NPTE MSK Questions with Correct Answers

NPTE MSK Questions with Correct Answers A PT examines a patient who complains of foot pain while running. The examination shows that the patient has excessive foot pronation. Which of the following would be the MOST appropriate orthotic insert? A. A lateral forefoot post under the fifth metatarsal head B. A lateral rearfoot post under the calcaneus placing it in an everted position C. A wedge placed under the instep of the medial foot just beneath the head of the talus D. A medial post just proximal to the first metatarsal head - Answer-D. A medial post just proximal to the first metatarsal head Which of the following is NOT a compensatory motion in response to excessive femoral retroversion? A. Lateral tibial torsion B. Lateral patellar subluxation C. Medial tibial torsion D. Ipsilateral subtalar pronation - Answer-D. A medial post just proximal to the first metatarsal head A physical therapist observes a leg length discrepancy. Which of the following gait deviations is MOST likely seen by the therapist? A. Increased dorsiflexion of the short limb during swing and increased plantar flexion of the long limb during stance B. Decreased knee flexion and increased dorsiflexion of the long limb during stance and increased dorsiflexion of the short limb during swing C. Increased dorsiflexion with early heel rise of the long limb at heel off and increased plantar flexion of the short limb during stance D. Increased plantar flexion of the long limb at heel strike and decreased knee flexion of the short limb during heel off - Answer-C. Increased dorsiflexion with early heel rise of the long limb at heel off and increased plantar flexion of the short limb during stance PT finds that right ASIS is higher than the left ASIS, and right PSIS is lower than the left PSIS. While performing the long sitting special test, the right limb is shorter in supine and appears to get longer in sitting. Based on the examination, what is the MOST appropriate treatment: A. Stretch the Right Hip Extensors B. Stretch the Right Hip Flexors C. Strengthen the Right Hip Flexors D. Strengthen the Right Hip Extensors - Answer-A. Stretch the Right Hip Extensors The physical therapist notes a patient has a forward head, rounded shoulders posture. Which of the following interventions is MOST appropriate to help the patient? A. Initiate cervical flexor and extensor strengthening B. Perform grade five manipulations to the upper thoracic spine C. Initiate pectoralis minor stretching and scapular retractor strengthening D. Initiate cervical traction using 15% body weight - Answer-C. Initiate pectoralis minor stretching and scapular retractor strengthening A PT student is constantly on the new phone and is having difficulty swiping upwards with their thumb as shown in the picture below. What is the BEST mobilization to improve the thumb range of motion so that the student can swipe happily thereafter! A. Inferior glide at the CMC joint B. Superior glide at the CMC joint C. Ulnar glide at the CMC joint D. Radial glide at the CMC joint - Answer-D. Radial glide at the CMC joint In order to unlock the knee from terminal extension in a closed kinetic chain, which of the following must occur? A. Lateral (external) rotation of the femur on the tibia B. Superior glide of the patella on the femur C. Lateral (external) rotation of the tibia on the femur D. Long axis distraction at the knee joint - Answer-A. Lateral (external) rotation of the femur on the tibia - Lateral movement of tibia to lock- need lateral movement of femur to unlock A 36 year old patient experiences limitation with left side bending and left rotation at the C4-5 junction. What is the MOST appropriate intervention? A. Apply PA glide at left C4 B. Apply AP glide at left C4 C. Apply PA glide at right C4 D. Apply PA glide at right C5 - Answer-C. Apply PA glide at right C4