NPTE Final Exam With Complete In Solution

NPTE Final Exam With Complete In Solution A chart review of an adult female patient indicates a hematocrit value of 42% following minor elective surgery. This value is indicative of: 1. anemia. 2. inflammation. 3. infection. 4. normal findings. - normal is anywhere from 37-52% A physical therapist uses underwater ultrasound as part of the intervention to treat a patient with an ankle injury. The MOST appropriate mode of application is to immerse the patient's ankle in a: 1. whirlpool filled with degassed water and hold the transducer underwater directly on the skin. 2. metal basin filled with mineral oil and hold the transducer underwater approximately 1 in (2.54 cm) away from the body surface. 3. ceramic basin filled with glycerin and move transducer underwater directly on the skin. 4. plastic basin filled with tap water and move the transducer approximately 0.25 in (0.17 cm) away from the body surface. - plastic A patient is referred to physical therapy with a history of ulnar nerve entrapment at the level of the hamate. Which of the following would be the MOST specific exercise to improve this patient's strength deficits? 1. Practice pinching between thumb (1st digit) and the tip of the index finger (2nd digit). 2. Squeeze hand grip with elastic-band resistance. 3. Oppose thumb (1st digit) to the metacarpal phalangeal joint of each finger (2nd through 5th digits). 4. Squeeze therapy putty between the sides of the fingers. - squeeze putty btn fingers A patient is referred to physical therapy with a history of ulnar nerve entrapment at the level of the cunital tunnel. Which of the following would be the MOST specific exercise to improve this patient's strength deficits? 1. Practice pinching between thumb (1st digit) and the tip of the index finger (2nd digit). 2. Squeeze hand grip with elastic-band resistance. 3. Oppose thumb (1st digit) to the metacarpal phalangeal joint of each finger (2nd through 5th digits). 4. Squeeze therapy putty between the sides of the fingers. - squeeze hand grip Which of the following is the MOST appropriate technique to improve the flexibility of the hip flexors? 1. Active hip extension to end range, followed by isometric hip flexion 2. Resisted hip extension using cuff weights, followed by active hip flexion 3. Placing the patient in prone with pillows positioned under the abdomen 4. Gentle, sustained passive hip extension - passive hip exrension A patient with a left tibial fracture is restricted to 25% weight-bearing. The patient is currently walking with a single axillary crutch on the left side. Which of the following is the MOST appropriate action for the physical therapist? 1. Have the patient use a walker instead of a crutch. 2. Have the patient use 2 axillary crutches. 3. Switch the crutch to the patient's right side. 4. Prescribe a quad cane to use on the left side. - 2 crutches A patient in a persistent vegetative state in a nursing home has developed a Stage 2 ischial pressure injury. The pressure injury has not improved after 4 weeks of standard wound care treatment. The physical therapist should recommend a consultation with: 1. an orthotist to investigate lower extremity bracing. 2. a nutritionist to investigate level of protein. 3. a respiratory therapist to administer oxygen therapy. 4. a surgeon to perform a skin flap - 2. Increased protein levels are linked to improved wound healing in patients with pressure injuries (Baranoski, pp. 237-238). The international guidelines for prevention and treatment of pressure injuries includes referral of all individuals with a pressure injury to a dietician (nutritionist) for early assessment and intervention for nutritional problems. A patient has a positive result on the test shown in the photograph. During the acute phase of treatment, the MOST appropriate intervention for the patient is independent performance of which of the following exercises? 1. Lower extremity partial squats 2. Open kinetic chain knee extension 3. Straight leg raises 4. Plyometric exercises - SLRs acute phase partial squats would be for the SUBacute phase A patient reports fatigue, proximal upper extremity weakness, and double vision that increases in intensity as the day progresses. The patient demonstrates bilateral ptosis of the eyelids, difficulty chewing, dysphagia, and inability to raise the eyebrows. Which of the following conditions is MOST likely present? 1. Bell palsy 2. Myasthenia gravis 3. Trigeminal neuralgia 4. Amyotrophic lateral sclerosis - myasthenia gravis A nonathletic male patient reports occasional brief palpitations that occur in the absence of pain, dizziness, or light-headedness. The patient has no personal or familial history of heart disease and is otherwise healthy. Which of the following factors is the MOST likely source of the palpitations? 1. Gender 2. Sedentary activity level 3. Excess caffeine intake 4. Cardiac abnormality - excess caffeine Which of the following factors is MOST important when considering footwear for a patient with diabetes? 1. Leather soles and heels 2. Selection of a shoe without laces 3. Snug fit around the heel 4. Non-leather material uppers - snug fit A patient who has meralgia paresthetica has been referred to physical therapy. Which of the following clinical features is MOST likely to be assessed by the physical therapist during the examination? 1. Strength of the adductor longus 2. Strength of the quadriceps femoris 3. Sensation of the superior medial aspect of the thigh 4. Sensation of the lateral aspect of the thigh - sensation of the lateral aspect of the thigh Which of the following procedures is MOST appropriate for measuring a wound that has well-defined margins? 1. Clean the skin around the wound, place a nonsterile ruler on the wound to obtain measurements, and then clean the ruler for future use. 2. Clean the skin around the wound, place a nonsterile ruler on the wound to obtain measurements, and then discard the ruler after use. 3. Place a nonsterile ruler close to the wound to obtain measurements and then clean the ruler for future use. 4. Place a nonsterile ruler close to the wound to obtain measurements and then discard the ruler after use. - 4 use non sterile, then discard after use a ruler should NOT make contact with the wound bed Which of the following locations of pain is MOST consistent with bladder infection? 1. Groin 2. Sacral area 3. Lower back 4. umbilicus area - lower back pain can also be felt in the suprapubic area Which of the following locations of pain is MOST consistent with colon cancer or colitis? 1. Groin 2. Sacral area 3. Lower buttocks 4. Suprapubic area - sacral area Which of the following locations of pain is MOST consistent with ureter infection? 1. Groin 2. Sacral area 3. Lower buttocks