NPTE - Musculoskeletal

In the capsular pattern associated with adhesive capsulitis of the shoulder, the GREATEST percentage of loss of range of motion is in:

A patient has shoulder joint impairments. The range-of-motion examination reveals restricted lateral (external) rotation and abduction of the shoulder. Based on arthrokinematic principles, which of the following mobilization procedures should be performed for the patient FIRST?

During walking, a patient demonstrates backward leaning of the trunk at right heel strike (initial contact). The result of manual muscle testing of the weak muscle is Good minus (4-/5). Which of the following exercises BEST addresses this patient's muscular weakness?

Which of the following positions is MOST effective to actively stretch the lumbrical muscles?

To relieve lateral shoulder and arm pain, a patient elevates the right arm with the elbow bent and rests the right forearm on the head. The patient's symptoms are MOST likely caused by which of the following conditions?

Following acute knee trauma, which of the following examination findings indicates the need for referral for radiographic imaging?

A patient with a recent ankle injury reports anterior ankle pain while walking. Pain is reproduced ONLY during passive rotation of the lower leg. The patient most likely sustained which of the following injuries?

A patient who has atrophy of the hypothenar eminence of the hand will most likely have the GREATEST difficulty performing which of the following tasks?

When treating a patient who has ankylosing spondylitis, which of the following muscles require the MOST emphasis in strengthening exercises?

Excessive upward rotation of the right scapula is noted when a patient attempts to perform shoulder flexion. Which of the following exercises is MOST appropriate to help correct the excessive scapular rotation?

A patient who has low back pain is placed in prone position. A physical therapist performs posteroanterior lumbar segmental mobility testing on the patient and provokes tenderness in the L3–L4 segments. The patient is then instructed to stand and bend over the end of the plinth, grab the edges of the plinth in order to stabilize the trunk, and lift both feet off the ground. Which of the following consequent scenarios will be MOST helpful in establishing the patient's prognosis?

A physical therapist examining a patient's joint play finds restriction in the direction indicated by the arrow in the photograph (therapist is gliding volarly). To address the restriction, the therapist should include an intervention to increase which motion of the index finger (2nd digit)?

A physical therapist observes a patient from behind during bilateral shoulder abduction and notes that the patient's right scapula is more abducted than the left scapula at the end range of movement. Which of the following conditions is the MOST likely cause of the altered scapula position on the right?

A 20-year-old female athlete underwent anterior cruciate ligament reconstruction 3 days ago. Which of the following exercises is LEAST indicated at this time?

During a posture examination, the physical therapist notes that both of the patient's patellae point inward when viewed from the front of the patient. The MOST likely cause of this problem is excessive:

A patient who had a radial shaft fracture 8 weeks ago just had the cast removed. The patient has limited range of motion in all directions and limited strength of the wrist and finger joints. Which of the following interventions would be MOST appropriate to begin developing range and motor control of the patient's wrist and hand?

A physical therapist is measuring the shoulder passive joint range of motion of a patient who has acute bursitis. What type of joint end-feel is MOST likely to occur?

Which of the following structures is indicated by the arrow in the radiograph?

A patient is lying supine with hips and knees extended and hands behind the head. The patient is able to raise the head, shoulders, and thorax from the treatment table but is unable to come to a complete long-sitting position. What muscle should the physical therapist target for a strengthening program?

The physical therapy plan for a patient who underwent a medial meniscectomy includes exercising the quadriceps femoris against accommodating resistance. Which of the following exercises should be recommended?

During evaluation of a patient's gait, a physical therapist observes that the patient leans forward shortly after heel strike (initial contact). The patient's forward bending is MOST likely a compensation for weakness in the:

The work modification (standing) shown in the photograph is MOST appropriate for a patient with which of the following conditions?

An older adult patient had a total hip arthroplasty following a hip fracture from a fall in his home. The patient lived alone and was previously able to perform all activities of daily living independently. He has been admitted to a skilled nursing facility for rehabilitation. The patient's goal is to return home. His family believes he should be admitted to a long-term care facility for his own safety after acute rehabilitation is completed. Which of the following actions would be MOST appropriate to initiate FIRST?

A patient who has rheumatoid arthritis comes to physical therapy with signs of muscle atrophy, ecchymosis, puffy cheeks, and a diagnosis of osteoporosis. Which of the following medications is the patient MOST likely taking?