NPTE: EXAM 2 QUESTIONS WITH
CORRECT ANSWERS
A patient diagnosed with myogenous temporomandibular pain is referred to physical
therapy by an oral surgeon. Which of the following conditions is MOST likely associated
with the patient's diagnosis?
1.Otitis
2.Bruxism
3.Epistaxis
4.Subluxation - Answer-Bruxism
Temporomandibular joint dysfunction (TMD) is typically characterized as either
myogenous (e.g., muscle spasm or trauma) or arthrogenous (e.g., degeneration,
chronic dislocations) depending on the underlying pathology.
Bruxism is a clinical term referring to an unconscious clenching or grinding of the teeth.
This action produces additional stress within the muscles of mastication which may
manifest as pain, fatigue, and spasm. Bruxism is a common condition associated with
myogenous TMD.
A patient with restrictive lung disease undergoes a pulmonary function test in which a
decrease in total lung capacity is confirmed. Which additional finding is MOST likely
associated with restrictive lung disease?
1.Normal FEV1 and decreased FVC volumes
2.Increased FEV1 and normal FVC volumes
3.Increased FEV1 and increased FVC volumes
4.Decreased FEV1 and normal FVC volumes - Answer-Normal FEV1 and decreased
FVC volumes
The ratio between FEV1 and FVC volumes is often calculated to assist in determining
the severity of a patient's lung condition. The ratio is commonly expressed as a
percentage ((FEV1 / FVC) * 100). A ratio calculated as 70% or greater is considered
normal with lower percentages typically indicative of obstructive conditions. The ratio
typically remains normal with restrictive conditions.
1.Restrictive lung conditions typically present with normal FEV1 and decreased FVC
volumes as a function of decreased total lung capacity (TLC).
A physical therapist reviews an imaging report obtained from a chest radiograph. When
observing the lung fields, which condition would typically result in the LEAST density?
1.Hemothorax
2.Pleural effusion
3.Pneumothorax
,4.Pneumonia - Answer-Pneumothorax
The standard chest radiograph is taken as a posteroanterior (PA) view and a left lateral
view with the patient in standing. The chest radiograph can be used to assess the
trachea, lungs, heart, mediastinum, and bones.
Pneumothorax refers to a collapsed lung caused by air leaking into the space between
the lungs and chest wall. The buildup of pressure caused by the air places pressure on
the lung causing it to collapse. The collapse results in a less dense empty space in the
chest cavity.
A physical therapist prepares to measure the amount of femoral anteversion present in
a patient referred to physical therapy. Which patient would the therapist expect to
exhibit the GREATEST amount of anteversion?
1.A 42-year-old female status post anterior cruciate ligament reconstruction surgery
2.A 32-year-old male with trochanteric bursitis
3.A 9-year-old female with patella femoral syndrome
4.A 23-year-old male with anterior compartment syndrome - Answer-A 9-year-old
female with patella femoral syndrome
Anteversion of the hip is measured by the angle made by the femoral neck with the
femoral condyles and is commonly assessed using Craig's test. At birth, the mean angle
is approximately 30 degrees. In adults, the mean angle is 8-15 degrees.
A 9-year-old female would have the greatest amount of anteversion. At this adolescent
age the bones are still growing, so the amount of anteversion would not yet have
reached adult values.
A physical therapist works with a patient diagnosed with an advanced obstructive
pulmonary disease. Which volume or capacity would be LEAST affected based on the
patient's diagnosis?
1.Functional residual capacity
2.Residual volume
3.Tidal volume
4.Total lung capacity - Answer-Obstructive pulmonary disease refers to a group of lung
diseases that block airflow due to narrowing of the bronchial tree. Examples of
obstructive pulmonary disease include asthma, chronic bronchitis, and emphysema.
Patients with obstructive pulmonary disease have an increased total lung capacity with
a significant increase in residual volume.
Tidal volume refers to the total volume inspired and expired with each breath during
quiet breathing. Tidal volume is minimally impacted with an obstructive pulmonary
disease and remains approximately 10% of total lung volume.
, A physical therapist reviews the results of pulmonary function testing obtained from a
patient with a restrictive lung disease. Which value would be LEAST affected based on
the patient's medical condition?
1.Residual volume (RV)
2.Total lung capacity (TLC)
3.Forced vital capacity (FVC)
4.Forced expiratory volume in one second/forced vital capacity (FEV1/FVC) - Answer-
Forced expiratory volume in one second/forced vital capacity (FEV1/FVC)
Restrictive lung disease refers to a classification of disorders caused by a pulmonary or
extrapulmonary restriction that produces impairment in lung expansion and an abnormal
reduction in pulmonary ventilation. Pathogenesis includes a decrease in lung and chest
wall compliance, a decrease in lung volumes, and an increase in the work of breathing.
Forced expiratory volume in one second (FEV1) refers to the maximum volume of air
exhaled in one second. The ratio between FEV1 and FVC volumes is often calculated to
assist in determining the severity of a patient's lung condition. The ratio is commonly
expressed as a percentage ((FEV1/FVC) * 100). The FEV1/FVC ratio remains relatively
unchanged in a restrictive lung disease since FEV1 is not affected to the same extent
as it is in obstructive lung disease. In obstructive lung disease, the FEV1/FVC ratio is
diminished since the FEV1 is significantly reduced while the FVC remains normal or
near normal.
A physical therapist evaluates a patient that exhibits balance deficits during gait. The
therapist elects to use a functional balance test to formally assess the patient's balance.
What would be the MOST appropriate assessment to utilize?
1.Dix-Hallpike Test
2.Timed Get Up and Go Test
3.Functional Reach Test
4.Tinetti Performance Oriented Mobility Assessment - Answer-Tinetti Performance
Oriented Mobility Assessment
The Tinetti Performance Oriented Mobility Assessment is a comprehensive assessment
tool that has high intertester reliability of 85% and excellent sensitivity of 93% for
patients that are at risk for fall.
The Tinetti Performance Oriented Mobility Assessment measures balance and gait
using an ordinal scale of 0-2. The test has a total possible score of 28. Patients scoring
less than 19 are considered to be at high risk for falling.
A physical therapist prepares to examine a patient recently admitted to the hospital after
sustaining burns over approximately 30 percent of their total body surface area. Which
systemic effect would be LEAST likely based on the patient's current status?
1.Release of histamine and bradykinin
2.Development of a hypometabolic state
3.Increase in capillary permeability
CORRECT ANSWERS
A patient diagnosed with myogenous temporomandibular pain is referred to physical
therapy by an oral surgeon. Which of the following conditions is MOST likely associated
with the patient's diagnosis?
1.Otitis
2.Bruxism
3.Epistaxis
4.Subluxation - Answer-Bruxism
Temporomandibular joint dysfunction (TMD) is typically characterized as either
myogenous (e.g., muscle spasm or trauma) or arthrogenous (e.g., degeneration,
chronic dislocations) depending on the underlying pathology.
Bruxism is a clinical term referring to an unconscious clenching or grinding of the teeth.
This action produces additional stress within the muscles of mastication which may
manifest as pain, fatigue, and spasm. Bruxism is a common condition associated with
myogenous TMD.
A patient with restrictive lung disease undergoes a pulmonary function test in which a
decrease in total lung capacity is confirmed. Which additional finding is MOST likely
associated with restrictive lung disease?
1.Normal FEV1 and decreased FVC volumes
2.Increased FEV1 and normal FVC volumes
3.Increased FEV1 and increased FVC volumes
4.Decreased FEV1 and normal FVC volumes - Answer-Normal FEV1 and decreased
FVC volumes
The ratio between FEV1 and FVC volumes is often calculated to assist in determining
the severity of a patient's lung condition. The ratio is commonly expressed as a
percentage ((FEV1 / FVC) * 100). A ratio calculated as 70% or greater is considered
normal with lower percentages typically indicative of obstructive conditions. The ratio
typically remains normal with restrictive conditions.
1.Restrictive lung conditions typically present with normal FEV1 and decreased FVC
volumes as a function of decreased total lung capacity (TLC).
A physical therapist reviews an imaging report obtained from a chest radiograph. When
observing the lung fields, which condition would typically result in the LEAST density?
1.Hemothorax
2.Pleural effusion
3.Pneumothorax
,4.Pneumonia - Answer-Pneumothorax
The standard chest radiograph is taken as a posteroanterior (PA) view and a left lateral
view with the patient in standing. The chest radiograph can be used to assess the
trachea, lungs, heart, mediastinum, and bones.
Pneumothorax refers to a collapsed lung caused by air leaking into the space between
the lungs and chest wall. The buildup of pressure caused by the air places pressure on
the lung causing it to collapse. The collapse results in a less dense empty space in the
chest cavity.
A physical therapist prepares to measure the amount of femoral anteversion present in
a patient referred to physical therapy. Which patient would the therapist expect to
exhibit the GREATEST amount of anteversion?
1.A 42-year-old female status post anterior cruciate ligament reconstruction surgery
2.A 32-year-old male with trochanteric bursitis
3.A 9-year-old female with patella femoral syndrome
4.A 23-year-old male with anterior compartment syndrome - Answer-A 9-year-old
female with patella femoral syndrome
Anteversion of the hip is measured by the angle made by the femoral neck with the
femoral condyles and is commonly assessed using Craig's test. At birth, the mean angle
is approximately 30 degrees. In adults, the mean angle is 8-15 degrees.
A 9-year-old female would have the greatest amount of anteversion. At this adolescent
age the bones are still growing, so the amount of anteversion would not yet have
reached adult values.
A physical therapist works with a patient diagnosed with an advanced obstructive
pulmonary disease. Which volume or capacity would be LEAST affected based on the
patient's diagnosis?
1.Functional residual capacity
2.Residual volume
3.Tidal volume
4.Total lung capacity - Answer-Obstructive pulmonary disease refers to a group of lung
diseases that block airflow due to narrowing of the bronchial tree. Examples of
obstructive pulmonary disease include asthma, chronic bronchitis, and emphysema.
Patients with obstructive pulmonary disease have an increased total lung capacity with
a significant increase in residual volume.
Tidal volume refers to the total volume inspired and expired with each breath during
quiet breathing. Tidal volume is minimally impacted with an obstructive pulmonary
disease and remains approximately 10% of total lung volume.
, A physical therapist reviews the results of pulmonary function testing obtained from a
patient with a restrictive lung disease. Which value would be LEAST affected based on
the patient's medical condition?
1.Residual volume (RV)
2.Total lung capacity (TLC)
3.Forced vital capacity (FVC)
4.Forced expiratory volume in one second/forced vital capacity (FEV1/FVC) - Answer-
Forced expiratory volume in one second/forced vital capacity (FEV1/FVC)
Restrictive lung disease refers to a classification of disorders caused by a pulmonary or
extrapulmonary restriction that produces impairment in lung expansion and an abnormal
reduction in pulmonary ventilation. Pathogenesis includes a decrease in lung and chest
wall compliance, a decrease in lung volumes, and an increase in the work of breathing.
Forced expiratory volume in one second (FEV1) refers to the maximum volume of air
exhaled in one second. The ratio between FEV1 and FVC volumes is often calculated to
assist in determining the severity of a patient's lung condition. The ratio is commonly
expressed as a percentage ((FEV1/FVC) * 100). The FEV1/FVC ratio remains relatively
unchanged in a restrictive lung disease since FEV1 is not affected to the same extent
as it is in obstructive lung disease. In obstructive lung disease, the FEV1/FVC ratio is
diminished since the FEV1 is significantly reduced while the FVC remains normal or
near normal.
A physical therapist evaluates a patient that exhibits balance deficits during gait. The
therapist elects to use a functional balance test to formally assess the patient's balance.
What would be the MOST appropriate assessment to utilize?
1.Dix-Hallpike Test
2.Timed Get Up and Go Test
3.Functional Reach Test
4.Tinetti Performance Oriented Mobility Assessment - Answer-Tinetti Performance
Oriented Mobility Assessment
The Tinetti Performance Oriented Mobility Assessment is a comprehensive assessment
tool that has high intertester reliability of 85% and excellent sensitivity of 93% for
patients that are at risk for fall.
The Tinetti Performance Oriented Mobility Assessment measures balance and gait
using an ordinal scale of 0-2. The test has a total possible score of 28. Patients scoring
less than 19 are considered to be at high risk for falling.
A physical therapist prepares to examine a patient recently admitted to the hospital after
sustaining burns over approximately 30 percent of their total body surface area. Which
systemic effect would be LEAST likely based on the patient's current status?
1.Release of histamine and bradykinin
2.Development of a hypometabolic state
3.Increase in capillary permeability
