NPTE-PT FREE NPTE-PT Test Neuromuscular System Interventions Questions and Answers 2

Question 1

A patient with Parkinson disease demonstrates a festinating gait pattern. Which intervention is MOST appropriate to address this impairment?

Accepted Answer

Visual cues such as floor markers to regulate step length

Answer

High-speed treadmill training to increase cadence

Answer

Ankle-foot orthoses to improve foot clearance

Answer

Proprioceptive neuromuscular facilitation rhythmic initiation

Question 2

During a treatment session for a patient with a complete C6 spinal cord injury, which transfer technique is MOST appropriate to train?

Accepted Answer

Sliding board transfer with head-hips relationship

Answer

Stand-pivot transfer with moderate assist

Answer

Dependent lift transfer only

Answer

Independent stand-pivot transfer

Question 3

A physical therapist is treating a patient with multiple sclerosis who reports increased fatigue during afternoon sessions. Which modification to the exercise program is MOST appropriate?

Accepted Answer

Schedule therapy sessions in the morning and incorporate energy conservation techniques

Answer

Switch all exercises to high-intensity intervals to build endurance

Answer

Discontinue active exercise and use only passive range of motion

Answer

Increase session duration to improve exercise tolerance over time

Question 4

Which neuromuscular re-education technique uses quick stretch applied to a muscle to facilitate a contraction through the muscle spindle reflex?

Accepted Answer

Quick stretch (tapping)

Answer

Slow reversal hold

Answer

Rhythmic stabilization

Answer

Contract-relax

Question 5

A patient with Guillain-Barré syndrome is in the acute progressive phase. Which intervention is the HIGHEST priority?

Accepted Answer

Respiratory monitoring and positioning to prevent skin breakdown

Answer

Aggressive strengthening to prevent muscle atrophy

Answer

High-intensity aerobic conditioning on a stationary bike

Answer

Neuromuscular electrical stimulation at maximum tolerable intensity

Question 6

A patient recovering from a stroke demonstrates synergy-dependent movement in the upper extremity. According to Brunnstrom's stages of motor recovery, which stage does this BEST represent?

Accepted Answer

Stage 3 — voluntary movement only within synergy patterns

Answer

Stage 2 — beginning of spasticity with no voluntary movement

Answer

Stage 5 — isolated movements independent of synergy

Answer

Stage 6 — near-normal coordination with individual joint movements