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NPTE(National Physical Therapy Examination) New Update

3. A patient has limited ankle dorsiflexion following ORIF of the distal tibia. Radiographs reveal that the fracture is well healed. Treatment with passive mobilization should include: A. poster... ior glide of the talus on the tibia B. lateral glide of the calcaneus on the tibia C. posterior glide of the tibia on the talus D. anterior glide of the talus on the tibia Answer: A. posterior glide of the talus on the tibia Rationale: The trochlea of the talus is convex. Therefore, during dorsiflexion of the ankle, the talus moves posteriorly relative to the tibia. To facilitate dorsiflexion, one would need to perform a posterior glide of the talus on the tibia . 4. A patient with a complete long thoracic nerve injury would have difficulty in: A. putting hand in the back pocket B. bending toward the involved side C. taking a deep breath D. pushing open a heavy door Answer: D. pushing open a heavy door Rationale: The long thoracic nerve innervates the serratus anterior muscle, which holds the scapula against the rib cage and is essential for pushing activities. Injury results in winging of the scapula and difficulty with pushing movements . Neuromuscular System 5. For a child with Duchenne muscular dystrophy, the MOST appropriate rehabilitation goal would be: A. prevention of contractures and determine method of mobility B. preservation of strength and muscle tone C. inhibition of abnormal tone and facilitation of normal movement and postural reactions D. facilitation of normal movement and improvement of strength Answer: A. prevention of contractures and determine method of mobility Rationale: Goals of PT intervention for a child with DMD are to retard the development of contractures and muscle weakness, which could lead to functional limitations. The PT also plays a role in determining the appropriate use of assistive devices that could help maintain the child's mobility such as wheelchairs, walkers, and orthoses. Muscle tone changes and decline in strength cannot be prevented since they are results of the disease process . 6. Central cord syndrome typically affects: A. upper extremities more than lower extremities B. lower extremities more than upper extremities C. sensory function more than motor function D. bowel and bladder function primarily Answer: A. upper extremities more than lower extremities Rationale: Central cord syndrome typically affects the upper extremities more than the lower extremities. Sensory impairments are typically less severe than motor impairments . 7. Brown-Séquard syndrome is characterized by: A. loss of motor function and loss of pain and temperature sensation below the lesion B. ipsilateral paralysis and sensory loss and contralateral loss of pain and temperature C. upper extremity weakness greater than lower extremity weakness D. saddle anesthesia and areflexic bowel and bladder [Show More]

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