اختبار NPTE الشامل 1 اترك تعليقاً / كويزات / بواسطة Fatma Qeshta اختبار NPTE 1 من كتاب الأسئلة والأجوبة الخاص بـ 300 NPTE 33 NPTE 1 NPTE 1 Quiz from the 300 NPTE questions and answers book 1 / 25 Assessment of a 3-month-old child reveals a palpable clunk when the left hip is reduced in and out of the acetabulum. The child is suspected of developmental dysplasia of the hip with subluxation. Which of the following statements most accurately describes a subluxation? It refers to complete absence of contact between the articular surface of the femoral head and acetabulum. It refers to antenatal dislocation of the hip. It involves incomplete contact between the articular surface of the femoral head and the acetabulum. It describes the ability to subluxate the hip with passive movements. 2 / 25 A patient referred to the clinic is diagnosed with Brown-Séquard syndrome, which was caused by a penetrating injury. On physical assessment, the physical therapist is most likely to note which of the following findings? Motor function, vibration and proprioception are lost on the same side of the body as the lesion. Motor function in the upper extremities is significantly reduced. Sensations of light touch, temperature, and pain are lost on the same side of the body as the lesion. Bowel and bladder arreflexia. 3 / 25 The cerebral cortex, the outer gray layer of the brain, is mainly responsible for conscious activities of the cerebrum. The cerebral cortex consists of four lobes. The Wernicke’s area for sensory and speech is located in which lobe? Tempora Frontal Parietal Occipital 4 / 25 A 25-year-old female delivers a female newborn with talipes equinovarus involving the right foot. Foot cavus is not noted. The physician decides to correct the deformity with Ponseti management. Which of the following interventions is least likely included in the treatment program using the Ponseti management? It involves six or seven plaster cast changes. It is started within 7 to 10 days after birth. Maintain the affected foot in pronation. Manipulation consisting of foot abduction is the first element of the management. 5 / 25 A patient complains of swelling and pain in the left calf. The patient is positive for Homan’s sign. On palpation, the affected area is warm to touch and tender. A diagnosis of deep vein thrombosis is made. Which of the following interventions is the most effective in the treatment of deep vein thrombosis? Massage therapy. Application of cold compress to affected extremity at least four times daily. Ambulation. Elevation of the legs 10 to 20 minutes every few hours. 6 / 25 A physical therapist is treating a patient diagnosed with chronic bronchitis, a chronic pulmonary disease that secretes large amounts of respiratory secretions. When suctioning the patient, the following actions by the physical therapist ensure safety and maximal benefit of the therapy except: Application of suction when inserting the catheter. Lubricating the catheter with sterile water before suctioning. Suctioning intermittently for 10 seconds. Use of sterile technique. 7 / 25 A patient who sustained trauma to the chest complains of pain that increases with inspiration. Shallow respirations are noted. A rib fracture is considered. Which of the following interventions is the most appropriate for the patient? Mechanical ventilation with PEEP. Instruct the patient to self-splint with hands and arms. Encourage coughing. Oxygen administration. 8 / 25 A female patient with neurological deficits is assessed by the physical therapist. When assessing the 11th cranial nerve, also known as spinal accessory nerve, the therapist performs which of the following actions? The therapist is asked to identify a taste at the back of the tongue. The therapist asks the patient to push her tongue against a tongue depressor. The therapist applies resistance to the trapezius muscle and asks the patient to shrug. The therapist assesses sensation to the thoracic viscera. 9 / 25 A physical therapist is planning a treatment program for a patient who is recently diagnosed with lumbar spinal stenosis. The program would consist of conservative treatment modalities, including exercise and activity. Which of the following is least likely included in the exercise program? Abdominal muscle strengthening Lumbar extension exercises Inclined treadmill testing Spinal flexion exercises 10 / 25 A physical therapist is assessing a patient who has had a stroke. A significant part of the evaluation consists of assessment of the ability to perform functional tasks. When assessing mobility, the therapist evaluates for the following except: Sitting and standing balance. . Ability to ambulate on various surfaces. Ability to get on and off the floor. D e fi n i t i o n o f r e q u i r e d w o r d a s s i s t a n c e 11 / 25 A patient complains of low back pain that radiates down to the leg. The patient reports that the pain is usually aggravated by bending or sitting and alleviated by standing. Which of the following tests is the most specific for disk herniation? Straight-leg raise test Slump test Nachlas test Contralateral-leg raise test 12 / 25 A patient with a fractured tibia complains of pain in the injured extremity. After the pain is localized, which of the following interventions is least likely to relieve pain that is secondary to a fractured tibia? Intake of analgesics. E l e v a t i o n o f t h e i n v o l v e d e x t r e m i t y . Prevention of range of motion exercises and isometric muscle contractions. Change of positions to relieve pressure. 13 / 25 A physical therapist uses a type of massage that involves striking of the soft tissue with repetitive blows, using the hands in a rhythmic and rapid manner. The therapeutic effect of this massage is caused by the compression of trapped air on impact. This type of massage is: Pétrissage Deep friction Tapotement Effleurage 14 / 25 Each form of massage uses a particular rhythm, rate, pressure, direction, and technique to bring about its therapeutic effects. A physical therapist understands that the different variables of massage are mainly controlled by the practitioner. Which of the following massage techniques correctly achieves the therapist’s treatment goal? The therapist uses kneading massage to breakdown adhesions. The therapist uses circular motions of shearing forces to treat muscle spasms. The therapist uses motions that are kept parallel to the muscle fibers to treat the muscles. The therapist uses a heavier pressure to produce relaxation and sedation. 15 / 25 A 50-year-old female is evaluated for chronic pain in the lower back, weakness, and numbness in the legs during walking. The symptoms are usually resolved by rest. Bending forward diminishes the pain. On physical examination, the patient is noted for wide-based gait, abnormal Romberg test, and thigh pain after 30 seconds of lumbar extension. The patient is positive for the stoop test and negative for straight leg raise test. Based on these assessment findings, the patient is most likely diagnosed with: Lumbar spinal stenosis Lumbar disk herniation Arthritis of the spine Intermittent claudication due to arterial disease . 16 / 25 A female patient reports that her fingers turn blue when exposed to cold temperatures. The affected fingers turn white and then red with re-warming. A diagnosis of Raynaud’s disease is given. Which of the following is the least appropriate intervention for the patient? Keep her hands warm by wearing gloves when exposed to cold temperatures. Keep her hands protected by wearing kitchen gloves when exposed to hot items. Swing her arms back and forth during onset of pain. Elevate the affected extremity for 10 to 20 minutes every day every few hours. 17 / 25 A patient may recover after a stroke by natural neurologic recovery. This form of recovery allows improved motor control. Which of the following is a common pattern of motor recovery following a stroke? Motor recovery in the upper extremity is greater than in the lower extremity. The severity of upper extremity weakness at onset is an insignificant predictor of eventual motor recovery. Upper extremity is more involved than the lower extremity at onset. The prognosis for return of useful hand function is favorable even when upper extremity paralysis is complete at onset. 18 / 25 A patient with decreased range of motion of the cervical spine secondary to pain and muscle spasm is assessed for signs that may support the diagnosis of cervical spondylosis. The physical therapist notes that nipping of the middle finger elicited reflex contraction of the thumb and index fingers. Based on this finding, the patient is positive for which of the following signs? Spurling sign Yergason sign Lhermitte sign Hoffman sign 19 / 25 A female patient with trigeminal neuralgia is prescribed to undergo non-pharmacologic and pharmacologic interventions to control and manage the pain. Which of the following medications is most likely prescribed to the patient as it is considered the first-line therapy for trigeminal neuralgia? Carbamazepine Baclofen Phenytoin Gabapentin 20 / 25 A patient with a significant limitation in range of motion of the left shoulder is referred to the clinic for rehabilitation. The physical therapist uses a technique that passively moves the affected extremity through an antagonistic pattern until resistance is felt. At this point, the patient is told to isotonically contract the antagonistic muscles in a diagonal pattern as the therapist applies resistance. After this contraction, the patient is told to relax, and after interval the therapist repeats the technique from the start. The proprioceptive neuromuscular facilitation technique used is: Hold-relax contract Repeated contraction Contract-relax Hold-relax 21 / 25 A patient demonstrating foot drop is diagnosed with peroneal neuropathy due to compression at the fibular head. The foot drop is secondary to lumbar disk herniation. Which of the following interventions is least likely ordered for the patient? Discectomy Knee-ankle-foot orthotics Gait training Erythropoietin in 3 doses of 5000 U/kg. 22 / 25 A patient with signs of nerve root damage is assessed by a physical therapist. A part of the physical examination is the manual muscle testing, which aims to grade muscle strength. The test reveals weakness with inversion and dorsiflexion of the left foot. This finding indicates damage of the nerve root: L5 L3 L2 L4 23 / 25 Manipulative care is included in the comprehensive program for a female patient with a musculoskeletal problem involving the neck. Before the start of the therapy, the patient should be informed that which of the following is most likely to occur as a side effect of manipulation? Weakness Increased or early menses Increased sweating Increased neck discomfort 24 / 25 An athlete who is diagnosed with anterior shoulder dislocation is referred for a physical therapy rehabilitation program. The program is designed to be completed in three phases. Which of the following interventions is the least appropriate during phase 1? Active shoulder flexion with available range of motion. Addition of isokinetic strengthening exercises. Active shoulder internal and external rotation exercises with rubber tubing. Shoulder shrug exercise without traction in the glenohumeral joint between repetitions. 25 / 25 A patient with adhesive capsulitis is referred to the clinic for physical therapy. In combination with a physical therapy program that consists of range of motion and stretching exercises, deep heat is one of the modalities to improve shoulder mobility. Which of the following modalities is the most ideal for the patient? Microwave diathermy Electric heating pad Shortwave diathermy Ultrasound Your score isThe average score is 25% LinkedIn Facebook VKontakte 0% Restart quiz