NPTE Scorebuilders OA Exam 1 Practice

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• For a patient with Duchenne muscular dystrophy who is ambulatory but experiencing a decline in strength, which type of exercise is least desirable?
• A three-year-old patient with easy bruising and a lifelong history of pathologic fractures due to a genetic condition affecting collagen synthesis is MOST likely to be diagnosed with which condition?
• For effective heating with therapeutic ultrasound within a five-minute period, the treated area should be approximately what size relative to the soundhead?
• When guarding a patient descending stairs with a handrail on the uninvolved side, what is the most appropriate therapist position?
• For a Patient With Postural Dysfunction and Cervical Pain From Prolonged Computer Work, Which Work-Environment Modification Would Be MOST Beneficial?
• A patient with L5 disk derangement experiences radicular pain after performing prone press-ups. What is the MOST appropriate initial response?
• During the terminal stance phase of gait, approximately how many degrees of hip extension are required?
• Stress incontinence is most commonly caused by weakness of which musculature?
• Pes anserine bursitis involves inflammation of which bursa?
• After lumbar puncture, where would the therapist expect the greatest tenderness?
• Which nerve fiber type is responsible for fast, sharp, well-localized pain and is typically myelinated?
• Acetic acid iontophoresis is used to treat calcific deposits and is delivered using which polarity?
• Functional incontinence is best described by which statement?
• A 62-year-old female with a transtibial amputation is examined in physical therapy. The patient has been using a roll-on silicone liner inside of her prosthesis. What is a potential disadvantage of this type of liner?
• A patient with cerebral palsy is scheduled for a psoas lengthening procedure. This intervention will MOST significantly improve which phase of the gait cycle?
• What is the most accurate method for confirming suspected coronary artery disease and assessing its severity?
• In a patient with a complete C3 spinal cord injury, which activity would most likely be independent after setup?
• In the activity of lowering a five-pound bag from the top shelf to the countertop, what would the biceps brachii be performing?
• Which anatomical variation in females contributes to a higher incidence of Osgood-Schlatter syndrome compared to males?
• Which medication used to reduce spasticity in multiple sclerosis commonly causes generalized weakness as a side effect?
• For a weight-bearing hand position used during a transfer, which shoulder action helps stabilize the elbow in extension?
• A patient has no sensation below the L2 dermatome after a recent motor vehicle accident. What is the MOST likely rationale for this finding?
• Which hip examination maneuver is used to detect a dislocated hip in a newborn by abducting the hip and feeling for a clunk?
• Congenital torticollis in an infant is MOST commonly associated with which birth factor?
• Venous ulcers are most likely located immediately posterior to which anatomical landmark?
• After performing Craig's test, which measurement would be MOST consistent with 20 degrees of femoral anteversion?
• Which sampling method uses deliberate selection of participants based on predefined researcher criteria?
• Two weeks after total knee arthroplasty, restricted inferior patellar mobility is observed. What is the MOST likely clinical finding?
• A patient with a left lumbar facet irritation would most likely have pain reproduced with which facet region during testing?
• A physical therapist treats a five-year-old child immediately before having a new lower leg cast applied. The child has had a new cast each week for the last four weeks. Which medical condition would MOST likely warrant this type of intervention?
• Which dermatome is MOST likely affected if a patient cannot differentiate sharp and dull on the tip of the right thumb?
• Which method is MOST definitive to confirm a diagnosis of trochanteric bursitis?
• During The Rubor Of Dependency Test for Peripheral Arterial Disease, Elevating the Leg 45 Degrees for One Minute Yields Which Observation?
• The lift-off sign test BEST assesses which rotator cuff muscle?
• In a 9-month-old with osteogenesis imperfecta type IV and a recent humeral fracture, what should be the initial priority in physical therapy?
• Which type of practice is most appropriate for a patient with a lower motor neuron lesion who has a short attention span and fatigues quickly?
• If a patient with a humeral neck fracture has limited abduction, which gliding technique would most effectively increase abduction?
• In a patient with complete L3 paraplegia beginning gait training, which muscle would NOT contribute to gait fluidity?
• A therapist addressing form-constancy dysfunction in a stroke patient should primarily use which approach?
• A patient after a left CVA presents with mild left neglect. During therapy, what strategy is most appropriate to address neglect?
• A therapist uses proprioceptive neuromuscular facilitation during gait and applies resistance to the pelvis to enhance proximal control. This technique is BEST described as which of the following?
• During auscultation, egophony is tested by having the patient make which sound while the examiner listens over the segment?
• What is the approximate normal femoral anteversion angle in females?
• A patient with a disc protrusion at L5-S1 would most likely present with which finding?
• During auscultation of blood pressure, which Korotkoff phase is crisper and louder?
• A patient diagnosed with rheumatoid arthritis presents with bilateral thumb deformities described as metacarpophalangeal flexion with interphalangeal hyperextension. Which deformity is MOST consistent with this presentation?
• In a walking program for intermittent claudication, which approach is safest to promote endurance?
• A patient with a left middle cerebral artery stroke has limited movement on the right and difficulty moving in bed. Which strategy is MOST useful when initially teaching the patient to roll from supine to left sidelying?
• In a community health screening for osteoporosis risk, which factor would be MOST closely associated with increased risk?
• Assuming a cervical disk herniation at C6, which finding would be most typical on examination?
• A physical therapist assistant uses neuromuscular electrical stimulation on the wrist extensors. After setup, the contraction yields excessive radial deviation and insufficient wrist extension. What is the MOST appropriate action?
• Which Ligament Assists in Maintaining the Position of the Uterus?
• Which bone of the foot is located on the medial side and articulates distally with the three cuneiforms, proximally with the talus, and laterally with the cuboid?
• Which therapy uses electrical current to drive a medication through the skin?
• A 60-year-old patient with low back pain radiating down the outer thigh and leg most likely has which pathology?
• With the knee flexed at 90 degrees, which of the following tests would be least likely performed?
• Which test is performed in the prone position to assess rectus femoris contracture?
• To perform the Hawkins-Kennedy impingement test, the shoulder should be placed in which position?
• Which feature is most characteristic of osteogenesis imperfecta?
• Supplemental oxygen during activity for patients with COPD can improve which of the following domains?
• A patient with arteriosclerosis obliterans begins a treadmill walking program and develops leg pain after two minutes. What is the most appropriate action?
• Regular aerobic exercise is associated with which change in lipid and cardiovascular profiles?
• What is the primary action of the subscapularis muscle?
• Which item would NOT be included as part of the treatment of lymphedema in a patient recovering from breast cancer?
• Semmes-Weinstein monofilament testing protocol specifies what duration of contact with the skin?
• Visual object agnosia is characterized by the inability to name, describe, or demonstrate how to use a common object, despite intact vision. Which of the following statements is true?
• Which Description Correctly Characterizes the Round Ligament?
• Which Emergent Condition Would MOST Require Assessment of Airway Patency by a Physical Therapist?
• A physical therapy research study includes an informed consent document. Which statement would violate the validity of the consent?
• Avulsion fractures of the anterior superior iliac spine most commonly occur in which age group?
• Which factor is most commonly associated with lateral patellar tracking in patellofemoral syndrome?
• In experimental design, what is the primary function of a control group?
• If a doorway is 33 inches wide, does it meet the minimum width for wheelchair access?
• Which patient would benefit least from active shoulder flexion in the supine position without weights?
• Which value would best represent a typical pre-meal blood glucose level for an adult without diabetes?
• A physical therapist reviews a meta-analysis and identifies a quantitative measure of the difference between two groups. Which term is most consistent with this measure?
• Which maneuver is used to assess whether a hip can be dislocated in a newborn by applying gentle pressure to the hip while it is flexed?
• A complete C7 tetraplegia would be classified on the ASIA impairment scale as which grade?
• The deltoid muscle, a primary shoulder abductor, is innervated by which nerve?
• Which condition is characterized by tall stature with infertility and sparse body hair in a male patient?
• A 39-year-old male uses a wheelchair for household and community mobility. What is the minimum doorway width required for wheelchair access?
• During goniometric measurement, the stationary arm is aligned parallel to an imaginary line between the acromial processes. This setup assesses which motion?
• Which type of grip is easiest for a patient with difficulty opposing the thumb?
• In order to increase resistance while performing aquatic therapy, which is the BEST way to move the extremity?
• According to the strength-duration curve, which order of nerve fiber recruitment occurs as amplitude increases?
• For gait training of a patient with complete L2 spinal cord injury, which orthosis is most likely required for household ambulation?
• During rehabilitation, which activity would typically cause the greatest increase in systolic blood pressure for a cardiac patient?
• Which objective finding is MOST likely in a patient diagnosed with amyotrophic lateral sclerosis?
• An eight-year-old child begins a trial of serial casting. Which clinical finding would BEST support the use of this type of intervention?
• A patient with a restrictive lung disorder is MOST likely to have which diagnosis?
• Which is the most likely complication after TRAM flap breast reconstruction using abdominal tissue?
• A positive Thompson test indicates rupture of which structure?
• What is the primary purpose of Grade I-II oscillatory mobilizations to the left shoulder after resistance exercises?
• A special test confirms sensory disturbance affecting the fourth and fifth digits of the hand. Which test was most likely used?
• In a patient with T10 paraplegia who was injured six weeks ago, what is the MOST likely scenario at the conclusion of rehabilitation?
• Three weeks after a shoulder contusion, an elderly patient cannot actively abduct despite normal passive ROM. Which diagnosis best explains this finding?
• A patient with a spinal cord injury shows a normal patellar reflex but a completely absent Achilles reflex. Which spinal level paraplegia is most likely?
• A positive anterior drawer test of the ankle most directly assesses which ligament?
• Which intervention is most likely to reduce symptoms of plantar fasciitis when first waking each morning?
• Which nerve fibers are myelinated and transmit pain signals rapidly?
• In burn-related hand positioning, which joints are at greatest risk for flexion contracture if not properly supported by positioning?
• A patient with temporomandibular joint pain has a kyphotic, forward head posture. This posture MOST likely results in which mandibular change?
• For a patient with ankylosing spondylitis, what is the typical effect of engaging in regular exercise?
• During gait on a level surface, what is the maximum knee flexion required?
• Which pattern BEST describes multiple sclerosis regarding symptom fluctuations?
• The sural nerve is a branch of which larger nerve?
• Expiratory reserve volume is best described as which option?
• A physical therapist uses electromyographic biofeedback to improve a patient's ability to recruit the vastus medialis obliquus muscle. After initiating the intervention the therapist observes that the patient is unable to generate the anticipated level of audio and visual activity on the biofeedback unit. What is the MOST appropriate therapist action?
• A Patient With C5 Radiculopathy Has Limited Active Lateral Flexion to the Left. Which Motion Is Coupled With Cervical Lateral Flexion to the Left?
• A physical therapist is evaluating a pressure ulcer on the left buttock that is relatively small and covered with black necrotic tissue. What must be done first to determine the stage of the ulcer?
• In the hand, sensory sensation to the little finger is primarily supplied by which nerve?
• During an initial examination, a patient becomes combative. What is the MOST immediate action for the therapist?
• During water-immersion ultrasound for ankle rehab, air bubbles accumulate on the skin under the transducer and on the soundhead. What should the therapist do?
• Which statement best describes part-practice in motor learning?
• After palpating several peripheral pulse sites, a therapist notes a strong popliteal pulse but a weak dorsalis pedis pulse. Which exercise-related finding is most likely?
• What outcome is most likely when wet-to-dry dressings with acetic acid are used on a wound with beginning granulation tissue?
• To increase shoulder flexion in a stiff shoulder, which glide direction should be used?
• A dinner fork deformity with dorsal displacement of the radius is typical of which fracture?
• When planning ultrasound therapy for the insertion of the biceps femoris tendon, where should the transducer be placed?
• In the D2 flexion pattern, what is the end position of the hand?
• Which statement defines distributed practice as used in motor learning?
• When instructing a patient with complex regional pain syndrome to perform a home exercise program, which guideline is MOST appropriate?
• To improve lateral rotation of a shoulder with limited mobility, which joint glide is typically used?
• In a cranial nerve motor examination, which nerve cannot be assessed for a motor component?
• A patient with suspected arterial occlusive disease presents with absent femoral pulse, dependent rubor, and claudication in buttocks, hamstrings, and calf. Where is the occlusion MOST likely?
• Discharge planning in a rehab setting: which statement correctly describes PT and PTA roles?
• If a patient has a lesion that causes loss of proprioception and vibration but preserved pain and temperature, which tract is most likely affected?
• In The Evaluation of Benign Paroxysmal Positional Vertigo, Which Maneuver Is Used to Provoke Vertigo and Nystagmus?
• Why is two inches subtracted when measuring seat depth for a wheelchair fit?
• When applying a pneumatic intermittent compression device to an extremity, which pressure limit should not be exceeded?
• Which formula is MOST appropriate for determining seat depth when fitting a wheelchair?
• A post-stroke patient with hip hiking during gait; Which activity would be MOST beneficial to improve motor control during swing?
• A patient’s respiratory rate is 30 breaths per minute. What is the FIRST intervention the therapist should perform to help slow the rate?
• A 70-year-old male status post right hip fracture is instructed to be non-weight bearing on the right leg for four weeks. What is the MOST appropriate gait training method?
• Which feature is commonly observed in osteogenesis imperfecta type IV?
• Which laboratory finding is MOST associated with the need to use contact precautions?
• During tilt-table testing, which symptom would be least anticipated as the patient becomes upright?
• If a drug has a half-life of 2 hours, how many hours are required for the amount to reach 6.25% of the initial dose?
• In a SOAP note, which section would document patient dizziness?
• A hand splint maintains the wrist in extension, MCP joints flexed at 75 degrees, and IP joints flexed. Which area is most susceptible to contracture?
• A patient with medial knee pain during functional activities MOST likely has which condition?
• When a muscle length stays constant while contracting to hold a position, which contraction is occurring?
• For a patient awaiting liver transplant, what should be the PRIMARY focus of physical therapy?
• In a patient with left spatial neglect, which strategy is most effective to promote attention to the left side during treatment sessions?
• A patient with a hemoglobin of 7.8 g/dL is planning ambulation after knee arthroplasty. What is the most appropriate activity level?
• When inspecting the sacral and ischial regions, what is the earliest sign of a pressure injury visible on inspection?
• To maintain the same tissue heating when switching to water immersion ultrasound applied to the distal calf, which adjustment to parameters would be best?
• If stroke volume increases, what happens to afterload?
• Which special test is MOST appropriate to screen for an Achilles tendon rupture in an athlete who suddenly collapses after a jump shot?
• Which statement best describes proprioception testing when assessing joint position sense?
• A patient in therapy shows grip strength variation of approximately 25% in a test-retest after four weeks. What is the MOST plausible interpretation?
• Interventions including upper and lower extremity strengthening and gait training are MOST effective treating which type of urinary incontinence?
• A patient admitted with adhesive capsulitis presents with an insidious onset of pain and stiffness over the past several months. Which patient profile is MOST likely associated with this diagnosis?
• Which position is LEAST beneficial for decreasing knee extensor tone through weight-bearing positioning?
• A Patient Is One Day Status Post Lumbar Laminectomy With Fusion. During Gait Training, Numbness Persists. What Is the MOST Immediate Action?
• During iontophoresis, a patient had redness under one electrode for about two hours after a 3.0 mA for 10 minutes session. What should the therapist do?
• The Anterior Deltoid is primarily innervated by which nerve root?
• During a goniometric assessment, ankle plantar flexion end-feel is determined to be firm. Which structure's tension best explains this end-feel?
• Which nerve injury would most likely cause loss of dorsiflexion and a foot drop, presenting with a high-stepping gait?
• A 42-year-old male with chronic obstructive pulmonary disease experiences a rise in resting heart rate by 15 beats per minute and a drop in oxygen saturation below 90% during an exercise session. What action should the therapist take?
• Which statement BEST describes afterload?
• In learning to walk up and down stairs with bilateral prostheses, which prosthesis should lead when ascending and which when descending?
• Hyperreflexia is most likely associated with which condition?
• End-systolic volume refers to which of the following?
• In inverted ankle sprain, which ligament is typically the first to sustain damage?
• Which combination describes the shoulder movements in the D2 flexion pattern of PNF?
• Which input device is commonly used to enable a person with high cervical spinal cord injury to operate environmental controls?
• A Patient With Uterine Cancer Who Recently Had a Hysterectomy and Irradiation Experiences Swelling in the Right Ankle Greater Than the Left. What Is the MOST Likely Cause?
• A patient with complete C6 tetraplegia is learning how to perform a wheelchair to mat transfer. Which muscle can effectively lock the elbows during the transfer?
• A patient presents with loss of ankle dorsiflexion and a high-stepping gait characterized by foot slap. Which nerve injury best explains this presentation?
• During manual muscle testing, which position best isolates the gluteus maximus by placing the hamstrings on slack?
• Sarcoidosis involves inflammation in which tissues?
• When measuring wrist ulnar deviation with a goniometer, the movable arm should align with which landmark?
• A patient with shoulder pathology has a positive drop arm test, but MRI shows rotator cuff integrity. Which condition would be MOST likely to produce this finding?
• Which mechanism best describes how hyperbaric oxygen therapy benefits diabetic foot ulcers?
• A 59-year-old man with a functionally fused ankle due to prior arthritic changes; which shoe modification would be MOST beneficial?
• A patient injures the medial collateral ligament with tenderness to palpation, minimal bruising, mild effusion, and a negative valgus stress test. Which grade of sprain does this most likely indicate?
• Which pulmonary function test pattern is MOST consistent with restrictive lung disease?
• Language impairment from a stroke is most likely after a lesion in which hemisphere?
• A heel lift is most indicated for which condition?
• Which statement about the Hawkins-Kennedy impingement test is TRUE?
• In a patient with extensive burns covering 50% of the body, which physiologic abnormality is acutely life-threatening?
• A grade II sprain of the anterior talofibular ligament occurs most often with which combination of foot and ankle motions at the time of injury?
• A 67-year-old male with a venous ulcer posterior to the medial malleolus is treated in an acute care setting. Which finding is MOST likely based on venous insufficiency?
• During pregnancy, which hormones are MOST likely responsible for ligamentous laxity at the pubic symphysis?
• A patient who has language difficulty after a brain injury most likely has language impairment if the patient is status post which type of stroke?
• A physical therapist works with a female patient who is in her third trimester of pregnancy. The patient complains of persistent low back pain, radiating from the sacrum to the hip joint along the sciatic nerve distribution. The therapist determines that tightness in the right piriformis muscle is contributing to the patient's discomfort. In order to stretch the muscle, the patient should be positioned on the patient's left side with the affected hip in what position?
• On radiographic imaging a patient has a pelvic angle that is angled 50 degrees anteriorly from the horizontal with the patient in standing. What effect would this MOST likely have on the patient's standing posture?
• Central cord syndrome commonly affects which neural tracts?
• What intervention would most likely reduce contractures in a child with cerebral palsy?
• When assessing protective sensation with Semmes-Weinstein monofilaments, which equipment is MOST desirable?
• Which two items combine to form functional residual capacity?
• A positional assessment shows which finding best supports a right anteriorly rotated innominate?
• An individual planning an independent exercise program for cardiovascular health should use which form of self-monitoring?
• A 16-year-old runner with patellofemoral syndrome and moderate pes planus has lateral patellar tracking in weight bearing. What intervention would be most appropriate for long-term mechanical correction?
• An individual with a complete spinal cord injury at L2 who uses a wheelchair and seeks gait training: what is the primary realistic gait goal?
• A note in the medical record indicates that a patient acquired a Staphylococcus aureus infection in the hospital following spinal surgery. The patient is instructed to remain on a low dose oral antibiotic despite already completing 35 days of intravenous antibiotic therapy. Which surgical scenario is MOST consistent with this scenario?
• If the ultrasound soundhead has a 2 cm diameter, the treated area should be approximately how many times larger than the soundhead area to achieve heating within five minutes?
• Which sampling method BEST describes deliberate selection of subjects based on predefined criteria?
• An avulsion fracture of the left anterior superior iliac spine is most likely in which scenario?
• Which stimulus increases heart rate and contractile force through sympathetic activation?
• Which value represents a normal ejection fraction?
• During postural drainage for a patient with cystic fibrosis, when should vibration be performed?
• An ABI of 1.44 typically indicates:
• Which Braden Scale score range is considered high risk for developing pressure ulcers?
• During Canalith Repositioning Therapy, The Maneuver Begins In Which Position to Provoke Vertigo?
• A physical therapist employed in an acute care hospital works with a patient three days status post abdominal surgery. While working bedside with the patient on lower extremity exercises in supine, the patient complains of mild dizziness, fatigue, and nausea. What is the MOST immediate physical therapist action?
• Which study design provides the highest level of evidence for information about interventions in musculoskeletal pathology?
• For trochanteric bursitis, a diagnostic injection is typically definitive because it produces what outcome?
• Which condition would most warrant diaphragmatic breathing as part of therapy?
• Which Korotkoff phase is defined by the first appearance of clear tapping sounds corresponding to systolic pressure?
• An infant in prone with arms outstretched and a lateral trunk bend is BEST described as exhibiting which developmental position?
• In a patient with extensive burn injuries, which physiologic parameter is most directly reduced and contributes to the acute threat to life?
• Which scenario would be MOST appropriate for hyperbaric oxygen therapy in a wound clinic?
• Pulsed ultrasound at 3 MHz would be MOST indicated for which condition?
• Serial casting is primarily used when a muscle is too short to allow functional movement. The joint is typically casted so that tension is applied to the muscle. Over time the muscle may become longer and allow for improved range of motion. What is the primary mechanism of serial casting?
• Which method best tests proprioception during rehabilitation?
• Which climate would increase the risk of heat buildup with a silicone liner inside a prosthesis?
• Which statement best describes the relationship between ejection fraction and end-systolic volume?
• Beneficial effects of regular aerobic exercise in a recovering patient include which of the following?
• A patient with a lower-extremity muscle strain and quadriceps strength of grade 3 is prescribed strengthening in a seated position. Which contraction would permit the greatest amount of weight to be used?
• Regarding outcomes after Achilles tendon rupture treatment, which statement is MOST accurate?
• Which complication is commonly associated with TRAM flap breast reconstruction involving abdominal tissue?
• During lower-extremity manual muscle testing, the position described—prone with the knee flexed to 90 degrees while the hip is extended—primarily tests which muscle group?
• The subscapularis muscle is innervated by which nerve?
• What is the typical prognosis for Guillain-Barre syndrome according to studies?
• During ROM measurement for a Colles' fracture, how should the patient be positioned?
• Which test result is most consistent with a Grade I MCL sprain?
• When testing two-point discrimination, which body area would most likely yield the SMALLEST value?
• A patient with prescription to evaluate and treat status post left knee sprain reports left leg weakness, vertigo, visual disturbances, paresthesias in the legs, fatigue, and urinary bladder disturbances. Which condition is MOST consistent?
• A stroke patient can climb stairs in the community but cannot do so when practicing in the therapy gym. Which diagnosis BEST describes this difficulty?
• What standing intervention is commonly used to provide weight bearing for a person with a spinal cord injury when ambulation is not yet feasible?
• In adolescents, femoral anteversion is typically higher than in adults because it tends to what as age advances?
• For a four-year-old child with spina bifida at the S1 level who aims to ambulate independently, which device is MOST appropriate?
• Severe forms of osteogenesis imperfecta (types II and III) are inherited in which pattern?
• A physical therapist describes cerebral palsy as an umbrella term used to describe movement disorders due to brain damage that are non-progressive and are acquired in utero, during birth or during infancy. Which statement best describes cerebral palsy?
• Which statement about Colles' fracture is NOT true?
• Which nerve supplies sensation to the posterolateral aspect of the lower leg and the lateral aspect of the foot?
• A physical therapist administers cardiopulmonary resuscitation (CPR) to a patient who collapsed in the waiting area. The therapist is unable to establish a pulse after three cycles of CPR and therefore prepares to utilize an automated external defibrillation unit (AED). Which action would be the LEAST appropriate when using the device?
• Which bone articulates proximally with the talus and distally with the three cuneiforms?
• A physical therapist prepares to administer iontophoresis for myositis ossificans in the right mid-quadriceps. Which treatment description would be MOST appropriate?
• Resistance training in a previously immobilized knee extensor increases strength primarily through what mechanism?
• After an Uncomplicated Full-Term Vaginal Delivery, Which Method Is MOST Effective to Decrease Edema and Stiffness of the Perineal Tissues?
• Pivot prone typically develops around which age in infancy?
• During management of lumbar radiculopathy with extension causing centralization, the clinician should:
• A mother drops her three-month-old infant's head into extension. This action would MOST likely elicit which reflex?
• For a patient with a flexor tendon repair, the therapist has the patient place a rubber band around the fingers when they are together and then move them apart. What is the PRIMARY objective of this activity?
• In a patient with sciatica due to a posterior derangement of the L5 disk who centralizes during a prone press-up, the most appropriate next step is to:
• Using Wagner's Ulcer Grade Classification, an ulcer on the medial leg that penetrates through subcutaneous tissue and may expose tendons is graded as which grade?
• Postoperative PT notes swollen, warm calf and pain with dorsiflexion after open reduction internal fixation. The MOST likely explanation is which condition?
• Canalith Debris in BPPV Is Typically Derived From Which Inner Ear Structure?
• Which profile carries the greatest risk for an Achilles tendon rupture?
• Which cranial nerve has primarily sensory function and no motor component?
• Which pathology is MOST likely based on hypertonicity of the bilateral lower extremities, progressive scoliosis, low back pain, and sporadic urinary incontinence in an adolescent with spina bifida?
• A patient has a 10-degree knee extension lag after knee surgery. What is the most plausible reason for the extension lag?
• Which action best describes the function of the dorsal interossei muscles in the hand?
• During an ultrasound treatment to the low back, the patient reports hot spots directly under the transducer. Which ultrasound parameters are MOST likely responsible?
• Stage II pressure ulcers are described as what type of skin loss?
• Paresthesias in the hand that cannot be reproduced with median nerve compression tests suggest which condition?
• In piriformis syndrome, which abnormality is most likely observed during evaluation?
• What Is The Primary Goal Of Canalith Repositioning Maneuvers in BPPV?
• A patient who has ambulated with a transtibial prosthesis for six years is observed during an unrelated exam. Which gait finding is MOST likely on the prosthetic limb?
• Milder forms of osteogenesis imperfecta (types I and IV) are inherited in which pattern?
• Which factor best explains edema development in obesity-related lower-extremity venous ulcers?
• On the last day of rehabilitation, the patient reports an RPE of 13 on the scale. Which statement BEST describes the current workload compared to the first day?
• A patient with a Braden Scale score of 11 is evaluated for pressure ulcer risk. Which category best describes this score?
• Which special test is most appropriate to assess anterolateral knee instability in a suspected ACL injury?
• A nonsteroidal anti-inflammatory drug with a half-life of two hours is given at 8,000 units. After six hours, how much remains?
• During aquatic therapy, movement away from the surface rapidly increases resistance due to which opposing force?
• For complete C4 quadriplegia, which wheelchair would be most appropriate?
• Which movement produces the greatest hydrodynamic resistance in water-based exercise?
• Where does the patellar tendon insert?
• Which statement about rocker bar footwear is correct?
• Which symptom profile is typical of thoracic outlet syndrome?
• A 42-year-old with a two-centimeter stage II pressure ulcer near the left ischial tuberosity: which description matches stage II?
• In a S.O.A.P. note after gait training, where should the statement "I'm getting a little dizzy, I better sit down" be included?
• Which activity would be MOST impacted by the use of dantrolene sodium in a patient rehabilitation setting?
• Using heart rate to determine exercise intensity, which relationship BEST supports this approach?
• Which statement about the innervation of the semitendinosus muscle is correct?
• Which test is associated with an audible click or clunk when the clinician abducts an infant's hips with the hips and knees flexed?
• What is the MOST appropriate therapeutic position for a patient with extensive burns to the lower extremities to reduce contracture risk?
• For a patient with a high cervical spinal cord injury, environmental control units are primarily used for what purpose?
• A triangular bandage is being applied for stabilization. Which diagnosis would be the MOST likely based on this type of bandage?
• A patient with a transtibial amputation shows weak adductors and strong abductors. What position would the limb tend to favor in standing?
• To improve extension at the radiocarpal joint in a patient eight weeks post-Colles fracture, which mobilization direction is MOST appropriate?
• A 21-year-old male with cerebral palsy uses a wheelchair and has scoliosis with pelvic obliquity. The adaptive seating likely also accommodates which deformity?
• In a research study evaluating the effects of a training program on cardiovascular endurance, what is the primary purpose of including a control group?
• Which finding would be a CONTRAINDICATION to using manual traction for whiplash in a patient with a recent motor vehicle collision?
• A 37-year-old female with abdominal pain worse after meals reports right scapular region pain. Dysfunction of which organ is MOST consistent?
• Which physical therapy treatment would MOST benefit a patient with Benign Paroxysmal Positional Vertigo?
• The Moro reflex is typically integrated by which age range?
• A patient cannot name, describe, or demonstrate the use of a toothbrush. Which condition is most commonly associated with this presentation?
• Three days after a myocardial infarction, what upper-limiting guideline should be used for inpatient exercise intensity?
• Initiating dantrolene sodium therapy most commonly produces which systemic effect?
• In a D2 flexion proprioceptive neuromuscular facilitation pattern, a patient becomes confused during the activity. Which verbal instruction BEST helps the patient complete the pattern?
• A 17-year-old female with patellofemoral syndrome has mechanical factors contributing to symptoms. Which finding would be most likely?
• During bag-valve-mask resuscitation, what is the most immediate indicator that air is reaching the target area?
• In a morbidly obese patient with lower-extremity edema, which mechanism best explains the development of edema and risk for venous stasis ulcers?
• Central cord syndrome is MOST often associated with which mechanism of injury?