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NPTE Practice Exam 560 Questions with Verified Answers The patient in the photograph sustained a twisting injury to the knee 1 week ago. The physical therapist notes laxity when performing the test demonstrated in the photograph. 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? (PT is performing lachmen test) 1. The patient can demonstrate ability to jump and land with stability. 2. The patient's gait is nonantalgic. 4. Knee effusion is abolished, quadriceps strength is Fair (4/5), and pain is rated 0/10. A 13-year-old patient reports moderate knee pain persisting more than 3 weeks, with no trauma noted. The patient exhibits an out-toeing gait pattern, leg length discrepancy, and restriction in medial (internal) rotation of the involved leg. Which of the following test findings would MOST likely be present?
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The patient in the photograph sustained a twisting injury to the knee 1 week ago. The physical therapist notes laxity when performing the test demonstrated in the photograph. 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? (PT is performing lachmen test)
The photograph depicts the end range of a patient's hip motion. Which of the following arthrokinematic motions is MOST likely restricted? (guy in prone, PT moving leg in IR)
During lung auscultation, a physical therapist asks a patient to continuously say "E." Transmission of an "A" sound is heard over the right lower lobe when the patient says "E." Which of the following conditions is MOST likely present in the right lower lobe?
Examination of a patient's right lower extremity reveals weakness in great toe extension and decreased sensation along the lateral leg and dorsum of the foot. Which of the following nerve roots is MOST likely contributing to these findings?
A patient had a biceps femoris tendon repair 3 days ago. After the initial postsurgical assessment, the physical therapist should FIRST initiate which of the following interventions?
Which of the following findings is MOST commonly associated with patients who have chronic obstructive pulmonary disease?
A physical therapist is designing an independent home program for a patient who has a 10-year history of recurrent low back pain. The goal of the program is to reduce the recurrence rate and improve the patient's function. Which of the following recommendations is MOST appropriate?
**talcocrural = convex on concave = OPPOSITE @ talus: rolls anteriorly, glides posteriorly A PT is testing the active shoulder range of motion of a 45 year old female patient. The PT asks the patient to move the shoulder to full medial/internal rotation. During medial rotation at the shoulder joint (GH joint), the humerus will slide: A. Anteriorly B. Superiorly C. Inferiorly D. Posteriorly - CORRECT ANSWER D. Posteriorly ** glenohumeral = convex on concave = OPPOSITE A patient demonstrated painful ROM in ABD movement during ROM examination of the shoulder. Which of the following mobilization techniques is MOST appropriate for the patient? a. Large amplitude oscillations performed at the beginning of the range in a superior direction b. Small amplitude oscillations into tissue resistance up to the limit of available motion in a superior direction c. Large amplitude oscillations within the available range range of motion in an inferior direction d. Small amplitude oscillations into tissue resistance at the limit of available joint motion in an inferior direction - CORRECT ANSWER C. Large amplitude oscillations within the available range range of motion in an inferior direction ** painful ROM = grade I/II joint mobs -> grade I = small amplitude -> grade II = large amplitude within available range
** glenohumeral = convex on concave = OPPOSITE -> ABD = roll superior, glide inferior A PT examination reveals PSIS is low on the left; ASIS is high on the left. Interventions should MOST likely include: a. Stretching the right hip flexors to correct right anterior rotated innominate b. Strengthening of the left hip flexors to correct left posterior rotated innominate c. Stretching the left hip extensors to correct left posterior rotated innominate d. Strengthening the right hip extensors to correct right posterior rotated innominate - CORRECT ANSWER c. Stretching the left hip extensors to correct left posterior rotated innominate
**humerus = convex; radius = concave; OPPOSITE -> treatment plane is considered the plane perpendicular to a line running from the axis of rotation to the middle of the concave articulated surface (located in the concave partner and is therefore determined by the position of the concave bone) After evaluating a baseball player, the PT concludes that there is insufficient deceleration of the shoulder during throwing. Which of the following strengthening techniques will be MOST effective in improving control of deceleration of the shoulder? a. Eccentric exercises of the Teres minor and infraspinatus b. Eccentric exercises of the Teres major and Pectoralis major c. Concentric exercises of the Teres minor and infraspinatus d. Concentric exercises of the Teres major and Pectoralis major - CORRECT ANSWER A. Eccentric exercises of the Teres minor and Infraspinatus ** deceleration = eccentric contraction A PT needs to check the walking gait of a patient who suffered from CVA and decides to evaluate a muscle function, the 3 hamstring muscles contract eccentrically during which phase of the gait cycle? a. Initial swing b. Terminal swing c. Mid stance d. Terminal stance - CORRECT ANSWER b. Terminal swing ** slowing forward movement of the leg in prep for initial contact (slowing = eccentric)
A 30-year-old patient is unable to control descent when moving from standing to sitting position. Which of the following interventions would be MOST appropriate to address the problem? a. Hamstring strengthening with concentric contractions b. Quadriceps strengthening with eccentric contractions c. Quadriceps strengthening with concentric contractions d. Gluteus medius strengthening with eccentric contractions - CORRECT ANSWER b. Quadriceps strengthening with eccentric contractions Stand -> sit = lowering/slow descent = eccentric Excessive upward rotation of the left scapula is noted as the patient attempts shoulder abduction. Which of the following exercises is MOST appropriate to help correct the excessive scapular rotation? A. Forearm wall slides to strengthen serratus anterior B. Shoulder shrugs to strengthen upper trapezius C. Standing wall push-ups to strengthen serratus anterior D. Standing rows to strengthen the rhomboids - CORRECT ANSWER D. Standing rows to strengthen the rhomboids ** too much upward rotation and not enough downward rotation to counteract movement = strengthen downward rotators -> rhomboids, pec minor and Levator A patient complains of lack of grip strength. PT noticed that the patient has a stronger grip with wrist in extension, but the grip strength decreases as the patient starts flexing the wrist. What is the MOST appropriate intervention to improve the ROM? a. Stretch the FD and strengthen the ED