NPTE-PT Neuromuscular System Examination

Question 1

Which test assesses the integrity of the corticospinal tract by stroking the lateral plantar surface of the foot?

Accepted Answer

Babinski sign

Answer

Clonus test

Answer

Romberg test

Answer

Hoffman sign

Question 2

A patient presents with impaired vibration sense and proprioception but intact pain and temperature sensation. Which spinal cord pathway is most likely affected?

Accepted Answer

Dorsal columns

Answer

Lateral spinothalamic tract

Answer

Anterior spinothalamic tract

Answer

Corticospinal tract

Question 3

During examination, a physical therapist notes that a patient cannot perform rapid alternating movements with the hand. This finding is called:

Accepted Answer

Dysdiadochokinesia

Answer

Dysmetria

Answer

Ataxia

Answer

Tremor

Question 4

Which cranial nerve is tested by assessing the patient's ability to shrug shoulders against resistance?

Accepted Answer

CN XI (Spinal Accessory)

Answer

CN X (Vagus)

Answer

CN XII (Hypoglossal)

Answer

CN VII (Facial)

Question 5

A patient with a C5 spinal cord injury would be expected to retain which of the following motor functions?

Accepted Answer

Shoulder abduction and elbow flexion

Answer

Wrist extension only

Answer

Full hand grip

Answer

Elbow extension

Question 6

Which test is used to assess the integrity of the cerebellum by having the patient stand with feet together and eyes closed?

Accepted Answer

Romberg test

Answer

Fukuda stepping test

Answer

Finger-nose test

Answer

Heel-shin test