NPTE Clinical Files | Physical Therapy

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Frequent Falls & Romberg Aug 16, 2023

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Heather is a 65-year-old patient being evaluated for balance issues and frequent falls. She exhibits a wide-based, unsteady gait and a positive Romberg test but shows no muscle weakness. What system impairment is most likely contributing to her balance problem?

A. Musculoskeletal System

B. Vestibular System

C. Visual System

D. Somatosensory System

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Shoulder Limitations NPTE Favorite Aug 09, 2023

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Jimare presents with a rotator cuff injury with limitations into internal rotation passively but has full active external range of motion. Which of the following interventions is the MOST likely to be effective:

A. Stretching of internal rotators

B. Strengthening of internal rotators

C. Stretching of the external rotators

D. Anterior capsule stretching

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O2 Saturation Aug 02, 2023

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Jaquay is treating a patient with chronic obstructive pulmonary disease (COPD) who complains of dyspnea during daily activities. The patient's SpO2 levels tend to drop below 88% with mild exertion. In addition to continuing with a general exercise program, which of the following interventions would be the MOST beneficial for this patient?

A. Instructing the patient in diaphragmatic breathing and pursed-lip breathing.

B. Encouraging the patient to hold their breath during activities to conserve oxygen.

C. Reducing the intensity of the exercise program to avoid any further dyspnea.

D. Training the patient in quick, shallow breathing to increase oxygen intake.

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Medications - Baclofen Jul 26, 2023

Show notes

Blane is reviewing a patient's electronic health record and notes that the patient has been prescribed baclofen. The therapist should understand that baclofen is primarily used for which of the following purposes?

A. Relief of skeletal muscle spasms

B. Increasing heart rate and blood pressure

C. Managing symptoms of Parkinson's disease

D. Lowering blood sugar levels

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Modified Ashworth Scale Jul 19, 2023

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Bethany is evaluating a patient with hemiplegia who has increased tone in the upper extremity. The therapist uses the Modified Ashworth Scale (MAS) to grade the patient's muscle spasticity. The therapist describes the patient's resistance to movement as a "more marked increase in tone, but limb easily flexed". According to the MAS, how would this patient's spasticity be graded?

A. 1

B. 1+

C. 2

D. 3

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Neural Function Jul 12, 2023

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Jesse presents with decreased sensation in the left leg and reports difficulty with dorsiflexion and inversion of the foot. Which of the following nerves is MOST likely affected? A. Femoral nerve B. Tibial nerve C. Common peroneal nerve D. Obturator nerve

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Total Hip Arthroplasy Precautions Jul 05, 2023

Show notes

Jess is treating an elderly female in the acute care setting who has just had an uncemented total hip arthroplasty via a posterior approach. Which of the following precautions should be instructed to the patient during the early postoperative period?

A. Avoid full weightbearing on the operated leg

B. Avoid external rotation of the hip

C. Avoid hip flexion

D. Avoid hip abduction

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Severe Headache Differential Jun 28, 2023

Show notes

Lani is a 15-year-old male who presents with sudden onset of severe headache, neck stiffness, photophobia and a fever. On examination, he has both Kernig's and Brudzinski's signs. Which of the following is the MOST likely diagnosis?

A. Meningitis

B. Migraine headache

C. Cluster headache

D. Tension headache

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MSK Special Tests Jun 21, 2023

Show notes

Wei presents with severe pain and swelling in her knee after a fall. The therapist performs a diagnostic test for a medial meniscus tear, which results in the patient experiencing pain and clicking. Which of the following tests is MOST appropriate for confirming a medial meniscus tear?

A) McMurray test

B) Lachman test

C) Anterior drawer test

D) Posterior drawer test

LINKS MENTIONED:

Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.
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Parkinson's Disease Treatment Jun 14, 2023

Show notes

Madison is treating a patient with Parkinson's disease who is experiencing gait dysfunction. The therapist decides to incorporate rhythmical auditory stimulation (RAS) into the treatment plan. Which of the following is an accurate statement regarding the use of RAS in treating gait dysfunction in a patient with Parkinson's disease?

A. RAS is contraindicated in patients with Parkinson's disease

B. RAS has been shown to be effective in improving gait in a patient with Parkinson's disease

C. RAS is only effective in patients with advanced stages of Parkinson's disease

D. RAS has no effect on gait dysfunction in a patient with Parkinson's disease

LINKS MENTIONED:

Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com

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