NPTE Practice Questions

NPTE Practice Questions The lymphatic system drains lymph from body tissues and returns it to the: A.) Nervous system B.) Cardiac circulation C.) Venous circulation D.) Muscles C.) Venous circulation In regards to arthrokinematics, what is the movement between the metacarpal of the hand and the proximal phalanx? .A.) Glide B.) Roll C.) Spin D..) Extension A.) Glide The PTA is reviewing the PT's evaluation of a patient with torticollis. The patient has torticollis with right SCM involvement. Which of the following will the patient present with? A.) Neck side-bending toward the L and rotation to the L B.) Neck side-bending toward the R and rotation to the L C.) Neck side-bending toward the R and rotation to the R D.) Neck side-bending toward the L and rotation to the R B.) Neck side-bending toward the R and rotation to the L In which direction do most dislocations of the glenohumeral joint occur? A.) Anterior-inferior B.) Posterior-inferior C.) Posterior D.) Superior A.) Anterior-inferior The PT performs an evaluation for a 75 year-old woman who endured a stroke. She is classified as stage 3 on the Brunnstrom Stages of Motor Recovery scale. What motor presentation can the PTA expect? A.) Flaccidity, no voluntary movement B.) Voluntary movement possible but only in synergies, high spasticity C.) Control and coordination near normal D.) Voluntary control in isolated joint movements, declining of spasticity and synergies B.) Voluntary movement possible but only in synergies, high spasticity A PTA is preparing to work with a patient who has suffered a TBI. The evaluation states that the patient is a Level III on the Rancho Los Amigos level of cognitive function. What can the therapist expect of this patient? A.) Confused-agitated: The patient is in a heightened state of activity. His behavior is bizarre and non-purposeful relative to environment. His is unable to cooperate directly with treatment efforts B.) Localized response: The patient reacts specifically but inconsistently to stimuli. The patient may follow simple commands in an inconsistent and delayed manner such as squeezing the hand or closing eyes C.) No response: Patient appears to be in a deep sleep and completely unresponsive to stimulation D.) Automatic-appropriate: The patient appears appropriate and oriented within the hospital and home settings but has shallow recall of activities. Judgment is still impaired. B.) Localized response: The patient reacts specifically but inconsistently to stimuli. The patient may follow simple commands in an inconsistent and delayed manner such as squeezing the hand or closing eyes. Which of the following is NOT an example of a goal and indication for superficial thermotherapy? A.) Increase muscle tone B.) Increase connective tissue extensibility C.) Modulate pain D.) Accelerate tissue healing A.) Increase muscle tone In regards to thermotherapy, which condition would be BEST suited for heat application utilizing paraffin? A.) Rotator cuff tear B.) Rheumatoid arthritis of the hand and digits C.) Chronic lumbar back pain D.) 5 days s/p total knee arththroscopy B.) Rheumatoid arthritis of the hand and digits When utilizing intermittent mechanical compression over the full lower extremity, which portion of the sleeve has the greatest pressure? A.) In the distal compartments B.) In the proximal compartments C.) It alternates between distal and proximal compartments D.) There is no pressure gradient A.) In the distal compartments Which mechanical agent is most often indicated in the acute stage after a total knee replacement in order to accelerate joint ROM gain and tendon and ligament healing, minimizing contracture risk? A.) Intermittent mechanical compression B.) Continuous passive motion C.) Mechanical spinal traction D.) Tilt table B.) Continuous passive motion The PTA is teacher her patient with COPD strategies and positions to help catch his breath. Which position is most effective for a patient with COPD to improve breathing? A.) Supine B.) Seated leaning forward on the forearms C.) Seated leaning backward into extension D.) Prone B.) Seated leaning forward on the forearms Which of the following is NOT a function of the lower gastrointestinal system? A.) Ingestion and initial breakdown of food B.) Absorption of water and electrolytes C.) Elimination of waste products D.) Storage of waste products A.) Ingestion and initial breakdown of food Which of the following describes the condition in which the stomach protrude upward through the diaphragm? A.) Hiatal hernia B.) Inflammatory bowel disease C.) Gastritis D.) Peptic ulcer disease A.) Hiatal hernia Which metabolic hormone is secreted by the delta cells of the pancreatic islets? A.) Glucagon B.) Insulin C.) Amylin D.) Somatostatin D.) Somatostatin The PTA is challenging a patient's balance by having her seated over an exercise ball with her arms elevated, while the PTA provides perturbations at the patient's trunk. The patient is having difficulty maintaining her balance and frequently requires assistant from the PTA through guarding. The PTA decides to regress the exercise by: A.) Having the patient close her eyes B.) Throwing and catching a ball while continuing perturbations C.) Having the patient place her hands on the side of the exercise ball, instead of elevated D.) Having the patient elevate one lower extremity from the floor C.) Having the patient place her hands on the side of the exercise ball, instead of elevated An 85 year-old patient is being seen in a sub-acute rehab setting after an open reduction internal fixation of the hip, which was necessary due to a fall that resulted in a femoral neck fracture. What complication would be LEAST likely for this patient? A.) Pulmonary embolism B.) Deep vein thrombosis C.) Hip dislocation D.) Fear of falling C.) Hip dislocation The PTA is working with a 20 year-old male with spastic cerebral palsy who is ambulatory. What is a common gait deviation that can be expected? A.) Limited trunk rotation, limited arm swing, and shuffling gait B.) Internal rotation of the hips and flexed knees C.) Weakness on one side of the body with instability D.) Decreased stance time unilaterally and slow cadence B.) Internal rotation of the hips and flexed knees Which federal law assures privacy and security of all personal health care information? A.) Health Information Protection and Accountability Act B.) Health Information Protection Act C.) Health Insurance Portability and Accountability Act D.) Health Insurance Privacy Protection Act C.) Health Insurance Portability and Accountability Act A PTA has just completed instruction a caregiver on how to transfer a patient from a bend to wheelchair and back using a slide board. The PTA should document the caregiver's performance and ability to complete the tack safely in which section of the SOAP note? A.) Plan B.) Assessment C.) Subjective D.) Objective B.) Assessment A patient is experiencing referred visceral pain to the shoulder. What is the likely organ involved? A.) Esophagus B.) Colon C.) Appendix D.) Liver D.) Liver The PTA is performing gait training with a 75 year-old male who was just discharged home after undergoing a total knee replacement. The patient is complaining of new discomfort in the groin, anterior hip, and low back regions. The PTA should recognize that this tenderness could be related to: A.) Appendicitis B.) Diarrhea C.) Irritable bowel syndrome D.) Constipation D.) Constipation Which type of urinary incontinence is described when the bladder continuously leaks secondary to urinary retention and an over-distended bladder? A.) Overflow incontinence B.) Urge incontinence C.) Functional incontience D.) Stress incontinence A.) Overflow incontinence The initial evaluation notes that patient has a weak gluteus medius. Which gait deviation can the PTA expect to see with this patient during gait? A.) Lateral trunk bending to the opposite side B.) Lateral bending of the trunk to the same side C.) Forward trunk lean D.) Backward trunk lean B.) Lateral bending of the trunk to the same side A geriatric patient suffered a Colle's fracture from a fall. Upon further examination, she was diagnosed with osteoporosis. Which exercise would be best indicated for this patient once the fracture is well healed? A.) Passive stretching to the upper extremities and lower extremities B.) Open chain upper extremity AROM in all shoulder planes C.) Treadmill walking and lower extremity resistive band exercises D.) Wall push-ups and upper extremity resistive band exercises D.) Wall push-ups and upper extremity resistive band exercises A patient presents with pain and tightness over the piriformis. The plan of care includes manual passive stretching. Which patient position is the best to stretch the piriformis? A.) Supine with the hip flexed to 70 degrees and knee extended B.) Supine with hip abducted C.) Supine with hip flexed to 70 degrees and adducted D.) Prone with hip extended C.) Supine with hip flexed to 70 degrees and adducted Which is the most common form of TMJ dysfunction? A.) Rheumatois arthritis B.) Internal derangement of the joint C.) Osteoarthritis D.) Myofascial pain D.) Myofascial pain Which term describes a peripheral nervous system disorder that includes involvement of nerve roots due to skeletal changes and soft tissue injuries? A.) Entrapment syndrome B.) Radiculopathy C.) Peripheral neuropathy D.) Neurotmesis B.) Radiculopathy Which federal act mandates the eligible students received free related services (such as physical, occupational, and speech therapy services) to meet their educational needs? A.) American Disabilities Act (ADA) B.) Joint Commission on the Accreditation of Healthcare Organization (JCAHO) C.) Health Insurance Portability and Accountability Act (HIPAA) D.) Individuals with Disabilities Education Act (IDEA) D.) Individuals with Disabilities Act (IDEA) Regarding environmental considerations for wheelchair accessibility, what is the minimum recommended clear width for doorways and halls? A.) 24 inches minimum and ideally 26 inches B.) 28 inches minimum and ideally 32 inches C.) 32 inches minimum and ideally 36 inches D.) 42 inches minimum and ideally 46 inches C.) 32 inches minimum and ideally 36 inches