FREE NPTE-PT MCQ Question and Answers
In the previous month, Peter experienced a couple of briefs and unprovoked episodes of vertigo that lasted under 24 hours. He recently visited his primary care physician due to the development of tinnitus and a feeling of ear fullness. He noticed a change in the quality of his hearing in one ear, which was beginning to alarm him. Which of the following diagnoses for vestibular disorders best fits Peter's symptoms?
Explanation:
A vestibular disorder called Meniere's disease involves too much endolymph in the inner ear. Meniere's disease symptoms include tinnitus, hearing loss, auditory fullness, and episodic vertigo. BPPV is influenced by location and frequently does not entail hearing loss or aural fullness. Dizziness but not hearing loss can result from vestibular neuritis, an inflammation of the vestibulocochlear nerve or inner ear.
Kevin goes to physical therapy with upper abdominal discomfort as a secondary complaint and midthoracic pain as his primary complaint. The evaluating therapist discovers after more probing that Kevin has occasionally had breathing problems, acid reflux, and difficulties swallowing. In order to rule out a hernia as a potential alternate source of Kevin's problems, her therapist suggests Kevin to her primary care physician for evaluation. Which of the subsequent hernias could be the cause of Kevin's supplementary symptoms?
Explanation:
In this case, a hiatal hernia must be ruled out. It is created when the stomach pushes through the esophageal passageway in the diaphragm. An inguinal hernia affects the groin area and occurs when the bladder or intestine protrudes through the abdominal wall or inguinal canal. The small intestine pokes through the abdominal wall close to the navel in an umbilical hernia. A femoral hernia develops in the groin when the gut pushes its way into the passageway where the femoral artery runs into the upper thigh.
Peter visited a physical therapy office for an evaluation since he was still experiencing post-concussion syndrome symptoms, such as visual and vestibular difficulties. The physical therapist wants to evaluate Peter's eye tracking skills as part of the visual portion of the evaluation. Which of the below eye movement test types effectively measures this metric?
Explanation:
The smooth pursuit test evaluates a subject's ability to follow a moving object with their eyes while keeping their head motionless. Saccades are quick transitions between two locations of fixation made by the eyes. The vestibulo-ocular reflex measures a person's capacity to keep their gaze steady while their head moves. The closest point to an object that you can see without experiencing double vision is known as near-point convergence.
Due to subacromial pain syndrome, Jessica is assisting a patient who is close to being discharged after completing a physical therapy treatment plan. This patient will have to perform open and closed kinetic chain upper extremity workouts as part of their application to the police academy. Which of the following is a closed-chain workout for the upper extremities?
Explanation:
Exercises known as "closed-chain" are those in which the distal end of the extremities is fixed and immobile. This can be seen in pull ups, when the hands are fastened to an immovable pull up bar. The distal upper extremity moves in all three of the remaining examples.
Amanda has chosen to use mechanical traction as a treatment option for a patient who suffers from neck pain and upper extremity paresthesia. Which of the following situations makes the use of mechanical cervical traction contraindicated?
Explanation:
Due to the risk of fracture from mechanical pilling on weak bone, osteoporosis is a contraindication for the use of cervical mechanical traction. Cervical mechanical traction is recommended in cases of cervical foraminal stenosis, cervical spondylosis, and cervical radiculopathy.
The psychological and social ramifications of someone's thoughts, feelings, attitudes, and behaviors regarding their health are referred to as psychosocial flags in clinical care. They are used to help people comprehend obstacles to recovery, such as sadness or a lack of support at home. When discussing or documenting these psychological flags with coworkers, what color is associated with them?
Explanation:
The flag system is used in physical therapy to identify clinical and behavioral risk factors. Psychosocial flags are the aforementioned feelings, attitudes, and behaviors that may operate as a barrier to treatment, while clinical flags are mental states that suggest high-risk variables for harm or healing. Yellow flags stand for the psychological aspects of the patient's presentation. Blue flags are used to symbolize a person's unfavorable beliefs regarding the connection between their job and their health. Serious pathology is indicated by red flags. Black flags are systemic barriers like issues with an insurance provider or few possibilities for returning to work.
After receiving a cystic fibrosis diagnosis, Sarah is receiving physical therapy to help her eliminate pulmonary secretions. Her therapist has instructed her in the active cycle of breathing techniques, which also include forceful expiration, thoracic expansion exercises, and breathing regulation. What method of teaching a thoracic expansion technique is the MOST effective?
Explanation:
Thoracic expansion can be facilitated by taking a deep breath and holding it, especially when a physical therapist is providing tactile cues. Breathing control is a technique that involves gradual inhalations and exhalations with an emphasis on relaxation and a slowing of the breathing rate. A forced expiratory method is an inhale followed by an exhale of moderate force through an open glottis. Coughing can aid in the removal of secretions, but it is not employed as part of the active cycle of breathing techniques to help transfer secretions from the deeper, smaller airways into the wider airways where it is easier to clear them.
