NPTEFF Exam Questions All Answered

NPTEFF Exam Questions All Answered 3 main factors used in differential diagnosis of ulcers - Answer -location, appearance and symptoms A 35 year old patient reports a two month history of upper back pain and morning stiffness. He reports that he often wakes up in the middle of the night secondary to the pain and notes that the symptoms are relieved after moving around. The Physical Therapists notes limited chest expansion. Which of the following diagnosis should the Physical Therapist suspect? - Answer -ankylosing spondylitis ankylosing spondylitis diagnostic criteria: - Answer -stiffness 30 min improvement in back with exercise but not with rest waking up bc of back pain during second half of night only alternating buttock pain hallmark sign of ankylosing spondylitis - Answer -limited chest expansion incentive spirometer for ankylosing spondylitis? - Answer -ya will help encourage deep breathing and extended inspiration leading to an increase in vital capacity and chest wall mobility s&s for hyperthyroidism: ____ intolerance and _____BP - Answer -heat intolerance low blood pressure hallmark clinical feature of RA - Answer -morning stiffnesss in and around tehe joints that lasts for at least one hour RA is characterized by _____ synovial joint involvement - Answer -bilateral and symmetrical TMJ involved with RA? - Answer -less common but can be PD what motor learning - Answer -blocked and distributed A patient presents with pain in the neck, trapezius and shoulder region and reports no change in intensity of pain. The patient's X-ray shows mild increase in cervical lordosis with no other abnormalities. The patient does not have a fever or chills and he reports an increase in intensity with his pain while breathing in deeply during his yoga class as well as when coughing and laughing. Which of the following is the MOST LIKELY cause of his symptoms? - Answer -pleurisy The visceral pleura is insensitive; pain results from inflammation of the parietal pleura. Because the visceral pleura is innervated by the intercostal nerves, chest pain is usually felt over the site of the pleuritis, but pain may be referred to the lower chest wall, abdomen, neck, upper trapezius muscle, and shoulder secondary to irritation of the central diaphragmatic pleura. Reference: Differential diagnosis for physical therapist. Goodman. 5th ed. Page 311 - Answer - functional goals are always directed towards - Answer -improving functional capacity - if pt complains of inability to stand without discomfort, goals should be directed towards improving function contribute to latearl knee pain secondary to ITB tightness - Answer -cleats excessively internally rotated ITB pulled _____during downstroke of cycling and ____ during upstroke - Answer -anteriorly during downstroke posteriorly during upstroke extrinsic factors of ITB - Answer -excessive bike seat height dry hacking cough, fatigue, muscle weakness, shortness of breath, and weight loss due to loss of appetite - Answer -pulmonary fibrosis medial medullary syndrome - Answer -ipsilateral paralysis of the tongue due to involvement of CN 12 and contralatral paralysis of upper and lower extremities due to effect on corticospinal tract