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Welcome to NPTE Q&A presented by Scorebuilders. This podcast is for physical therapist and physical therapist assistant students studying to pass the National Physical Therapy Examinations. It offers you the opportunity to take a deep dive into a variety of exam questions, gaining insight from seasoned Scorebuilders’ instructors as they help you understand and examine the why behind the correct answer. Ready to elevate your exam prep? Let’s go!
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A patient presents with hypersensitivity in the distal forearm following a recent peripheral nerve injury. The physical therapist initiates a desensitization program involving gradual exposure to various tactile stimuli. What is the primary mechanism through which desensitization training aids in reducing hypersensitivity? 1. Inhibition of nociceptor activity 2. Enhancement of neuroplasticity and cortical reorganization 3. Reduction of peripheral nerve inflammation 4. Stimulation of axonal gr...
A physical therapist is evaluating a 38-year-old patient who reports an electric shock-like sensation radiating down the spine and into both arms when flexing the neck. The therapist suspects a positive Lhermitte's sign. Which of the following conditions is MOST likely associated with this clinical finding? 1. Thoracic outlet syndrome 2. Multiple sclerosis 3. Cervical radiculopathy 4. Cervical paraspinal spasm Watch the video version on our Youtube channel: https://youtu.be/hrgrnOA0Hfs
A physical therapist performs Tinel's sign by gently tapping over the posterior tibial nerve at the medial malleolus, looking for reproduction of paresthesia. In a patient with tarsal tunnel syndrome, the expected tingling symptoms would MOST likely radiate to which of the following locations? 1. The dorsal web space between the first and second toes 2. The plantar surface of the foot 3. The medial ankle and shin 4. The dorsum of the foot Watch the video version on our Youtube channel: https:...
A physical therapist is beginning desensitization treatment for a patient with significant tactile hypersensitivity in the palm following carpal tunnel surgery. The patient describes light touch as irritating and has started avoiding hand use. Which of the following textures would be the MOST appropriate to use when initiating treatment? 1. A soft cotton T-shirt 2. A silk scarf 3. A bath towel 4. A paper towel Watch the video version on our Youtube channel: https://youtu.be/V53vv7zOrs0
A physical therapist is preparing to perform all upper limb tension tests (ULTTs) on a patient with upper extremity paresthesia. The patient's medical history includes osteoarthritis of the elbow and their passive range of motion is 0 to 95 degrees. Which test would be the MOST difficult to perform given the patient's elbow mobility restriction? 1. ULTT 1 (median nerve bias) 2. ULTT 2 (median, musculocutaneous, axillary nerve bias) 3. ULTT 3 (radial nerve bias) 4. ULTT 4 (ulnar nerve bias) Wa...
A physical therapist examines a 74-year-old female patient who reports aching and stiffness affecting the upper arms, lower back, and thighs. Laboratory testing reveals an elevated erythrocyte sedimentation rate. Which medical condition is MOST consistent with the described clinical presentation? 1. Duchenne muscular dystrophy 2. Hodgkin’s lymphoma 3. Systemic lupus erythematosus 4. Polymyalgia rheumatica Watch the video version on our Youtube channel: https://youtu.be/c-WWkGukeu0
A physical therapist treats a patient with a full-thickness wound that is intentionally left open to heal. This approach was necessary due to significant tissue loss and jagged wound edges that could not be approximated? What type of healing is best described by this description? 1. Primary intention 2. Delayed primary intention 3. Secondary intention 4. Tertiary intention Watch the video version on our Youtube channel: https://www.youtube.com/watch?v=bQpRXRCSI7o
A physical therapist positions a patient in supine in preparation for goniometric measurements. When measuring lateral rotation of the shoulder, where should the stationary arm of the goniometer be aligned? 1. On the lateral midline of the humerus using the lateral epicondyle as a reference 2. Perpendicular to the floor 3. Along the midaxillary line of the thorax 4. Over the olecranon process Watch the video version on our Youtube channel: https://youtu.be/8V3BfZZYpc8?si=Wd...
A patient is asked to complete a pain questionnaire. The patient selects words such as diffuse, throbbing, and aching to describe the pain and indicates that it is difficult to localize the pain. What structure is MOST often associated with this type of pain description? 1. Nerve root 2. Muscle 3. Bone 4. Vascular Watch the video version on our Youtube channel: https://youtu.be/xAp05B3kEWw
A patient presents with marked weakness during resisted testing of right shoulder extension and medial rotation. Which of the following nerve lesions would MOST likely produce the described impairments? 1. Thoracodorsal nerve 2. Suprascapular nerve 3. Spinal accessory nerve 4. Axillary nerve Watch the video version on our Youtube channel: https://youtu.be/9ADpLtq21rI
A physical therapist works with a patient with a transfemoral amputation on controlled fall training. The patient ambulates with a single axillary crutch. What controlled falling technique is the MOST appropriate to teach the patient in an anterior loss of balance? 1. Pull the crutch close to the body to absorb the impact 2. Discard the crutch and land on slightly flexed arms 3. Turn the body to absorb the fall on the back of the trunk and legs 4. ...
A physical therapist checks the water temperature of the hot pack machine after several patients report the heat being very strong. Which of the following temperatures would be acceptable? 1. 64 degrees Celsius (147 degrees Fahrenheit) 2. 71 degrees Celsius (160 degrees Fahrenheit) 3. 83 degrees Celsius (181 degrees Fahrenheit) 4. 94 degrees Celsius (201 degrees Fahre...
A skilled nursing facility plans to expand a hallway to accommodate two wheelchairs passing simultaneously. In order to comply with the Americans with Disabilities Act standards, what is the required minimum width of the hallway? 1. 36 inches 2. 48 inches 3. 60 inches 4. 108 inches Watch the video version on our Youtube channel: https://youtu.be/KuihzgXgSE8
A patient diagnosed with schizophrenia has been taking haloperidol (Haldol) following an acute psychotic episode. The physical therapist should be alert for which of the following side effects MOST commonly associated with this medication? 1. Facial grimacing and involuntary extremity movements 2. Significant weight gain and elevated serum lipids 3. Constipation and urinary retention 4. Respiratory depression and orthostatic hypotension Watch the video version on our Youtube channel: https:/...
A physical therapist treats a patient admitted to an acute care hospital with congestive heart failure. Which medication would MOST likely be prescribed for this patient? 1. Lanoxin (digoxin) 2. Coumadin (warfarin) 3. Zocor (simvastatin) 4. Nitrostat (nitroglycerin) Watch the video version on our Youtube channel: https://youtu.be/y5rUok5x13E
A patient with a genetically inherited neuromuscular disorder reports weakness in their hands and feet with normal strength elsewhere. The patient experiences difficulty with grasping objects and demonstrates a steppage gait pattern. This clinical presentation is MOST consistent with which of the following medical conditions? 1. Guillain-Barre syndrome 2. Charcot-Marie-Tooth disease 3. Post-polio syndrome 4. Huntington’s disease Watch the video version on our Youtube channel: https://youtu....
A physical therapist evaluates a pediatric patient using the Modified Ashworth Scale. Which condition would LEAST benefit from the use of this tool? 1. Hypotonia 2. Hyperreflexia 3. Spasticity 4. Rigidity Watch the video version on our Youtube channel: https://youtu.be/GFUWGUI9XyI
A physical therapist reviews the current pain management protocol of a patient three days post total hip arthroplasty. Which of the following medications would the patient MOST likely have been prescribed for breakthrough pain as needed? 1. Acetaminophen (1,000 milligrams) 2. Meloxicam (15 milligrams) 3. Oxycodone (5 milligrams) 4. Tramadol (100 milligrams) Watch the video version on our Youtube channel: https://youtu.be/lVAl8HJ5qCI
A patient is evaluated in physical therapy three days following a lateral ankle reconstruction. Which of the following weight bearing limitations would be MOST typical for this patient? 1. Non-weight bearing with bilateral axillary crutches 2. Partial weight bearing with a single axillary crutch 3. Weight bearing as tolerated with bilateral axillary crutches 4. Weight bearing as tolerated with a single axillary crutch Watch the video version...
A 55-year-old patient presents with sudden onset of shortness of breath and pleuritic chest pain. As part of the clinical decision making process, a physical therapist considers the Wells Score to assess the probability of pulmonary embolism. Which of the following findings would increase the Wells Score, indicating a higher clinical suspicion for pulmonary embolism? 1. Wheezing during physical activity 2. Bilateral lower extremity swelling 3. Heart rate of 115 beats per minute 4. Productive...
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