NPTE-PT FREE NPTE-PT Test Neuromuscular System Interventions Questions and Answers 2

Question 1

A patient with Parkinson disease demonstrates a festinating gait pattern. Which intervention is MOST appropriate to address this impairment?

Accepted Answer

Visual cues such as floor markers to regulate step length

Answer

Visual cueing strategies, such as placing tape lines on the floor, help patients with Parkinson disease regulate step length and reduce festination.

Question 2

During a treatment session for a patient with a complete C6 spinal cord injury, which transfer technique is MOST appropriate to train?

Accepted Answer

Sliding board transfer with head-hips relationship

Answer

A patient with C6 tetraplegia has sufficient upper extremity function to perform sliding board transfers using momentum and the head-hips relationship for weight shifting.

Question 3

A physical therapist is treating a patient with multiple sclerosis who reports increased fatigue during afternoon sessions. Which modification to the exercise program is MOST appropriate?

Accepted Answer

Schedule therapy sessions in the morning and incorporate energy conservation techniques

Answer

Patients with MS commonly experience fatigue that worsens with heat and activity; scheduling sessions during cooler morning hours and teaching energy conservation strategies optimizes participation.

Question 4

Which neuromuscular re-education technique uses quick stretch applied to a muscle to facilitate a contraction through the muscle spindle reflex?

Accepted Answer

Quick stretch (tapping)

Answer

Quick stretch or tapping activates the muscle spindle's Ia afferent fibers, producing a reflexive contraction in the stretched muscle through the monosynaptic stretch reflex.

Question 5

A patient with Guillain-Barré syndrome is in the acute progressive phase. Which intervention is the HIGHEST priority?

Accepted Answer

Respiratory monitoring and positioning to prevent skin breakdown

Answer

During the acute progressive phase of GBS, aggressive exercise is contraindicated; the priority is respiratory monitoring, positioning, and preventing secondary complications such as pressure injuries.

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NPTE-PT FREE NPTE-PT Test Neuromuscular System Interventions Questions and Answers 2