NPTE-PT FREE NPTE-PT Test Musculoskeletal System Examination Questions and Answers 3

Question 1

A patient presents with numbness in the fourth and fifth digits and weakness of the intrinsic hand muscles. Tapping at the medial elbow reproduces symptoms. Which nerve is MOST likely affected?

Accepted Answer

Ulnar nerve

Answer

Median nerve

Answer

Radial nerve

Answer

Musculocutaneous nerve

Question 2

During manual muscle testing of hip flexion, a patient can complete full range of motion against gravity but cannot tolerate any additional resistance. What muscle grade should be assigned?

Accepted Answer

3/5

Answer

4/5

Answer

2+/5

Answer

3+/5

Question 3

A patient with adhesive capsulitis of the shoulder would MOST likely demonstrate which capsular pattern of restriction?

Accepted Answer

External rotation most limited, then abduction, then internal rotation

Answer

Abduction most limited, then external rotation, then internal rotation

Answer

Internal rotation most limited, then abduction, then external rotation

Answer

Flexion most limited, then abduction, then external rotation

Question 4

Which ligament is the PRIMARY restraint against anterior tibial translation on the femur?

Accepted Answer

Anterior cruciate ligament

Answer

Posterior cruciate ligament

Answer

Medial collateral ligament

Answer

Lateral collateral ligament

Question 5

A patient recovering from a total knee arthroplasty is two weeks post-surgery and has 75 degrees of knee flexion. What is the MOST appropriate intervention to improve flexion range of motion?

Accepted Answer

Low-load prolonged stretching

Answer

High-velocity thrust manipulation

Answer

Aggressive passive range of motion beyond pain tolerance

Answer

Isotonic quadriceps strengthening in full range

Question 6

A physical therapist observes that a patient has excessive foot pronation during midstance. Which muscle is MOST important to strengthen to control this motion?

Accepted Answer

Tibialis posterior

Answer

Peroneus longus

Answer

Tibialis anterior

Answer

Gastrocnemius