NPTE Clinical Files | Physical Therapy

Alynne is a woman who reports fatigue, intermittent joint pain, and a recurrent facial rash that becomes worse after spending time in the sun. Examination reveals a rash over the bridge of the nose and cheeks that spares the nasolabial folds. Which of the following conditions is MOST likely? A) Psoriasis B) Systemic lupus erythematosus C) Eczema D) Rosacea Join the FREE Facebook Group: www.nptegro...

Mila reports a sudden, intense urge to urinate followed by leakage before reaching the bathroom. The patient voids frequently throughout the day and wakes multiple times at night to urinate. Pelvic floor strength is 4/5, and there is no leakage with coughing or sneezing. Which of the following interventions is MOST appropriate for the treatment of this patient? A) Pelvic floor strengthening with m...

Mackenzie presents to physical therapy following a stroke affecting the basal ganglia. The patient exhibits bradykinesia and difficulty initiating movements. Which of the following interventions would be MOST effective in addressing these impairments? A) Rhythmic auditory stimulation B) High-resistance strength training C) Visual cueing during gait training D) Balance exercises using an unstable s...

Bellie presents with persistent bilateral lower extremity swelling that worsens throughout the day. The therapist is selecting an intervention to assist with fluid return. Which of the following interventions would MOST effectively assist with this goal? A) Maintaining the lower extremities in a gravity-dependent position B) Diaphragmatic breathing C) Sustained isometric contraction of the upper e...

Dr. Rice evaluates a patient with a chief complaint of mid-thoracic pain radiating around the left lateral rib cage. The patient reports symptoms worsen with deep breathing and coughing, but are not reproduced with spinal movement, rib mobilization, or palpation. Neurological screening is unremarkable. Which of the following structures is MOST likely referring pain to this region? A) Thoracic face...

Carmen is performing a special test on her patient. The test has a sensitivity of 95% and a specificity of 30%. The patient tests negative. What is the BEST interpretation? A) The condition is unlikely present B) The condition is likely present C) The test confirms the diagnosis D) The test has low false negatives Join the FREE Facebook Group: www.nptegroup.com

Elena presents with significant muscle atrophy in the lower extremities, fasciculations of the gastrocnemius, and a 1+ Achilles tendon reflex. During gait, the patient demonstrates a "slapping" foot strike. These signs are MOST indicative of: A) A lesion in the corticospinal tract B) An injury to the cerebellum C) Compression of the posterior columns D) A lesion in the anterior horn cell...

Yesenia is a 37-year-old patient with lumbar disc herniation who reports pain radiating to the posterior thigh. During treatment, repeated lumbar extension causes leg pain to resolve but increases central low back discomfort. Which intervention is MOST appropriate to continue? A) Discontinue extension due to increased lumbar pain B) Progress lumbar flexion exercises to reduce spinal compression C)...

Benito, a patient with a right transfemoral amputation, demonstrates circumduction of the prosthetic limb during the swing phase. Which of the following prosthetic causes is MOST likely contributing to this deviation? A) Insufficient socket flexion B) Socket is excessively abducted C) Knee friction is too low D) Foot is set too posteriorly Join the FREE Facebook Group: www.nptegroup.com

Victor is a 12-year-old male who presents with a limp and groin pain. The hip rests in external rotation, and hip flexion produces obligatory external rotation. Which of the following should the physical therapist initiate FIRST? A) Begin hip strengthening and gait training B) Stretch hip internal rotators and adductors C) Make the patient non–weight bearing and refer urgently D) Initiate aquatic...

Belsnickel is a 63-year-old male who presents with right-sided facial paralysis, inability to abduct the right eye, and an absent corneal blink reflex on the right. Sensation to the face is intact. These findings are MOST consistent with a lesion affecting which of the following cranial nerves? A) Cranial nerve V, VI B) Cranial nerve VI C) Cranial nerve VI, VII D) Cranial nerve II, VI Join the FRE...

Juvelyn shows an impaired corneal reflex, loss of facial sensation, and difficulty chewing on the right side. Which of the following is MOST likely impaired? A) Difficulty chewing on the left B) Vertebrobasilar insufficiency (VBI) test on the right C) Jaw jerk test D) Swallowing Use PTH020 to get 20% off the 90-day Truelearn Subscription: www.truelearn.com Download my quick cranial nerves cheatshe...

Hallie presents with bilateral anterior knee pain and an in-toeing gait. Craig’s test reveals 10° of femoral anteversion on both sides. Which of the following special tests is MOST appropriate to further assess the cause of the in-toeing? A) FABER test B) Tibial torsion test C) Q-angle measurement D) Thomas test Join the FREE Facebook Group: www.nptegroup.com

Lionel has a past medical history of hypertension and has been referred to physical therapy for generalized fatigue and reduced exercise tolerance. During the session, the therapist notes mild bilateral lower extremity edema. Which of the following medications is MOST likely contributing to these findings? A) Lisinopril B) Furosemide C) Amlodipine D) Metoprolol Join the FREE Facebook Group: www.np...

Faith is a 65-year-old female recovering from hip replacement surgery and presents with mild calf swelling and tenderness. Based on Virchow’s Triad, which of the following is the LEAST likely contributing factor to her symptoms? A) Endothelial injury B) Stasis of blood flow C) Hypercoagulability D) Arterial insufficiency Join the FREE Facebook Group: www.nptegroup.com Download my unfamiliar terms...

Skye is a soccer player who reports intermittent knee locking and joint line pain following a twisting injury 2 weeks ago. The McMurray test reproduces pain with a click. Which additional clinical finding would MOST support the suspected diagnosis? A) Positive Pivot shift test B) Negative Clarke’s test C) Positive Thessaly test at 20° flexion D) Pain with valgus stress testing Join the FREE Facebo...

Brittinie presents with difficulty pushing up from a chair, weakness with shoulder extension and adduction, and no significant sensory deficits. She recently underwent axillary lymph node dissection following surgery for breast cancer. Which of the following peripheral nerves is MOST likely injured? A) Axillary nerve B) Thoracodorsal nerve C) Long thoracic nerve D) Radial nerve Join the FREE Faceb...

Betty is a 45-year-old female who presents to physical therapy with complaints of pelvic pain, urinary frequency, and urgency without signs of infection. She reports symptoms worsening after prolonged sitting and during high-impact exercises. Which intervention is MOST appropriate to address her condition? A) Pelvic floor muscle strengthening with biofeedback B) Bladder retraining and dietary modi...

Josue recommends a prolonged warm-up for a patient with hypertrophic cardiomyopathy before initiating aerobic exercise. Which of the following is the MOST likely rationale for this recommendation? A) To increase left ventricular filling time B) To prevent sudden increases in heart rate C) To increase myocardial oxygen consumption D) To enhance stroke volume during exercise DOWNLOAD THIS EPISODE&#3...

Bill presents with early-stage amyotrophic lateral sclerosis (ALS) and reports mild lower extremity weakness and occasional tripping when walking on uneven surfaces. Which intervention is MOST appropriate to address his current functional mobility? A) Prescribe a wheelchair for energy conservation B) Provide ankle-foot orthoses (AFOs) to prevent foot drop C) Initiate high-intensity strength traini...

Aiyana is an office worker with chronic low back pain who is referred to physical therapy. During a core stability assessment, the patient demonstrates difficulty maintaining a neutral pelvis while lifting one leg in a hook-lying position. Which muscle is MOST likely underperforming? A) Iliopsoas B) Erector Spinae C) Quadratus lumborum D) Rectus abdominis TEXT OUR TEAM: (727) 732-4573

Leilani is an athlete who reports muscle cramps, fasciculations in the legs, and fatigue during prolonged training sessions. Which of the following is the MOST likely cause of her symptoms? A) Steroid abuse B) Inadequate caloric intake C) Hypervolemia D) Hyponatremia DOWNLOAD THIS EPISODE'S CHEATSHEET: www.nptecheatsheet.com/electrolyte

Zayden presents with well-defined, raised plaques on the extensor surfaces of his elbows and knees. The lesions are covered with silvery scales, and he reports occasional itching and no systemic symptoms. What is the MOST likely diagnosis? A) Atopic dermatitis B) Psoriasis vulgaris C) Tinea corporis D) Lichen planus Join the FREE Facebook Group: www.nptegroup.com

Miraide is recovering from a total hip arthroplasty and reports mild calf discomfort on the second day post-surgery. On examination, there is no significant swelling or redness, but the patient has a resting heart rate of 105 bpm. Which of the following interventions is MOST appropriate to reduce the risk of deep vein thrombosis? A) Initiate ambulation with a walker B) Apply ice packs to the calf...

Orion is a 12-year-old with spastic diplegic cerebral palsy and is evaluated for gait abnormalities. The therapist observes excessive hip flexion, knee flexion, and ankle dorsiflexion throughout the gait cycle. Which of the following gait patterns BEST describes these findings? A) Crouch gait B) Scissoring gait C) Ataxic gait D) Steppage gait TEXT OUR TEAM: (727) 732-4573