PEAT Series 1 Form B Practice – NPTE Exam Study Guide (Physical Therapy Review, Clinical
Reasoning & Answer Explanations)
A pt with an incomplete C8 spinal cord injury reports of burning in the buttocks when sitting in a
wc. Which of the following problems with the pt's wc would be most likely to contribute to the
burning?
1. Footplates are too high
2. Footplates are too low
3. Seat is too narrow
4. Seat is too deep - correct answer ✔✔1. Footplates are too high [Shift pt's weight posteriorly
onto buttocks]
2: shift pt weight forward, may cause problems on thigh
3: pressure on lateral pelvis and thighs
4: lead to posterior tilt and kyphotic posture
A patient with diabetes had a right transtibial amputation 5 days ago. An advantage of a rigid
removable dressing versus bandaging is that the rigid dressing:
1.allows for early weight bearing.
2.requires less monitoring.
3.allows applied pressure to be varied.
4.is less costly. - correct answer ✔✔1.allows for early weight bearing.
2: requires more supervision bc no access available to incisions and the dressing is fabricated by
the surgeon or prosthetist. As the residual limb heals, sutures are removed, and the limb
changes shape, a new cast must be made. 3. Pressure cannot be varied when using a rigid
dressing, unlike bandaging with an elastic wrap or shrinker. 4. A rigid dressing requires careful
application by a skilled individual and, therefore, may be more costly. An elastic shrinker is a less
expensive option.
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 - correct answer ✔✔1.Molded ankle-foot
orthosis (AFO)
2: bulky and does not address pronation
4: heavy and does not address pronation
A home health patient who recently had a three-vessel coronary artery bypass graft describes
experiencing bilateral lower extremity swelling, leg pain, and shortness of breath, especially
when lying down. The patient MOST likely has which of the following diagnoses?
1.Deep vein thrombosis
2.Myocardial infarction
3.Pulmonary embolism
4.Heart failure - correct answer ✔✔4.Heart failure
1: usually u/l
2: does not result in acute swelling
3: usually not changed by position, and typically cardiac arrest
4: SS of HF: dyspnea, paroxysmal noctural dyspnea, orthopnea, peripheral edema
A patient reports a 2-day history of a hot, swollen, first metatarsophalangeal joint. This
complaint is MOST common in:
1.osteoarthritis.
2.polymyositis.
3.gout.
4.rheumatoid arthritis. - correct answer ✔✔3.gout.
Reasoning & Answer Explanations)
A pt with an incomplete C8 spinal cord injury reports of burning in the buttocks when sitting in a
wc. Which of the following problems with the pt's wc would be most likely to contribute to the
burning?
1. Footplates are too high
2. Footplates are too low
3. Seat is too narrow
4. Seat is too deep - correct answer ✔✔1. Footplates are too high [Shift pt's weight posteriorly
onto buttocks]
2: shift pt weight forward, may cause problems on thigh
3: pressure on lateral pelvis and thighs
4: lead to posterior tilt and kyphotic posture
A patient with diabetes had a right transtibial amputation 5 days ago. An advantage of a rigid
removable dressing versus bandaging is that the rigid dressing:
1.allows for early weight bearing.
2.requires less monitoring.
3.allows applied pressure to be varied.
4.is less costly. - correct answer ✔✔1.allows for early weight bearing.
2: requires more supervision bc no access available to incisions and the dressing is fabricated by
the surgeon or prosthetist. As the residual limb heals, sutures are removed, and the limb
changes shape, a new cast must be made. 3. Pressure cannot be varied when using a rigid
dressing, unlike bandaging with an elastic wrap or shrinker. 4. A rigid dressing requires careful
application by a skilled individual and, therefore, may be more costly. An elastic shrinker is a less
expensive option.
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 - correct answer ✔✔1.Molded ankle-foot
orthosis (AFO)
2: bulky and does not address pronation
4: heavy and does not address pronation
A home health patient who recently had a three-vessel coronary artery bypass graft describes
experiencing bilateral lower extremity swelling, leg pain, and shortness of breath, especially
when lying down. The patient MOST likely has which of the following diagnoses?
1.Deep vein thrombosis
2.Myocardial infarction
3.Pulmonary embolism
4.Heart failure - correct answer ✔✔4.Heart failure
1: usually u/l
2: does not result in acute swelling
3: usually not changed by position, and typically cardiac arrest
4: SS of HF: dyspnea, paroxysmal noctural dyspnea, orthopnea, peripheral edema
A patient reports a 2-day history of a hot, swollen, first metatarsophalangeal joint. This
complaint is MOST common in:
1.osteoarthritis.
2.polymyositis.
3.gout.
4.rheumatoid arthritis. - correct answer ✔✔3.gout.
