NPTE Clinical Files | Physical Therapy

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Hip Dysplasia Dec 29, 2021

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Amber is being treated for developmental hip dysplasia. The therapist would like to ensure proper formation of the femoral head and acetabulum. Which of the following positions is the MOST appropriate:

A. Hip flexion, abduction, internal rotation

B. Hip extension, adduction, external rotation

C. Hip flexion, adduction, internal rotation

D. Hip flexion, abduction, external rotation

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Nerve Damage Dec 22, 2021

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Charlotte presents to physical therapy with suspected nerve damage after an open radius and ulnar fracture on the right side. Upon examination, the patient has diminished sensation in the fifth digit and medial half of the fourth digits. The patient can perform the tip to tip grip with the 1st and second digits of the right hand. Which of the following findings would be the MOST consistent with this clinical picture?

A. Decreased latency of the ulnar nerve

B. 5/5 dorsal interossei manual muscle testing

C. Positive Phalen's test

D. Positive Froment's sign

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Facet Dysfunction Dec 15, 2021

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Rosie presents with a right cervical facet dysfunction. The therapist would like to educate the patient on specific movements that should be avoided in the acute phase. Which of the following is the LEAST appropriate for the patient to perform?

A. Left cervical rotation, side-bending, and extension

B. Cervical extension

C. Right cervical rotation

D. Right cervical rotation and extension

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Stroke & Gait Dec 08, 2021

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Mitchell presents to physical therapy post left CVA with an extensor synergy pattern of the lower extremity. Upon gait assessment, which of the following compensatory gait deviations is the MOST likely present?

A. Vaulting on the sound side

B. High steppage gait on the affected side

C. Circumduction on the sound side

D. Knee buckling on the affected side

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Ramps and Slopes Nov 24, 2021

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A facility is looking to install a new ramp in order to maintain ADA compliant. The lead physical therapist is consulted to determine the facility’s needs. The therapist recommends that there be at least a 10-inch rise. Which of the following ramp lengths would BEST maintain ADA compliancy?

A. 10 feet

B. 6 feet

C. 24 feet

D. 4 feet

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Cerebral Palsy Nov 17, 2021

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Jason and Carla are the parents of a child with spastic diplegic cerebral palsy (CP) and have been coming to therapy for several visits. The parents voice their concerns about wanting quicker results and request to try a hyperbaric oxygen program. Which of the following is the NEXT course of action?

A. Encourage the parents to reconsider focusing only on physical therapy goals

B. Discharge the patient from physical therapy services

C. Provide impartial and objective information about hyperbaric oxygen programs

D. Refer the patient to a pediatrician who performs hyperbaric oxygen therapy

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Cervical Spine Injury Nov 10, 2021

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Brad is a 65 year old patient presents to physical therapy after falling 3 feet from a step stool at home. The patient denies any pain initially however, has developed neck pain and stiffness. Which of the following is the BEST course of action?

A. Initiate cryotherapy and education to avoid movement

B. Provide gentle mobilizations to the cervical spine

C. Refer the patient for diagnostic imaging

D. Exercise the upper extremities and trunk

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TBI & Motor Learning Nov 03, 2021

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Jason is being treated in inpatient physical therapy for a traumatic brain injury (TBI). The therapist has been training the patient on using a 2-point gait pattern using a single-point cane. The patient demonstrates a clear understanding of the proper method and is able to perform the task freely in a quiet hallway. Which of the following is the BEST to improve the patient's retention of the skill?

A. Open environment, randomized practice

B. Closed environment, serial practice

C. Open environment, serial practice

D. Closed environment, blocked practice

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Autonomic Dysreflexia Oct 27, 2021

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Helen presents with a T4 SCI and exhibits signs of autonomic dysreflexia. The therapist should anticipate which cardiovascular response:

A. Hyperemia in the lower legs and feet

B. Decreased blood pressure

C. Vasodilation in the head, neck, and arms

D. Increased heart rate

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Ankle/Foot Fracture Oct 20, 2021

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Seina presents to physical therapy with lateral foot pain that began suddenly 2 days ago. The patient reports running and accidently stepping onto uneven pavement. The patient’s medical record includes multiple radiographs which show a noticeable fracture of the proximal fifth metatarsal. Which of the following pathologies is MOST likely present?

A. Jones fracture

B. March fracture

C. LisFranc fracture

D. Stress fracture

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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