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NPTE Retired Exam with Complete Solutions Verified 100%
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NPTE Retired Exam with CompleteSolutions Verified 100%
1 - ANSWER-A patient has difficulty elevating an upper extremity in the frontal plane.
The patient MOST likely has weakness of which of the following muscles?
1. Deltoid
2. Subscapularis
3. Pectoralis major
4. Latissimus dorsi
1 - ANSWER-A patient has gastroesophageal reflux disease. Which of the following
precautions should be observed for an exercise program that must be performed in a
supine position?
1. Avoid exercise just after eating.
2. Eat a high-calorie meal just prior to exercise.
3. Observe for signs of dehydration.
4. Observe for signs of abdominal pain.
1 - ANSWER-A patient is recovering from a stretch injury to the upper trunk of the
brachial plexus. Which of the following exercises would be MOSTappropriate for the
patient to perform to regain strength?
1. Biceps curls using a free weight
2. Shoulder shrugs using resistance bands
3. Shoulder abduction using an overhead pulley
4. Finger extension using rubber bands for resistance
1 - ANSWER-A patient sustained a displaced fracture to the right lateral epicondyle
resulting in wrist drop. A physical therapist assistant should suspect injury to which
structure?
1. Radial nerve
2. Ulnar nerve
3. Median nerve
4. Brachial plexus
1 - ANSWER-A patient who had a transfemoral amputation is walking with the
prosthetic leg abducted. The patient has normal range of motion, and the residual limb
fits correctly in the socket. What is the MOSTappropriate intervention?
1. Check the length of the prosthesis.
2. Have the patient use an assistive device for walking.
3. Manually muscle test the patient's hip abductors.
4. Check the patient's skin integrity.
1 - ANSWER-A patient who has a history of myelomeningocele has no response to
sensation testing below the umbilicus. The level of lesion is MOST likely:
,1. T10-T11.
2. L1-L2.
3. L3-L4.
4. L5-S1.
1 - ANSWER-A patient who is being treated for osteomyelitis reports a new rash on the
chest and abdomen. Which of the following medications is MOSTlikely responsible for
the adverse reaction?
1. Antibiotic
2. Beta-blocker
3. Angiotensin-converting enzyme (ACE) inhibitor
1 - ANSWER-A patient with complete C7 tetraplegia has spasticity of the lower
extremities. A physical therapist assistant is teaching the patient to transfer from bed to
wheelchair using a sliding board. Which of the following positions is MOST appropriate
for the assistant to use to guard and protect the patient?
1. Slightly in front and to one side of the patient
2. Slightly behind and to one side of the patient
3. Behind the patient with one hand on the patient's anterior shoulder
4. To the side of the patient with one hand on the back side of the gait belt
1 - ANSWER-A patient's rating of perceived exertion on the Borg scale is 11/20. Which
of the following terms best describes the subjective exercise intensity?
1. Light
2. Hard
3. Extremely light
4. Extremely hard
1 - ANSWER-A physical therapist assistant is instructed to administer ultrasound for
joint capsular tightness in a patient's hip. Which of the following settings is MOST
appropriate?
1. Continuous ultrasound at a frequency of 1 MHz
2. Continuous ultrasound at a frequency of 3 MHz
3. Pulsed ultrasound at a frequency of 1 MHz
4. Pulsed ultrasound at a frequency of 3 MHz
1 - ANSWER-A physical therapist assistant is performing gait training with a patient who
has Brown-Séquard syndrome. The assistant notes that the patient's standing balance
worsens when the eyes are closed. Which of the following phenomena is MOSTlikely
responsible for this limitation?
1. Proprioception deficit due to unilateral damage of the dorsal column
2. Proprioception deficit due to bilateral damage of the lateral columns
3. Balance deficit due to diffuse cerebellar damage
4. Balance deficit due to loss of pressure sensation in bilateral lower extremities
,1 - ANSWER-A physical therapist assistant is performing pulmonary hygiene on a
patient with cystic fibrosis using the vibration technique. This technique should be
performed:
1. during expiration.
2. with a lumbrical grip.
3. during inspiration.
4. with cupped hands.
1 - ANSWER-A physical therapist assistant is treating a patient who reports severe pain
in the posterior lower leg muscles while exercising. The pain subsides after a few
minutes of rest but returns quickly when the patient begins to exercise again. The
patient MOST likely has which of the following conditions?
1. Intermittent claudication
2. Sciatica
3. Venous insufficiency
4. Deep vein thrombosis
1 - ANSWER-A physical therapist assistant moves a patient's left upper extremity into
different positions and asks the patient to demonstrate the same position with the right
upper extremity with the eyes closed. The assistant is assessing the patient's:
1. proprioception.
2. graphesthesia.
3. cortical reflexes.
4. coordination.
1 - ANSWER-A physician discontinues the use of supplemental oxygen just prior to a
patient's physical therapy treatment. Which of the following tools would provide the
BEST indication of the patient's tolerance to exercise at this time?
1. Pulse oximeter
2. Incentive spirometer
3. Sphygmomanometer
4. Electronic heart rate monitor
1 - ANSWER-A postsurgical patient is referred for strengthening exercises for hip
extension combined with passive range of motion exercises for hip flexion for the same
limb in the pool. How should the physical therapist assistant instruct the patient to
exercise in the water?
1. Stand on the uninvolved leg. Allow the involved-side knee to float up toward the
surface. Push the foot back down to the bottom of the pool.
2. Stand on the involved leg. Bend the uninvolved hip and knee to perform a mini-squat.
Relax and float back up into standing.
3. Stand on the uninvolved leg. Allow the involved leg to float to the side toward the
surface. Push the foot back down to the bottom of the pool.
4. Stand on the involved leg. Allow the uninvolved knee to float up toward the surface.
Push the foot down to the bottom of the pool.
, 1 - ANSWER-Coffee-ground emesis is MOST typically indicative of which of the
following conditions?
1. Erosive gastritis
2. Gastroesophageal reflux disease
3. Sliding hiatal hernia
4. Pernicious anemia
1 - ANSWER-During cardiac rehabilitation exercises, which of the following events
indicates a need to stop the patient's exercise?
1. Blood pressure increases from 160/95 mm Hg to 195/115 mm Hg.
2. The patient's rating of perceived exertion on the Borg scale is "somewhat hard"
(13/20).
3. The patient is breathing at a rate of 16-18 breaths/minute.
4. Pulse rate increases from 85 bpm to 110 bpm.
1 - ANSWER-During resisted strength testing for shoulder abduction, a patient reports
severe pain and the patient's arm drops. Which of the following conditions is
MOSTconsistent with this presentation?
1. Acute inflammation of the supraspinatus tendon
2. Complete rupture of the infraspinatus muscle
3. Palsy of the axillary nerve
4. Partial tear of the proximal biceps tendon
1 - ANSWER-Fluid depletion and electrolyte imbalance are adverse effects of which of
the following classes of antihypertensive drugs?
1. Diuretics
2. Sympatholytics
3. Vasodilators
4. Calcium channel blockers
1 - ANSWER-For a patient who has had a total hip arthroplasty, strengthening which of
the following muscle groups will MOSTimprove stability when walking?
1. Hip abductors
2. Hip medial (internal) rotators
3. Hip lateral (external) rotators
4. Hip adductors
1 - ANSWER-For a patient with flaccidity, which of the following techniques would BEST
increase tone?
1. Quick stretch
2. Neutral warmth
3. Rhythmic rotation
4. Prolonged stretch
1 - ANSWER-If a patient is able to resist moderate pressure against elbow flexion
during seated muscle testing, the elbow flexor strength should be documented as:
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