NPTE PRACTICAL QUESTIONS 3

1) At higher altitudes, a patient experiences dizziness, nausea, weakness, decreased vision, and headache. The physical therapist informs the patient that these symptoms are mainly caused by lowered partial pressure of ambient oxygen at higher altitudes. Which of the following is a long-term response to decreased partial pressure of ambient oxygen ?

2) A physical therapist reviews the medication list of a patient who is maintained on bronchodilators for the management of bronchial asthma. Which of the following is a common side effect of bronchodilators ?

3) A female patient with angina is referred to the clinic after a total knee replacement. The patient has a history of angina, which is usually relieved by rest and intake of nitroglycerin. The pain occurs with increased activity or stress. Based on these details of information, the patient has which type of angina ?

4) A physical therapist is assessing the respirations of a patient referred for therapy due to adhesive capsulitis. Physical examination findings suggest that the patient has a normal respiratory function. In patients with normal respiratory function, which of the following occurs during inspiration ?

5) A 50-year-old female complains of cervical pain that radiates to the left anterior arm and radial side of the hand. Manual muscle testing of the biceps reveals a grade of 3. A diagnosis of cervical spondylosis is made. Which of the following is true about cervical spondylosis ?

6) The cardiovascular system and pulmonary system show the most significant changes in response to increased activity or inactivity. A patient referred for an exercise program is expected to demonstrate which of the following as a normal response to exercise ?

7) A nerve root is the portion of a peripheral nerve root that connects the nerve to the spinal cord. The nerve roots usually arise from each level of the spinal cord. In the cervical spine, which of the following nerve roots is the most commonly compressed ?

8) The screw home mechanism of the knee, or locking of the knee, occurs at the end of the knee extension to reduce the work exerted by the quadriceps during standing. Which of the following ligaments controls this mechanism ?

I. Medial collateral ligament

II. Posterior cruciate ligament

III. Anterior cruciate ligament

IV. Lateral collateral ligament

9) A woman at 12 weeks’ gestation is informed what to expect during labor and delivery. The patient is diagnosed with spinal cord injury affecting T11. The patient is informed that the following is more likely to occur during birth except :

10) The knee is a complex structure that plays a major role in supporting the body during static and dynamic activities. It is supported by muscles, ligaments, cartilage, tendons, and bones to maintain its function. Which of the following is the strongest ligament in the knee ?

11) The human body consists of 31 nerve root pairs. Each nerve root has two components: the somatic component and the visceral component. Which of the following is the function of the nerve root’s somatic portion ?

12) The deep veins of the legs and the pelvis are the most hospitable sites for venous thrombosis, a condition where a clot forms on the wall of a vein. Which of the following veins is least likely involved in deep vein thrombosis ?

13) A female patient informs a physical therapist that she has been having problems with sexual intercourse and physical sexual responses since the spinal cord injury. The injury occurred a year-and-a-half before consult. The history of the patient reveals complete motor neuron injury affecting the S2-S5 segments. Which of the following sexual dysfunctions is most likely reported by the patient ?

14) In addition to physical changes, aging may also cause changes in vital signs, which include the blood pressure, body temperature, heart rate and breathing rate. Which of the following is an expected finding in elderly patients ?

15) Carpal tunnel syndrome consists of symptoms and signs that develop from the entrapment of the median nerve within the carpal tunnel. The median nerve is derived from the following nerve roots :

I. C6

II. C7

III. C8

IV. T1

16) A female patient is about to get married in three months. The patient would like to delay pregnancy at least one year after the wedding. The physical therapist is correct to inform the patient that which of the following is the most effective contraception ?

17) Compared to an individual who lives a sedentary lifestyle, a physically fit person usually demonstrates a different physiological profile. The following are the characteristic features of improved endurance except :

18) A female patient with swelling, redness, and pain in the leg is suspected of thrombophlebitis. There are three factors, called Virchow’s triad, associated with thrombophlebitis or venous thrombosis. The Virchow’s triad consists of the following except :

19) Therapeutic cold, also known as cryotherapy, has the main effect of cooling the tissues. Cold application may use various techniques and duration of therapy, but it has the same basic physiological effects. The effects of cryotherapy are the following except :

20) A 55-year-old non-athletic and healthy patient is referred for an exercise program. For beginners, a good target heart rate should be 60% of the maximum heart rate. What is the correct target heart rate during exercise for the patient ?