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NPTE Practice REVIEW WITH 100% CORRECT ANSWERS.
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You are testing a patient's deep tendon reflexes during an evaluation for low back pain in outpatient physical therapy. Which of the following is MOST likely to be consistent with a false negative patellar reflex? A. 2+ reflex and the patient has a confirmed L4 nerve root syndrome B. 1+ reflex ...

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  • March 10, 2025
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  • 2024/2025
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NPTE Practice REVIEW
WITH 100% CORRECT
ANSWERS.
You are testing a patient's deep tendon reflexes during an evaluation for low back pain in outpatient
physical therapy. Which of the following is MOST likely to be consistent with a false negative patellar
reflex?



A. 2+ reflex and the patient has a confirmed L4 nerve root syndrome

B. 1+ reflex and the patient has a confirmed S1 nerve root syndrome

C. 3+ reflex and the patient has a confirmed L4 nerve root syndrome

D. 2+ reflex and the patient does not have L4 nerve root syndrome - correct answer✔️✔A
️ . 2+ reflex
and the patient has a confirmed L4 nerve root syndrome



2+ reflexes are considered normal according to the reflex grading system. A false negative indicates that
the test is normal but the patient has pathology. The correct answer states that the reflexes are normal
but the patient has a pathology that affects the L4 nerve root.



A PT examines a pt 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 procedures would be the best?



A. Have the pt flex both wrists while holding them for one minute

B. Have the pt make a fist around the thumb and perform ulnar deviation

C. Have the pt grasp a piece of paper between their first and second fingers while the examiner pulls the
paper and monitors the first finger

D. Have the pt perform extension of the 3rd digit of the hand against examiner resistance - correct
answer✔️✔C ️ . Have the pt grasp a piece of paper between their first and second fingers while the
examiner pulls the paper and monitors the first finger

,This is a test for the Froment's sign which checks the ulnar nerve. If the pt flexes their thumb when
resisting the pull they may have a problem with the ulnar nerve.



A 48-year-old male patient reports of SOB and swelling in LE's. During the baseline examination, the PT
examines patient's heart sounds before starting an exercise program. Which valve is being auscultated
at #5 in the picture?



A. Tricuspid valve

B. Pulmonary valve

C. Mitral valve

D. Aortic valve - correct answer✔️✔C
️ . Mitral valve



"All Physical Therapists Make $2245 per week"



Aortic- 2nd intercostal on R

Pulmonary- 2nd intercostal on L

Tricuspid- 4th intercostal on L

Mitral- 5th intercostal on L



A low back pain patient's Oswestry Disability Questionnaire score was 18 points. Four weeks later, the
score was 50 points. Which of the following is the BEST option for the physical therapist?



A. Continue PT until the pt returns to a score of 60

B. Discharge the pt as there is an improvement

C. Document the improvement and start HEP

D. Ask the pt to have a physician consult - correct answer✔️✔️D. Ask the pt to have a physician consult



The higher the score, the more disability they have. So this patient has worsened over the last 4 weeks.

,A 44 y/o female pt arrived to a clinic after sustaining a fall involving a hand/wrist injury. Upon
examination, the PT observed the radius dislocated in a volar direction. Which of the following
conditions would MOST likely match this description?



A. Smith's Fx

B. Colle's Fx

C. Scaphoid Fx

D. Dinner fork deformity - correct answer✔️✔A
️ . Smith's Fx



Colle's Fx- the radius goes in the DORSAL direction

Dinner fork deformity- this is another name for Colle's Fx



A PT is evaluating a 34 y/o female pt with a vague diagnosis of LBP. The pt displays a positive Thomas
test. Which sub phase of the gait cycle will MOST likely show limitation in the hip ROM?



A. Loading response

B. Initial contact

C. Midstance

D. Terminal stance - correct answer✔️✔️D. Terminal stance



The hip flexors will try to stop the hip from going into extension



A pt arrived at an outpatient clinic with chief c/o LBP. Upon further evaluation, the pt mentioned taking
calcium channel blockers. Which of the following is MOST LIKELY accurate regarding the medication
effect on the cardiovascular system?



A. Constrict coronary blood vessels

B. Dilates coronary blood vessels

C. Activates coronary vasospasms

D. No effect towards coronary vasospasms - correct answer✔️✔️B. Dilates coronary blood vessels

, C and D- calcium channel blockers INHIBIT coronary vasospasms



Which of the following is NOT an expected sign seen in a pt with facial nerve (CN VII) palsy?



A. Hyperacusis

B. Absence of sensation in the anterior 2/3 of the tongue

C. Absence of corneal reflex

D. Decrease lacrimation - correct answer✔️✔️B. Absence of sensation in the anterior 2/3 of the tongue



Rationale: Sensation in anterior 2/3 of the tongue is by the trigeminal nerve and not the facial nerve.
Facial nerve is for TASTE on anterior 2/3 of the tongue.

A- defined as the collapsed tolerance to normal environmental sounds. Facial nerve controls the
excessive movements of the stapedius bone and dampens the sound and its injury can cause
hyperacusis.



A 60 y/o male pt c/o a shock-like and stabbing sensation running through his jaw line which has become
frequent and excruciating lately. He says that the episodes occur usually when he goes out in cold
weather or when shaving or brushing his teeth. The therapist suspect a possible cranial nerve
inflammation. What is the suspected condition and the cranial nerve affected?



A. Bell's palsy; CN 7

B. Trigeminal Neuralgia; CN 7

C. Bell's palsy; CN 5

D. Trigeminal neuralgia; CN 5 - correct answer✔️✔️D. Trigeminal neuralgia; CN 5



A patient who is 3 months post right ankle fracture has an AROM of 0-30 degrees of DF and 0-10
degrees of PF. To restore motion required for normal walking, which of the following joint mobilization
techniques should the PT perform?



A. Anterior glide of the talus

B. Lateral glide of the calcaneus

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