Peat- Retired NPTE Form - PT (Academic
Version) Study Guide 2025/2026 Exam
Questions and Answers | A+ Score
Assured
A patient is 12 weeks post talus fracture and has a chief complaint of
catching her toe during gait since the removal of the boot cast. Evaluation
demonstrates limited ankle dorsiflexion, leg atrophy, and ankle weakness.
The physical therapy plan should FIRST emphasize:
1. mobilization of the talocrural joint.
2. stretching the tibialis anterior.
3. strengthening the gastrocnemius.
4. fitting for an ankle-foot orthosis (AFO). - 🧠 ANSWER ✔✔A1
,1. At 12 weeks post fracture the goals of the functional phase should be to
restore joint kinematics and attain full range of pain-free motion. Joint
mobilization should improve accessory motion, decrease guarding, and
lengthen the tissue around a joint. (pp. 1139, 1172-1174)
2. Stretching the tibialis anterior will not help the limited ankle dorsiflexion
but may improve plantar flexion. This should not be performed first. (pp.
1172-1174)
3. Before progressing to strengthening the gastrocnemius, emphasis
should be on strengthening the dorsiflexors to address the chief complaint
(pp. 1172-1174).
4. Catching of the toe, not foot drop, was the chief complaint. Use of an
ankle-foot orthosis may be premature, because the patient may improve
range of motion with mobilization and strengthening. (p. 1142)
A patient has an irregularly shaped wound at the left medial malleolus. The
skin around the wound is darkened. The underlying cause of this wound is
MOST likely:
1. lymphedema.
2. venous insufficiency.
,3. cellulitis.
4. osteomyelitis. - 🧠 ANSWER ✔✔A2
1. Lymphedema presents as swelling over the limb. The most common
integumentary complication is cellulitis, which does not present as a single
defined ulcer. (pp. 679, 700-701)
2. The classic presentation of a venous ulcer involves the medial leg and is
irregular in shape, with hyperpigmented periwound skin (p. 642).
3. Cellulitis is a painful infection of the soft tissue that is characterized by
expanding local erythema, palpable lymph nodes, fever, and chills. Most
cases are caused by cuts, abrasions, insect bites, and local burns. (pp.
339-340)
4. Osteomyelitis is an infection of the bone. Clinical characteristics include
pain, fever, edema, erythema, and tenderness but not a wound as
described in the stem (p. 1236).
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
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, 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. - 🧠 ANSWER
✔✔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:
Version) Study Guide 2025/2026 Exam
Questions and Answers | A+ Score
Assured
A patient is 12 weeks post talus fracture and has a chief complaint of
catching her toe during gait since the removal of the boot cast. Evaluation
demonstrates limited ankle dorsiflexion, leg atrophy, and ankle weakness.
The physical therapy plan should FIRST emphasize:
1. mobilization of the talocrural joint.
2. stretching the tibialis anterior.
3. strengthening the gastrocnemius.
4. fitting for an ankle-foot orthosis (AFO). - 🧠 ANSWER ✔✔A1
,1. At 12 weeks post fracture the goals of the functional phase should be to
restore joint kinematics and attain full range of pain-free motion. Joint
mobilization should improve accessory motion, decrease guarding, and
lengthen the tissue around a joint. (pp. 1139, 1172-1174)
2. Stretching the tibialis anterior will not help the limited ankle dorsiflexion
but may improve plantar flexion. This should not be performed first. (pp.
1172-1174)
3. Before progressing to strengthening the gastrocnemius, emphasis
should be on strengthening the dorsiflexors to address the chief complaint
(pp. 1172-1174).
4. Catching of the toe, not foot drop, was the chief complaint. Use of an
ankle-foot orthosis may be premature, because the patient may improve
range of motion with mobilization and strengthening. (p. 1142)
A patient has an irregularly shaped wound at the left medial malleolus. The
skin around the wound is darkened. The underlying cause of this wound is
MOST likely:
1. lymphedema.
2. venous insufficiency.
,3. cellulitis.
4. osteomyelitis. - 🧠 ANSWER ✔✔A2
1. Lymphedema presents as swelling over the limb. The most common
integumentary complication is cellulitis, which does not present as a single
defined ulcer. (pp. 679, 700-701)
2. The classic presentation of a venous ulcer involves the medial leg and is
irregular in shape, with hyperpigmented periwound skin (p. 642).
3. Cellulitis is a painful infection of the soft tissue that is characterized by
expanding local erythema, palpable lymph nodes, fever, and chills. Most
cases are caused by cuts, abrasions, insect bites, and local burns. (pp.
339-340)
4. Osteomyelitis is an infection of the bone. Clinical characteristics include
pain, fever, edema, erythema, and tenderness but not a wound as
described in the stem (p. 1236).
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
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, 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. - 🧠 ANSWER
✔✔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:
