NPTE Practice Test Questions and answers 2022. Graded A+

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NPTE Practice Test Questions and answers 2022. Graded A+ What technique should a PT use when assisting a patient with hemiparesis and pusher's syndrome? - ✔✔have the patient keep hands claspe... d together (helps to limit pushing with sound extremity); if the therapist tries to increase symmetry by standing on the weak side and pushing the patient's trunk to the other side, the patient will push harder using the strong side When a patient lies on the hemiplegic side, how should they be positioned? - ✔✔shoulder protracted, elbow extended, forearm supinated, wrist in neutral NOTE: - ✔✔Repeatedly DF the feet (ankle pumps) can ameliorate symptoms of orthostatic hypotension. What are the 3 recommended therapeutic interventions for treating a patient with heterotropic ossification? - ✔✔1) maintaining available ROM 2) avoiding vigorous stretching 3) achieving and maintaining optimal WC positioning Systolic BP should increase with increasing workload by ~___ mmHg per 1 MET increase in workload. - ✔✔10 mmHg What type of dressing is used for non-infected wounds with minimal to moderate exudate? - ✔✔hydrocolloids At how many weeks post surgical rotator repair are maximal exercises indicated? - ✔✔week 4 What is the best self-assessment of exercise intensity? - ✔✔rating of perceived exertion (RPE) Walking in the home and community using only AFOs would be possible for a child who has a ___-___ myelomeningocele. - ✔✔L4-L5 Walking in the home and community using KAFOs would be possible for a child who has a ___-___ myelomeningocele. - ✔✔L3-L4 What are the 4 steps to donning medical equipment prior to changing a large, draining wound? - ✔✔1) wash hands 2) don a mask 3) don a sterile gown 4) don sterile gloves _______ can refer pain to the pelvic area and hip that is relieved with passing gas. The patient will likely exhibit full, pain-free hip/lumbar ROM and normal LE strength as well as no change in pain with walking or lying supine. - ✔✔Crohn disease _______ is caused by gallstones, alcoholism, substance abuse, etc. and is characterized by acute "band-like" pain which can radiate to the back and is worse in supine position and with walking. It may be accompanied by hypotension, tachycardia, nausea, and vomiting. - ✔✔acute pancreatitis _______ causes epigastric and LUQ pain that is characterized by anorexia, nausea, vomiting, constipation, flatulence, weight loss, and steatorrhea (greasy stools). - ✔✔chronic pancreatitis Patients who have _______ may appear to have short transverse lines across the nail (Mees lines) or a brownish distal 1/3 end of the nail (half-and-half nails). - ✔✔renal failure Patients who have _______ may have transverse depressions (Beau lines) or a nail bed that is white and extends 2/3 of the length of the nail (Terry nails). - ✔✔liver dysfunction The elbow extensors are innervated by ___. - ✔✔C7 The shoulder ABDs are innervated by ___. - ✔✔C5 The wrist extensors are innervated by ___. - ✔✔C6 The cervical spine lateral flexors are innervated by ___-___ nerve roots and the _______ nerve. - ✔✔C3-C4 and spinal accessory nerve NOTE: - ✔✔Neck flexion along with a SLR may indicate irritation to the dura and may indicate a disc lesion. If the pain is very severe, it may warrant a referral, but it is a common sign found with disc lesions. What type of data is known as the classification scale as it involves variables that are mutually exclusive and exhaustive categories so that each object or person can be assigned to only 1 category? It is qualitative rather than quantitative. - ✔✔nominal Blood type, type of breath sound, and type of arthritis are examples of what type of data? - ✔✔nominal What type of data is known as the ranking scale as the data is ranked on the basis of a property of the variable but the intervals between the ranks may not be equal or known? - ✔✔ordinal MMT grades, levels of assistance, pain, and joint laxity grades are examples of what type of data? - ✔✔ordinal What type of data is there equal intervals between adjacent values but there is NO true zero point? - ✔✔interval Temperature and some developmental and functional status tests are examples of what type of data? - ✔✔interval What type of data involves equal intervals between adjacent values and there is a true zero? - ✔✔ratio ROM (degrees), distance walked (m), time to complete an activity (s), and nerve conduction velocity (m/sec) are examples of what type of data? - ✔✔ratio Inability to perform quick, alternating movements. - ✔✔dysdiadochokinesia Injury to the nerve root that presents with unilateral motor and sensory symptoms into the upper limb, with muscle weakness in the myotome, sensory alteration in the dermatome, and reflex hypoactivity. - ✔✔cervical radiculopathy Injury to the SC that presents with spastic weakness, paresthesia, and possible incoordination in 1 or both lower limbs as well as sphincter dysfunction. - ✔✔cervical myelopathy T/F: Peripheral nerve lesions typically present with pain. - ✔✔F Peripheral nerve lesions typically do NOT present with pain. Weakness and sensory symptoms are specific to the nerve invovled. A newborn's Apgar score is based on what 5 parameters? - ✔✔1) HR 2) color 3) respiration 4) muscle tone 5) reflex irritability Is aspiration more likely to occur with liquids or solid food? - ✔✔liquid How should a patient be positioned to facilitate swallowing? - ✔✔posture should be aligned with chin tucked NOTE: - ✔✔Understanding the process of individualized behavior change is the key to effective patient education. Once the patient is ready, willing, and able to make the recommended changes, instructional material can be introduced. Is pulsed or continuous US used for thermal effects? - ✔✔continuous _______ is a measure of financial efficiency of labor costs. - ✔✔productivity analysis _______ is an external review of the necessity of patient care. - ✔✔utilization review When can pelvic floor exercises be initiated following delivery? - ✔✔within first 24 hours after delivery What type of reliability is defined as the consistency of measurements made by the same examiner on different occasions? - ✔✔intrarater reliability What type of reliability is defined as the consistency of measurements between 2 different examiners? - ✔✔interrater reliability The amount of consistency between measurements. - ✔✔reliability The ability of a measurement tool to test what it is supposed to test. - ✔✔validity What type of validity is determined by deciding whether the instrument measures and represents the content or variable in question? - ✔✔content validity What type of validity justifies the validity of an instrument by comparing it to a gold standard of measurement? - ✔✔criterion-related validity NOTE: - ✔✔Installing toe clips onto a stationary bicycle will help to limit ankle motion thereby allowing for increased knee flexion force to facilitate HS strengthening. A prosthesis that is too short would cause lateral trunk bending [TOWARD or AWAY FROM] ipsilateral side during midstance on that side. - ✔✔toward NOTE: - ✔✔Weakness without pain implicates a nerve injury. What is the best hand placement for the PT to use on the patient when gait training using crutches? - ✔✔1 hand on the gait belt and other hand on patient's shoulder (provides tactile inputs for balance and posture during gait) Throbbing pain is usually _______ in nature. - ✔✔vascular Aching pain is usually _______ in nature. - ✔✔MSK Agonizing pain can be _______ in nature. - ✔✔emotional Burning is a common descriptor of _______ pain. - ✔✔neurogenic What type of MS is characterized by a continuous, steady decline with or without occasional plateaus? - ✔✔primary progressive MS What type of MS is characterized by clearly defined acute attacks with full recovery or with residual deficits after recovery? - ✔✔relapsing-remitting MS L5 dermatome? Myotome? - ✔✔dorsal foot EHL S1 dermatome? Myotome? - ✔✔plantar surface of foot/lateral aspect of foot and ankle fibularis longus and brevis L4 dermatome? Myotome? - ✔✔medial aspect of ankle TA If an individual experiences a herniated nucleus pulposus at the L4-L5 level, which nerve root is affected? - ✔✔L5 (nerve roots exit above in cervical spine and below in thoracic/lumbar spine) A condition that presents as an alteration or loss of a physical function suggestive of a physical disorder with often an underlying psychological conflict or need. - ✔✔conversion disorder LUQ pain, left flank pain, and mid-back pain is typically caused by an enlargement of the _______. - ✔✔spleen What is a major concern in those individuals who have been in supine position for a period of time and are taking antihypertensive agents? What should the PT monitor for? - ✔✔orthostatic hypotension decreased systolic and diastolic BP If a patient reports fatigue during warm-up on a stationary bike and assumes a sitting position with elbows resting on the knees following activity, what should the therapist examine the patient for? - ✔✔use of accessory muscles (pectoralis and serratus anterior) for breathing Inability to perform purposeful movements when there is no loss of sensation, strength, coordination, or comprehension. Frequently, patients will be unable to perform a motor task on command but will be able to perform the task when they are left on their own. - ✔✔ideomotor apraxia Vigorous exercise produces lactic acid which [INCREASES or DECREASES] the pH of blood. - ✔✔decreases (makes more acidic) Increasing RR helps to [INCREASE or DECREASE] pH of blood. - ✔✔increase (reduces alveolar partial pressure of PaCO2, resulting in more alkalinity in the blood) A RPE of ___ to ___/20 on the Borg scale indicates moderate intensity training. - ✔✔15-17/20 on Borg scale Stasis dermatitis is a result of _______ insufficiency. - ✔✔venous insufficiency Should intermittent compression therapy be used for patients with severe arterial insufficiency? Why or why not? - ✔✔no; arterial insufficiency causes increased peripheral resistance; intermittent compression therapy would further increase this resistance Where might a hiatal hernia refer pain to? - ✔✔shoulder Where might a femoral hernia refer pain to? - ✔✔lateral pelvic wall With aging, do lactase levels increase or decrease? - ✔✔decrease (leads to intolerance of dairy products) What response might a patient with an UMN lesion exhibit when a PT strokes the plantar surface of the patient's foot with the handle of a reflex hammer? - ✔✔great toe extension with PF and splaying of other toes Increase in erythrocyte sedimentation rate (ESR) and possible anemia (decreased RBCs) are clinical indicators of _______. - ✔✔RA _______ presents with pain/numbness in the medial ankle that radiates into the plantar aspect of the foot. - ✔✔tarsal tunnel syndrome _______ presents with pain and tenderness located on the medial calcaneal tubercle that is worse in the morning and with periods of inactivity and decreases with activity. - ✔✔plantar fasciitis What likely causes increased lumbar lordosis in a patient with a transfemoral prosthesis during push-off of prosthetic side? - ✔✔insufficient socket flexion _______ occurs when every other beat [Show More]

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