NPTE Practice UPDATED ACTUAL
Exam Questions and CORRECT Answers
What is cellulitis? - CORRECT ANSWER- ✔✔Acute spreading infection of dermal and
subcutaneous tissue commonly caused by a bacterial infection. Symptoms may include
localized redness that spreads quickly, skin that is warm to touch, local abscess or ulceration,
TTP, chills, fever, and malaise
A PT treats a patient status post CVA. The therapist plans activities that focus on hand-eye
coordination, recognition of position in space, and general spatial relationships. What are the
likely impairments the pt. is experiencing? - CORRECT ANSWER- ✔✔visual-perceptual
deficits due to right hemisphere damage
A patient status post cardiac ablation is placed on Coumadin. What is the primary function of
this medication? - CORRECT ANSWER- ✔✔Prevent blood clot formation. Side effects
include frequent bruising, joint pain, excessive bleeding, and GI distress)
What is propafenone used for? - CORRECT ANSWER- ✔✔antiarrhythmic medication that
alters conduction patterns of the heart. (Nausea, vomiting, and symptoms of congestive heart
failure)
Diuretic medication is used for what? - CORRECT ANSWER- ✔✔increases excretion of
water and sodium in order to effectively decrease blood pressure and fluid retention.
(Drowsiness, dehydration, electrolyte imbalance, muscle cramps, and light headeness)
Fluvastatin is used for what - CORRECT ANSWER- ✔✔lipid lowering medication. SAs
include nausea, vomiting, abdominal discomfort
A physical therapist treats a patient with medial epicondylitis. Which of the following
positions should the therapist use to place the patient's ulnohumeral joint in the loose packed
position? - CORRECT ANSWER- ✔✔70 degrees flexion, 10 degrees supination
A recent entry into the medical record indicates a patient exhibits dysdiachokinesia. Based on
the pts. documented deficit, which activity would be the most difficult for the pt.? -
CORRECT ANSWER- ✔✔Alternate supination and pronation of the forearms. This deficit is
typically seen in those with MS and cerebellar lesions.
,How would a therapist rule out a cerebellar pathology? - CORRECT ANSWER- ✔✔Have the
patient walk in a straight line, gait analysis (rule out ataxia)
A pt. rehabbing from an upper extremity injury performs a lat pull down exercise using a
cable column machine. The PT specifically instructs the pt. to pull the bar down behind their
head. What muscles is this exercise targeting? - CORRECT ANSWER- ✔✔rhomboids and
middle trapezius
A PT is treating a pt. with congestive heart failure in the acute setting. What is the most
probable symptoms the therapist will see? - CORRECT ANSWER- ✔✔peripheral edema and
dyspnea. Fluid backs up behind the right ventricle and accumulates in the liver, abdomen, and
distal extremities.
Muscle fasciculations and atrophy are common signs of - CORRECT ANSWER- ✔✔a
nervous system disorders
What is bronchitis? - CORRECT ANSWER- ✔✔inflammation of bronchial tubes
What are the contraindications used for compression therapy? - CORRECT ANSWER-
✔✔circulatory obstruction, deep vein thrombosis,' heart failure, DVT, heart failure,
malignancy in treated area, unstable or acute fracture, and PE.
Compression can be used to treat what? - CORRECT ANSWER- ✔✔chronic venous
insuffiency
What are the normal values for ABI? - CORRECT ANSWER- ✔✔1.0-1.4
A pt. presents pain located primarily in the right posterior shoulder region with intermittent
paresthesia's in the right middle finger. What clinical presentation might this be? - CORRECT
ANSWER- ✔✔cervical radiculopathy
A MSK pattern of pain is typically characterized by - CORRECT ANSWER- ✔✔aching,
heavy, cramping, dull, and sore
,A neurogenic pain is characterized by - CORRECT ANSWER- ✔✔burning, hot, searing,
sharp, and shooting
A vascular pattern of pain is typically characterized by - CORRECT ANSWER-
✔✔throbbing, pounding, pulsing, beating
An emotional pattern of pain is characterized by - CORRECT ANSWER- ✔✔miserable,
piercing, unbearable, nauseating, agonizing
What kind of pt. is most at risk for developing osteoporosis? - CORRECT ANSWER- ✔✔67-
year-old female with malabsorption syndrome
A pt. is elevated on a tilt table to 60 degrees. They start to experience signs and symptoms of
orthostatic hypotension. What is the most appropriate action? - CORRECT ANSWER-
✔✔Lower the table all the way back down and monitor the patient's vital signs.
Wagner Ulcer Classification Scale - CORRECT ANSWER- ✔✔Grade 1 - superficial without
any subcutaneous tissue involvement
Grade 2- penetrates the subcutaneous tissue with possible exposure of bone, tendon, ligament
or joint capsule
Grade 3- Grade 2 ulcer that has progressed to include bone inflammation
Grade 4- Grade 3 ulcer that has progressed and resulted in Gangrene of a digit
Stages of the transtheoretical model - CORRECT ANSWER- ✔✔precontemplation,
contemplation, preparation, action, maintenance
ICF model - CORRECT ANSWER- ✔✔International Classification of Functioning,
Disability, and Health
Health condition-activity-participation-body function- environmental factors- personal factors
, What finding is most consistent when the pt. has a diagnosis of chronic bronchitis? -
CORRECT ANSWER- ✔✔history of smoking
Senile osteoporosis - CORRECT ANSWER- ✔✔typically occurs with pts. over the age of 70,
bone formation changes occur due to increasing age. Increase of fractures.
postmenopasual osteoporosis - CORRECT ANSWER- ✔✔women who develop osteoporosis
around the age of 50-60 as a result of decreased estrogen levels. This develops changes in
bone remodeling.
Secondary osteoporosis - CORRECT ANSWER- ✔✔osteoporosis that develops as result of a
primary disease process that results in bone loss or prolonged effects of drug therapy
A pt. diagnosed with Guillian Bare syndrome 10 days ago comes in for therapy. What is the
most appropriate exercise protocol for this time? - CORRECT ANSWER- ✔✔AROM and
gravity-minimized exercises
What is the normal pH of blood? - CORRECT ANSWER- ✔✔between 7.25 and 7.45
Acidosis - CORRECT ANSWER- ✔✔blood pH below 7.35
Alkalosis - CORRECT ANSWER- ✔✔pH above 7.45, buildup of organic acids
Metabolic acidosis - CORRECT ANSWER- ✔✔pH < 7.35
HCO3 < 22
metabloic alkalosis - CORRECT ANSWER- ✔✔pH > 7.45
HCO3 > 26
Respiratory acidosis - CORRECT ANSWER- ✔✔pH less than 7.35
Exam Questions and CORRECT Answers
What is cellulitis? - CORRECT ANSWER- ✔✔Acute spreading infection of dermal and
subcutaneous tissue commonly caused by a bacterial infection. Symptoms may include
localized redness that spreads quickly, skin that is warm to touch, local abscess or ulceration,
TTP, chills, fever, and malaise
A PT treats a patient status post CVA. The therapist plans activities that focus on hand-eye
coordination, recognition of position in space, and general spatial relationships. What are the
likely impairments the pt. is experiencing? - CORRECT ANSWER- ✔✔visual-perceptual
deficits due to right hemisphere damage
A patient status post cardiac ablation is placed on Coumadin. What is the primary function of
this medication? - CORRECT ANSWER- ✔✔Prevent blood clot formation. Side effects
include frequent bruising, joint pain, excessive bleeding, and GI distress)
What is propafenone used for? - CORRECT ANSWER- ✔✔antiarrhythmic medication that
alters conduction patterns of the heart. (Nausea, vomiting, and symptoms of congestive heart
failure)
Diuretic medication is used for what? - CORRECT ANSWER- ✔✔increases excretion of
water and sodium in order to effectively decrease blood pressure and fluid retention.
(Drowsiness, dehydration, electrolyte imbalance, muscle cramps, and light headeness)
Fluvastatin is used for what - CORRECT ANSWER- ✔✔lipid lowering medication. SAs
include nausea, vomiting, abdominal discomfort
A physical therapist treats a patient with medial epicondylitis. Which of the following
positions should the therapist use to place the patient's ulnohumeral joint in the loose packed
position? - CORRECT ANSWER- ✔✔70 degrees flexion, 10 degrees supination
A recent entry into the medical record indicates a patient exhibits dysdiachokinesia. Based on
the pts. documented deficit, which activity would be the most difficult for the pt.? -
CORRECT ANSWER- ✔✔Alternate supination and pronation of the forearms. This deficit is
typically seen in those with MS and cerebellar lesions.
,How would a therapist rule out a cerebellar pathology? - CORRECT ANSWER- ✔✔Have the
patient walk in a straight line, gait analysis (rule out ataxia)
A pt. rehabbing from an upper extremity injury performs a lat pull down exercise using a
cable column machine. The PT specifically instructs the pt. to pull the bar down behind their
head. What muscles is this exercise targeting? - CORRECT ANSWER- ✔✔rhomboids and
middle trapezius
A PT is treating a pt. with congestive heart failure in the acute setting. What is the most
probable symptoms the therapist will see? - CORRECT ANSWER- ✔✔peripheral edema and
dyspnea. Fluid backs up behind the right ventricle and accumulates in the liver, abdomen, and
distal extremities.
Muscle fasciculations and atrophy are common signs of - CORRECT ANSWER- ✔✔a
nervous system disorders
What is bronchitis? - CORRECT ANSWER- ✔✔inflammation of bronchial tubes
What are the contraindications used for compression therapy? - CORRECT ANSWER-
✔✔circulatory obstruction, deep vein thrombosis,' heart failure, DVT, heart failure,
malignancy in treated area, unstable or acute fracture, and PE.
Compression can be used to treat what? - CORRECT ANSWER- ✔✔chronic venous
insuffiency
What are the normal values for ABI? - CORRECT ANSWER- ✔✔1.0-1.4
A pt. presents pain located primarily in the right posterior shoulder region with intermittent
paresthesia's in the right middle finger. What clinical presentation might this be? - CORRECT
ANSWER- ✔✔cervical radiculopathy
A MSK pattern of pain is typically characterized by - CORRECT ANSWER- ✔✔aching,
heavy, cramping, dull, and sore
,A neurogenic pain is characterized by - CORRECT ANSWER- ✔✔burning, hot, searing,
sharp, and shooting
A vascular pattern of pain is typically characterized by - CORRECT ANSWER-
✔✔throbbing, pounding, pulsing, beating
An emotional pattern of pain is characterized by - CORRECT ANSWER- ✔✔miserable,
piercing, unbearable, nauseating, agonizing
What kind of pt. is most at risk for developing osteoporosis? - CORRECT ANSWER- ✔✔67-
year-old female with malabsorption syndrome
A pt. is elevated on a tilt table to 60 degrees. They start to experience signs and symptoms of
orthostatic hypotension. What is the most appropriate action? - CORRECT ANSWER-
✔✔Lower the table all the way back down and monitor the patient's vital signs.
Wagner Ulcer Classification Scale - CORRECT ANSWER- ✔✔Grade 1 - superficial without
any subcutaneous tissue involvement
Grade 2- penetrates the subcutaneous tissue with possible exposure of bone, tendon, ligament
or joint capsule
Grade 3- Grade 2 ulcer that has progressed to include bone inflammation
Grade 4- Grade 3 ulcer that has progressed and resulted in Gangrene of a digit
Stages of the transtheoretical model - CORRECT ANSWER- ✔✔precontemplation,
contemplation, preparation, action, maintenance
ICF model - CORRECT ANSWER- ✔✔International Classification of Functioning,
Disability, and Health
Health condition-activity-participation-body function- environmental factors- personal factors
, What finding is most consistent when the pt. has a diagnosis of chronic bronchitis? -
CORRECT ANSWER- ✔✔history of smoking
Senile osteoporosis - CORRECT ANSWER- ✔✔typically occurs with pts. over the age of 70,
bone formation changes occur due to increasing age. Increase of fractures.
postmenopasual osteoporosis - CORRECT ANSWER- ✔✔women who develop osteoporosis
around the age of 50-60 as a result of decreased estrogen levels. This develops changes in
bone remodeling.
Secondary osteoporosis - CORRECT ANSWER- ✔✔osteoporosis that develops as result of a
primary disease process that results in bone loss or prolonged effects of drug therapy
A pt. diagnosed with Guillian Bare syndrome 10 days ago comes in for therapy. What is the
most appropriate exercise protocol for this time? - CORRECT ANSWER- ✔✔AROM and
gravity-minimized exercises
What is the normal pH of blood? - CORRECT ANSWER- ✔✔between 7.25 and 7.45
Acidosis - CORRECT ANSWER- ✔✔blood pH below 7.35
Alkalosis - CORRECT ANSWER- ✔✔pH above 7.45, buildup of organic acids
Metabolic acidosis - CORRECT ANSWER- ✔✔pH < 7.35
HCO3 < 22
metabloic alkalosis - CORRECT ANSWER- ✔✔pH > 7.45
HCO3 > 26
Respiratory acidosis - CORRECT ANSWER- ✔✔pH less than 7.35
