NPTE Practice Questions With accurate answers, Graded A+. 2022 update,

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NPTE Practice Questions With accurate answers, Graded A+. 2022 update, The lymphatic system drains lymph from body tissues and returns it to the: A.) Nervous system B.) Cardiac circulation C ... .) Venous circulation D.) Muscles - ✔✔C.) Venous circulation In regards to arthrokinematics, what is the movement between the metacarpal of the hand and the proximal phalanx? .A.) Glide B.) Roll C.) Spin D..) Extension - ✔✔A.) Glide The PTA is reviewing the PT's evaluation of a patient with torticollis. The patient has torticollis with right SCM involvement. Which of the following will the patient present with? A.) Neck side-bending toward the L and rotation to the L B.) Neck side-bending toward the R and rotation to the L C.) Neck side-bending toward the R and rotation to the R D.) Neck side-bending toward the L and rotation to the R - ✔✔B.) Neck side-bending toward the R and rotation to the L In which direction do most dislocations of the glenohumeral joint occur? A.) Anterior-inferior B.) Posterior-inferior C.) Posterior D.) Superior - ✔✔A.) Anterior-inferior The PT performs an evaluation for a 75 year-old woman who endured a stroke. She is classified as stage 3 on the Brunnstrom Stages of Motor Recovery scale. What motor presentation can the PTA expect? A.) Flaccidity, no voluntary movement B.) Voluntary movement possible but only in synergies, high spasticity C.) Control and coordination near normal D.) Voluntary control in isolated joint movements, declining of spasticity and synergies - ✔✔B.) Voluntary movement possible but only in synergies, high spasticity A PTA is preparing to work with a patient who has suffered a TBI. The evaluation states that the patient is a Level III on the Rancho Los Amigos level of cognitive function. What can the therapist expect of this patient? A.) Confused-agitated: The patient is in a heightened state of activity. His behavior is bizarre and non-purposeful relative to environment. His is unable to cooperate directly with treatment efforts B.) Localized response: The patient reacts specifically but inconsistently to stimuli. The patient may follow simple commands in an inconsistent and delayed manner such as squeezing the hand or closing eyes C.) No response: Patient appears to be in a deep sleep and completely unresponsive to stimulation D.) Automatic-appropriate: The patient appears appropriate and oriented within the hospital and home settings but has shallow recall of activities. Judgment is still impaired. - ✔✔B.) Localized response: The patient reacts specifically but inconsistently to stimuli. The patient may follow simple commands in an inconsistent and delayed manner such as squeezing the hand or closing eyes. Which of the following is NOT an example of a goal and indication for superficial thermotherapy? A.) Increase muscle tone B.) Increase connective tissue extensibility C.) Modulate pain D.) Accelerate tissue healing - ✔✔A.) Increase muscle tone In regards to thermotherapy, which condition would be BEST suited for heat application utilizing paraffin? A.) Rotator cuff tear B.) Rheumatoid arthritis of the hand and digits C.) Chronic lumbar back pain D.) 5 days s/p total knee arththroscopy - ✔✔B.) Rheumatoid arthritis of the hand and digits When utilizing intermittent mechanical compression over the full lower extremity, which portion of the sleeve has the greatest pressure? A.) In the distal compartments B.) In the proximal compartments C.) It alternates between distal and proximal compartments D.) There is no pressure gradient - ✔✔A.) In the distal compartments Which mechanical agent is most often indicated in the acute stage after a total knee replacement in order to accelerate joint ROM gain and tendon and ligament healing, minimizing contracture risk? A.) Intermittent mechanical compression B.) Continuous passive motion C.) Mechanical spinal traction D.) Tilt table - ✔✔B.) Continuous passive motion The PTA is teacher her patient with COPD strategies and positions to help catch his breath. Which position is most effective for a patient with COPD to improve breathing? A.) Supine B.) Seated leaning forward on the forearms C.) Seated leaning backward into extension D.) Prone - ✔✔B.) Seated leaning forward on the forearms Which of the following is NOT a function of the lower gastrointestinal system? A.) Ingestion and initial breakdown of food B.) Absorption of water and electrolytes C.) Elimination of waste products D.) Storage of waste products - ✔✔A.) Ingestion and initial breakdown of food Which of the following describes the condition in which the stomach protrude upward through the diaphragm? A.) Hiatal hernia B.) Inflammatory bowel disease C.) Gastritis D.) Peptic ulcer disease - ✔✔A.) Hiatal hernia Which metabolic hormone is secreted by the delta cells of the pancreatic islets? A.) Glucagon B.) Insulin C.) Amylin D.) Somatostatin - ✔✔D.) Somatostatin The PTA is challenging a patient's balance by having her seated over an exercise ball with her arms elevated, while the PTA provides perturbations at the patient's trunk. The patient is having difficulty maintaining her balance and frequently requires assistant from the PTA through guarding. The PTA decides to regress the exercise by: A.) Having the patient close her eyes B.) Throwing and catching a ball while continuing perturbations C.) Having the patient place her hands on the side of the exercise ball, instead of elevated D.) Having the patient elevate one lower extremity from the floor - ✔✔C.) Having the patient place her hands on the side of the exercise ball, instead of elevated An 85 year-old patient is being seen in a sub-acute rehab setting after an open reduction internal fixation of the hip, which was necessary due to a fall that resulted in a femoral neck fracture. What complication would be LEAST likely for this patient? A.) Pulmonary embolism B.) Deep vein thrombosis C.) Hip dislocation D.) Fear of falling - ✔✔C.) Hip dislocation The PTA is working with a 20 year-old male with spastic cerebral palsy who is ambulatory. What is a common gait deviation that can be expected? A.) Limited trunk rotation, limited arm swing, and shuffling gait B.) Internal rotation of the hips and flexed knees C.) Weakness on one side of the body with instability D.) Decreased stance time unilaterally and slow cadence - ✔✔B.) Internal rotation of the hips and flexed knees Which federal law assures privacy and security of all personal health care information? A.) Health Information Protection and Accountability Act B.) Health Information Protection Act C.) Health Insurance Portability and Accountability Act D.) Health Insurance Privacy Protection Act - ✔✔C.) Health Insurance Portability and Accountability Act A PTA has just completed instruction a caregiver on how to transfer a patient from a bend to wheelchair and back using a slide board. The PTA should document the caregiver's performance and ability to complete the tack safely in which section of the SOAP note? A.) Plan B.) Assessment C.) Subjective D.) Objective - ✔✔B.) Assessment A patient is experiencing referred visceral pain to the shoulder. What is the likely organ involved? A.) Esophagus B.) Colon C.) Appendix D.) Liver - ✔✔D.) Liver The PTA is performing gait training with a 75 year-old male who was just discharged home after undergoing a total knee replacement. The patient is complaining of new discomfort in the groin, anterior hip, and low back regions. The PTA should recognize that this tenderness could be related to: A.) Appendicitis B.) Diarrhea C.) Irritable bowel syndrome D.) Constipation - ✔✔D.) Constipation Which type of urinary incontinence is described when the bladder continuously leaks secondary to urinary retention and an over-distended bladder? A.) Overflow incontinence B.) Urge incontinence C.) Functional incontience D.) Stress incontinence - ✔✔A.) Overflow incontinence The initial evaluation notes that patient has a weak gluteus medius. Which gait deviation can the PTA expect to see with this patient during gait? A.) Lateral trunk bending to the opposite side B.) Lateral bending of the trunk to the same side C.) Forward trunk lean D.) Backward trunk lean - ✔✔B.) Lateral bending of the trunk to the same side A geriatric patient suffered a Colle's fracture from a fall. Upon further examination, she was diagnosed with osteoporosis. Which exercise would be best indicated for this patient once the fracture is well healed? A.) Passive stretching to the upper extremities and lower extremities B.) Open chain upper extremity AROM in all shoulder planes C.) Treadmill walking and lower extremity resistive band exercises D.) Wall push-ups and upper extremity resistive band exercises - ✔✔D.) Wall push-ups and upper extremity resistive band exercises A patient presents with pain and tightness over the piriformis. The plan of care includes manual passive stretching. Which patient position is the best to stretch the piriformis? A.) Supine with the hip flexed to 70 degrees and knee extended B.) Supine with hip abducted C.) Supine with hip flexed to 70 degrees and adducted D.) Prone with hip extended - ✔✔C.) Supine with hip flexed to 70 degrees and adducted Which is the most common form of TMJ dysfunction? A.) Rheumatois arthritis B.) Internal derangement of the joint C.) Osteoarthritis D.) Myofascial pain - ✔✔D.) Myofascial pain Which term describes a peripheral nervous system disorder that includes involvement of nerve roots due to skeletal changes and soft tissue injuries? A.) Entrapment syndrome B.) Radiculopathy C.) Peripheral neuropathy D.) Neurotmesis - ✔✔B.) Radiculopathy Which federal act mandates the eligible students received free related services (such as physical, occupational, and speech therapy services) to meet their educational needs? A.) American Disabilities Act (ADA) B.) Joint Commission on the Accreditation of Healthcare Organization (JCAHO) C.) Health Insurance Portability and Accountability Act (HIPAA) D.) Individuals with Disabilities Education Act (IDEA) - ✔✔D.) Individuals with Disabilities Act (IDEA) Regarding environmental considerations for wheelchair accessibility, what is the minimum recommended clear width for doorways and halls? A.) 24 inches minimum and ideally 26 inches B.) 28 inches minimum and ideally 32 inches C.) 32 inches minimum and ideally 36 inches D.) 42 inches minimum and ideally 46 inches - ✔✔C.) 32 inches minimum and ideally 36 inches A pulmonary patient has developed respiratory acidosis. What should the therapist monitor for? A.) Disorientation B.) Dizziness C.) Numbness and tingling D.) Convulsions - ✔✔A.) Disorientation Which of the following is a sign of left-sided heart failure? A.) Anorexia B.) Cough C.) Weight gain D.) Nausea - ✔✔B.) Cough The PTA is performing passive range of motion for shoulder mobility in a patient who has impingement. This patient has known gastroesophageal reflux disease and is being seen after lunch. What is the most appropriate positioning for shoulder passive range of motion for this patient? A.) Seated in chair B.) Prone C.) Supine D.) Side-lying - ✔✔A.) Seated in chair Which component of the endocrine system controls the release of insulin, glucagon, and somatostatin? A.) Pancreatic islet cells B.) Parathryoid glands C.) Kidney D.) Thryoid - ✔✔A.) Pancreatic islet cells Which classic sign or symptom of diabetes describes excessive thirst? A.) Glycosuria B.) Polyuria C.) Polyphagia D.) Polydipsia - ✔✔D.) Polydipsia Which condition is an inflammatory response within a bone caused by an infection? A.) Osteomalacia B.) Osteoporosis C.) Osteomyelitis D.) Osteogenesis imperfecta - ✔✔C.) Osteomyelitis A patient sustained an unhappy triad knee injury playing football. What anatomical structures are involved in an injury affecting the unhappy triad? A.) LCL, PCL, and the medial meniscus B.) MCL, ACL, and the medial meniscus C.) MCL, PCL, and the lateral meniscus D.) MCL, PCL, and the medial meniscus - ✔✔B.) MCL, ACL, and the medial meniscus The physical therapy evaluation indicates a positive Lachman's test of the right knee of a soccer player. The patient has opted to avoid surgery at this time. What is the best initial treatment intervention to build strength? A.) Closed chain terminal knee extension exercises B.) Plyometrics C.) Open chain terminal knee extension exercises D.) Lateral cutting coordination activities - ✔✔A.) Closed chain terminal knee extension exercises Which of the following is NOT a fine motor task typically present in a 12 month old infant? A.) Displays emerging pincer grasp B.) Puts objects into containers C.) Stacks six blocks D.) Takes objects out of containers - ✔✔C.) Stacks six blocks A patient is walking in a PT Clinic. The PTA wants to challenge the patient's balance by making a change to the vestibular system. Which modification would achieve this? A.) Have the patient walk with his eyes closed B.) Have the patient walk over uneven terrain, outdoor C.) Have the patient turn his head side to side and up and down when walking D.) Turn the lights off in the clinic and have the patient walk - ✔✔C.) Have the patient turn his head side to side and up and down when walking Pelvis floor weakness due to pregnancy and childbirth can lead to organ prolapse. Which is a herniation of the bladder into the vagina? A.) Kegel B.) Cystocele C.) Uterine prolapse D.) Rectocele - ✔✔B.) Cystocele Which PT intervention for urinary incontinence aims to re-educate pelvic floor muscles if a patient cannot initiate active contractions? A.) Progressive strengthening B.) Behavioral training C.) Biofeedback D.) Functional electrical stimulation - ✔✔D.) Functional electrical stimulation When examining the integumentary system of a patient, it is important to understand risk factors for cancerous cell activity. Clinical examination of malignant melanoma can use the acronym ABCDE. What does this stand for? A.) Active, bleeding, color, diameter, elevation B.) Asymmetry, bleeding, cool, dark, elevation C.) Asymmetry, border, color, diameter, elevation D.) Asymmetry, Brown, cool, diameter, elevation - ✔✔C.) Asymmetry, border, color, diameter, elevation Which is NOT a typical characteristic of an arterial ulcer? A.) Pale base without granulation B.) No pain C.) Well demarcated lesion D.) Located over toes, dorsum of foot, lateral malleolus - ✔✔B.) No pain Scar mobilization is safe to perform in which stage or stages of healing? A.) Granulation, fibroblastic, and maturation phases B.) Inflammatory and fibroblastic phases C.) Fibroblastic and maturation phases D.) Maturation phase only - ✔✔C.) Fibroblastic and maturation phases When performing lymphatic drainage exercises for an upper extremity affected with lymphedema, which is NOT appropriate? A.) Begin with AROM of the shoulder and then isometric exercises of shoulder B.) Include resistance strengthening with 5 to 10 lb weights to build strength C.) Progress to distal musculature (elbow, forearm, wrist, hand) after shoulder exercises D.) Perform with affected extremity elevated, supine position - ✔✔B.) Include resistance strengthening with 5 to 10 lb weights to build strength A PTA provides repeated sit-to-stand transfer training in a patient with Parkinson's disease with impaired balance, providing decreasing verbal cues with Progressive trials. Which training strategy is being used? A.) Motor learning strategy B.) Patient strategy C.) Compensatory strategy D.) Remedial strategy - ✔✔A.) Motor learning strategy The physics related to heat transmission for utilization of the superficial thermotherapy modalities include conduction, convection, and radiation. Which of the following is an example of heat transmission through convection? A.) Infrared lamp B.) Paraffin C.) Whirlpool D.) Hot pack - ✔✔C.) Whirlpool A PTA is teaching a patient how to navigate stairs after a total knee replacement. The patient has identified himself as a kinesthetic learner. Which intervention is most appropriate to maximize carryover of the task? A.) Provide consistent verbal cues for sequencing B.) Provide a written hand out to review prior to practicing C.) First review of video of another patient navigating stairs D.) After teaching, allow the patient to practice on a two-step staircase with therapist guarding - ✔✔D.) After teaching, allow the patient to practice on a two-step staircase with therapist guarding Which component of the gastrointestinal system is responsible for the ingestion and initial digestion of food? A.) Lower gastrointestinal system B.) Middle gastrointestinal system C.) Upper gastrointestinal system D.) Small intestine - ✔✔C. Upper gastrointestinal system Which gastrointestinal condition is one of intractable constipation resulting in fecal impaction? A.) Achalasia B.) Obstipation C.) Anorexia D.) Gastroesophageal reflux disease - ✔✔B.) Obstipation Which of the following medications is associated with gastrointestinal bleeding? A.) Ibuprofen ( Motrin, Advil) B.) Dicyclomine (Bentyl) C.) Omeprazole (Prilosec) D.) Loperamide (Imodium) - ✔✔A.) Ibuprofen (Motrin, Advil) The medical history revealed that a patient has sustained a second-degree, deep partial thickness burn. What anatomical layers are affected in this type of injury? A.) Epidermis and upper layers of the dermis B.) Epidermis, dermis, and subcutaneous tissue C.) Epidermis, dermis, subcutaneous tissue, muscle, and bone D.) Epidermis, dermis, nerve endings, hair follicles, and sweat glands - ✔✔D. Epidermis, dermis, nerve endings, hair follicles, and sweat glands An individual has a fasting blood glucose level of 120 mg/dL and is considered: A.) Normal B.) Pre-diabetic C.) Diabetic D.) To have metabolic syndrome - ✔✔B.) Pre-diabetic An individual receives his results from an oral glucose tolerance test, and it is determined that his reading is 220 mg/dL. this result indicates: A.) Pre-diabetes B.) Normal reading C.) Diabetes D.) Metabolic syndrome - ✔✔C.) Diabetes When analyzing the gait of a patient with a below knee amputation, the PTA notices excessive knee flexion and initial contact of early stance. What is a likely contributing factor for this deviation? A.) Stiff heel cushion or high shoe heel B.) Excessive foot inset C.) Soft heel cushion or low shoe heel D.) Excessive foot outset - ✔✔A.) Stiff heel cushion or high shoe heel What special shoulder test evaluates the integrity of the glenoid labrum? A.) Drop arm test B.) Speed's test C.) Clunk test D.) Neer's impingement test - ✔✔C.) Clunk test Which term describes the joint position in which the capsule and other soft tissues are maximally tensed? A.) Loose-packed position B.) Close-packed position C.) Hard end feel D.) Closed chain - ✔✔B.) Close-packed position A patient presents with impaired plantar flexion ROM and weakness in the plantar flexor muscle group. Which task will be most difficult? A.) Ascending stairs B.) Walking down a ramp C.) Descending stairs D.) Walking over even surface - ✔✔B.) Walking down a ramp Which upper extremity special test would likely be positive for a patient who complains of shoulder pain, with a current history as a college-level baseball pitcher? A.) Clunk test B.) Adson's test C.) Drop arm test D.) Yergason's test - ✔✔A. Clunk test The PTA assesses the pulse of a 50 year old male patient and finds it to be 70 bpm, which is within a normal range. What is the normal range for heart rate for an adult? A.) 40-60 bpm B.) 60-100 bpm C.) 70-140 bpm D.) 70-170 bpm - ✔✔B.) 60-100 bpm Which special test of the shoulder identifies bicipital tendonitis? A.) Clunk test B.) Speed's test C.) Drop arm test D. Neer's impingement test - ✔✔B.) Speeds test In regards to arthrokinematics, what is the movement between the femoral and tibial articular surfaces of the knee? A.) Flexion B.) Spin C.) Glide D.) Roll - ✔✔D.) Roll Which special test of the upper extremity evaluates for pathology of structures that pass through the thoracic inlet? A.) Yergason's test B.) Adson's test C.) Drop arm test D.) Clunk test - ✔✔B.) Adson's test Which special test of the wrist and hand would be performed to identify a patient with de Quervain's tenosynovitis? A.) Finkelstein's test B.) Phalen's test C.) Tinel's sign D.) Froment's sign - ✔✔A.) Finkelstein's test What is the term to describe a patellar malalignment in which the patella tracks too far superiorly? A.) Osgood-Schlatter B.) Patella Baja C.) Patella Alta D.) Pes anserine bursitis - ✔✔C.) Patella Alta A PTA is working with an individual with Parkinson's disease. He displays difficulty with ambulation and freezing episodes and difficulty transitioning over threshold. Which intervention would best address this limitation? A.) Passive stretching for trunk rotation B.) Seated long arc quads and repeated sit to stand C.) Standing marches and cone tapping with the lower extremity D.) Seated balance activity over the exercise ball - ✔✔C.) Standing marches and cone tapping with the lower extremity Which is a false statement in regards to the role of the PT / PTA team? A.) The PTA must follow the plan of care established by the PT B.) The PTA may adjust the plan of care if the patient displays a change in status in order to reach established goals C.) The PTA must practice under the direction of a PT D.) The PT is the only individual who can clinically direct and supervise a PTA - ✔✔B.) The PTA may adjust the plan of care if the patient displays a change in status in order to reach established goals In regards to the FITT acronym for exercise training, which is NOT a correct term? A.) Type B.) Time C.) Fitness D.) Intensity - ✔✔C.) Fitness Which of the following is NOT a typical characteristic of rheumatoid arthritis affecting the hands? A.) Ulnar drift of metacarpal phalangeal joints B.) Boutonniere deformity [Show More]

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