NPTE Test Pool Questions and Answers
100% Solved
When examining a patient with a stroke, a physical therapist finds the patient's speech to be slow
and hesitant. The patient is limited to one- or two-word responses but appears to fully
comprehend sentences. Which of the following is the BEST description of the patient's ability to
communicate?
A. Global aphasia
B. Non-expressive aphasia
C. Wernicke's aphasia
D. Broca's aphasia Correct Ans-Feedback Correct Answer - D
Broca's aphasia (nonfluent) is caused due to lesion involving third frontal convolution of the left
hemisphere. The flow of speech is slow and hesitant, vocabulary is limited, and syntax is
impaired. Speech production is labored or lost completely whereas comprehension is good. In
Wernicke's aphasia speech flows smoothly with a variety of grammatical constructions but
auditory comprehension is impaired. Global aphasia is severe aphasia with marked dysfunction
across all language modalities and with severely limited residual use of all communication
modes for oral-aural interactions.
,An elderly gentleman was admitted to the hospital with a stroke 2 days ago. The physical
therapist has assessed the patient's functional strength, sensation, and bed mobility. With the
patient seated at the edge of bed, the therapist instructs the patient to touch his nose with his
index finger. The patient first flexes the elbow, and then adjusts the position of the wrist and
fingers. The patient then further flexes the elbow, and lastly flexes the shoulder to generate
contact between the index finger and the nose. What neurological impairment does the patient
MOST likely have?
A. Dysdiadochokinesia
B. Titubation
C. Dyssynergia
D. Rebound phenomenon Correct Ans-Feedback Correct Answer - C
Dyssynergia is a manifestation of cerebellar pathology where the movement is performed in a
sequence of component parts rather than as a single, smooth activity.
A physical therapist is treating a patient status post a cerebrovascular accident. The patient is
struggling to successfully clear his airway. Which of the following interventions should the
therapist use?
A. Coughing
,B. Incentive spirometer
C. Postural drainage
D. Huffing Feedback Correct Ans-Correct Answer - D
Huffing is a safe and effective technique for airway clearance. In huffing, abdominals are pulled
up and in, rather than pushed out, causing decreased pressure in the abdominal cavity. Incentive
spirometry is used to increase the inspiratory capacity.
A patient diagnosed with Ménière's disease presents with vertigo. Which sign and symptom is
LEAST consistent with the condition?
A. Hearing loss
B. Head tilt to one side
C. Vertigo lasting 30 minutes
D. Tinnitus Feedback Correct Ans-Feedback Correct Answer - B
Meniere's disease is a recurrent and usually progressive vestibular disease. It is associated with
low frequency hearing loss, episodic vertigo. The patient may also complain of a sense of
fullness and tinnitus. Head tilt to one side is not seen with Meniere's disease but seen with UVH.
, A 40-year-old male is a principal at a local high school, and was admitted to the hospital 1 week
ago. During this time he had multiple complications including septic shock, decreased kidney
function, and ultimately a great toe amputation to his right foot. The patient now presents with a
warm, red, and edematous right lower limb. The MOST likely diagnosis is?
A. Herpes zoster
B. Dermatitis
C. Cellulitis
D. Impetigo Correct Ans-Feedback Correct Answer - C
Cellulitis is a painful infection of the soft tissue that is characterized by expanding local
erythema, palpable lymph nodes, fever, and chills. Skin is hot, red and edematous. Most cases
are caused by cuts, abrasions, insect bites, and local burns. Impetigo is superficial skin infection
associated with inflammation, itching and small pus filled vesicles. Dermatitis is itching,
inflammation of the skin. Herpes Zoster is pain, tingling over the spinal or cranial nerve
dermatome and red papules, vesicle along its course.
A female patient comes to the clinic complaining of loss of urine during activities such as
sneezing, coughing, or laughing. Upon examination the physical therapist notices weakness in
core and pelvic floor musculature. What is the MOST likely condition associated with these
symptoms and findings?
100% Solved
When examining a patient with a stroke, a physical therapist finds the patient's speech to be slow
and hesitant. The patient is limited to one- or two-word responses but appears to fully
comprehend sentences. Which of the following is the BEST description of the patient's ability to
communicate?
A. Global aphasia
B. Non-expressive aphasia
C. Wernicke's aphasia
D. Broca's aphasia Correct Ans-Feedback Correct Answer - D
Broca's aphasia (nonfluent) is caused due to lesion involving third frontal convolution of the left
hemisphere. The flow of speech is slow and hesitant, vocabulary is limited, and syntax is
impaired. Speech production is labored or lost completely whereas comprehension is good. In
Wernicke's aphasia speech flows smoothly with a variety of grammatical constructions but
auditory comprehension is impaired. Global aphasia is severe aphasia with marked dysfunction
across all language modalities and with severely limited residual use of all communication
modes for oral-aural interactions.
,An elderly gentleman was admitted to the hospital with a stroke 2 days ago. The physical
therapist has assessed the patient's functional strength, sensation, and bed mobility. With the
patient seated at the edge of bed, the therapist instructs the patient to touch his nose with his
index finger. The patient first flexes the elbow, and then adjusts the position of the wrist and
fingers. The patient then further flexes the elbow, and lastly flexes the shoulder to generate
contact between the index finger and the nose. What neurological impairment does the patient
MOST likely have?
A. Dysdiadochokinesia
B. Titubation
C. Dyssynergia
D. Rebound phenomenon Correct Ans-Feedback Correct Answer - C
Dyssynergia is a manifestation of cerebellar pathology where the movement is performed in a
sequence of component parts rather than as a single, smooth activity.
A physical therapist is treating a patient status post a cerebrovascular accident. The patient is
struggling to successfully clear his airway. Which of the following interventions should the
therapist use?
A. Coughing
,B. Incentive spirometer
C. Postural drainage
D. Huffing Feedback Correct Ans-Correct Answer - D
Huffing is a safe and effective technique for airway clearance. In huffing, abdominals are pulled
up and in, rather than pushed out, causing decreased pressure in the abdominal cavity. Incentive
spirometry is used to increase the inspiratory capacity.
A patient diagnosed with Ménière's disease presents with vertigo. Which sign and symptom is
LEAST consistent with the condition?
A. Hearing loss
B. Head tilt to one side
C. Vertigo lasting 30 minutes
D. Tinnitus Feedback Correct Ans-Feedback Correct Answer - B
Meniere's disease is a recurrent and usually progressive vestibular disease. It is associated with
low frequency hearing loss, episodic vertigo. The patient may also complain of a sense of
fullness and tinnitus. Head tilt to one side is not seen with Meniere's disease but seen with UVH.
, A 40-year-old male is a principal at a local high school, and was admitted to the hospital 1 week
ago. During this time he had multiple complications including septic shock, decreased kidney
function, and ultimately a great toe amputation to his right foot. The patient now presents with a
warm, red, and edematous right lower limb. The MOST likely diagnosis is?
A. Herpes zoster
B. Dermatitis
C. Cellulitis
D. Impetigo Correct Ans-Feedback Correct Answer - C
Cellulitis is a painful infection of the soft tissue that is characterized by expanding local
erythema, palpable lymph nodes, fever, and chills. Skin is hot, red and edematous. Most cases
are caused by cuts, abrasions, insect bites, and local burns. Impetigo is superficial skin infection
associated with inflammation, itching and small pus filled vesicles. Dermatitis is itching,
inflammation of the skin. Herpes Zoster is pain, tingling over the spinal or cranial nerve
dermatome and red papules, vesicle along its course.
A female patient comes to the clinic complaining of loss of urine during activities such as
sneezing, coughing, or laughing. Upon examination the physical therapist notices weakness in
core and pelvic floor musculature. What is the MOST likely condition associated with these
symptoms and findings?
