NPTE-PTA Data Collection & Interventions 1 — Questions and Answers
Question 1: Which outcome measure is used to assess functional independence in activities of daily living (ADLs)?
- Visual Analog Scale (VAS)
- Functional Independence Measure (FIM) (Correct answer)
- Numeric Pain Rating Scale (NPRS)
- DASH questionnaire
Correct answer: Functional Independence Measure (FIM)
The Functional Independence Measure (FIM) rates 18 ADL items from 1 (total assistance) to 7 (complete independence).
Question 2: The numeric pain rating scale (NPRS) asks patients to rate pain from:
- 1 to 5
- 0 to 10 (Correct answer)
- 1 to 10
- 0 to 100
Correct answer: 0 to 10
The NPRS uses a 0–10 scale where 0 = no pain and 10 = worst imaginable pain.
Question 3: Goniometry measures:
- Muscle strength
- Joint range of motion (Correct answer)
- Limb length discrepancy
- Sensation
Correct answer: Joint range of motion
Goniometry is the measurement of joint angles and range of motion using a goniometer.
Question 4: Electrotherapeutic modality TENS (transcutaneous electrical nerve stimulation) primarily works by:
- Heating deep tissue
- Stimulating the spinal cord for motor re-education
- Activating pain gate control and endogenous opioid mechanisms (Correct answer)
- Reducing edema through osmosis
Correct answer: Activating pain gate control and endogenous opioid mechanisms
TENS reduces pain via the gate control theory (large fiber stimulation inhibits pain signals) and endogenous opioid release.
Question 5: Ultrasound at 1 MHz frequency penetrates to a depth of approximately:
- 0.5–1 cm
- 1–2 cm
- 3–5 cm (Correct answer)
- 8–10 cm
Correct answer: 3–5 cm
1 MHz ultrasound penetrates 3–5 cm, making it suitable for deep tissue heating of muscles and tendons.
Question 6: Which physical agent is contraindicated over a pacemaker?
- Ultrasound
- Hot pack
- Cryotherapy
- Interferential current (Correct answer)
Correct answer: Interferential current
Electrical stimulation, including interferential current, is contraindicated near pacemakers as it can interfere with the device's function.
Which outcome measure is used to assess functional independence in activities of daily living (ADLs)?