NPTE-PT NPTE-PT Test Neuromuscular and Nervous Systems Questions and Answers 3

Question 1

A patient with an upper motor neuron lesion would most likely demonstrate which of the following signs?

Accepted Answer

Positive Babinski sign

Answer

Fasciculations

Answer

Hyporeflexia

Answer

Muscle atrophy early in the disease course

Question 2

Which tract is primarily responsible for carrying proprioceptive information from the lower extremities to the cerebral cortex?

Accepted Answer

Dorsal column-medial lemniscal pathway

Answer

Lateral spinothalamic tract

Answer

Anterior spinothalamic tract

Answer

Spinocerebellar tract

Question 3

A patient with Guillain-Barré syndrome typically presents with which pattern of weakness?

Accepted Answer

Ascending bilateral weakness starting in the distal lower extremities

Answer

Descending weakness starting in the cranial nerves

Answer

Unilateral weakness affecting one limb

Answer

Proximal upper extremity weakness only

Question 4

Which cranial nerve is tested by assessing the gag reflex?

Accepted Answer

Glossopharyngeal (CN IX) and Vagus (CN X)

Answer

Trigeminal (CN V)

Answer

Facial (CN VII)

Answer

Hypoglossal (CN XII)

Question 5

A physical therapist observes that a patient with a stroke can initiate shoulder flexion only within a mass flexion synergy pattern. According to Brunnstrom's stages of motor recovery, this patient is in which stage?

Accepted Answer

Stage 3

Answer

Stage 2

Answer

Stage 4

Answer

Stage 5

Question 6

Which neuromuscular junction disorder is characterized by antibodies against acetylcholine receptors, resulting in fluctuating weakness that worsens with repeated activity?

Accepted Answer

Myasthenia gravis

Answer

Amyotrophic lateral sclerosis

Answer

Lambert-Eaton syndrome

Answer

Multiple sclerosis