NPTE FINAL REVIEW OF EVERYTHING
QUESTIONS WITH COMPLETE
SOLUTIONS
Elevating a patient's LE for less than 1 min produces pallor of foot, followed by delayed
reactive hyperemia in dependent position; what peripheral vascular disease is this
indicative of? - Answer-arterial insufficiency
what are the classic signs of heart failure? - Answer-pitting edema
weight gain
jugular vein distention
diminished appetite
\right upper quadrant discomfort
ventricular gallop (S3) heart sound
when would you use silver sulfadiazine cream over sterile normal saline for a wound? -
Answer-if infection is present
what do ACE inhibitors do? - Answer-decrease BP (promote vasodilation and decrease
peripheral vascular resistance)
increase venous capacitance
a common side effect of PD patient on Levodopa is? - Answer-dyskinesia
a patient with chronic obstructive disorder is ambulating with 2 L O2 via nasal canula.
O2 sat is 91% and HR at 90 bpm. You should ONLY increase oxygen flow when: -
Answer-O2 sat falls below 88%
A dry wound will be best autolytically debrided by using what dressing? - Answer-
transparent films
a patient with a transtibial prosthesis with too firm of heel wedge will present with what
gait deviation? - Answer-excessive knee flexion in foot flat (loading)
too firm heel --> too much DF
A patient's electrocardiogram report describes the presence of significant Q waves,
indicating what? - Answer-Myocardial infarction!
A patient with a hypertonic piriformis will also MOST likely have what? - Answer-SI
dysfunction
,A 65-year-old patient arrives for outpatient physical therapy. The patient reports
swimming earlier that morning. Since then the patient has felt pain down both arms, has
had shortness of breath, and has continued to perspire. What should a physical
therapist do NEXT? - Answer-CALL FOR EMERGENCY! (patient had or is having MI!)
your patient in isolated room is experiencing nonproductive cough, dyspnea, and chest
xray showed changes. what precaution should you take? - Answer-airborne (wear
special mask! gown and gloves)
Tuberculosis!
When treating patients with MRSA, HIV, Hep B, what precaution should you consider?
what should you wear? - Answer-contact precaution
gloves and gown
When treating patients with measles, active chicken pox, and TB, what precaution
should you take?
what should you wear? - Answer-airborne precaution
special mask, gown and gloves
When treating patient with meningitis influenza or any active respiratory infection that
causes coughing or sneezing, what precaution should you take?
what should you wear? - Answer-droplet precaution
gown, gloves and regular mask
anterior tilt (rotary winging) of scapula is caused by tightness in what muscle? - Answer-
pec minor
medial border winging is caused by weakness in what muscle? - Answer-serratus
anterior (long thoracic nerve)
Your patient walks in and presents with eyelid drooping on the right. During your
examination, there is poor visual tracking and absent pupillary reflexes on the right, but
pupil constricts on the left eye. Which nerve is damaged here? - Answer-R occulomotor
nerve
Your patient comes in with what looks like Bell's Palsy. You decide to use FES to
restore function of which muscle?
a. temporalis
,b. masseter
c. frontalis
d. lateral pterygoid - Answer-Frontalis!
your patient with MS comes to the gym for her treatment session. She is wheelchair
dependent and has an urinary catheter. When transporting the patient, where should
you secure the collection bag? - Answer-on the wheelchair cross brace beneath the
seat
(make sure it's placed BELOW the level of bladder)
chronic venous insufficiency would present with greater than _______ secs of filling
time - Answer-> 15 secs
your lymphedema patient with BP of 120/90 mmHg comes in and you want to use
pneumatic intermittent compression for her. what is the MOST appropriate pressure
setting for compression?
a. 50
b. 80
c. 100
d. 110 - Answer-80
MUST be *below diastolic BP*
what nerve innervates lumbricals (3rd/4th) and interossei? - Answer-ulnar nerve
1st and 2nd lumbricals innervated by what nerve? - Answer-median
which is the BEST initial intervention for shoulder impingement?
a. postural correction
b. AROM
c. stretching
d. modalities - Answer-A
The adverse effects of tricyclic antidepressants are: - Answer-postural hypotension,
lethargy, sedation, and blurred vision
describe Alpha A fibers - Answer-large and myelinated
bring afferent sensory info (proprioception and vibration)
describe A delta fibers - Answer-small and unmyelinated
provide pain sensation
, *C fibers also small and unmyelinated*
frequent urination, constant thirst and weight loss indicative of what? - Answer-diabetes
mellitus
A patient is doing active and resistive exercises on a mat table in the physical therapy
department. After 15 minutes, the patient becomes short of breath, begins coughing,
and expectorates pink, frothy sputum; what should the therapist do??? what do you
suspect? - Answer-pulmonary edema (R sided heart failure)
1st = STOP treatment
2nd = sit patient up (supine is worse for them)
3rd = assess vital signs and call a nurse or physician for further instructions
You are doing postural drainage in the Trendelenberg position to your adolescent
patient with cystic fibrosis.
Suddenly, the patient complains of R-sided chest pain and SOB. You auscultate and
breath sounds are *absent* on the right, and percussion results in a hyper resonant
sound. What do you do? - Answer-Call Emergency Medical Services. It may be a
*pneumothorax*
what helps to mobilize secretions in pulmonary patients? - Answer-increased ventilation
what's the primary purpose of pursed lip breathing? - Answer-helps prevent the collapse
of pulmonary airways during exhalation.
Compression is CONTRAINDICATED in ABI of what? - Answer-less than 0.80!
When performing a supine to long-sit test, a patient's right lower extremity is found to be
shorter in supine position and longer in sitting position; what do you suspect? - Answer-
posterior rotated innominate on right
what medication has the GREATEST impact on fracture healing? - Answer-steroids!
normal hallux extension ROM: - Answer-70 deg
what is MOST important to keep in mind about footwear for diabetic patients? - Answer-
shoes that PREVENT excessive friction and pressure
ex: Patients should wear snug fit around the heel
Meralgia paresthetica: what is it? - Answer-an entrapment or injury to the lateral femoral
cutaneous nerve, a purely sensory nerve.
QUESTIONS WITH COMPLETE
SOLUTIONS
Elevating a patient's LE for less than 1 min produces pallor of foot, followed by delayed
reactive hyperemia in dependent position; what peripheral vascular disease is this
indicative of? - Answer-arterial insufficiency
what are the classic signs of heart failure? - Answer-pitting edema
weight gain
jugular vein distention
diminished appetite
\right upper quadrant discomfort
ventricular gallop (S3) heart sound
when would you use silver sulfadiazine cream over sterile normal saline for a wound? -
Answer-if infection is present
what do ACE inhibitors do? - Answer-decrease BP (promote vasodilation and decrease
peripheral vascular resistance)
increase venous capacitance
a common side effect of PD patient on Levodopa is? - Answer-dyskinesia
a patient with chronic obstructive disorder is ambulating with 2 L O2 via nasal canula.
O2 sat is 91% and HR at 90 bpm. You should ONLY increase oxygen flow when: -
Answer-O2 sat falls below 88%
A dry wound will be best autolytically debrided by using what dressing? - Answer-
transparent films
a patient with a transtibial prosthesis with too firm of heel wedge will present with what
gait deviation? - Answer-excessive knee flexion in foot flat (loading)
too firm heel --> too much DF
A patient's electrocardiogram report describes the presence of significant Q waves,
indicating what? - Answer-Myocardial infarction!
A patient with a hypertonic piriformis will also MOST likely have what? - Answer-SI
dysfunction
,A 65-year-old patient arrives for outpatient physical therapy. The patient reports
swimming earlier that morning. Since then the patient has felt pain down both arms, has
had shortness of breath, and has continued to perspire. What should a physical
therapist do NEXT? - Answer-CALL FOR EMERGENCY! (patient had or is having MI!)
your patient in isolated room is experiencing nonproductive cough, dyspnea, and chest
xray showed changes. what precaution should you take? - Answer-airborne (wear
special mask! gown and gloves)
Tuberculosis!
When treating patients with MRSA, HIV, Hep B, what precaution should you consider?
what should you wear? - Answer-contact precaution
gloves and gown
When treating patients with measles, active chicken pox, and TB, what precaution
should you take?
what should you wear? - Answer-airborne precaution
special mask, gown and gloves
When treating patient with meningitis influenza or any active respiratory infection that
causes coughing or sneezing, what precaution should you take?
what should you wear? - Answer-droplet precaution
gown, gloves and regular mask
anterior tilt (rotary winging) of scapula is caused by tightness in what muscle? - Answer-
pec minor
medial border winging is caused by weakness in what muscle? - Answer-serratus
anterior (long thoracic nerve)
Your patient walks in and presents with eyelid drooping on the right. During your
examination, there is poor visual tracking and absent pupillary reflexes on the right, but
pupil constricts on the left eye. Which nerve is damaged here? - Answer-R occulomotor
nerve
Your patient comes in with what looks like Bell's Palsy. You decide to use FES to
restore function of which muscle?
a. temporalis
,b. masseter
c. frontalis
d. lateral pterygoid - Answer-Frontalis!
your patient with MS comes to the gym for her treatment session. She is wheelchair
dependent and has an urinary catheter. When transporting the patient, where should
you secure the collection bag? - Answer-on the wheelchair cross brace beneath the
seat
(make sure it's placed BELOW the level of bladder)
chronic venous insufficiency would present with greater than _______ secs of filling
time - Answer-> 15 secs
your lymphedema patient with BP of 120/90 mmHg comes in and you want to use
pneumatic intermittent compression for her. what is the MOST appropriate pressure
setting for compression?
a. 50
b. 80
c. 100
d. 110 - Answer-80
MUST be *below diastolic BP*
what nerve innervates lumbricals (3rd/4th) and interossei? - Answer-ulnar nerve
1st and 2nd lumbricals innervated by what nerve? - Answer-median
which is the BEST initial intervention for shoulder impingement?
a. postural correction
b. AROM
c. stretching
d. modalities - Answer-A
The adverse effects of tricyclic antidepressants are: - Answer-postural hypotension,
lethargy, sedation, and blurred vision
describe Alpha A fibers - Answer-large and myelinated
bring afferent sensory info (proprioception and vibration)
describe A delta fibers - Answer-small and unmyelinated
provide pain sensation
, *C fibers also small and unmyelinated*
frequent urination, constant thirst and weight loss indicative of what? - Answer-diabetes
mellitus
A patient is doing active and resistive exercises on a mat table in the physical therapy
department. After 15 minutes, the patient becomes short of breath, begins coughing,
and expectorates pink, frothy sputum; what should the therapist do??? what do you
suspect? - Answer-pulmonary edema (R sided heart failure)
1st = STOP treatment
2nd = sit patient up (supine is worse for them)
3rd = assess vital signs and call a nurse or physician for further instructions
You are doing postural drainage in the Trendelenberg position to your adolescent
patient with cystic fibrosis.
Suddenly, the patient complains of R-sided chest pain and SOB. You auscultate and
breath sounds are *absent* on the right, and percussion results in a hyper resonant
sound. What do you do? - Answer-Call Emergency Medical Services. It may be a
*pneumothorax*
what helps to mobilize secretions in pulmonary patients? - Answer-increased ventilation
what's the primary purpose of pursed lip breathing? - Answer-helps prevent the collapse
of pulmonary airways during exhalation.
Compression is CONTRAINDICATED in ABI of what? - Answer-less than 0.80!
When performing a supine to long-sit test, a patient's right lower extremity is found to be
shorter in supine position and longer in sitting position; what do you suspect? - Answer-
posterior rotated innominate on right
what medication has the GREATEST impact on fracture healing? - Answer-steroids!
normal hallux extension ROM: - Answer-70 deg
what is MOST important to keep in mind about footwear for diabetic patients? - Answer-
shoes that PREVENT excessive friction and pressure
ex: Patients should wear snug fit around the heel
Meralgia paresthetica: what is it? - Answer-an entrapment or injury to the lateral femoral
cutaneous nerve, a purely sensory nerve.
