team. The therapist
finds a statistically significant interaction effect between the two independent
variables. A post-hoc multiple comparison tests is then performed to investigate
the interaction. If the therapist does not use a correction formula to adjust the
alpha level when performing the multiple comparison tests, which statistical error
may occur? - CORRECT ANSWER type 1
Type 1 error - CORRECT ANSWER when you reject the null but it is true
What is the alpha level? - CORRECT ANSWER the level of acceptable risk for
making a type I error
A 2-week-old infant born at 27 weeks gestation with infant respiratory distress
syndrome is referred for a physical therapy consult. Nursing reports that the child
"desaturates to 84% with handling" and has minimal secretions at present. What
is the therapist's BEST course of action? - CORRECT ANSWER provide positioning
advice to nursing staff for optimal motor development
(limit amt of handling)
A cyclist has fallen and dislocated the right shoulder during a race where a
physical therapist is providing medical support. While waiting for the physician to
, arrive at your site to determine whether it is safe to reduce the injury on-site the
patient begins to become agitated, complains of nausea, and appears pale and
gray. His vital signs have changed since his arrival with increased pulse and
respiratory rate and decreased blood pressure. What is the BEST action to take? -
CORRECT ANSWER place them in supine and elevate the legs
proper positioning for shock
A patient has a right pleural effusion postoperatively after a right lower lobe
wedge resection. Which physical therapy treatment would be MOST effective for
this patient to complete three times per day? - CORRECT ANSWER segmental
breathing in sitting and sidelying
the effusion is not inside the lobe, it is around so secretion clearance techniques
will not help
If a pt had a left sided stroke with clonus in R foot, what else would you expect to
see? - CORRECT ANSWER Positive UMN (babinski) in opp side
Hyperreflexia of patellar tendon and achilles
Achilles reflex is what nerve root? - CORRECT ANSWER S1
Patellar tendon reflex is what nerve root? - CORRECT ANSWER L4
A patient strained the lower back muscles 3 weeks ago, and now complains of
pain (6/10). Upon examination, the therapist identifies bilateral muscle spasm
from T10-L4. The therapist elects to apply interferential current to help reduce
pain and spasm. What is the BEST electrode configuration in this case? - CORRECT
ANSWER 4 electrodes with diagonal flow to spinal column
we need criss crossed electrode configuration
A patient is referred to the physical therapy clinic following a recent motor vehicle
accident in which they sustained a whiplash injury. Initial imaging studies (plain
radiographs and a CT scan) ruled out a fracture. The patient complains of
intermittent and variable symptoms, including dizziness, arm heaviness,
occasional headaches, and limited range of motion in all planes. Which pathology
MOST likely explains the findings in this patient? - CORRECT ANSWER Upper c
spine instability
A patient with multiple sclerosis (MS) presents with dysmetria in both upper
extremities. Which of the following interventions is the BEST choice to deal with
this problem? - CORRECT ANSWER PNF patterns using dynamic reversals w graded
resistance
A therapist wishes to use behavior modification techniques as part of a plan of
care to help shape the behavioral responses of a patient recovering from
traumatic brain injury (TBI). What intervention is the BEST to use? - CORRECT
ANSWER use frequent positive reinforcement for all desired behaviors
What does an empty end feel of a joint indicate? - CORRECT ANSWER Muscle
guarding
A patient is seen in a physical therapy clinic several months after a total knee
arthroplasty. The patient exhibits limited knee flexion with an empty end-feel
detected by the therapist. There is no visible or palpable joint swelling. The
therapist determines that manual therapy intervention is appropriate. Which
tibiofemoral mobilization technique is the BEST initial choice to address these
examination findings? - CORRECT ANSWER Grade 1-2 for muscle guarding AP
mobes
A patient who sustained a crush injury of the shoulder and upper arm has
successfully completed a course of rehabilitation and is about to return to work as
a painter. The patient now complains of frequent aching and pain in the axilla.
The therapist is concerned that the patient is at risk for the development of
lymphedema. The patient is active in team and individual sports. What is the BEST
recreational activity for the patient to consider? - CORRECT ANSWER Cycling bc it
does not use UEs
running, softball and bowling do
What is sulfamylon used for? - CORRECT ANSWER antibiotic cream for burn
wounds
,An office worker complains of intermittent numbness and tingling in the thumb,
index finger, and middle finger of the right hand. Carpal tunnel syndrome is
suspected. What is the BEST physical examination item to corroborate this
diagnosis? - CORRECT ANSWER Monofilament testing
What does the Allen test assess? - CORRECT ANSWER blood refilling of radial and
ulnar arteries
-press down on arteries, have pt make fist and hand should turn white, then let go
and watch for 3 sec refill
A patient is referred to physical therapy after an antero-inferior dislocation of the
right shoulder. What positive examination finding on the involved side is expected
as a result of this dislocation? - CORRECT ANSWER Weak deltoids
-axillary nerve position makes it vulnerable to damage w anterior dislocation of
humerus (weak delts)
A physical therapist is analyzing data as part of a research team. The therapist
finds a statistically significant interaction effect between the two independent
variables. A post-hoc multiple comparison tests is then performed to investigate
the interaction. If the therapist does not use a correction formula to adjust the
alpha level when performing the multiple comparison tests, which statistical error
may occur? - CORRECT ANSWER type 1
Type 1 error - CORRECT ANSWER when you reject the null but it is true
What is the alpha level? - CORRECT ANSWER the level of acceptable risk for
making a type I error
A 2-week-old infant born at 27 weeks gestation with infant respiratory distress
syndrome is referred for a physical therapy consult. Nursing reports that the child
"desaturates to 84% with handling" and has minimal secretions at present. What
is the therapist's BEST course of action? - CORRECT ANSWER provide positioning
advice to nursing staff for optimal motor development
(limit amt of handling)
A cyclist has fallen and dislocated the right shoulder during a race where a
physical therapist is providing medical support. While waiting for the physician to
, arrive at your site to determine whether it is safe to reduce the injury on-site the
patient begins to become agitated, complains of nausea, and appears pale and
gray. His vital signs have changed since his arrival with increased pulse and
respiratory rate and decreased blood pressure. What is the BEST action to take? -
CORRECT ANSWER place them in supine and elevate the legs
proper positioning for shock
A patient has a right pleural effusion postoperatively after a right lower lobe
wedge resection. Which physical therapy treatment would be MOST effective for
this patient to complete three times per day? - CORRECT ANSWER segmental
breathing in sitting and sidelying
the effusion is not inside the lobe, it is around so secretion clearance techniques
will not help
If a pt had a left sided stroke with clonus in R foot, what else would you expect to
see? - CORRECT ANSWER Positive UMN (babinski) in opp side
Hyperreflexia of patellar tendon and achilles
Achilles reflex is what nerve root? - CORRECT ANSWER S1
Patellar tendon reflex is what nerve root? - CORRECT ANSWER L4
A patient strained the lower back muscles 3 weeks ago, and now complains of
pain (6/10). Upon examination, the therapist identifies bilateral muscle spasm
from T10-L4. The therapist elects to apply interferential current to help reduce
pain and spasm. What is the BEST electrode configuration in this case? - CORRECT
ANSWER 4 electrodes with diagonal flow to spinal column
we need criss crossed electrode configuration
A patient is referred to the physical therapy clinic following a recent motor vehicle
accident in which they sustained a whiplash injury. Initial imaging studies (plain
radiographs and a CT scan) ruled out a fracture. The patient complains of
intermittent and variable symptoms, including dizziness, arm heaviness,
occasional headaches, and limited range of motion in all planes. Which pathology
MOST likely explains the findings in this patient? - CORRECT ANSWER Upper c
spine instability
