NPTE Clinical Files | Physical Therapy

Question 1: Given the patient's medication and medical history, which complication is he at an increased risk for during mobility training A) Orthostatic hypotension B) Fractures C) Respiratory distress D) Hyperkalemia Question 2: The patient is exhibiting difficulty following multi-step commands. Which approach would be MOST appropriate when giving instructions for exercises? A) Provide writt...

June presents with complaints of pain during the midstance to terminal stance phase of gait. Upon examination, there's excessive pronation of the subtalar joint and pes planus deformity. What muscle is MOST likely weakened? A) Flexor digitorum brevis B) Tibialis posterior C) Abductor hallucis D) Extensor digitorum longus LINKS MENTIONED: Did you get this question wrong?! If you were stuck betw...

Belinda is a 46-year-old patient with a history of diabetes presents with a non-healing ulcer on the plantar surface of the foot. Upon examination, the therapist notes a well-defined ulcer with a punched-out appearance surrounded by callused skin. Which type of ulcer is this most indicative of? A) Venous stasis ulcer B) Arterial insufficiency ulcer C) Neuropathic ulcer D) Pressure ulcer LINKS MENT...

Kelly is a 60-year-old patient who is post-stroke and exhibits a steppage gait pattern. What is the MOST likely underlying neuromuscular deficit contributing to this gait deviation? A) Weak hip flexors B) Weak ankle dorsiflexors C) Spastic quadriceps D) Spastic hip adductors LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then yo...

Janie is a physical therapist who is conducting research to determine the relationship between hours of standing per day and the severity of lower back pain in factory workers. After analyzing the data, the therapist finds a positive, strong correlation (r = 0.85) between the two variables. What does this correlation coefficient indicate? A) An 85% chance that standing longer hours directly causes...

Roger is a 45-year-old is an avid cyclist who presents with anterior knee pain, especially after long rides. The pain is localized near the patellar tendon's inferior pole. What condition best describes these symptoms? A) Patellofemoral pain syndrome B) Osgood-Schlatter disease C) Patellar tendinitis D) Chondromalacia patellae LINKS MENTIONED: Did you get this question wrong?! If you were stuc...

Jason is a 25-year-old soccer player who sustained an anterior cruciate ligament (ACL) injury 8 weeks ago and underwent surgical repair. Current therapy goals are to restore neuromuscular control and proprioception. Which exercise will BEST address these goals? A) Open-chain knee extension exercises in sitting B) Balance exercises on a wobble board C) Prone hamstring curls D) Passive range of moti...

Betty is 55-year-old female with a history of congestive heart failure who presents with complaints of dyspnea during moderate activities. She mentions that she has been sleeping with three pillows at night for comfort. Given this information, which clinical term best describes her sleeping condition? A) Eupnea B) Hyperpnea C) Orthopnea D) Apnea LINKS MENTIONED: Did you get this question wrong?! I...

Charese presents a history of chronic obstructive pulmonary disease (COPD) performs a six-minute walk test. Which outcome, if observed during the test, would indicate an exacerbation or worsening of the patient's COPD? A. Increased stride length B. Decreased use of accessory muscles for breathing C. A decrease in SpO2 below 90% D. A decrease in respiratory rate LINKS MENTIONED: Did you get thi...

Vicky is 67-year-old female with advanced osteoarthritis is scheduled for a total hip arthroplasty. The orthopedic surgeon decides on a posterior approach. Which of the following is the PRIMARY reason for utilizing a posterior approach during the procedure? A. Minimize disruption to hip flexors B. Provide better access to the acetabulum C. Avoid risk to the sciatic nerve D. Reduce surgical time LI...

Jess is working with a patient who has sustained a low-energy hip fracture. These types of fractures are MOST common in which population? A. High-performance athletes during intense training. B. Postmenopausal women with osteoporosis. C. Children between the ages of 5-10 years. D. Middle-aged men during heavy weightlifting sessions. LINKS MENTIONED: Did you get this question wrong?! If you were st...

Kemmie is a 48-year-old female patient, who was recently involved in a motor vehicle accident and presents with a T10 level spinal cord injury. In addition to bladder dysfunction and decreased sensation below the level of injury, she is MOST likely to exhibit which of the following? A. Quadriplegia B. Absent lower extremity reflexes C. Absent sensation in C7 dermatome D. Normal upper extremity str...

Jerry presents with a history of myocardial infarction and reports experiencing chest pain during exercise. Which of the following interventions would be MOST appropriate? A. Discontinue exercise immediately and refer the patient to a physician B. Continue exercise at a reduced intensity level C. Increase the duration of exercise to build endurance D. Use resistance training to improve cardiac fun...

Heather is a 65-year-old patient being evaluated for balance issues and frequent falls. She exhibits a wide-based, unsteady gait and a positive Romberg test but shows no muscle weakness. What system impairment is most likely contributing to her balance problem? A. Musculoskeletal System B. Vestibular System C. Visual System D. Somatosensory System LINKS MENTIONED: Did you get this question wrong?!...

Jimare presents with a rotator cuff injury with limitations into internal rotation passively but has full active external range of motion. Which of the following interventions is the MOST likely to be effective: A. Stretching of internal rotators B. Strengthening of internal rotators C. Stretching of the external rotators D. Anterior capsule stretching LINKS MENTIONED: Did you get this question wr...

Jaquay is treating a patient with chronic obstructive pulmonary disease (COPD) who complains of dyspnea during daily activities. The patient's SpO2 levels tend to drop below 88% with mild exertion. In addition to continuing with a general exercise program, which of the following interventions would be the MOST beneficial for this patient? A. Instructing the patient in diaphragmatic breathing a...

Blane is reviewing a patient's electronic health record and notes that the patient has been prescribed baclofen. The therapist should understand that baclofen is primarily used for which of the following purposes? A. Relief of skeletal muscle spasms B. Increasing heart rate and blood pressure C. Managing symptoms of Parkinson's disease D. Lowering blood sugar levels LINKS MENTIONED: Did yo...

Bethany is evaluating a patient with hemiplegia who has increased tone in the upper extremity. The therapist uses the Modified Ashworth Scale (MAS) to grade the patient's muscle spasticity. The therapist describes the patient's resistance to movement as a "more marked increase in tone, but limb easily flexed". According to the MAS, how would this patient's spasticity be grade...

Jesse presents with decreased sensation in the left leg and reports difficulty with dorsiflexion and inversion of the foot. Which of the following nerves is MOST likely affected? A. Femoral nerve B. Tibial nerve C. Common peroneal nerve D. Obturator nerve LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www....

Jess is treating an elderly female in the acute care setting who has just had an uncemented total hip arthroplasty via a posterior approach. Which of the following precautions should be instructed to the patient during the early postoperative period? A. Avoid full weightbearing on the operated leg B. Avoid external rotation of the hip C. Avoid hip flexion D. Avoid hip abduction LINKS MENTIONED: Di...

Lani is a 15-year-old male who presents with sudden onset of severe headache, neck stiffness, photophobia and a fever. On examination, he has both Kernig's and Brudzinski's signs. Which of the following is the MOST likely diagnosis? A. Meningitis B. Migraine headache C. Cluster headache D. Tension headache LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two ans...

Wei presents with severe pain and swelling in her knee after a fall. The therapist performs a diagnostic test for a medial meniscus tear, which results in the patient experiencing pain and clicking. Which of the following tests is MOST appropriate for confirming a medial meniscus tear? A) McMurray test B) Lachman test C) Anterior drawer test D) Posterior drawer test LINKS MENTIONED: Did you get th...

Madison is treating a patient with Parkinson's disease who is experiencing gait dysfunction. The therapist decides to incorporate rhythmical auditory stimulation (RAS) into the treatment plan. Which of the following is an accurate statement regarding the use of RAS in treating gait dysfunction in a patient with Parkinson's disease? A. RAS is contraindicated in patients with Parkinson's...

Kofi is a physical therapist treating a patient with an acute rotator cuff tear. Which of the following interventions is MOST appropriate for improving the range of motion in this patient? A) Eccentric strengthening exercises B) Passive range of motion exercises C) Isometric strengthening exercises D) Active range of motion exercises LINKS MENTIONED: Did you get this question wrong?! If you were s...

Jackson presents with complaints of numbness and tingling throughout their right hand. The therapist performs a neural tension test on the patient, which reproduces the patient's symptoms. Which of the following is MOST likely involved? A) Median nerve B) Ulnar nerve C) Radial nerve D) Brachial plexus LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and...