NPTE PRACTICAL QUESTIONS 6

1) A patient complaining of knee pain demonstrates joint line tenderness during assessment. Effusion, frank locking, and restricted motion of the affected knee are noted. History reveals that the patient is frequently required to perform frequent kneeling and squatting at work. A meniscus injury is considered. The following provocative maneuvers are performed except :

2) A patient complaining of anterior shoulder pain is suspected of bicipital tendonitis. The physical therapist evaluating the patient conducts which of the following tests as a screening tool for diagnosing bicipital tendonitis ?

3) The patient sits with the elbow flexed at a right angle, with the forearm in supination. The physical therapist stands in front of the patient and places one hand over the flexor surface of the patient’s forearm. The other hand is applied to the humerus. The patient flexes the elbow against the therapist’s applied force. The therapist is assessing which of the following nerve roots ?

4) A baseball player complains of shoulder pain when pitching. Anterior glenohumeral instability is suspected. On examination, a series of tests are conducted to aid the diagnosis. Which of the following tests, if positive, strongly suggests anterior glenohumeral instability ?

5) A female patient reports radiation of cervical pain to the anterior left arm, radial side of the hand, thumb and to the index finger. Paresthesias in the left thumb and index finger are also noted. Which of the following tests is appropriately performed to the patient to assess for C6 radiculopathy ?

6) A female patient comes to the clinic complaining of acute pain in the left knee. The patient informs the physical therapist that she heard a popping sound in the knee as she was landing from jump. Anterior cruciate ligament injury is suspected. The physical therapist begins to perform which of the following as it is known as the most sensitive test for acute anterior cruciate ligament rupture ?

7) The ankle and foot work together during gait to provide the balance needed as the body moves over an uneven ground. The following indicate the normal averages and expected findings from mid-stance to toe-off excep :

8) A patient who complains of shoulder pain is assessed. It is noted that the pain is aggravated by movement and elevation of the arm above the shoulder level. The physical therapist tests the arm of the affected shoulder by internally rotating the patient’s arm and forcefully moves the arm through full range of forward flexion. The therapist performs which of the following tests ?

9) A 41-year-old patient reports low back pain that radiates to the lower leg. Assessment of the patient includes positive straight leg raise test, asymmetric reflexes, and weakness. The patient is able to walk with difficulty. Admission is not required. Which of the following diagnostic tests is ordered for the patient ?

10) A physical therapist conducts sensory testing, mainly through light touch and pin sensation, on a patient with motor and sensory deficits. The therapist ensures to include which of the following areas in the test to determine whether or not patient has a motor incomplete injury ?

11) A male patient complains of cervical pain that radiates to the deltoid area and anterior aspect of the entire arm to the base of the thumb. Which of the following tests is performed by the physical therapist to assess for C5 radiculopathy ?

12) One complete gait cycle starts from the point at which the heel of one foot touches the ground and ends at the time when it touches the ground again. During the toe-off phase, the range of motion of the knee of a person with a normal gait is :

13) A physical therapist assesses the strength of the quadriceps femoris, which consists of the vastus lateralis, vastus intermedius, vastus medialis, and rectus femoris. The patient asks the patient to do which of the following during manual muscle testing ?

14) A physical therapist is evaluating a patient for abnormal sensations using a sharp-dull tool. Decreased sensation is noted in the medial aspect of the dorsum of the foot. Which of the following nerve roots is most likely damaged ?

15) A patient with a restricted motion of the left knee, secondary to pain, is suspected of meniscus injury. The McMurray test, a provocative maneuver that causes impingement, is done to aid the diagnosis. Which of the following is the correct way of performing the McMurray test ?

16) As a part of physical assessment, the examiner performs the Barlow maneuver on a 3-month-old child to check for an unstable hip. The examiner performs this maneuver by which of the following actions ?

17) A patient complains of achy pain in the lower back and sacroiliac joints. Morning stiffness is also reported. During evaluation, a physical therapist evaluates for forward flexion and lumbar mobility. Which of the following tests is used to measure the lumbar flexion ?

18) A patient with low back pain demonstrates motor weakness on knee extension and sensory loss in the medial area of the foot. The physical therapist suspects L3-L4 disk herniation. Which of the following is the screening examination to localize L4 nerve root compromise ?

19) A series of clinical tests are performed on a female newborn. The examiner evaluates the child’s hips one at a time to check for an unstable hip. The examiner starts by placing his thumb over the child’s inner thigh and index finger over the greater trochanter. The child’s hip is abducted, and gentle pressure is applied over the greater trochanter. The examiner performs which of the following tests ?

20) A physical therapist tests the strength of the patient’s extensor carpi ulnaris muscle by having the patient’s forearm positioned in full pronation on top of a table. The patient is instructed to extend the hand and deviate it toward the ulnar side as the therapist applies resistance against the dorsum of the fifth metacarpal bone. The therapist notes that the muscle being tested is able to move the joint against gravity, but not through a full range of motion. The muscle strength of extensor carpi ulnaris is graded :