NPTE PTA Exam Questions And
Answers.
swan neck deformity -
\hand deformities is observed as flexion of the MCP and DIP joints with extension of the
PIP
results from contracture of intrinsic muscles with dorsal subluxation of lateral extensor
tendons
boutonniere deformity -
\results from flexion of PIP joint with hyperextension of the DIP
mallet finger deformity -
\results from damage of the extensor tendon where it inserts into the distal phalanx of a
digit
end of finger bends inwards towards the palm
ape hand deformity -
\results from median nerve dysfunction
first digit moves distally until it is in line with the second digit, resulting in an inability to
abduct the thumb
static standing balance -
\what is being challenged when the therapist positions a patient in the sharpened
rhomberg positon
sharpened (tandem) rhomberg -
\position is when patient is standing heel-to-toe tandem stance, folds his arms across
the chest and stands statically for 30 seconds. Then the patient is asked to repeat this
stance for 30 seconds with his eyes closed. this test assesses and challenges static
balance in standing
backward trunk lean -
\the initial eval notes that a patient has significant weakness in the gluteus maximus.
how will this weakness demonstrate itself in a gait deviation.
patient will also demonstrate difficulty going up stairs and ramps
lateral trunk bending to the same side -
\therapist notes weakness in gluteus medius. how will this weakness demonstrate itself
in a gait deviation.
, weak hip flexor -
\a lateral trunk lean to the opposite side is associated with weakness of what
forward trunk lean -
\weakness in the quadriceps or a hip/knee flexion contracture results in what gait
deviation
iontophoresis -
\all of the following are used to counteract orthostatic hypotension for pts on tilt tables
except which one
1. iontophoresis
2. abdominal binders
3. elastic stockings
4. tensor bandaging
eccentric -
\resistance exercise performed with dynamic lengthening contraction. activity such as
descending stairs
isotonic -
\dynamic muscle contraction. uses concentric and eccentric
isometric -
\static muscle contraction, no muscle length change. beneficial to strengthen a muscle
at a specific point in the ROM
isokinetic -
\dynamic and speed is controlled
1. grab the hand rims posteriorly and then pull them forward abruptly and forcefully
this is how you "pop a wheelie" by lifting the casters and allow for clearance over the
curb -
\PTA is teaching pt with a spinal cord injury at L1 to manage curbs in his wheelchair. the
BEST way to instruct the patient is to have him
1. grab the hand rims posteriorly and then pull them forward abruptly and forcefully
2. throw the head ad trunk posteriorly to rise up on the back wheels
3. throw the head and trunk forward to lift the back wheels
4. grab the hand rims anteriorly and then pull them forward abruptly and forcefully
dynamic stretching -
\stretching is performed actively by moving joints gradually through an increasing range
and speed of movement as the musculature warms up and is appropriate to use prior to
sport activity
1. dynamic stretching
2. manual static passive stretching
Answers.
swan neck deformity -
\hand deformities is observed as flexion of the MCP and DIP joints with extension of the
PIP
results from contracture of intrinsic muscles with dorsal subluxation of lateral extensor
tendons
boutonniere deformity -
\results from flexion of PIP joint with hyperextension of the DIP
mallet finger deformity -
\results from damage of the extensor tendon where it inserts into the distal phalanx of a
digit
end of finger bends inwards towards the palm
ape hand deformity -
\results from median nerve dysfunction
first digit moves distally until it is in line with the second digit, resulting in an inability to
abduct the thumb
static standing balance -
\what is being challenged when the therapist positions a patient in the sharpened
rhomberg positon
sharpened (tandem) rhomberg -
\position is when patient is standing heel-to-toe tandem stance, folds his arms across
the chest and stands statically for 30 seconds. Then the patient is asked to repeat this
stance for 30 seconds with his eyes closed. this test assesses and challenges static
balance in standing
backward trunk lean -
\the initial eval notes that a patient has significant weakness in the gluteus maximus.
how will this weakness demonstrate itself in a gait deviation.
patient will also demonstrate difficulty going up stairs and ramps
lateral trunk bending to the same side -
\therapist notes weakness in gluteus medius. how will this weakness demonstrate itself
in a gait deviation.
, weak hip flexor -
\a lateral trunk lean to the opposite side is associated with weakness of what
forward trunk lean -
\weakness in the quadriceps or a hip/knee flexion contracture results in what gait
deviation
iontophoresis -
\all of the following are used to counteract orthostatic hypotension for pts on tilt tables
except which one
1. iontophoresis
2. abdominal binders
3. elastic stockings
4. tensor bandaging
eccentric -
\resistance exercise performed with dynamic lengthening contraction. activity such as
descending stairs
isotonic -
\dynamic muscle contraction. uses concentric and eccentric
isometric -
\static muscle contraction, no muscle length change. beneficial to strengthen a muscle
at a specific point in the ROM
isokinetic -
\dynamic and speed is controlled
1. grab the hand rims posteriorly and then pull them forward abruptly and forcefully
this is how you "pop a wheelie" by lifting the casters and allow for clearance over the
curb -
\PTA is teaching pt with a spinal cord injury at L1 to manage curbs in his wheelchair. the
BEST way to instruct the patient is to have him
1. grab the hand rims posteriorly and then pull them forward abruptly and forcefully
2. throw the head ad trunk posteriorly to rise up on the back wheels
3. throw the head and trunk forward to lift the back wheels
4. grab the hand rims anteriorly and then pull them forward abruptly and forcefully
dynamic stretching -
\stretching is performed actively by moving joints gradually through an increasing range
and speed of movement as the musculature warms up and is appropriate to use prior to
sport activity
1. dynamic stretching
2. manual static passive stretching
