NPTE-PT FREE NPTE-TE Exam 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?
- Triceps brachii
- Wrist extensors (Correct answer)
- Intrinsic hand muscles
- Finger flexors
Correct answer: Wrist extensors
A C6 level injury preserves innervation to the wrist extensors (extensor carpi radialis), allowing tenodesis grasp.
Question 2: During gait analysis, a physical therapist observes excessive lateral trunk lean over the stance limb. Which muscle is most likely weak?
- Quadriceps femoris
- Gluteus medius (Correct answer)
- Hamstrings
- Tibialis anterior
Correct answer: Gluteus medius
A Trendelenburg gait pattern with lateral trunk lean indicates gluteus medius weakness on the stance side.
Question 3: Which special test is most appropriate for assessing the integrity of the anterior cruciate ligament?
- Posterior drawer test
- Valgus stress test
- Lachman test (Correct answer)
- McMurray test
Correct answer: Lachman test
The Lachman test is considered the most sensitive clinical test for detecting anterior cruciate ligament tears.
Question 4: A patient presents with a resting heart rate of 52 bpm, no symptoms, and is on atenolol. What is the most appropriate action?
- Immediately call emergency services
- Withhold exercise and contact the physician
- Proceed with exercise using RPE to monitor intensity (Correct answer)
- Perform a graded exercise test before any activity
Correct answer: Proceed with exercise using RPE to monitor intensity
Beta-blockers like atenolol lower resting heart rate, so RPE is a more reliable measure of exercise intensity than heart rate.
Question 5: Which proprioceptive neuromuscular facilitation technique uses alternating contractions of agonist and antagonist muscles without relaxation?
- Hold-relax
- Contract-relax
- Rhythmic stabilization
- Slow reversal (Correct answer)
Correct answer: Slow reversal
Slow reversal involves alternating isotonic contractions of opposing muscle groups without relaxation between contractions.
Question 6: A patient with adhesive capsulitis of the shoulder would most likely demonstrate the greatest limitation in which motion?
- Shoulder flexion
- Shoulder external rotation (Correct answer)
- Shoulder abduction
- Shoulder internal rotation
Correct answer: Shoulder external rotation
External rotation is typically the most restricted motion in adhesive capsulitis due to tightening of the inferior glenohumeral ligament and capsule.
NPTE-PT FREE NPTE-TE Exam Question and Answers 2
A patient with a complete C6 spinal cord injury would be expected to have functional use of which muscle group?