NPTE Practice Questions with correct answers

A PT examines a patient complaining of tingling into the 4th and 5th digits with muscle wasting over the hypothenar eminence. The PT suspects ulnar neuropathy and decides to examine the integrity of the nerve. Which of the following testing procedure would be the BEST? A. Have the patient flex both wrists while holding them for one minute. B. Have the patient make a fist around the thumb and perform ulnar deviation C. Have the patient grasp a piece of paper between their first and second fingers while the examiner pulls the paper and monitors for first finger D. Have the patient perform extension of the 3rd digit of the hand against the examiner resistance - Answer C The test describes Froment's Sign. The ulnar nerve supplies the adductor pollicis muscle. (-) test would be the patient maintaining hold of the paper. (+) test would be the patient flexing the thumb due to weakness of Ulnar Nerve and recruitment of Median Nerve. A low back pain patient's Oswestry Disability Questionnaire score was 18 points. 4 weeks later, the score is 50 points. Which of the following is the BEST option for the physical therapist? A. Continue physical therapy until the patient returns to a score B. Discharge the patient as there is an improvement C. Document the improvement and start HEP D. Ask the patient to have a physician consult - Answer D