NPTE-PT FREE NPTE-PT Test Neuromuscular System Interventions Questions and Answers 3

Question 1

A physical therapist is using body-weight-supported treadmill training for a patient with an incomplete spinal cord injury classified as ASIA C. What is the PRIMARY rationale for this intervention?

Accepted Answer

To activate central pattern generators and promote locomotor recovery

Answer

To strengthen the hip flexors through progressive resistance

Answer

To improve cardiovascular endurance as the primary goal

Answer

To reduce lower extremity edema through hydrostatic pressure

Question 2

Which constraint-induced movement therapy principle is ESSENTIAL for promoting cortical reorganization in a patient with chronic stroke?

Accepted Answer

Massed practice with the affected limb combined with restraint of the unaffected limb

Answer

Restraint of the affected limb for 90% of waking hours

Answer

Bilateral upper extremity training with rhythmic auditory cueing

Answer

Passive range of motion of the affected limb for six hours daily

Question 3

A patient with amyotrophic lateral sclerosis (ALS) presents with progressive proximal weakness. Which exercise prescription guideline is MOST appropriate?

Accepted Answer

Submaximal exercise avoiding overwork weakness with monitoring for decline

Answer

High-resistance progressive strengthening to maximize remaining motor units

Answer

Eccentric-only training to take advantage of lengthening contractions

Answer

No exercise program as it accelerates motor neuron degeneration

Question 4

During PNF treatment, a therapist applies rhythmic stabilization to the trunk of a patient with ataxia following a cerebellar stroke. What is the PRIMARY goal of this technique?

Accepted Answer

Improve proximal stability through co-contraction of agonists and antagonists

Answer

Increase range of motion in the thoracic spine

Answer

Reduce hypertonicity in the trunk musculature

Answer

Facilitate ballistic trunk movements for functional reaching

Question 5

A patient with a traumatic brain injury has a Rancho Los Amigos Level IV classification. Which environmental modification is MOST appropriate during physical therapy?

Accepted Answer

A quiet, structured environment with minimal distractions

Answer

A busy gym environment to promote sensory integration

Answer

A group therapy setting to encourage social interaction

Answer

An outdoor setting with variable terrain for functional challenge

Question 6

Which outcome measure is MOST appropriate to assess balance in a patient with peripheral neuropathy affecting the lower extremities?

Accepted Answer

Berg Balance Scale

Answer

Manual muscle testing of ankle dorsiflexors

Answer

Fugl-Meyer Assessment

Answer

Modified Ashworth Scale