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NPTE - Interventions & Therapeutic Modalities
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Questions in this quiz (27)
1A 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?
- AElbow flexion
- BCervical rotation
- CWrist circumduction
- DShoulder circumduction
2A 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:
- Awrist in a flexed position.
- Belbow in a flexed position.
- Cscapula in a protracted position.
- Dforearm in a pronated position.
3Which of the following are appropriate physical therapy interventions for the management of a joint with heterotopic ossification?
- AAggressive strengthening of the affected tissues
- BGentle stretching of the affected tissues
- CContinuous ultrasound
- DSuperficial application of heat
4A 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?
- AElbow flexion
- BCervical rotation
- CWrist circumduction
- DShoulder circumduction
5A 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:
- Adischarge the patient without further intervention.
- Bprovide the patient with a home program and re-evaluate in 1 month.
- Cincrease the patient's treatments to 5 times/week for 2 weeks.
- Ddecrease the patient's treatments to 1 time/week until the goal is achieved.
6A 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:
- Aextensors.
- Bflexors.
- Cabductors.
- Dadductors.
7During 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?
- ATrunk muscle weakness
- BPoor sitting posture
- CLower extremity weakness
- DUse of accessory muscles for breathing
8A 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?
- AIncreased lactase levels
- BIncreased bowel transit time
- CImproved neuromuscular function of the colon
- DImproved upper esophageal sphincter strength
9Which of the following methods is the MOST effective way to encourage a patient who is learning a new movement pattern?
- ADescribe how incorrect attempts differ from the correct movement before proceeding with the next trial.
- BDescribe each component of the desired movement before beginning practice.
- CProvide feedback at the same point in each of the patient's attempts.
- DProvide frequent feedback during the initial trials of the movement.
10A 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:
- Amove the patient only to the uninvolved side.
- Bdiscourage the patient's use of the uninvolved side.
- Ckeep the head in midline.
- Dprotect the involved shoulder.
11A 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?
- AExtent of family support
- BNumber of previous leg ulcers
- CLiteracy level
- DReadiness to learn
12Which of the following is an ABNORMAL response to vigorous aerobic exercise in a healthy adult with normal vital signs at rest?
- ARespiratory rate increases to 40 breaths/minute.
- BArterial oxygen saturation decreases from 95% to 85%.
- CDiastolic blood pressure does not change.
- DSystolic blood pressure increases to 180 mm Hg.
13During 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?
- AAbdominal thrusts
- BPostural drainage
- CHuffing
- DManual or mechanical percussion
14For 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?
- AHips posterior to the ankles
- BShoulders posterior to the hips
- CAnkles plantar flexed
- DKnees hyperextended
15Which of the following interventions is MOST appropriate for treatment of a patient who has functional incontinence?
- ADeveloping a voiding schedule
- BRemoval of clutter within the bathroom
- CAbdominal activation exercises in supine position
- DRhythmic contractions of the pelvic floor
16A 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?
- ATransfer training and wheelchair mobility
- BOne-foot supported standing balance exercises
- CProgressive walking program
- DProgressive resistive bed exercise program
17A 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?
- ADiscuss the confusion with the patient's friend.
- BOrient the patient to the correct location.
- CAgree with the patient.
- DDocument dementia in the patient's chart.
18Which of the following is the MOST likely hormonal response in reaction to a stressful stimulus?
- ARelease of epinephrine by the adrenal gland
- BSuppression of cortisol by the adrenal gland
- CRelease of adrenalin by the hypothalamus
- DSuppression of growth hormone by the pituitary
19A 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?
- ACardiovascular
- BGastrointestinal
- CMusculoskeletal
- DNeuromuscular
20A 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?
- AType 1 diabetes mellitus
- BType 2 diabetes mellitus
- CCushing syndrome
- DGraves disease
21When instructing an individual with intellectual disability, which of the following teaching techniques is MOST appropriate?
- AEmphasize verbal feedback.
- BProvide instruction using a single method.
- CPractice, review, and facilitate overlearning of concepts and techniques.
- DPractice a series of portions of a task rather than the complete functional task.
22A 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?
- ADiscontinue transfer training and call the nurse immediately.
- BDiscontinue transfer training and switch to passive range-of-motion exercises.
- CAllow the patient to rest and continue with transfer training, while monitoring the electrocardiogram.
- DAllow the patient to rest and measure the patient's blood pressure.
23A 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?
- AShould be used, because it increases peripheral resistance.
- BShould be used, because it moves excess interstitial fluid.
- CShould not be used, because it increases peripheral resistance.
- DShould not be used, because it moves excess interstitial fluid.
24A 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?
- AImmerse the wrist and the hand in water.
- BApply 10% hydrocortisone to the skin.
- CApply mineral oil between the skin and the sound head.
- DUtilize a stationary technique in direct contact with the skin.
25Prior 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?
- ABiofeedback for the ankle plantar flexors
- BSquat exercises in standing
- CElectrical muscle stimulation of the ankle dorsiflexors
- DStraight-leg raising exercises in hooklying position
26A 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?
- APhonophoresis
- BMobilization of the tibiofemoral joint
- CCryotherapy
- DWhirlpool
27Neurapraxia resulting from ice massage is MOST likely to occur when the therapy is administered:
- Aover the insertion of the lateral collateral ligament of the knee.
- Bfor the treatment of medial epicondylalgia.
- Cover the piriformis muscle origin and insertion in the hip.
- Dfor treatment of posterior dislocation of the shoulder.
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- NPTE Practice Quiz on NPTE - Interventions & Therapeutic Modalities, created by Christopher Wysong on 05/11/2019.
- Author
- Christopher Wysong
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- English
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