NPTE Clinical Files | Physical Therapy

Jenny presents with an idiopathic onset of anterior shoulder pain. Which of the following is NOT consistent with a musculoskeletal origin:   A. Night pain while lying on the affected side  B. Intractable pain   C. Positive Hornblower's sign  D. No change in symptoms with bowel movements LINKS MENTIONED:      Did you get this question wrong?! If you were stuc...

Jesse presents with complaints of right lateral knee pain. Upon gait assessment, the patient has significant overpronation on the right. Which of the following examination findings would BEST explain the observed overpronation?   A. Forefoot valgus  B. Femoral anteversion  C. Genu varum  D. Hip flexor weakness LINKS MENTIONED:      Did you get this question...

Sohaila is a clinical instructor testing her student on the physiological effects of cryotherapy. Which of the following is NOT an effect of cryotherapy?   A. Pain reduction  B. Decrease in spasticity  C. Reduction in joint stiffness  D. Decrease in nerve conduction velocity LINKS MENTIONED:      Did you get this question wrong?! If you were stuck between tw...

Roger is status post cerebrovascular accident and is being evaluated by physical therapy. The patient seems to disregard safety and repeatedly falls onto their weak side. Which of the following is a diagnostic factor of Pusher Syndrome:    A. Contralateral loss of pain and temperature sensation  B. Trunk lean towards the uninvolved side  C. Abduction of the uninvolved extremiti...

Jenny is assessing an immobilized patient with a sacral pressure wound. During the assessment, the therapist examines the change in wound and surrounding skin attributes, reduction in wound depth, change in exudate characteristics, and wound closure. These performance indicators are all associated with which of the following outcomes?     A. Progression through the phases of wound h...

Hasim is educating a patient on the negative effects of diabetes on the body. Which of the following is NOT a sign or symptom of untreated or uncontrolled diabetes mellitus?  A. Polyuria  B. Polydipsia  C. Polyphagia  D. Weight gain LINKS MENTIONED:      Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then...

Juri is performing elbow flexion manual muscle testing on a 16-year-old male athlete. Elbow flexion was graded a 4 out of 5, and the motion was strong but painful. Based on the findings, the therapist should reasonably conclude which of the following?   A. No lesion or neurological deficit involving the tested muscle and tendon  B. Minor lesion of the tested muscle or tendon  C. Dis...

Mariah finds in the literature that the Homans’ sign to screen for DVT is no longer advocated because the test lacks sensitivity and specificity. Which of the following is a consequence of a false-negative test?   A. Receiving treatment when it is indicated  B. Not receiving treatment when it is indicated  C. Unnecessary treatment or further diagnostic testing  D. Positive test...

Jeroomie presents with suspected hypovolemia after a long outing in the sun. Which of the following is the MOST anticipated finding:   A. Arterial dilation   B. Elevated heart rate with standing  C. Bounding pulse  D. Elevated central venous pressure LINKS MENTIONED:       Did you get this question wrong?! If you were stuck between two answers and selected t...

Simon presents to the clinic with complaints of "room spinning" and transient nausea. The evaluating therapist suspects cupulolithiasis. Which of the following is NOT a characteristic of BPPV from cupulolithiasis?   A. Immediate onset of vertigo in provoking positions  B. Presence of nystagmus  C. Persistence of vertigo and nystagmus as long as the patient is in the provoking positi...

Marco presents to physical therapy complaining of diminished grip strength and neck discomfort at rest. Upon examination, the patient has weakened finger DIP flexion and wrist extension compared to the right. The patient also has diminished sensation along the hypothenar eminence. Which of the following conditions is MOST likely present?    A. C6 nerve root impingement   B. C7 nerve...

Parneet is instructing a patient on properly performing stacked breathing. Which of the following is the MOST likely indication for stacked breathing:   A. Hyperventilation   B. Crackles  C. Hypoventilation   D. Limited chest wall mobility LINKS MENTIONED:       Did you get this question wrong?! If you were stuck between two answers and selected the wrong on...

Jethroe oversees a research study assessing the relationship between the frequency of exercise per week and the number of falls in elderly subjects. The Pearson coefficient is found to be -0.87. When presenting this information, which of the following is the MOST accurate:    A. Exercising more often causes fewer falls in elderly subjects   B. Increased frequency of exercise has an...

Brenda is treating a patient with a recent brain injury. The therapist applies a strong noxious stimulus to the patient's forearm to elicit a response. The patient is difficult to arouse but, while awake, remains confused. Which of the following should be documented in the patient's record?    A. Stupor   B. Obtunded  C. Lethargic   D. Comatose LINKS MENTIONED:   &nbs...

Breancha is treating a patient with Multiple Sclerosis and marked extensor tone in the lower extremities. Which of the following is the MOST effective strategy to reduce tone:    A. Prolonged cooling  B. Light stroking   C. Spinning in a chair  D. High-frequency vibration LINKS MENTIONED:      Did you get this question wrong?! If you were stuck between...

Hughandra decides to evaluate the balance of an elderly patient using the Berg Balance Scale. Which of the following is NOT an area examined using this test?   A. Unsupported sitting  B. Retrieving an object from the floor  C. Standing on one foot  D. Walking while completing horizontal head turns LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two...

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets?   Look no further: www.nptecheatsheets.com Nywening is treating a patient diagnosed with a unilateral vestibular loss after repeated ear infections. The patient's main complaint is motion sensitivity and nausea. Which of the following options is the BEST choice for treatment?   A. Canalith repositioning maneuver  B. Semo...

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets?   Look no further: www.nptecheatsheets.com   Siobahn is a 17-year-old male with a medical diagnosis of Juvenile Rheumatoid Arthritis and Ankylosing Spondylitis. Upon examination, the patient’s spine is hypomobile but denies pain with palpation and during spinal movements. Which of the following interventions is the MOST recom...

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets?   Look no further: www.nptecheatsheets.com Aiden is being evaluated for mild discomfort in the right hip joint after a running injury two weeks ago. Upon examination, the patient has stiffness, hypomobility, decreased hip flexion, and internal rotation range of motion. Which of the following mobilizations should be performed FIRST...

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets?   Look no further: www.nptecheatsheets.com   Carmello is performing a gait analysis and notices that the patient’s toes are the first points of contact with the ground during initial contact. Which of the following is the LEAST likely to be a possible cause of this gait deviation?   A. Leg length discrepancy  B. Rec...

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets?   Look no further: www.nptecheatsheets.com   Francine has a past medical history of angina, depression, and acid reflux. The patient is being seen for frequent falls in the home but denies dizziness, vertigo, or sudden weakness. The therapist suspects blurred vision as the primary cause. Which of the following medications is...

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets?  Look no further: www.nptecheatsheets.com Gupta is assessing a patient's posture using a new plumbline assessment tool. Upon examination, the line of gravity falls posteriorly to the cervical spine joints. Which of the following opposing muscle groups is likely the MOST active?    A. Serratus anterior  B. Longus Col...

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets?  Look no further: www.nptecheatsheets.com   Vidhi is performing a chart review of his patient who has a T1 ASIA B SCI. Which of the following findings is MOST likely when treating this patient?     A. Paradoxical breathing pattern  B. Use of a mechanical ventilator   C. Moderate to maximal assistance...

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets?   Look no further: www.nptecheatsheets.com   Laura is being re-evaluated 12 weeks status post rotator cuff repair. While performing shoulder abduction actively, the therapist observes excessive clavicular elevation and lateral flexion of the trunk to the opposite side. The MOST likely cause of these findings include; diminish...

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets?   Look no further: www.nptecheatsheets.com Hemisha is a student clinical intern providing an in-service about the causes of lymphedema. Which of the following is NOT a cause of secondary lymphedema?   A. Dysplasia  B. Radiation  C. Chronic venous insufficiency  D. Infection Did you get this question wrong?! If...