NPTE-PT Test NPTE-PT Free Npte Pt 1 — Questions and Answers
Question 1: Which dermatome corresponds to sensation over the lateral aspect of the foot and the fifth toe?
- L4
- L5
- S1 (Correct answer)
- S2
Correct answer: S1
The S1 dermatome supplies sensation to the lateral foot and the fifth (little) toe. L4 covers the medial lower leg and foot, L5 covers the dorsum of the foot and great toe, and S2 covers the posterior thigh and calf.
Question 2: A therapist is performing a Special Test and applies a posterior-to-anterior force on the proximal tibia with the knee at 90° of flexion. A positive result suggests injury to which structure?
- Anterior cruciate ligament
- Posterior cruciate ligament (Correct answer)
- Medial collateral ligament
- Lateral collateral ligament
Correct answer: Posterior cruciate ligament
The Posterior Drawer Test is performed with the knee at 90° of flexion; the examiner pushes the tibia posteriorly. Excessive posterior translation indicates posterior cruciate ligament (PCL) laxity or rupture.
Question 3: According to the APTA's Guide to Physical Therapist Practice, which term describes the predicted optimal improvement a patient can reach in a given timeframe?
- Prognosis (Correct answer)
- Diagnosis
- Outcome
- Evaluation
Correct answer: Prognosis
Prognosis is defined as the predicted level of optimal improvement in function and the time needed to reach that level. Diagnosis is the clinical label assigned to the patient's condition, evaluation is the clinical judgment process, and outcome is the actual result achieved.
Question 4: During a manual muscle test, a patient can move a body segment through full range of motion against gravity but cannot tolerate any additional resistance. What grade is assigned?
- Grade 2
- Grade 3 (Correct answer)
- Grade 4
- Grade 5
Correct answer: Grade 3
Grade 3 (Fair) indicates the patient can complete full range of motion against gravity only, with no added resistance. Grade 2 requires gravity-eliminated positioning, Grade 4 tolerates some resistance, and Grade 5 tolerates full resistance.
Question 5: Which goniometric measurement represents normal passive range of motion for shoulder external rotation with the arm at the side?
- 45°
- 60° (Correct answer)
- 90°
- 120°
Correct answer: 60°
Normal passive shoulder external rotation measured with the arm at the side is approximately 60°. Values of 90° are sometimes cited for athletes or with scapular stabilization, but the standard normative reference for clinical testing with the arm adducted is 60°.
Question 6: A patient presents with pain and tenderness directly over the lateral epicondyle of the humerus that worsens with resisted wrist extension. Which condition does this most likely represent?
- Cubital tunnel syndrome
- Medial epicondylitis
- Lateral epicondylitis (Correct answer)
- Olecranon bursitis
Correct answer: Lateral epicondylitis
Lateral epicondylitis (tennis elbow) is characterized by pain at the lateral epicondyle that is reproduced or worsened by resisted wrist extension, because the wrist extensor muscles (especially extensor carpi radialis brevis) originate at that site. Medial epicondylitis involves the flexor-pronator origin on the medial side.
Which dermatome corresponds to sensation over the lateral aspect of the foot and the fifth toe?