NPTE Practice Exam Review 149 Questions with Verified
Answers
A PTA reads in the medical record that a physician ordered a maximal exercise
test for a patient. What is the primary rationale for utilizing a maximal test instead
of a submaximal exercise test? - CORRECT ANSWER Determine maximum oxygen
consumption.
A PTA completes a work site analysis for a pt with T3 paraplegia. The pt is
employed in the marketing department of an advertising agency and relies on a
wheelchair for daily locomotion. Which of the following is likely to be the most
significant architectural barrier for the pt? - CORRECT ANSWER A entrance ramp
with one inch of vertical rise for every six inches of ramp length.
A PTA treating a pt on hemodialysis attempts to measure the intensity of an
exercise activity. What is the most appropriate method to utilize? - CORRECT
ANSWER Rating of perceived exertion
A PTA attempts to identify an appropriate wheelchair for a 34-year-old pt with
bilateral lower extremity amputations. What should be the most important
features of a wheelchair designed for the pt? - CORRECT ANSWER The drive
wheels are set behind the vertical back supports.
A PTA interviews a pt diagnosed with osteoarthritis. Which statement would be
the most consistent with the typical clinical presentation of this disease. -
CORRECT ANSWER Morning stiffness lasts for less than one hour.
A PTA prepares to use mechanical cervical traction on a 170-pound male with
degenerative disk disease of the cervical spine. Assuming the pt has not received
traction previously, what is the most appropriate amount of traction force if the
therapist's goal is to decrease compression on the nerve roots through joint
distraction. - CORRECT ANSWER 8 pounds
,A PTA has a pt perform active shoulder flexion in supine without any weights.
Which patient would least benefit from this intervention. - CORRECT ANSWER A
pt that is two weeks post rotator cuff repair.
A PTA elects to use cushion contact instead of traditional direct contact when
administering ultrasound. Which medical condition would provide the most
support for utilizing this method of ultrasound administration. - CORRECT
ANSWER Peroneal tenosynovitis
A PTA reviews the record of a pt with an arthritic condition. Which piece of
information would be most useful to definitively diagnose rheumatoid arthritis. -
CORRECT ANSWER Blood tests
A PTA employed in an outpatient private practice works with a pt diagnosed with
spondylolithesis. Which of the following scenarios would be most consistent with
the medical diagnoses. - CORRECT ANSWER a 13-year-old gymnast with no
significant medical history.
A PTA discusses the care of a 56-year-old pt with a metabolic bone disorder with
the pt's physician. The physician shows the PTA the pt's X-ray, in which the
affected bones are larger than normal, yet less dense. Which medical condition is
most likely represented on the X-ray? - CORRECT ANSWER Pagets disease
A PTA reviews a medical record of a 77-year-old pt that was prescribed NSAIDS for
pain following arthroscopic surgery. Due to toxicity concerns, which analgesic
characteristic would be most desirable? - CORRECT ANSWER A short half-life
A PTA treats a pt who has been on bed rest for two weeks and is demonstrating
signs of orthostatic hypotension. Which of the following interventions would the
therapists be least likely to use? - CORRECT ANSWER Standing frame
A seven-month-old infant is able to initiate rolling from supine to prone when
playing on a level floor surface. Which scenario would most likely be associated
with this developmental milestone? - CORRECT ANSWER integration of the tonic
labyrinthine reflex
,A patient diagnosed with multiple sclerosis works on transfer training in an
inpatient rehab setting. The pt presents with ataxia, postural and intention
tremors, hypotonia and truncal weakness. Based on these symptoms, where are
the demyelinating lesions most likely located? - CORRECT ANSWER Cerebellar
tracts
A PTA in an acute care hospital notices that a patient with know cardiovascular
disease exhibits unilateral ankle edema. Which medical condition is most
consistent with this scenario. - CORRECT ANSWER Venous thrombosis
A PTA attempts to facilitate UE reaching in an eight-month-old infant positioned
in supine. The infant presents with a persistent w TLR. Which of the following
positions would be the most likely to eliminate the influence of this reflex while
achieving the therapists objective? - CORRECT ANSWER Supine with the upper
trunk on a wedge and legs over a bolster.
A PTA adjusts the on:off time on an electrical stimulation unit prior to beginning
treatment. When using the unit for muscle re-education what is the most
appropriate on:off ratio? - CORRECT ANSWER 1:5
A PTA treats a pt with suprspinatus tendonitis using iontophoresis with acetic
acid. What is the use of this intervention most likely intended to do? - CORRECT
ANSWER Soften calcium deposits
A PTA performs electrical stimulation as part of the POC rehabing from lower
extremity injury. Which of the following recommendations would be least
effective to minimize electrode resistance? - CORRECT ANSWER Use small
electrodes
A pt diagnosed with patellofemoral syndrome reports significant pain in the
involved knee when descending stairs. Which scenario is most likely responsible
for the pt's subjective reports of knee pain. - CORRECT ANSWER Eccentric activity
of the quads muscle group.
A PTA is scheduled to administer a whirlpool treatment on a pt that is HIV
positive. The PTA is concerned about the ability to complete the treatment since
she sustained a small paper cut on her finger approximately three hours ago,
, what is the most appropriate action? - CORRECT ANSWER Treat the pt using
appropriate medical asepsis.
A PTA elects to use PNF techniques to help improve a pt's coordination with
movement. Which of the following statements is most consistent with the PNF
treatment approach. - CORRECT ANSWER Rotation is an important component of
the movement patterns.
A pt in an acute care hospital makes a sexually charged statement during the
treatment session the PTA finds offensive, you ask to stop, the pt does not, what
is the most appropriate action? - CORRECT ANSWER Explain to the pt you are
serious and want the behavior to stop.
A PTA works with a pt who has a history of arterial insufficiency in the bilateral
lower extremities. Last year the pt sustained a severe injury to the right LE and
shows signs of chronic venous inssuficiency. What is the most appropriate
intervention to effectively and safely reduce the pt's edema in the right LE? -
CORRECT ANSWER Ankle pumps in supine
A PTA teaches a pt to utilize the Valsalva maneuver. Which medical condition
would most benefit from this type of instruction? - CORRECT ANSWER Flaccid
bladder
A PTA discusses positioning with a 42-year-old female pt rehabing from a
transfemoral amputation. Which position is the most appropriate the prevent
contracture? - CORRECT ANSWER Prone with pillows on the outside of the
affected leg.
A PTA enters the room of a pt diagnosed with tuberculosis, which precaution
would most likely be appropriate? - CORRECT ANSWER Airborne precautions and
a negative pressure room.
A PTA analyzes the gait of a child with spastic diplegia cerebral palsy in a school
setting. Which muscle group would most likely be shortened? - CORRECT ANSWER
Hip adductors
Answers
A PTA reads in the medical record that a physician ordered a maximal exercise
test for a patient. What is the primary rationale for utilizing a maximal test instead
of a submaximal exercise test? - CORRECT ANSWER Determine maximum oxygen
consumption.
A PTA completes a work site analysis for a pt with T3 paraplegia. The pt is
employed in the marketing department of an advertising agency and relies on a
wheelchair for daily locomotion. Which of the following is likely to be the most
significant architectural barrier for the pt? - CORRECT ANSWER A entrance ramp
with one inch of vertical rise for every six inches of ramp length.
A PTA treating a pt on hemodialysis attempts to measure the intensity of an
exercise activity. What is the most appropriate method to utilize? - CORRECT
ANSWER Rating of perceived exertion
A PTA attempts to identify an appropriate wheelchair for a 34-year-old pt with
bilateral lower extremity amputations. What should be the most important
features of a wheelchair designed for the pt? - CORRECT ANSWER The drive
wheels are set behind the vertical back supports.
A PTA interviews a pt diagnosed with osteoarthritis. Which statement would be
the most consistent with the typical clinical presentation of this disease. -
CORRECT ANSWER Morning stiffness lasts for less than one hour.
A PTA prepares to use mechanical cervical traction on a 170-pound male with
degenerative disk disease of the cervical spine. Assuming the pt has not received
traction previously, what is the most appropriate amount of traction force if the
therapist's goal is to decrease compression on the nerve roots through joint
distraction. - CORRECT ANSWER 8 pounds
,A PTA has a pt perform active shoulder flexion in supine without any weights.
Which patient would least benefit from this intervention. - CORRECT ANSWER A
pt that is two weeks post rotator cuff repair.
A PTA elects to use cushion contact instead of traditional direct contact when
administering ultrasound. Which medical condition would provide the most
support for utilizing this method of ultrasound administration. - CORRECT
ANSWER Peroneal tenosynovitis
A PTA reviews the record of a pt with an arthritic condition. Which piece of
information would be most useful to definitively diagnose rheumatoid arthritis. -
CORRECT ANSWER Blood tests
A PTA employed in an outpatient private practice works with a pt diagnosed with
spondylolithesis. Which of the following scenarios would be most consistent with
the medical diagnoses. - CORRECT ANSWER a 13-year-old gymnast with no
significant medical history.
A PTA discusses the care of a 56-year-old pt with a metabolic bone disorder with
the pt's physician. The physician shows the PTA the pt's X-ray, in which the
affected bones are larger than normal, yet less dense. Which medical condition is
most likely represented on the X-ray? - CORRECT ANSWER Pagets disease
A PTA reviews a medical record of a 77-year-old pt that was prescribed NSAIDS for
pain following arthroscopic surgery. Due to toxicity concerns, which analgesic
characteristic would be most desirable? - CORRECT ANSWER A short half-life
A PTA treats a pt who has been on bed rest for two weeks and is demonstrating
signs of orthostatic hypotension. Which of the following interventions would the
therapists be least likely to use? - CORRECT ANSWER Standing frame
A seven-month-old infant is able to initiate rolling from supine to prone when
playing on a level floor surface. Which scenario would most likely be associated
with this developmental milestone? - CORRECT ANSWER integration of the tonic
labyrinthine reflex
,A patient diagnosed with multiple sclerosis works on transfer training in an
inpatient rehab setting. The pt presents with ataxia, postural and intention
tremors, hypotonia and truncal weakness. Based on these symptoms, where are
the demyelinating lesions most likely located? - CORRECT ANSWER Cerebellar
tracts
A PTA in an acute care hospital notices that a patient with know cardiovascular
disease exhibits unilateral ankle edema. Which medical condition is most
consistent with this scenario. - CORRECT ANSWER Venous thrombosis
A PTA attempts to facilitate UE reaching in an eight-month-old infant positioned
in supine. The infant presents with a persistent w TLR. Which of the following
positions would be the most likely to eliminate the influence of this reflex while
achieving the therapists objective? - CORRECT ANSWER Supine with the upper
trunk on a wedge and legs over a bolster.
A PTA adjusts the on:off time on an electrical stimulation unit prior to beginning
treatment. When using the unit for muscle re-education what is the most
appropriate on:off ratio? - CORRECT ANSWER 1:5
A PTA treats a pt with suprspinatus tendonitis using iontophoresis with acetic
acid. What is the use of this intervention most likely intended to do? - CORRECT
ANSWER Soften calcium deposits
A PTA performs electrical stimulation as part of the POC rehabing from lower
extremity injury. Which of the following recommendations would be least
effective to minimize electrode resistance? - CORRECT ANSWER Use small
electrodes
A pt diagnosed with patellofemoral syndrome reports significant pain in the
involved knee when descending stairs. Which scenario is most likely responsible
for the pt's subjective reports of knee pain. - CORRECT ANSWER Eccentric activity
of the quads muscle group.
A PTA is scheduled to administer a whirlpool treatment on a pt that is HIV
positive. The PTA is concerned about the ability to complete the treatment since
she sustained a small paper cut on her finger approximately three hours ago,
, what is the most appropriate action? - CORRECT ANSWER Treat the pt using
appropriate medical asepsis.
A PTA elects to use PNF techniques to help improve a pt's coordination with
movement. Which of the following statements is most consistent with the PNF
treatment approach. - CORRECT ANSWER Rotation is an important component of
the movement patterns.
A pt in an acute care hospital makes a sexually charged statement during the
treatment session the PTA finds offensive, you ask to stop, the pt does not, what
is the most appropriate action? - CORRECT ANSWER Explain to the pt you are
serious and want the behavior to stop.
A PTA works with a pt who has a history of arterial insufficiency in the bilateral
lower extremities. Last year the pt sustained a severe injury to the right LE and
shows signs of chronic venous inssuficiency. What is the most appropriate
intervention to effectively and safely reduce the pt's edema in the right LE? -
CORRECT ANSWER Ankle pumps in supine
A PTA teaches a pt to utilize the Valsalva maneuver. Which medical condition
would most benefit from this type of instruction? - CORRECT ANSWER Flaccid
bladder
A PTA discusses positioning with a 42-year-old female pt rehabing from a
transfemoral amputation. Which position is the most appropriate the prevent
contracture? - CORRECT ANSWER Prone with pillows on the outside of the
affected leg.
A PTA enters the room of a pt diagnosed with tuberculosis, which precaution
would most likely be appropriate? - CORRECT ANSWER Airborne precautions and
a negative pressure room.
A PTA analyzes the gait of a child with spastic diplegia cerebral palsy in a school
setting. Which muscle group would most likely be shortened? - CORRECT ANSWER
Hip adductors
