FREE NPTE-TE Exam Question and Answers Flashcards

A patient with a complete C6 spinal cord injury would be expected to have functional use of which muscle group?

Answer: Wrist extensors

A C6 level injury preserves innervation to the wrist extensors (extensor carpi radialis), allowing tenodesis grasp.

During gait analysis, a physical therapist observes excessive lateral trunk lean over the stance limb. Which muscle is most likely weak?

Answer: Gluteus medius

A Trendelenburg gait pattern with lateral trunk lean indicates gluteus medius weakness on the stance side.

Which special test is most appropriate for assessing the integrity of the anterior cruciate ligament?

Answer: Lachman test

The Lachman test is considered the most sensitive clinical test for detecting anterior cruciate ligament tears.

A patient presents with a resting heart rate of 52 bpm, no symptoms, and is on atenolol. What is the most appropriate action?

Answer: Proceed with exercise using RPE to monitor intensity

Beta-blockers like atenolol lower resting heart rate, so RPE is a more reliable measure of exercise intensity than heart rate.

Which proprioceptive neuromuscular facilitation technique uses alternating contractions of agonist and antagonist muscles without relaxation?

Answer: Slow reversal

Slow reversal involves alternating isotonic contractions of opposing muscle groups without relaxation between contractions.

A patient with adhesive capsulitis of the shoulder would most likely demonstrate the greatest limitation in which motion?

Answer: Shoulder external rotation

External rotation is typically the most restricted motion in adhesive capsulitis due to tightening of the inferior glenohumeral ligament and capsule.