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PEAT Exam 2 – NPTE Practice Exam Study Guide (Physical Therapy Review, Clinical Reasoning & Answer Explanations)

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This document provides a structured study guide for PEAT Exam 2, designed to simulate real NPTE Physical Therapy licensure exam conditions. It includes multiple-choice clinical reasoning questions with detailed answer explanations to support effective revision and exam preparation. The material focuses on high-yield Physical Therapy domains such as musculoskeletal, neurological, and cardiopulmonary rehabilitation, patient management, biomechanics, and evidence-based practice. It is designed to help candidates assess readiness, strengthen weak areas, and prepare confidently for the NPTE.

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PEAT Exam 2 – NPTE Practice Exam Study Guide (Physical Therapy Review, Clinical Reasoning
& Answer Explanations)



A patient asks how a transcutaneous nerve stimulator set up in continuous, HIGH-RATE MODE
decreases pain. Which of the following mechanisms BEST describes how this form of electrical
stimulation works? - ANS ✔✔The electrical impulses reach the spinal cord before the pain
impulses, blocking the pain signals from reaching the brain.



During auscultation of a patient's lungs, a physical therapist assistant hears crackles (rales).
What condition is most likely present? - ANS ✔✔heart failure



A patient who is in the subacute phase after total shoulder arthroplasty attempts to use the
affected hand to button a shirt. What instructions to the patient is MOST appropriate at this
time? - ANS ✔✔Continue buttoning the shirt to increase function.



Use of a metatarsal pad would be MOST beneficial for a patient who has what condition? - ANS
✔✔Morton neuroma



loss of sensation over the dorsum of the ring finger (4th digit) and lack of active finger extension
involves what nerve? - ANS ✔✔radial nerve



Medications such as corticosteroids can contribute to the development of - ANS
✔✔osteoporosis



excess abdominal fluid



what substance is restricted from a pt's diet with this condition? - ANS ✔✔ascites; sodium



muscle tightness typical of right torticollis? - ANS ✔✔Left lateral flexion and right rotation

, Inguinal lymph nodes are located: - ANS ✔✔lower extremity region (groin area)



For a patient who has aspirin sensitivity, treatment with iontophoresis is CONTRAINDICATED to
deliver what medication? - ANS ✔✔Salicylate



considered to be the MOST ACCURATE for measurement of heart rate. - ANS ✔✔apical



When performing lymphatic drainage exercises for the upper extremity, which of the following
sequences is MOST appropriate for moving lymph away from congested areas? - ANS ✔✔Trunk,
cervical area, shoulders, fingers



what observations is MOST consistent with the presence of a lower extremity flexion synergy
pattern in a patient with hemiplegia? - ANS ✔✔Flexion at the hip, flexion at the knee,
dorsiflexion of the foot



dorsalis pedis pulse is MOST appropriately palpated at which of the following location - ANS
✔✔Lateral to the tendon of the extensor hallucis longus



What is the MOST appropriate method for stretching the tensor fasciae latae? - ANS ✔✔Hip
extension with adduction



What is the EARLIEST age at which an infant can be expected to maintain head control without
using a downward gaze during a pull-to-sit maneuver? - ANS ✔✔4 months



A patient who had a cerebrovascular accident has difficulty interpreting spoken commands.
What lobe of the brain is effected? - ANS ✔✔temporal

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