Christopher Wysong
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NPTE Practice Quiz on NPTE - Interventions & Therapeutic Modalities, created by Christopher Wysong on 05/11/2019.

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Christopher Wysong
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NPTE - Interventions & Therapeutic Modalities

Question 1 of 27

1

A physical therapist is developing an exercise program for a patient who has upper extremity lymphedema. Which of the following exercises should the patient perform LAST?

Select one of the following:

  • Elbow flexion

  • Cervical rotation

  • Wrist circumduction

  • Shoulder circumduction

Explanation

Question 2 of 27

1

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:

Select one of the following:

  • wrist in a flexed position.

  • elbow in a flexed position.

  • scapula in a protracted position.

  • forearm in a pronated position.

Explanation

Question 3 of 27

1

Which of the following are appropriate physical therapy interventions for the management of a joint with heterotopic ossification?

Select one of the following:

  • Aggressive strengthening of the affected tissues

  • Gentle stretching of the affected tissues

  • Continuous ultrasound

  • Superficial application of heat

Explanation

Question 4 of 27

1

A physical therapist is developing an exercise program for a patient who has upper extremity lymphedema. Which of the following exercises should the patient perform LAST?

Select one of the following:

  • Elbow flexion

  • Cervical rotation

  • Wrist circumduction

  • Shoulder circumduction

Explanation

Question 5 of 27

1

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:

Select one of the following:

  • discharge the patient without further intervention.

  • provide the patient with a home program and re-evaluate in 1 month.

  • increase the patient's treatments to 5 times/week for 2 weeks.

  • decrease the patient's treatments to 1 time/week until the goal is achieved.

Explanation

Question 6 of 27

1

A patient reports pain over the sacroiliac joint and buttock on the left side. The patient's pain is reproduced with an ipsilateral active straight leg raise, sacroiliac compression test, and palpation of the left sacrotuberous ligament. In standing, the right posterior superior iliac spine is higher than the left, and the left anterior superior iliac spine is higher than the right. Interventions should MOST likely include unilateral isometric contraction of the left hip:

Select one of the following:

  • extensors.

  • flexors.

  • abductors.

  • adductors.

Explanation

Question 7 of 27

1

During warm-up on a stationary bike, a patient reports feelings of fatigue. Following the activity, the physical therapist observes the patient sitting in a chair with elbows resting on the knees. The physical therapist should examine the patient for which of the following?

Select one of the following:

  • Trunk muscle weakness

  • Poor sitting posture

  • Lower extremity weakness

  • Use of accessory muscles for breathing

Explanation

Question 8 of 27

1

A 75-year-old individual engages in a daily aerobic exercise program. Which of the following gastrointestinal tract changes is MOST likely a result of the exercise?

Select one of the following:

  • Increased lactase levels

  • Increased bowel transit time

  • Improved neuromuscular function of the colon

  • Improved upper esophageal sphincter strength

Explanation

Question 9 of 27

1

Which of the following methods is the MOST effective way to encourage a patient who is learning a new movement pattern?

Select one of the following:

  • Describe how incorrect attempts differ from the correct movement before proceeding with the next trial.

  • Describe each component of the desired movement before beginning practice.

  • Provide feedback at the same point in each of the patient's attempts.

  • Provide frequent feedback during the initial trials of the movement.

Explanation

Question 10 of 27

1

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:

Select one of the following:

  • move the patient only to the uninvolved side.

  • discourage the patient's use of the uninvolved side.

  • keep the head in midline.

  • protect the involved shoulder.

Explanation

Question 11 of 27

1

A physical therapist is preparing to teach proper technique for performing skin checks to a patient who has diminished sensation in the lower extremities. Before beginning instruction, the therapist should FIRST determine which of the following patient characteristics?

Select one of the following:

  • Extent of family support

  • Number of previous leg ulcers

  • Literacy level

  • Readiness to learn

Explanation

Question 12 of 27

1

Which of the following is an ABNORMAL response to vigorous aerobic exercise in a healthy adult with normal vital signs at rest?

Select one of the following:

  • Respiratory rate increases to 40 breaths/minute.

  • Arterial oxygen saturation decreases from 95% to 85%.

  • Diastolic blood pressure does not change.

  • Systolic blood pressure increases to 180 mm Hg.

Explanation

Question 13 of 27

1

During an examination, a physical therapist finds that a patient with chronic obstructive pulmonary disease has a weak wet cough. Which of the following techniques is MOST appropriate to help this patient clear secretions?

Select one of the following:

  • Abdominal thrusts

  • Postural drainage

  • Huffing

  • Manual or mechanical percussion

Explanation

Question 14 of 27

1

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?

Select one of the following:

  • Hips posterior to the ankles

  • Shoulders posterior to the hips

  • Ankles plantar flexed

  • Knees hyperextended

Explanation

Question 15 of 27

1

Which of the following interventions is MOST appropriate for treatment of a patient who has functional incontinence?

Select one of the following:

  • Developing a voiding schedule

  • Removal of clutter within the bathroom

  • Abdominal activation exercises in supine position

  • Rhythmic contractions of the pelvic floor

Explanation

Question 16 of 27

1

A patient with a history of advanced osteoporosis is restricted to non-weight-bearing status on the right lower extremity following a pathological fracture of the right hip. Which of the following physical therapy interventions would be MOST appropriate for the patient INITIALLY?

Select one of the following:

  • Transfer training and wheelchair mobility

  • One-foot supported standing balance exercises

  • Progressive walking program

  • Progressive resistive bed exercise program

Explanation

Question 17 of 27

1

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?

Select one of the following:

  • Discuss the confusion with the patient's friend.

  • Orient the patient to the correct location.

  • Agree with the patient.

  • Document dementia in the patient's chart.

Explanation

Question 18 of 27

1

Which of the following is the MOST likely hormonal response in reaction to a stressful stimulus?

Select one of the following:

  • Release of epinephrine by the adrenal gland

  • Suppression of cortisol by the adrenal gland

  • Release of adrenalin by the hypothalamus

  • Suppression of growth hormone by the pituitary

Explanation

Question 19 of 27

1

A woman has been walking on a treadmill for 10 minutes at 3.5 miles (5.6 km) per hour and 0° elevation when she reports a new onset of midthoracic back pain, aching in the right biceps muscle, fatigue, weakness, and nausea. Which system is MOST likely implicated?

Select one of the following:

  • Cardiovascular

  • Gastrointestinal

  • Musculoskeletal

  • Neuromuscular

Explanation

Question 20 of 27

1

A physical therapist has been asked to speak to a group of senior citizens regarding the benefits of exercise. The therapist should instruct the group that exercise has the greatest effect on which of the following endocrine disorders?

Select one of the following:

  • Type 1 diabetes mellitus

  • Type 2 diabetes mellitus

  • Cushing syndrome

  • Graves disease

Explanation

Question 21 of 27

1

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

Select one of the following:

  • Emphasize verbal feedback.

  • Provide instruction using a single method.

  • Practice, review, and facilitate overlearning of concepts and techniques.

  • Practice a series of portions of a task rather than the complete functional task.

Explanation

Question 22 of 27

1

A physical therapist is performing sit-to-stand transfer training with a patient in a hospital room. The patient is currently admitted for acute renal failure and has electrocardiogram monitoring in place. During the transfer training, the therapist notes new onset of one unsustained, unifocal premature ventricular contraction. Which of the following actions is MOST appropriate for the therapist to take at this time?

Select one of the following:

  • Discontinue transfer training and call the nurse immediately.

  • Discontinue transfer training and switch to passive range-of-motion exercises.

  • Allow the patient to rest and continue with transfer training, while monitoring the electrocardiogram.

  • Allow the patient to rest and measure the patient's blood pressure.

Explanation

Question 23 of 27

1

A physical therapist is considering an intervention for a patient with lymphedema and severe arterial insufficiency. Which of the following options BEST represents the rationale for a decision concerning use of intermittent compression therapy?

Select one of the following:

  • Should be used, because it increases peripheral resistance.

  • Should be used, because it moves excess interstitial fluid.

  • Should not be used, because it increases peripheral resistance.

  • Should not be used, because it moves excess interstitial fluid.

Explanation

Question 24 of 27

1

A patient who sustained an ulnar collateral ligament sprain of the thumb (1st digit) 1 week ago is referred for physical therapy. Which of the following actions is MOST appropriate when continuous ultrasound is being administered?

Select one of the following:

  • Immerse the wrist and the hand in water.

  • Apply 10% hydrocortisone to the skin.

  • Apply mineral oil between the skin and the sound head.

  • Utilize a stationary technique in direct contact with the skin.

Explanation

Question 25 of 27

1

Prior to a lumbar laminectomy, a patient developed steppage gait on the right. Two weeks after the surgery, the steppage gait continues. Which of the following interventions is MOST appropriate to address the patient's underlying impairment?

Select one of the following:

  • Biofeedback for the ankle plantar flexors

  • Squat exercises in standing

  • Electrical muscle stimulation of the ankle dorsiflexors

  • Straight-leg raising exercises in hooklying position

Explanation

Question 26 of 27

1

A 5-year-old patient is experiencing pain at the insertion of the quadriceps tendon and has been referred for physical therapy. Which of the following interventions is MOST appropriate for this patient?

Select one of the following:

  • Phonophoresis

  • Mobilization of the tibiofemoral joint

  • Cryotherapy

  • Whirlpool

Explanation

Question 27 of 27

1

Neurapraxia resulting from ice massage is MOST likely to occur when the therapy is administered:

Select one of the following:

  • over the insertion of the lateral collateral ligament of the knee.

  • for the treatment of medial epicondylalgia.

  • over the piriformis muscle origin and insertion in the hip.

  • for treatment of posterior dislocation of the shoulder.

Explanation