ONLYSTUDENTS STORE
NPTE PRACTICE EXAM 1 QUESTIONS
CORRECT 2025
A physical therapist examines a three-year-old patient
diagnosed with a genetic condition which affects collagen
synthesis. The patient bruises easily and has a lifelong history
of pathological fractures. What is the patient's MOST likely
diagnosis?
1.Osteomalacia
2.Osteopetrosis
3.Pediatric osteoporosis
4.Osteogenesis imperfecta - ANSWER-4.Osteogenesis
imperfecta
Pathological fractures associated with milder presentations of
osteogenesis imperfecta (OI) may raise suspicions of child
abuse before a formal diagnosis is made. More severe forms of
OI are typically diagnosed early in the child's life with fractures
sustained either in utero or during birth.
ONLYSTUDENTS STORE 1
,ONLYSTUDENTS STORE
Milder presentations of OI (types I and IV) are inherited as
autosomal dominant traits while more severe forms (types II
and III) are inherited as autosomal recessive traits. The
condition is characterized by bone fragility that is linked to an
abnormality in the synthesis of type I collagen.
A patient diagnosed with rheumatoid arthritis is referred to
physical therapy. The physical therapist observes bilateral
thumb deformities characterized by metacarpophalangeal joint
flexion with interphalangeal hyperextension. Which deformity is
MOST consistent with the described presentation?
1.Boutonniere
2.Swan neck
3.Mallet finger
4.Dupuytren - ANSWER-Boutonniere
boutonniere deformity may occur in the fingers or thumb as a
result of trauma or progressive arthritic changes. In patients
diagnosed with rheumatoid arthritis, boutonniere deformity is
the most commonly occurring thumb deformity.
ONLYSTUDENTS STORE 2
,ONLYSTUDENTS STORE
1.In the thumb, chronic synovitis eventually forces the
metacarpophalangeal (MCP) joint into a flexed position. The
associated palmar displacement causes tension on the
extensor mechanism of the interphalangeal (IP) joint resulting
in hyperextension. In the fingers, this deformity presents with
flexion in the proximal interphalangeal (PIP) joint and extension
of the distal interphalangeal (DIP) joint.
A physical therapist works with a patient recovering from
surgery on gait activities on a level surface. Which value
represents the MAXIMUM amount of knee flexion required to
complete the described activity?
1.0-90 degrees
2.0-60 degrees
3.0-30 degrees
4.0-20 degrees - ANSWER-2.0-60 degrees
The gait cycle is comprised of a stance phase and swing phase.
Each phase has anticipated motion that is expected throughout
the cycle for each joint. Stance phase accounts for 60 percent
ONLYSTUDENTS STORE 3
, ONLYSTUDENTS STORE
of the gait cycle and swing phase accounts for 40 percent.
Many functional activities (e.g., stair climbing) may require
more than 60 degrees of knee flexion.
A patient requires 0-60 degrees of knee flexion with gait on a
level surface. The greatest amount of knee flexion is required
from the initial swing to midswing.
A 28-year-old female with low back pain is referred to physical
therapy. The patient indicates that her pain started the previous
weekend after painting a ceiling and currently is localized on
the left side of her low back. The patient states the pain is
better when sitting in a "slouched" posture and is worse during
periods of prolonged standing. An examination reveals a
positive quadrant test and positive Kemp's test on the left.
Based on the presented information, which structures are
MOST likely involved?
1.Right thoracic facets
2.Left thoracic facets
3.Left lumbar facets
ONLYSTUDENTS STORE 4
NPTE PRACTICE EXAM 1 QUESTIONS
CORRECT 2025
A physical therapist examines a three-year-old patient
diagnosed with a genetic condition which affects collagen
synthesis. The patient bruises easily and has a lifelong history
of pathological fractures. What is the patient's MOST likely
diagnosis?
1.Osteomalacia
2.Osteopetrosis
3.Pediatric osteoporosis
4.Osteogenesis imperfecta - ANSWER-4.Osteogenesis
imperfecta
Pathological fractures associated with milder presentations of
osteogenesis imperfecta (OI) may raise suspicions of child
abuse before a formal diagnosis is made. More severe forms of
OI are typically diagnosed early in the child's life with fractures
sustained either in utero or during birth.
ONLYSTUDENTS STORE 1
,ONLYSTUDENTS STORE
Milder presentations of OI (types I and IV) are inherited as
autosomal dominant traits while more severe forms (types II
and III) are inherited as autosomal recessive traits. The
condition is characterized by bone fragility that is linked to an
abnormality in the synthesis of type I collagen.
A patient diagnosed with rheumatoid arthritis is referred to
physical therapy. The physical therapist observes bilateral
thumb deformities characterized by metacarpophalangeal joint
flexion with interphalangeal hyperextension. Which deformity is
MOST consistent with the described presentation?
1.Boutonniere
2.Swan neck
3.Mallet finger
4.Dupuytren - ANSWER-Boutonniere
boutonniere deformity may occur in the fingers or thumb as a
result of trauma or progressive arthritic changes. In patients
diagnosed with rheumatoid arthritis, boutonniere deformity is
the most commonly occurring thumb deformity.
ONLYSTUDENTS STORE 2
,ONLYSTUDENTS STORE
1.In the thumb, chronic synovitis eventually forces the
metacarpophalangeal (MCP) joint into a flexed position. The
associated palmar displacement causes tension on the
extensor mechanism of the interphalangeal (IP) joint resulting
in hyperextension. In the fingers, this deformity presents with
flexion in the proximal interphalangeal (PIP) joint and extension
of the distal interphalangeal (DIP) joint.
A physical therapist works with a patient recovering from
surgery on gait activities on a level surface. Which value
represents the MAXIMUM amount of knee flexion required to
complete the described activity?
1.0-90 degrees
2.0-60 degrees
3.0-30 degrees
4.0-20 degrees - ANSWER-2.0-60 degrees
The gait cycle is comprised of a stance phase and swing phase.
Each phase has anticipated motion that is expected throughout
the cycle for each joint. Stance phase accounts for 60 percent
ONLYSTUDENTS STORE 3
, ONLYSTUDENTS STORE
of the gait cycle and swing phase accounts for 40 percent.
Many functional activities (e.g., stair climbing) may require
more than 60 degrees of knee flexion.
A patient requires 0-60 degrees of knee flexion with gait on a
level surface. The greatest amount of knee flexion is required
from the initial swing to midswing.
A 28-year-old female with low back pain is referred to physical
therapy. The patient indicates that her pain started the previous
weekend after painting a ceiling and currently is localized on
the left side of her low back. The patient states the pain is
better when sitting in a "slouched" posture and is worse during
periods of prolonged standing. An examination reveals a
positive quadrant test and positive Kemp's test on the left.
Based on the presented information, which structures are
MOST likely involved?
1.Right thoracic facets
2.Left thoracic facets
3.Left lumbar facets
ONLYSTUDENTS STORE 4
