NPTE-PT MCQ 5

Question 1

A patient with Parkinson's disease demonstrates festinating gait. Which characteristic BEST describes this pattern?

Accepted Answer

Progressively quickening, short, shuffling steps with forward trunk lean

Answer

Wide base of support with lateral trunk sway

Answer

High steppage with foot slap at initial contact

Answer

Scissor gait with hip adductor spasticity

Question 2

Which muscle is the primary mover for scapular upward rotation during shoulder elevation?

Accepted Answer

Serratus anterior and lower trapezius acting as a force couple

Answer

Upper trapezius alone

Answer

Rhomboids

Answer

Levator scapulae

Question 3

A PT is treating a patient under a state that allows direct access. The patient presents with signs of deep vein thrombosis. What is the MOST appropriate action?

Accepted Answer

Immediately refer to or consult with a physician

Answer

Proceed with gentle manual therapy to the leg

Answer

Document and continue treatment, monitoring closely

Answer

Apply compression bandaging and elevate the limb

Question 4

Which phase of the normal gait cycle occupies approximately 60% of the total cycle?

Accepted Answer

Stance phase

Answer

Swing phase

Answer

Double support phase

Answer

Single limb support phase

Question 5

A patient with a right CVA presents with left neglect. During ADL training, what is the BEST initial strategy?

Accepted Answer

Train the patient to actively scan to the left side

Answer

Place all functional items on the patient's right side

Answer

Use a mirror to provide visual feedback

Answer

Increase proprioceptive input to the right limbs

Question 6

Which outcome measure uses a 6-minute walk test (6MWT) as a primary functional assessment in patients with cardiopulmonary conditions?

Accepted Answer

Distance walked as a measure of functional exercise capacity

Answer

Borg RPE Scale

Answer

FEV1/FVC ratio

Answer

MRC Dyspnea Scale

Question 7

A therapist uses proprioceptive neuromuscular facilitation (PNF) hold-relax technique. Which neurophysiological mechanism is primarily utilized?

Accepted Answer

Autogenic inhibition via Golgi tendon organ (Ib afferents)

Answer

Reciprocal inhibition via Ia afferents

Answer

Stretch reflex via muscle spindle activation

Answer

Flexor withdrawal reflex