NPTE FF - EXAM 1 QUESTIONS WITH
COMPLETE ANSWERS
Which is an absolute contraindication with pregnancy?
Restrictive or Chronic Bronchitis? - Answer-Restrictive!
A woman CAN exercise with chronic bronchitis
A 23-year-old healthy male plans to start working out as part of his New Year's
resolution. The sympathetic nervous system would contribute to which of the following
responses to ACUTE exercise?
Select one:
A. Increased peristalsis
B. Increased heart rate
C. Increased rate of breathing
D. Skeletal muscle contraction - Answer-C
A patient presents to the physical therapy clinic after complaining of anterior shin pain.
During gait analysis, the PT notices that the patient is demonstrating drop foot. Despite
the physician's diagnosis of shin splints, the PT notes the signs and symptoms are more
consistent with anterior compartment syndrome. To confirm this diagnosis, what clinical
findings MUST be present?
A. Weak plantarflexors and paresthesia along the anterior lower leg
B. Weak dorsiflexors and paresthesia along the anterior lower leg
C. Weak plantarflexors and paresthesia between the 1st and 2nd toes
D. Weak dorsiflexors and paresthesia between the 1st and 2nd toes - Answer-D
TA = Deep Fibular N = 1 & 2nd toe!
Which of the following treatment guidelines below is LEAST important for diabetic
sensory neuropathy?
A. Foot care
B. Orthotics
C. Improving circulation
D. Maintain HbA1c less than 7% - Answer-C
A female who suffered a stroke ten years ago comes to an outpatient clinic with
complaints of chronic back pain. The physical therapist assesses the patient's gait cycle
and decides to take a video of the patient in slow motion. In regards to a normal gait
pattern, dorsiflexors terminate their action by the end of which phase of gait?
A. The end of loading response
,B. The end of terminal swing
C. The end of terminal stance
D. The end of midswing - Answer-A
think rocker chair example from class
Following a stroke, a PT is giving a 62-year-old patient education about positioning in
bed. Which is the BEST position to place the lower extremity when lying in supine?
A. Pelvic retracted, knee in extension, ankle in neutral with nothing against soles of feet
B. Pelvic protracted, knee on small towel roll, ankle in neutral with nothing against soles
of feet
C. Pelvic retracted, knee on small towel, ankle on small towel roll with support against
soles of feet
D. Pelvic protracted, knee in extension, ankle in neutral with support against soles of
feet - Answer-B
hip and knee slightly flexed!
An adult patient diagnosed with cystic fibrosis is receiving postural drainage and
percussion. The patient is positioned in right side-lying with the foot of the bed elevated
to 18 inches, and a pillow placed between and under the knees. Which lobe is being
drained?
A. Left lower lobe lateral basal
B. Right lower lobe lateral basal
C. Left lower lobe posterior basal
D. Left lower lobe anterior basal - Answer-D
Which of the following rehabilitation activities will cause the MOST strain to an ACL
following allographic reconstruction?
A. Isometric quadriceps contraction at 60 degrees
B. Isometric quads contraction at 15 degrees
C. Isometric hamstring contraction at 15 degrees
D. Simultaneous quadriceps and hamstrings contraction at 60 degrees - Answer-B
Which one of the following sympathetic cardiovascular changes occurs in a patient with
long-standing type 1 diabetes mellitus?
A. HR becomes fixed
B. Higher resting HR
C. Lower resting HR
D. Exercise increases HR - Answer-A
DM have cardiac denervation syndrome = fixed HR
, A patient with T4 paraplegia is learning how to transfer his wheelchair up onto a curb by
doing a wheelie. Which of the following verbal cues is LEAST helpful to complete this
task?
A. Lean backward initially
B. Throw your weight forward as you advance the wheels forward
C. Place your hands at the 11 o'clock position for initial forward propulsion
D. Maintain the center of gravity over the rear wheels - Answer-B
First step involves leaning back
After the initial propulsion, maintaining the center of the body over the rear wheel is
essential.
Placing the hands at 11'0 clock position assists in the initial forward propulsion.
A physical therapist is teaching a patient with a spinal cord injury to negotiate a 4-inch
curb with a manual wheelchair. The MOST appropriate instruction for the therapist to
give the patient is:
A. "Hook your arms around the push handles and descend backwards"
B. "Ascend backwards with the large wheels first"
C. "Ascend in a wheelie position by lifting the front casters"
D. "Place the front casters down first during descent" - Answer-C
A physical therapist observes a patient's wheelchair footrests touching the ground. What
is the MOST LIKELY cause?
A. Depth of the chair is too high
B. Depth of the chair is too low
C. Leg length is too long
D. Seat height is too low - Answer-D
Which of the following is NOT a common side effect of chemotherapy?
A. Skin rash
B. Myopathies
C. Thrombocytopenia
D. Ulcers - Answer-B
A patient is demonstrating an upper extremity flexion synergy following a CVA. Which of
the following is MOST likely associated with this type of synergy?
A. Scapular retraction
B. Elbow extension
C. Wrist extension
D. Forearm pronation - Answer-A
COMPLETE ANSWERS
Which is an absolute contraindication with pregnancy?
Restrictive or Chronic Bronchitis? - Answer-Restrictive!
A woman CAN exercise with chronic bronchitis
A 23-year-old healthy male plans to start working out as part of his New Year's
resolution. The sympathetic nervous system would contribute to which of the following
responses to ACUTE exercise?
Select one:
A. Increased peristalsis
B. Increased heart rate
C. Increased rate of breathing
D. Skeletal muscle contraction - Answer-C
A patient presents to the physical therapy clinic after complaining of anterior shin pain.
During gait analysis, the PT notices that the patient is demonstrating drop foot. Despite
the physician's diagnosis of shin splints, the PT notes the signs and symptoms are more
consistent with anterior compartment syndrome. To confirm this diagnosis, what clinical
findings MUST be present?
A. Weak plantarflexors and paresthesia along the anterior lower leg
B. Weak dorsiflexors and paresthesia along the anterior lower leg
C. Weak plantarflexors and paresthesia between the 1st and 2nd toes
D. Weak dorsiflexors and paresthesia between the 1st and 2nd toes - Answer-D
TA = Deep Fibular N = 1 & 2nd toe!
Which of the following treatment guidelines below is LEAST important for diabetic
sensory neuropathy?
A. Foot care
B. Orthotics
C. Improving circulation
D. Maintain HbA1c less than 7% - Answer-C
A female who suffered a stroke ten years ago comes to an outpatient clinic with
complaints of chronic back pain. The physical therapist assesses the patient's gait cycle
and decides to take a video of the patient in slow motion. In regards to a normal gait
pattern, dorsiflexors terminate their action by the end of which phase of gait?
A. The end of loading response
,B. The end of terminal swing
C. The end of terminal stance
D. The end of midswing - Answer-A
think rocker chair example from class
Following a stroke, a PT is giving a 62-year-old patient education about positioning in
bed. Which is the BEST position to place the lower extremity when lying in supine?
A. Pelvic retracted, knee in extension, ankle in neutral with nothing against soles of feet
B. Pelvic protracted, knee on small towel roll, ankle in neutral with nothing against soles
of feet
C. Pelvic retracted, knee on small towel, ankle on small towel roll with support against
soles of feet
D. Pelvic protracted, knee in extension, ankle in neutral with support against soles of
feet - Answer-B
hip and knee slightly flexed!
An adult patient diagnosed with cystic fibrosis is receiving postural drainage and
percussion. The patient is positioned in right side-lying with the foot of the bed elevated
to 18 inches, and a pillow placed between and under the knees. Which lobe is being
drained?
A. Left lower lobe lateral basal
B. Right lower lobe lateral basal
C. Left lower lobe posterior basal
D. Left lower lobe anterior basal - Answer-D
Which of the following rehabilitation activities will cause the MOST strain to an ACL
following allographic reconstruction?
A. Isometric quadriceps contraction at 60 degrees
B. Isometric quads contraction at 15 degrees
C. Isometric hamstring contraction at 15 degrees
D. Simultaneous quadriceps and hamstrings contraction at 60 degrees - Answer-B
Which one of the following sympathetic cardiovascular changes occurs in a patient with
long-standing type 1 diabetes mellitus?
A. HR becomes fixed
B. Higher resting HR
C. Lower resting HR
D. Exercise increases HR - Answer-A
DM have cardiac denervation syndrome = fixed HR
, A patient with T4 paraplegia is learning how to transfer his wheelchair up onto a curb by
doing a wheelie. Which of the following verbal cues is LEAST helpful to complete this
task?
A. Lean backward initially
B. Throw your weight forward as you advance the wheels forward
C. Place your hands at the 11 o'clock position for initial forward propulsion
D. Maintain the center of gravity over the rear wheels - Answer-B
First step involves leaning back
After the initial propulsion, maintaining the center of the body over the rear wheel is
essential.
Placing the hands at 11'0 clock position assists in the initial forward propulsion.
A physical therapist is teaching a patient with a spinal cord injury to negotiate a 4-inch
curb with a manual wheelchair. The MOST appropriate instruction for the therapist to
give the patient is:
A. "Hook your arms around the push handles and descend backwards"
B. "Ascend backwards with the large wheels first"
C. "Ascend in a wheelie position by lifting the front casters"
D. "Place the front casters down first during descent" - Answer-C
A physical therapist observes a patient's wheelchair footrests touching the ground. What
is the MOST LIKELY cause?
A. Depth of the chair is too high
B. Depth of the chair is too low
C. Leg length is too long
D. Seat height is too low - Answer-D
Which of the following is NOT a common side effect of chemotherapy?
A. Skin rash
B. Myopathies
C. Thrombocytopenia
D. Ulcers - Answer-B
A patient is demonstrating an upper extremity flexion synergy following a CVA. Which of
the following is MOST likely associated with this type of synergy?
A. Scapular retraction
B. Elbow extension
C. Wrist extension
D. Forearm pronation - Answer-A
