NPTE Practice Exam wrong answers

Reaching with shoulder ER and forearm supination

Which of the following activities is most appropriate for an infant who has a C5-6 brachial plexus injury?

erratic respiration

Which objective finding is most likely to be present in a PD patient at Hoehn and Yahr stage 4

surgical intervention

Which of the following interventions is MOST appropriate for a 12-year-old child who has a history of progressive idiopathic scoliosis and a Cobb angle of 45°?

Shoulder horizontal adductors, medial rotators, hip flexors, and hip internal rotators

An adult patient who reports a new onset of back pain had a radiograph that identified wedging of the L₁ vertebral body. Which of the following muscle groups would be MOST appropriate to stretch?

walking

A patient who has sacroiliac joint dysfunction will MOST likely experience pain during which of the following activities?

Slipped capital femoral epiphysis

A 13-year-old patient reports groin pain that radiates into the anterior thigh. The patient exhibits an antalgic pattern, and the involved lower extremity is maintained in a laterally (externally) rotated position. Which of the following conditions is MOST likely present?

posterolateral displacement

A patient has a negative result on a stress test for the medial collateral ligament. A radiograph shows the coronoid process is inferior to the trochlea. The patient MOST likely has which of the following injuries?

Anemia

which of the following hematological conditions is MOST likely to be found in a patient who has chronic kidney disease?

Shoulder IR and ABD

Which of the following substitution patterns should be prevented when measuring active forearm pronation?

cubital tunnel syndrome

A patient reports pain and swelling in the medial aspect of the elbow and tingling in the ring and little fingers (4^th and 5^th digits). Examination reveals a positive result on the elbow flexion test. The patient MOST likely has which of the following conditions?

conventional

A patient has acute bilateral trapezius spasm. Which of the following types of transcutaneous electrical nerve stimulation is MOSTappropriate for pain relief for this patient?

Shoulder in ABD and ER

Which of the following positions would be MOST appropriate for a patient who sustained burns to the axilla, elbow, and volar (palmar) surface of the hand?

bronchospasm is blunted when exercising in a humid environment, compared with a dry environment

Which of the following scenarios BEST describes the effect of climatic conditions on an individual who has exercise-induced asthma?

Quads

Which of the following muscles should be strengthened in a patient who has an anterior trunk lean during the foot flat (loading response) phase of gait?

Hip ER during the swing phase

A patient who has an L₂ radiculopathy with motor weakness would MOST likely demonstrate which of the following ipsilateral gait abnormalities?

forearm supiantion

A patient underwent surgical repair of a superior labrum tear in the shoulder 1 week ago. Which of the following resisted motions should be AVOIDED during physical examination of the patient?

back extensor strengthening exercises

An 81-year-old female patient has poor posture and osteoporosis. To decrease the patient's risk for vertebral fracture, which of the following interventions is MOST appropriate to perform?

flexion

Which of the following cervical motions places the LEAST amount of compression on the vertebral artery as it courses through the cervical spine?

Large diameter nerve fibers

When using electrical stimulation to cause a contraction of innervated muscles, which of the following nerve fibers are activated FIRST?

metatarsal bar

A patient has a 2-year history of forefoot pain. The patient's ankle passive range of motion measurements are as follows: dorsiflexion 20°, plantar flexion 50°, inversion 45°, eversion 20°, and first MTP joint extension 15°. Which of the following orthotic interventions is MOST appropriate for reducing the patient's symptoms?

R posterior articualr pillar at C5

A patient has restricted left rotation at the C₅–C₆ level. When performing a unilateral posterior-anterior joint mobilization, placement of the physical therapist's hand at which of the following locations is MOST likely to increase left rotation?

tibialis posterior

A patient demonstrates excessive pronation from midstance to terminal stance (heel off). Which of the following muscles is MOST likely weak?

frontalis

Pt who has Bell’s palsy would benefit from strebgthening which muscle?

carring the child in a sitting position

Which of the following methods is MOST appropriate for handling a 1-year-old child who has cerebral palsy and who exhibits strong extensor tone in the trunk and extremities?

AROM shoulder flexion in sidelying

A patient who has amyotrophic lateral sclerosis has an anterior deltoid manual muscle test grade of Poor plus (2+/5) and 175° of passive shoulder flexion. Which of the following exercises is MOST appropriate for the patient?

Rate pressure product will be lower during lower extremity exercise as compared to upper extremity exercise

A patient is participating in a total body aerobic exercise program during Phase III cardiac rehabilitation. Given a fixed power output during exercise, which of the following physiological variables will MOST likely occur?

muscle length testing of the hamstrings

A patient's posterior superior iliac spines are at the same height as the anterior superior iliac spines. Which of the following tests would be MOST appropriate for further investigation of this finding?

Place the left lower extremity on the next higher step, and follow with both the right lower extremity and crutches together

A physical therapist is instructing a patient in the proper technique for ascending stairs without a handrail using bilateral axillary crutches. The patient is restricted to 75% weight-bearing status on the right lower extremity. Which of the following procedures is appropriate?

Adrenal glands

Which of the following endocrine glands has the MOST immediate effect on the nervous system?

Increase in the amount of heating energy delivered

While using continuous ultrasound on a patient who has an upper trapezius muscle spasm, a physical therapist adjusts the intensity from 1.5 W/cm² to 2.0 W/cm². Which of the following changes will MOST likely occur?

beta receptor agonists

Which of the following types of medication lowers heart rate during both rest and exertion?

CRPS

A patient who sustained a superficial abrasion and a fracture to the left thumb (1^st digit) 2 months ago reports constant pain over the thumb and medial hand. The thumb is red, swollen, and hypersensitive. There is excessive sweating over the medial hand. Which of the following conditions is MOST likely present?

With the patient positioned in 35° of supination and 70° of elbow flexion, perform large-amplitude mobilizations in the middle of the range of motion.

A patient has limited movements throughout the arc of forearm supination and pronation due to moderate to severe pain. Which of the following manual therapy techniques to the proximal radioulnar joint is MOST appropriate to perform initially?

Hyperglycemia

During an outpatient physical therapy appointment, a patient reports lethargy, confusion, and excessive thirst. The patient should be referred to the appropriate professional to be examined for the presence of which of the following conditions?

Inability to use vestibular input for postural control

During the Clinical Test for Sensory Integration and Balance, a patient demonstrates increased sway when standing on a foam surface with eyes closed and when standing on foam with vision obscured by a dome. The sway is normal during all other conditions. Which of the following patient problems is the MOST likely reason for the findings?

the value is too high, indicating there is increased risk of excessive anticoagulation.

A patient who is taking warfarin (Coumadin) has an international normalized ratio (INR) of 5. What is the MOST appropriate interpretation of this value?

R pleural effusion

Which of the following conditions is MOST likely to cause a left tracheal deviation?

Extension and MR

Which of the following positions of the humerus is BEST for application of an ultrasound treatment to the supraspinatus tendon insertion?

tissue loading

A patient who is not able to walk has developed an ischial tuberosity pressure injury. The patient is able to perform independent intermittent catheterization and demonstrates independence in bed-to-chair transfers. Which of the following factors has MOST likely contributed to the formation of the pressure injury?

The pt can demo the ability to jump and land with stability

The patient in the photograph sustained a twisting injury to the knee 1 week ago. The physical therapist notes laxity when performing the anterior drawer test. The patient wants to resume athletic activity as soon as possible. Which of the following criteria MUST be met before the patient returns to athletic activity?

Arterial calcificaion

A patient has an ankle-brachial index (ABI) of 1.5. Which of the following conditions affecting the lower extremity should a physical therapist suspect?

Speech impairments, difficulty planning movements, and slow, cautious behavior

A patient has a left brain injury resulting from a cerebrovascular accident. Which of the following impairments are MOST likely to be observed?

Lymphedema

A patient reports an insidious onset of swelling of 1 month's duration on the dorsum of the left foot. Which of the following conditions is the MOST likely cause?

decreased dorsiflexion

A patient has diabetes with peripheral neuropathy. The patient's shoe on the involved side shows scuffing and wear on the outside of the shoe over the toe box. Which of the following gait deviations is MOST likely contributing to the wear on the shoe?

Alginate

Which of the following dressings is MOST appropriate to use with an infected wound that also requires hemostasis?

Basilar artery

A patient has diplopia, dysphagia, and bilateral weakness of the lower extremities. The patient also has loss of vibratory sense, two-point discrimination, and position sense. There are no signs of personality changes or aphasia. Which of the following arteries is MOSTlikely affected?

cervical stabilization exercises with the pt in good postural alignment

A patient is referred to a physical therapist for treatment of chronic neck pain. During the examination, the therapist notices that the patient has a marked ulnar drift in both hands at the MCP joints. Which of the following treatments should the therapist perform?

solid ankle foot

Which of the following orthoses would be MOST appropriate for a child who has a history of myelomeningocele at the S₁ level and has Poor (2/5) gastrocnemius strength?

compensated rearfoot varus deformity

A patient walks with excessive foot pronation during midstance through toe off (preswing). What is the MOST likely cause of the patient's gait deviation?

upward rotation and protraction

A patient who had a cerebrovascular accident exhibits a flexion synergy of the left upper extremity. To promote good upper extremity movement, a physical therapist should mobilize the patient's scapula toward which of the following directions?

Mixed muscle tone

A child who has athetoid cerebral palsy is MOST likely to exhibit which of the following characteristics?

Injury above spinal segments S₂–S₄, leaving spinal defecation reflexes intact

A patient who has a spinal cord injury reports having spastic (reflex) bowel function. Which of the following descriptions BEST characterizes the patient's neurologic injury?

Strengthening of the quadriceps and gluteals

A 12-year-old patient who has spastic diplegic cerebral palsy has full passive range of motion of the lower extremities, but demonstrates crouching with hip and knee flexion angles of 20° each in standing position. Which of the following interventions is BESTto achieve sustained improvements in lower extremity alignment during walking?

sidelying

A patient underwent a C₂–C₄ fusion procedure and is ventilator dependent. In what position should the physical therapist position the patient to avoid skin breakdown of the sacrum, ischial tuberosity, scapula, posterior calcaneus, and occipital tuberosity?

posterior tibial tendon dysfunction

A patient exhibits swelling and pain in the medial aspect of the ankle. During examination, the patient demonstrates rearfoot pronation in standing position and inability to perform a heel raise on the affected side. The patient demonstrates forefoot abduction when observed from behind. Which of the following conditions is MOST likely present?

chorea

A 77-year-old female patient who has a long history of taking antiparkinsonian medications exhibits random, rapid, and jerky movements. Which of the following terms BEST describes these movements?