1
PEAT- RETIRED NPTE Form - PT Study
Guide Questions with 100% Correct Answers
Latest Version A+
A 6-year-old patient with juvenile rheumatoid arthritis
involving the cervical spine, bilateral hips, knees, and ankles
is referred to the physical therapy department. The patient
has developed contractures of all involved joints and
continues to complain of morning stiffness. A gait deviation
that the physical therapist is likely to observe is:
1. increased cadence.
2. increased plantar flexion range at toe-off (preswing).
3. decreased hip extension at terminal stance.
4. decreased anterior pelvic tilt throughout the gait cycle.
A3
1. Children with juvenile rheumatoid arthritis ambulate with a
decreased cadence.
2. Children with juvenile rheumatoid arthritis ambulate with
decreased plantar flexion at toe off (preswing) and terminal
stance.
3. Children with juvenile rheumatoid arthritis ambulate with
decreased hip extension at terminal stance and toe off (preswing).
4. Children with juvenile rheumatoid arthritis ambulate with
increased anterior pelvic tilt throughout the gait cycle.
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.
A4
1. Hematocrit is the proportion of the blood that is composed of
,2
red blood cells. A low hematocrit is indicative of anemia, but a
hematocrit value of 42% is considered normal for an adult female.
(p. 268)
2. Inflammation would increase neutrophils and would not
influence hematocrit (p. 360).
3. Infection would most influence white blood cell count (p. 360).
4. A hematocrit value of 42% is within normal range for adult
females (normal range: 36% to 47%) (p. 268).
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.
A4
1. A whirlpool will increase the intensity of ultrasound by reflecting
waves. Optimally ultrasound wave reflection should be reduced,
not increased.
2. A metal basin will increase the intensity of ultrasound by
reflecting waves, which is incorrect.
3. The immersion technique requires holding the ultrasound head
away from skin. Holding the transducer directly on the skin is
incorrect.
4. This option has the correct basin (with reduced reflection) and
application (parallel to and the correct distance from the body
surface).
A physical therapist is treating a patient who had a traumatic
brain injury 3 weeks ago. The patient is confused and
,3
agitated. Physical therapy evaluation found decreased lower
extremity coordination and strength. Which of the following
would be the MOST appropriate intervention?
1. Participating in biofeedback training for lower extremity
muscles with supervision
2. Walking in parallel bars with supervision
3. Participating in an aerobics group exercise class for 30
minutes
4. Performing lower extremity exercises while following a
written handout
A2
1. With impaired attention, the patient would have difficulty
participating in biofeedback training (p. 868).
2. Walking in parallel bars permits the patient to use the bars if
balance is lost (p. 448). The closed environment is appropriate
secondary to the heightened state of activity of the patient (p.
868).
3. In the confused-agitated state, the patient's behavior is bizarre
and not purposeful. Group exercise classes would not be
appropriate. Gross attention to the environment is very brief. (p.
868)
4. With impaired attention, the patient would have difficulty
focusing on the written instructions long enough to complete the
task (p. 868).
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.
, 4
A4
1. The muscles that are active during this movement are supplied
by the median nerve, and impingement occurs in the carpal
tunnel, not at the hamate (p. 378).
2. Doing this exercise would not isolate muscles supplied by the
ulnar nerve, as only the 4th and 5th digits would be involved. This
exercise would be appropriate if the ulnar nerve was entrapped at
the level of the cubital tunnel and not in the tunnel of Guyon (at
the level of the hamate). (p. 379)
3. This exercise would strengthen muscles supplied by the
median nerve at the wrist. Deficits here would be loss of thumb
(1st digit) abduction and opposition. (p. 378)
4. This movement isolates the lumbricals and interossei, which
are innervated by the ulnar nerve and are affected when
entrapment occurs at the tunnel of Guyon (at the level of the
hamate) (p. 379).
A 14-year-old baseball player reports shoulder pain of
insidious onset. The patient displays apprehension when the
shoulder is passively positioned in abduction and full
external (lateral) rotation. Which of the following pathologies
is MOST likely present in this individual?
1. Adhesive capsulitis
2. Atraumatic instability
3. Acromioclavicular separation
4. Superior labral tear
A2
1. The patient is too young for insidious onset of adhesive
capsulitis, and full lateral (external) rotation can be achieved in
this patient. With adhesive capsulitis, impaired range of motion
would be expected. (Dutton, pp. 665-666)
2. Symptoms occur with excessive abduction and lateral
(external) rotation of the shoulder. Anterior instability should be
considered. (Dutton, p. 670)
3. Although the closed packed position for the acromioclavicular
joint is at 90° of abduction, apprehension with lateral (external)
PEAT- RETIRED NPTE Form - PT Study
Guide Questions with 100% Correct Answers
Latest Version A+
A 6-year-old patient with juvenile rheumatoid arthritis
involving the cervical spine, bilateral hips, knees, and ankles
is referred to the physical therapy department. The patient
has developed contractures of all involved joints and
continues to complain of morning stiffness. A gait deviation
that the physical therapist is likely to observe is:
1. increased cadence.
2. increased plantar flexion range at toe-off (preswing).
3. decreased hip extension at terminal stance.
4. decreased anterior pelvic tilt throughout the gait cycle.
A3
1. Children with juvenile rheumatoid arthritis ambulate with a
decreased cadence.
2. Children with juvenile rheumatoid arthritis ambulate with
decreased plantar flexion at toe off (preswing) and terminal
stance.
3. Children with juvenile rheumatoid arthritis ambulate with
decreased hip extension at terminal stance and toe off (preswing).
4. Children with juvenile rheumatoid arthritis ambulate with
increased anterior pelvic tilt throughout the gait cycle.
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.
A4
1. Hematocrit is the proportion of the blood that is composed of
,2
red blood cells. A low hematocrit is indicative of anemia, but a
hematocrit value of 42% is considered normal for an adult female.
(p. 268)
2. Inflammation would increase neutrophils and would not
influence hematocrit (p. 360).
3. Infection would most influence white blood cell count (p. 360).
4. A hematocrit value of 42% is within normal range for adult
females (normal range: 36% to 47%) (p. 268).
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.
A4
1. A whirlpool will increase the intensity of ultrasound by reflecting
waves. Optimally ultrasound wave reflection should be reduced,
not increased.
2. A metal basin will increase the intensity of ultrasound by
reflecting waves, which is incorrect.
3. The immersion technique requires holding the ultrasound head
away from skin. Holding the transducer directly on the skin is
incorrect.
4. This option has the correct basin (with reduced reflection) and
application (parallel to and the correct distance from the body
surface).
A physical therapist is treating a patient who had a traumatic
brain injury 3 weeks ago. The patient is confused and
,3
agitated. Physical therapy evaluation found decreased lower
extremity coordination and strength. Which of the following
would be the MOST appropriate intervention?
1. Participating in biofeedback training for lower extremity
muscles with supervision
2. Walking in parallel bars with supervision
3. Participating in an aerobics group exercise class for 30
minutes
4. Performing lower extremity exercises while following a
written handout
A2
1. With impaired attention, the patient would have difficulty
participating in biofeedback training (p. 868).
2. Walking in parallel bars permits the patient to use the bars if
balance is lost (p. 448). The closed environment is appropriate
secondary to the heightened state of activity of the patient (p.
868).
3. In the confused-agitated state, the patient's behavior is bizarre
and not purposeful. Group exercise classes would not be
appropriate. Gross attention to the environment is very brief. (p.
868)
4. With impaired attention, the patient would have difficulty
focusing on the written instructions long enough to complete the
task (p. 868).
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.
, 4
A4
1. The muscles that are active during this movement are supplied
by the median nerve, and impingement occurs in the carpal
tunnel, not at the hamate (p. 378).
2. Doing this exercise would not isolate muscles supplied by the
ulnar nerve, as only the 4th and 5th digits would be involved. This
exercise would be appropriate if the ulnar nerve was entrapped at
the level of the cubital tunnel and not in the tunnel of Guyon (at
the level of the hamate). (p. 379)
3. This exercise would strengthen muscles supplied by the
median nerve at the wrist. Deficits here would be loss of thumb
(1st digit) abduction and opposition. (p. 378)
4. This movement isolates the lumbricals and interossei, which
are innervated by the ulnar nerve and are affected when
entrapment occurs at the tunnel of Guyon (at the level of the
hamate) (p. 379).
A 14-year-old baseball player reports shoulder pain of
insidious onset. The patient displays apprehension when the
shoulder is passively positioned in abduction and full
external (lateral) rotation. Which of the following pathologies
is MOST likely present in this individual?
1. Adhesive capsulitis
2. Atraumatic instability
3. Acromioclavicular separation
4. Superior labral tear
A2
1. The patient is too young for insidious onset of adhesive
capsulitis, and full lateral (external) rotation can be achieved in
this patient. With adhesive capsulitis, impaired range of motion
would be expected. (Dutton, pp. 665-666)
2. Symptoms occur with excessive abduction and lateral
(external) rotation of the shoulder. Anterior instability should be
considered. (Dutton, p. 670)
3. Although the closed packed position for the acromioclavicular
joint is at 90° of abduction, apprehension with lateral (external)
