NPTE Clinical Files | Physical Therapy

Niamh is a 22-year-old patient with a previous forearm laceration presenting with a raised scar that is tender to touch. The therapist would like to use iontophoresis with the appropriate parameters. Which of the following is the MOST recommended for this patient: A. Dexamethosone with positive polarity B. Acetic Acid with negative polarity C. Dexamethosone with negative polarity D. Acetic Acid wi...

Sajan presents with lower back pain and reports that the pain has been persistent without lasting relief. The treating therapist would like to use low-rate TENS with 2 Hz and 200 microseconds parameters. Which of the following is the MOST likely reason for the selected parameters: A. Acute Pain B. Chronic Pain C. Patient’s sensitivity to electrical stimulation D. Patient has a pacemaker LINKS MENT...

Kaida patient presents with severe epigastric pain that radiates to her back, accompanied by nausea and vomiting. She reports a history of heavy alcohol use and a recent episode of gallbladder stones. Upon examination, there is tenderness in the upper abdomen and elevated serum lipase levels. What is the MOST likely diagnosis? A. Pancreatitis B. Gastritis C. Peptic ulcer disease D. Gastroesophagea...

Hadiya is a 60-year-old female who presents to physical therapy with a diagnosis of generalized weakness and a bone Mineral Density T-Score of -1.5. Which of the following interventions is the MOST recommended: A. Marching in 5ft of water B. Supine abdominal crunches C. Endurance training on an upper body ergometer D. Stair climbing LINKS MENTIONED: Did you get this question wrong?! If you were st...

Freyja 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 fu...

Efe presents to physical therapy with hip pain. During a routine examination, the patient lacks hip extension, has a positive Thomas test, and has excessive anterior pelvic tilt. Which of the following tissues is the MOST likely shortened? A. Rectus femoris B. Iliopsoas C. Hamstrings D. Tensor Fascia Latae LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and...

Dariana is a 70-year-old patient who presents to physical therapy with a history of congestive heart failure. Upon examination, the patient has significant edema in the lower extremities. Which of the following is the MOST appropriate intervention for this patient? A. Lower extremity strengthening exercises B. Cardiovascular exercise C. Trendelenburg positioning D. Postural drainage and percussion...

Aiko is treating an uninsured patient who cannot afford the cost of treatment. The patient's condition is chronic and requires specialized ongoing care to manage symptoms and prevent complications. What is the MOST appropriate action for the physical therapist to take in this situation? A. Continue with treatment as usual and ask the patient to pay what they can, even if it means reducing the...

Laird is treating a patient who has recently undergone a posterolateral total hip replacement surgery. Which of the following postoperative complications should the therapist be MOST concerned about observing during the examination? A. Hematoma B. Neuroborreliosis C. Infection D. Anterior dislocation of the hip implant LINKS MENTIONED: Did you get this question wrong?! If you were stuck between tw...

Janese is a young child who presents to physical therapy with a medical diagnosis of clubfoot. Which of the following is the correct description:   A. Plantarflexion, eversion, adduction  B. Dorsiflexion, inversion, adduction  C. Plantarflexion, inversion, adduction  D. Dorsiflexion, eversion, abduction LINKS MENTIONED:      Did you get this question wrong?!...

Lizzie is performing a routine examination on a patient with a suspected subacromial impingement. Which of the following should be assessed FIRST?   A. Shoulder abduction active range of motion  B. External rotation manual muscle testing   C. Gross shoulder joint mobility   D. Lateral shoulder palpation LINKS MENTIONED:       Did you get this question wrong?...

India is treating a patient who is frequently late or misses appointments. The patient has a history of poor time management and has apologized for their behavior. What is the MOST appropriate action for the physical therapist to take in this situation?   A. Ignore the patient's tardiness or missed appointments and continue with treatment as usual  B. Explain the importance of being on t...

Hannah is treating a patient who discloses that they are currently experiencing depression and anxiety. The patient expresses concern that these conditions may interfere with their ability to adhere to their rehabilitation program. What is the MOST appropriate action for the physical therapist to take?   A. Focus solely on the physical rehabilitation program  B. Acknowledge the patient's...

Janie is a 50-year-old female who presents with a complaint of chronic low back pain. On examination, the patient reports that she spends most of her day sitting at a desk for work and has limited physical activity. Which of the following is the most appropriate INITIAL recommendation:   A. Referral to a pain management specialist for further evaluation   B. Prescription of a strengtheni...

Hal is researching common referral sites for pathologies and conditions that affect his patient population. Which of the following is MOST likely associated with substernal chest pain that does not have a referral pain pattern?   A. Neurological  B. Gastrointestinal  C. Breast pain  D. Anxiety LINKS MENTIONED:      Did you get this question wrong?! If you we...

April is examining a patient with cardiorespiratory dysfunction. The patient denies any co-existing respiratory disorder however reports a recent trauma to chest. Upon examination, the patient has chest pain that is intensified with inspiration and a non-productive cough. Which of the following pathologies is the MOST likely present?    A. Pulmonary embolism  B. Pleurisy  C. Pn...

Jessica, 15-year-old female patient sustained an injury while rollerblading, landing on her right arm. She describes the pain as “deep, nagging, & dull.” Based on the pain description, which of the following structures is MOST likely affected?   A. Muscle  B. Bone  C. Fracture  D. Vasculature LINKS MENTIONED:       Did you get this question wrong?! If yo...

Blake is a 45-year-old male patient with chest pain at rest, pallor, palpitations, hypertension, and an elevated blood serum cholesterol level of 242 mg/dL. All of these clinical signs and symptoms are MOST likely red flags indicative of which of the following conditions?   A. Stable angina pectoris  B. Unstable angina pectoris  C. Pericarditis  D. Peptic ulcer LINKS MENTIONED:...

Ryan presents with anterolateral leg pain and reports progressive worsening since an increase in his training regimen over the past two weeks. Symptoms appear in the later stages of running and last 2-3 hours after the run. The anterior tibialis muscle is tender and taut on palpation. Resisted dorsiflexion is strong but reproduces the patient's pain. Which of the following is the MOST likely diagn...

Kemp is treating a patient with lymphedema who presents to physical therapy with a script for wound care. The patient’s chart describes the wound bed as shallow and irregular on the anteromedial lower leg. In addition, the peri-wound area is described as scaly, weepy, and warm with hemosiderin staining. Which wound type does the patient MOST likely have based on this clinical presentation?  ...

Rosa presents with a history of CAD and has complaints of pale cool skin on the right lower extremity. The therapist suspects a femoral artery dysfunction. Which of the following pulses is BEST to indicate an impaired flow or blockage in femoral artery?  A. Carotid  B. Femoral  C. Popliteal  D. Pedal LINKS MENTIONED:      Did you get this question wrong?! If...

Estephania is treating a patient with a transfemoral amputation who presents with excessive right hip flexion during routine gait analysis. Upon examination, the patient has 4/5 gross MMT and decreased right hip extension range of motion. Which of the following interventions is the MOST appropriate?    A. Single leg bridging   B. Prone lying positioning  C. 6’’ step downs &nbsp...

Bhava is a physical therapist who is educating a group of practitioners on indications for cardiac rehabilitation. Which of the following diagnoses is the LEAST appropriate for a formal cardiac rehabilitation program?   A. Coronary artery bypass graft (CABG)  B. Acute myocardial infarction   C. Chronic heart failure with unstable angina   D. Percutaneous transluminal coronary a...

Heather is a 32-year-old who presents two weeks postpartum with low back pain. She has a referral to evaluate and treat her 2.25cm diastasis recti. Which of the following interventions would be the MOST appropriate to treat this condition?    A. Hooklying abdominal crunches  B. Hooklying head lifts while hands crossed over midline  C. Hooklying diagonal trunk curls   D. Su...

Blherim performs a routine examination of a patient's neurological function of their hand. Using calipers with a fine tip, the patient can perceive two points when the distance between the points is 11mm or greater. This finding is MOST consistent with which of the following:    A. Dorsal column injury   B. Anterior horn cell lesion   C. Spinocerebellar tract lesion  D. Da...