NPTE Quiz 4 Leave a Comment / Quizzes / By Fatma Qeshta NPTE 4 Quiz from the 300 NPTE questions and answers book 14 NPTE 4 NPTE 1 Quiz from the 300 NPTE questions and answers book 1 / 25 Transcutaneous electrical nerve stimulation is one of the most commonly used forms of electroanalgesia. Which of the following therapeutic methods of TENS is the most recommended for acupuncture-like settings? Low-intensity stimuli firing in high-frequency bursts. High-stimulation frequency and low-intensity, just above the threshold; current is set between 10 and 30 mA. Low-stimulation frequency and high-stimulus intensity, close to the tolerance level of the patient. Frequency of each burst is 1 to 2 Hz and the frequency of impulses with each burst is 100 Hz 2 / 25 A patient is ordered to ambulate with assistance using a pair of crutches. The physical therapist instructs the patient to move the right crutch ahead, and then move the left foot forward at about the level of the right crutch. The next instruction is to move the left crutch forward. The right foot is moved forward last. Which of the following is accurately derived from the instructed gait sequence? This gait sequence is the least stable crutch gait pattern. . This gait sequence necessitates good trunk balance and good strength in the upper limbs This gait sequence is contraindicated in patients with ataxia This gait sequence involves some weight bearing on both legs. 3 / 25 Upper-limb orthoses are classified according to their function. Which of the following upper-limb orthoses augments prehension with more proximal joint movements? Substitutive Protective Corrective Assistive 4 / 25 Because of its ability to treat or relieve pain efficiently with minimal side effects, a variety of newer transcutaneous electrical stimulation modalities have emerged. Percutaneous electrical nerve stimulation or PENS is one of these. Which of the following accurately describes this modality When the signals are in phase, they summate to an amplitude sufficient to cause stimulation. It uses acupuncture-like needle probes to deliver electrical stimuli at the precise level It is based on summation of two alternating current signals that come in slightly different frequencies. It uses two, four, or six applicators, delivering higher currents than TENS. 5 / 25 A mother asks a physical therapist when she can start toilet training her 18-month-old child. The therapist informs the mother that each child develops at his or her own phase, so a definite answer is not possible. In spite of this, there are signs indicating readiness for toilet training. The following suggest readiness for toilet training except: Child is able to sit on the toilet for 5 to 10 minutes without getting off . Child is able to stay dry for two hours. Child’s bladder control develops; bowel control insignificant Child is able to sit, squat and walk. 6 / 25 Proper crutch fitting is essential as it facilitates proper healing, promotes stability when walking, and prevents complications and injuries. The following actions ensure proper crutch fitting except: The hand grip is adjusted, allowing the elbow to flex to about 30-degrees when the patient is standing up straight. The lengths of the crutches are adjusted, ensuring 1 to 2 inches of space between the axillae and the top of the axillary pads when standing. Ensure that the patient does not lift himself/herself when pushing down and extending the arms The handgrips of the crutches are even with the top of the hip line. 7 / 25 Therapeutic methods of transcutaneous electrical nerve stimulation application can use one of the three options of standard settings. Which of the following standard settings is the most appropriate for conventional TENS? High-frequency bursts, at low intensity stimulus; the frequency of impulses within each burst is 100 Hz. Low-frequency stimulus from 1 to 10 Hz, at high intensity stimulus. High-frequency stimulus from 40 to 150 Hz, at low stimulus intensity with the current set from 10 to 30 Hz. Low-frequency stimulus at low intensity stimulus 8 / 25 A physical therapist reviews the medication list of a patient who is maintained on bronchodilators for the management of bronchial asthma. Which of the following is a common side effect of bronchodilators Muscle spasm Hypertension Tachycardia Sedation 9 / 25 Superficial heating modalities use the subcutaneous fat tissue to act as a thermal insulator and inhibit the heat transfer. Heat transfer is classified into three types: conduction, convection, and conversion. If a physical therapist decides to use a modality that uses the convection mechanism of heat exchange, which of the following is most likely considered? Warm compresses Whirl pool Electric heating pad Ultrasound 10 / 25 Which of the following is considered as the most effective orthosis for use in controlling rotation and lateral bending at C1-C3? Philadelphia collar 4-poster brace Sternal-occipital-mandibular orthosis Halo device 11 / 25 A 20-year-old male complains of pain in the ball of the left foot, causing limited movements. On assessment, the patient’s second toe is bent upward from the left foot’s ball joint. Corns on the top of the involved toe are also noted. Which of the following is the most recommended footwear for a patient with claw toes? A shoe with a Blucher throat style Moccasin shoe Oxford shoe A shoe with a high upper 12 / 25 A patient with chronic fatigue syndrome is indicated to have a myofascial release, a form of therapy that stretches the fascia. This therapy relieves the patient’s discomforts by which of the following mechanisms? It encourages proprioceptive neuromuscular facilitation through isometrics It involves stretching of tight areas to equalize muscle tension throughout the body. It involves positional techniques that change inappropriate physical alterations of neural tissues in response to stimuli. It involves placing a joint or body part into a position of maximal ease, allowing the shortened muscles to reset their spindles. 13 / 25 A male elderly who had a recent total knee replacement is ordered an assistive device that aims to help him with his balance and walking. Which of the following ambulatory assistive devices can give the patient the most stability? Walker, standard Quad cane Forearm crutches Knee-support crutches 14 / 25 The modalities of deep heating convert energy into heat as it goes through body tissues. Electromagnetic radiation, highfrequency sound and high-frequency currents are some of the energy sources used. Which of the following heating modalities is considered as the best method for large-area deep heating? Microwave diathermy Shortwave diathermy Ultrasonography Hydrotherapy 15 / 25 A stroke physical therapy program aims to achieve normalization of muscle tone to encourage normal movements. Which of the following therapy modalities is correctly included in the program as an effective tone-reducing intervention? Pressure splints P a s s i v e m a n i p u l a t i o n b y t h e t h e r a p i s t Warm compresses Stretching of finger muscles through manual stretching techniques 16 / 25 A baseball player with acute medial epicondylitis is referred for physical therapy. The patient record includes a history of elbow pain during sleep. Which of the following orthoses is the most recommended for the patient? Ulnar gutter splint Counterforce bracing Cock-up wrist splint Wrist extension splint 17 / 25 A patient sustained full-thickness in the left anterior arm, including the anterior and posterior axillary regions. An orthosis is ordered to the patient to be worn before and after skin grafting. Which of the following orthoses is the most appropriate for the patient? Airplane splint Overhead sling suspension Figure-8 harness Balanced forearm orthosis 18 / 25 At higher altitudes, a patient experiences dizziness, nausea, weakness, decreased vision, and headache. The physical therapist informs the patient that these symptoms are mainly caused by lowered partial pressure of ambient oxygen at higher altitudes. Which of the following is a long-term response to decreased partial pressure of ambient oxygen? Increased number of red blood cells Decreased amount of hemoglobin Increased stroke volume Increased aerobic power 19 / 25 An infant is diagnosed with correctible talipes equinovarus involving the right foot. The physical therapist expects the following corrective interventions for the patient except: Casting Manipulation Splintage Cincinnati incision 20 / 25 The healing process is subtly or significantly influenced by external factors, which include various treatment modalities. The application of electrical stimulation has the following effects during rehabilitation except: Re-established lymphatic flo Relaxed muscle spasm Reduced tissue viscosity Enhanced protein synthesisw 21 / 25 A female patient with angina is referred to the clinic after a total knee replacement. The patient has a history of angina, which is usually relieved by rest and intake of nitroglycerin. The pain occurs with increased activity or stress. Based on these details of information, the patient has which type of angina? Stable angina Unstable angina Prinzmetal angina Variant angina 22 / 25 Orthoses are usually classified into two types: static and dynamic. The classification is mainly based on the amount of joint movement that each orthosis allows. Which of the following is not correct about static orthoses? They are mainly ordered for patients with weakened muscles. Static orthoses do not allow joint movements. They function as rigid supports in fractures. They are used for promoting eventual joint movement 23 / 25 A patient with chronic obstructive pulmonary disease is assessed by a physical therapist for an exercise program. Pulmonary assessment is conducted through physical examination and pulmonary function tests. A patient with chronic obstructive disease is expected to have which of the following findings? Increased forced expiratory flow Increased total lung capacity Increased forced vital capacity Decreased residual volume 24 / 25 A physical therapist is observing a patient who is walking with crutches. The patient advances both crutches forward, and then swings both legs past the crutches at the same time. Based on the sequence, the patient is demonstrating which crutch gait? Two-point crutch gait Tripod crutch gait Swing-through crutch gait Swing-to crutch gait 25 / 25 A physical therapist includes transcutaneous electrical nerve stimulation application as one of the modalities of treatment for a patient complaining of pain after a spinal cord injury. The physical therapist is applying the TENS machine correctly by demonstrating which of the following actions? The therapist places self-adhesive pads within an inch of each other. The pulse rate is set before switching on the machine. The pads are placed over the area of sensory impairment The machine is switched on before placing the electrode pads on the skin. Your score isThe average score is 32% LinkedIn Facebook VKontakte 0% Restart quiz