NPTE-PT FREE NPTE Physical Therapist Review Question and Answers 2 — Questions and Answers
Question 1: A patient with a complete C6 spinal cord injury would be expected to have functional use of which muscle group?
- Wrist extensors (Correct answer)
- Finger flexors
- Triceps
- Intrinsic hand muscles
Correct answer: Wrist extensors
A C6 level injury preserves innervation to the extensor carpi radialis, allowing active wrist extension.
Question 2: During gait analysis, a physical therapist observes excessive lateral trunk lean toward the stance limb. Which muscle weakness most likely causes this compensatory pattern?
- Gluteus medius (Correct answer)
- Quadriceps
- Hamstrings
- Tibialis anterior
Correct answer: Gluteus medius
Weakness of the gluteus medius causes a Trendelenburg sign, and the patient compensates with a lateral trunk lean toward the affected side.
Question 3: Which special test is most appropriate for assessing the integrity of the anterior cruciate ligament?
- Lachman test (Correct answer)
- McMurray test
- Valgus stress test
- Posterior drawer test
Correct answer: Lachman test
The Lachman test is the most sensitive clinical test for detecting anterior cruciate ligament tears.
Question 4: A patient recovering from a stroke demonstrates the synergy pattern of shoulder abduction, elbow flexion, and forearm supination. According to Brunnstrom's stages, this presentation is most consistent with which stage of recovery?
- Stage 3 (Correct answer)
- Stage 1
- Stage 5
- Stage 6
Correct answer: Stage 3
Stage 3 of Brunnstrom's recovery is characterized by voluntary movement only within obligatory synergy patterns.
Question 5: Which pulmonary function test value is defined as the volume of air remaining in the lungs after a maximal forced exhalation?
- Residual volume (Correct answer)
- Expiratory reserve volume
- Functional residual capacity
- Tidal volume
Correct answer: Residual volume
Residual volume is the air that remains trapped in the lungs after the most forceful expiration and cannot be voluntarily exhaled.
Question 6: A physical therapist is treating a patient with adhesive capsulitis of the shoulder. Which motion is typically most restricted in the capsular pattern of the glenohumeral joint?
- External rotation (Correct answer)
- Flexion
- Internal rotation
- Horizontal adduction
Correct answer: External rotation
The capsular pattern of the glenohumeral joint shows the greatest restriction in external rotation, followed by abduction and internal rotation.
A patient with a complete C6 spinal cord injury would be expected to have functional use of which muscle group?