NPTE-PT Test Test Musculoskeletal System Interventions 1

Question 1

A patient with adhesive capsulitis presents with a capsular pattern of restriction at the shoulder. Which mobilization technique is MOST appropriate to address external rotation limitation?

Accepted Answer

Anterior glide of the humeral head

Answer

Posterior glide of the humeral head

Answer

Inferior glide of the humeral head

Answer

Distraction at the acromioclavicular joint

Question 2

A patient 10 days post-total knee arthroplasty lacks full knee extension and has a 15-degree extension lag. Which intervention is MOST appropriate to address this impairment?

Accepted Answer

Prolonged low-load stretch into extension using a prone hang

Answer

Active-assisted knee flexion in supine

Answer

High-intensity isokinetic strengthening of the quadriceps

Answer

Joint mobilization grades III–IV into flexion

Question 3

A physical therapist is treating a patient with plantar fasciitis. Which intervention has the STRONGEST evidence for reducing pain in the short term?

Accepted Answer

Night splinting combined with stretching of the plantar fascia and gastrocnemius

Answer

Ultrasound to the plantar fascia insertion

Answer

Iontophoresis with dexamethasone

Answer

Extracorporeal shock wave therapy performed during the acute phase

Question 4

A patient presents with rotator cuff tendinopathy confirmed by MRI. Strengthening exercises are prescribed. Which approach is BEST supported by current evidence?

Accepted Answer

Isometric contractions performed at 70% MVC to reduce pain immediately, followed by isotonic strengthening

Answer

High-repetition concentric exercise at end-range elevation

Answer

Progressive heavy slow resistance (HSR) training

Answer

Open-kinetic-chain internal and external rotation at 0° of abduction only

Question 5

A patient 8 weeks post-distal radius fracture ORIF has limited forearm supination to 30°. The radius head is the primary site of restriction. Which mobilization is MOST appropriate?

Accepted Answer

Anterior glide of the radial head at the proximal radioulnar joint

Answer

Posterior glide of the radial head at the proximal radioulnar joint

Answer

Posterior glide of the ulna at the distal radioulnar joint

Answer

Distraction of the radiocarpal joint

Question 6

A high school athlete sustains a grade I hamstring strain during a sprint. Which intervention is MOST appropriate during the initial 72 hours?

Accepted Answer

Protected weight-bearing, pain-free active range of motion, and cryotherapy

Answer

Aggressive stretching of the hamstrings to prevent shortening

Answer

Eccentric hamstring loading at end-range to stimulate collagen production

Answer

Immediate return to sport with activity modification