2nd PEAT Part VII – NPTE Practice Exam Study Guide (Physical Therapy Review, Clinical
Reasoning & Answer Explanations)
The INITIAL rehabilitation program for a patient post coronary artery bypass surgery would
consist of:
1. low-intensity walking.
2. lifting light weights.
3. low-level upper extremity ergometry.
4. stationary bike riding. - ANS ✔✔1
After evaluating a patient who is a baseball player, a physical therapist 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?
1. Eccentric exercises of the lateral (external) rotators
2. Eccentric exercises of the medial (internal) rotators
3. Concentric exercises of the lateral (external) rotators
4. Concentric exercises of the medial (internal) rotators - ANS ✔✔1
Which of the following splints is appropriate to use for treatment of de Quervain disease?
1. Thumb spica
2. Posterior long arm
3. Ulnar gutter
4. Wrist cock-up - ANS ✔✔1
A patient with spinal stenosis is referred to physical therapy. The patient reports pain in the
right knee, ankle, and foot. While walking, the patient exhibits a mild foot-drop with no
evidence of hypertonicity. When weight bearing, the foot and ankle are pronated. Which of the
following orthoses is MOST appropriate?
, 1. Molded ankle-foot orthosis (AFO)
2. AFO with a split stirrup
3. Custom insole with lateral arch supports
4. Metal AFO with the ankle set in 5° of dorsiflexion - ANS ✔✔1
Following a fall onto an abducted and outstretched hand, a patient felt a sharp pain in the area
between the abductor pollicis longus and the extensor pollicis longus. The physical therapist
should suspect a fracture in which of the following?
1. First metacarpal
2. Lunate
3. Trapezoid
4. Scaphoid - ANS ✔✔4
The BEST cleanser to use on a beefy, red wound is:
1. normal saline.
2. hydrogen peroxide.
3. Dakin's solution.
4. povidone-iodine. - ANS ✔✔1
A physical therapist working in an acute care facility is developing an aerobic exercise program
for a patient who has had a sickle cell anemia crisis. The patient's current hematocrit is 27%.
The therapist should be MOST concerned about the patient developing which of the following
conditions while exercising?
1. Hypoxia
2. Excessive bruising
3. Dependent edema
4. Hypertension - ANS ✔✔1
Reasoning & Answer Explanations)
The INITIAL rehabilitation program for a patient post coronary artery bypass surgery would
consist of:
1. low-intensity walking.
2. lifting light weights.
3. low-level upper extremity ergometry.
4. stationary bike riding. - ANS ✔✔1
After evaluating a patient who is a baseball player, a physical therapist 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?
1. Eccentric exercises of the lateral (external) rotators
2. Eccentric exercises of the medial (internal) rotators
3. Concentric exercises of the lateral (external) rotators
4. Concentric exercises of the medial (internal) rotators - ANS ✔✔1
Which of the following splints is appropriate to use for treatment of de Quervain disease?
1. Thumb spica
2. Posterior long arm
3. Ulnar gutter
4. Wrist cock-up - ANS ✔✔1
A patient with spinal stenosis is referred to physical therapy. The patient reports pain in the
right knee, ankle, and foot. While walking, the patient exhibits a mild foot-drop with no
evidence of hypertonicity. When weight bearing, the foot and ankle are pronated. Which of the
following orthoses is MOST appropriate?
, 1. Molded ankle-foot orthosis (AFO)
2. AFO with a split stirrup
3. Custom insole with lateral arch supports
4. Metal AFO with the ankle set in 5° of dorsiflexion - ANS ✔✔1
Following a fall onto an abducted and outstretched hand, a patient felt a sharp pain in the area
between the abductor pollicis longus and the extensor pollicis longus. The physical therapist
should suspect a fracture in which of the following?
1. First metacarpal
2. Lunate
3. Trapezoid
4. Scaphoid - ANS ✔✔4
The BEST cleanser to use on a beefy, red wound is:
1. normal saline.
2. hydrogen peroxide.
3. Dakin's solution.
4. povidone-iodine. - ANS ✔✔1
A physical therapist working in an acute care facility is developing an aerobic exercise program
for a patient who has had a sickle cell anemia crisis. The patient's current hematocrit is 27%.
The therapist should be MOST concerned about the patient developing which of the following
conditions while exercising?
1. Hypoxia
2. Excessive bruising
3. Dependent edema
4. Hypertension - ANS ✔✔1
