NPTE-PT MCQ 2

Question 1

A patient presents with weakness of hip abduction and a positive Trendelenburg sign on the right side. Which nerve is most likely injured?

Accepted Answer

Superior gluteal nerve

Answer

The superior gluteal nerve innervates the gluteus medius and minimus, which are responsible for hip abduction; injury causes a Trendelenburg gait.

Question 2

During a manual muscle test, a patient can move through full ROM against gravity but fails with minimal resistance. What grade is assigned?

Accepted Answer

Grade 4

Answer

Grade 4 (Good) indicates full ROM against gravity with some but not full resistance.

Question 3

A therapist applies ice to a patient's ankle for 20 minutes. Which physiological effect occurs FIRST?

Accepted Answer

Decreased nerve conduction velocity

Answer

Cold application immediately slows nerve conduction velocity, which is the primary early physiological response.

Question 4

Which ethical principle is violated when a physical therapist treats a patient without obtaining informed consent?

Accepted Answer

Autonomy

Answer

Autonomy is the patient's right to make informed decisions about their own care; bypassing consent violates this principle.

Question 5

A patient with a T6 complete spinal cord injury is sitting upright and suddenly develops pounding headache, diaphoresis above the lesion, and hypertension. What is the priority action?

Accepted Answer

Sit the patient upright and identify the noxious stimulus

Answer

Autonomic dysreflexia requires sitting the patient upright (to lower BP via orthostasis) and immediately finding and removing the triggering noxious stimulus.

NPTE-PT Test Practice Test

NPTE-PT Test Practice Test

NPTE-PT MCQ 2