NPTE Practice - Neuromuscular & Nervous System

A nurse caring for a patient who is 2 days post cerebrovascular accident asks the physical therapist for positioning recommendations when the patient lies on the hemiplegic side. The therapist's recommendations should include positioning the:

During a physical therapy examination, a patient reports numbness, burning, and paresthesias in both feet. A neurological examination reveals bilateral loss of pain and temperature sensation in a stocking-and-glove distribution, diminished ankle reflexes, normal knee-jerk reflexes, and decreased strength in the feet and ankles bilaterally. The patient MOST likely has:

The parent of a child with myelomeningocele at L2 asks a physical therapist to provide information regarding the child's prognosis for walking. The therapist should respond by telling the parent that the child will MOST likely be able to:

A physical therapist is preparing to give instructions in the use of a new standing device to the family of a 3-year-old child who has myelomeningocele. Which of the following actions should the therapist perform FIRST?

A patient with multiple sclerosis wants to transfer independently. The patient progressed from moderate to minimal assistance for transfers within 3 days; however, no progress has been made in the past 2 weeks. The physical therapist should:

A patient recently sustained a cerebrovascular accident, with resulting hemiplegia. A physical therapist is assisting the patient with rolling in bed. The therapist's FIRST consideration should be to:

A patient who has a spinal cord injury has loss of proprioception, two-point discrimination, and vibration sense below the level of the lesion. Which of the following syndromes is MOST likely present?

A physical therapist is examining a patient who reports a burning sensation between the 2nd and 3rd metatarsals that spreads across the forefoot. The pain occurs primarily with weight-bearing or pressure on the area, but also at night when the patient is in bed. The MOST likely cause of the pain is:

For a patient with a complete T10 spinal cord injury to achieve stability while standing with crutches, the patient should maintain which of the following positions?

A patient recovering from a traumatic brain injury is unable to correctly state his whereabouts and insists he is staying at a resort. Which of the following is the MOST appropriate action for the physical therapist to take?

A patient reports a 3-month history of sudden, severe vertigo associated with sweating and a feeling of light-headedness. Symptoms increase with forward bending and turning around in bed. The sensations usually stop after 30 seconds in a static position. Which of the following tests is MOST appropriate to determine the cause of the dysfunction?

Which of the following devices is MOST appropriate for testing protective sensation in the feet?

When instructing an individual with intellectual disability, which of the following teaching techniques is MOST appropriate?

A physical therapist is conducting a reflex text as shown in the photographs. The arrow indicates the path of the applied stimulus. The results of the test are MOST likely to indicate:

A physical therapist is evaluating a patient who has a vascular lesion in the brainstem affecting the oculomotor nerve (CN III). During the cranial nerve examination, which of the following signs would be the MOST significant?

A patient is being evaluated for possible carpal tunnel syndrome, and a nerve conduction velocity test is performed. Which of the following findings would MOST strongly support the diagnosis?

A patient who has right hemiplegia is unable to avoid obstacles on the right side of the hallway while walking with a walker. During meals, the patient does not eat foods placed on the right side of the plate. Which of the following tests is MOST appropriate to perform?

A patient who has a T7 spinal cord injury (ASIA Impairment Scale D) exhibits decreased motor function in the right lower extremity and loss of pain sensation over the left distal trunk and lower extremity. Which of the following syndromes is MOST likely present?

When examining a patient with right facial weakness, a physical therapist notes the presence of a right Bell phenomenon. Which of the following additional findings is MOST likely to be present?

A physical therapist examines a patient with multiple sclerosis who is in a period of exacerbation. The patient is independent with bed mobility, can sit unassisted at the edge of the bed, and requires physical assistance to stand with a walker. Which of the following interventions would have the HIGHEST priority?

A patient with a severe cerebellar lesion can sit independently, can stand with minimal assistance, and requires moderate assistance of one person to walk safely. The patient wants to transfer independently from a wheelchair to a bed. Which of the following transfer techniques is MOST appropriate for the patient?

A patient with Parkinson disease has just been admitted to a rehabilitation unit. The patient is dependent in all transfers and requires moderate assistance of one person to walk 30 ft (9.1 m) with a standard walker. To facilitate good carryover for activities, instruction of the family in transfers should occur:

A patient with a mild closed head injury and bilateral femur fractures requires instruction in a lower extremity exercise program. To plan the most effective teaching methods for this patient, what is MOST critical to assess at the INITIAL visit?

A patient sustained a gunshot wound to the spine in the area of L1. The patient has weakness of the left lower extremity and inability to move the knee, ankle, or foot. The patient's patellar tendon and Achilles tendon reflexes are increased on the left side. There is also loss of proprioception in the patient's left ankle and knee, a positive Babinski sign on the left side, and diminished sensation to pinprick and temperature changes in the right thigh, leg, and foot. Results of all of the patient's cranial nerve tests are normal. These findings are consistent with which of the following injuries?

Which of the following elements of motor learning contributes MOST to retention of a motor skill?

A patient reports burning medial knee pain that occurs during knee flexion greater than 60°. Resisted knee extension is strong and pain free. The patient denies any popping or instability and there is no history of trauma. There is tenderness to palpation over the anteromedial distal thigh. Which of the following conditions is MOST likely causing the patient's knee pain?

In the INITIAL management of a patient with a partial peripheral nerve injury, the goal of the physical therapy intervention will MOST likely be to prevent which of the following problems?

A patient has sustained a traumatic brain injury and is slow to respond to all stimuli. The patient currently verbalizes and moves away from noxious stimuli and is able to close the eyes 3 of 5 times when asked. What level on the Rancho Los Amigos levels of cognitive functioning scale BEST describes this patient's current status?

A manual muscle test of a patient who sustained a gunshot wound immediately superior to the elbow joint reveals specific muscle weakness from a partial median nerve injury. The physical therapy intervention for the patient should include strengthening activities for wrist flexion, forearm:

For an individual with a T12 spinal cord injury to be able to walk, achievement of which of the following ranges of motion is MOST important?