NPTE Clinical Files | Physical Therapy

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Cognitive Assessment Aug 10, 2022

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Brenda is treating a patient with a recent brain injury. The therapist applies a strong noxious stimulus to the patient's forearm to elicit a response. The patient is difficult to arouse but, while awake, remains confused. Which of the following should be documented in the patient's record?

A. Stupor

B. Obtunded

C. Lethargic

D. Comatose

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Reducing Muscle Tone Aug 03, 2022

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Breancha is treating a patient with Multiple Sclerosis and marked extensor tone in the lower extremities. Which of the following is the MOST effective strategy to reduce tone:

A. Prolonged cooling

B. Light stroking

C. Spinning in a chair

D. High-frequency vibration

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Berg Balance Scale Jul 27, 2022

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Hughandra decides to evaluate the balance of an elderly patient using the Berg Balance Scale. Which of the following is NOT an area examined using this test?

A. Unsupported sitting

B. Retrieving an object from the floor

C. Standing on one foot

D. Walking while completing horizontal head turns

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Vestibular Rehabilitation 2 Jul 13, 2022

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Nywening is treating a patient diagnosed with a unilateral vestibular loss after repeated ear infections. The patient's main complaint is motion sensitivity and nausea. Which of the following options is the BEST choice for treatment?

A. Canalith repositioning maneuver

B. Semont maneuver

C. Habituation exercises

D. Frenkel's exercises

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Ankylosing Spondylitis Jul 06, 2022

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Siobahn is a 17-year-old male with a medical diagnosis of Juvenile Rheumatoid Arthritis and Ankylosing Spondylitis. Upon examination, the patient’s spine is hypomobile but denies pain with palpation and during spinal movements. Which of the following interventions is the MOST recommended:

A. Postural education to reduce lumbar lordosis

B. Supine abdominal crunches

C. Grade 4 mobilizations at ankylosed segments

D. Scapular stabilization exercises

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Joint Mobilization Jun 29, 2022

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Aiden is being evaluated for mild discomfort in the right hip joint after a running injury two weeks ago. Upon examination, the patient has stiffness, hypomobility, decreased hip flexion, and internal rotation range of motion. Which of the following mobilizations should be performed FIRST:

A. Anterior

B. Inferior

C. Posterior

D. Distraction

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Gait Analysis & Initial Contact Jun 22, 2022

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Carmello is performing a gait analysis and notices that the patient’s toes are the first points of contact with the ground during initial contact. Which of the following is the LEAST likely to be a possible cause of this gait deviation?

A. Leg length discrepancy

B. Reciprocal inhibition of dorsiflexors

C. Painful heel

D. Profound dorsiflexor weakness

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Falls & Meds Jun 15, 2022

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Francine has a past medical history of angina, depression, and acid reflux. The patient is being seen for frequent falls in the home but denies dizziness, vertigo, or sudden weakness. The therapist suspects blurred vision as the primary cause. Which of the following medications is the MOST likely contributing to the patient's falls?

A. Aspirin

B. Warfarin

C. Amitriptyline

D. Omeprazole

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Plumb Line 2 Jun 08, 2022

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Gupta is assessing a patient's posture using a new plumbline assessment tool. Upon examination, the line of gravity falls posteriorly to the cervical spine joints. Which of the following opposing muscle groups is likely the MOST active?

A. Serratus anterior

B. Longus Colli

C. Obliquus capitis superior

D. Iliocostalis Dorsi

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Thoracic Spinal Cord Injury Findings Jun 01, 2022

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Vidhi is performing a chart review of his patient who has a T1 ASIA B SCI. Which of the following findings is MOST likely when treating this patient?

A. Paradoxical breathing pattern

B. Use of a mechanical ventilator

C. Moderate to maximal assistance with wheelchair to bed transfers

D. Household and community ambulator with HKAFOs and crutches

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