Comprehensive NPTE Quiz 1

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?

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?

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:

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?

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?

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?

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?

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?

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:

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:

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:

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?

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?

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:

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:

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?

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?

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?

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?

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?

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?

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?

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?

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?

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?