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

Festination in Parkinson's disease is characterized by progressively accelerating short shuffling steps with the center of mass falling forward of the base of support.

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

Scapular upward rotation is produced by the force couple of the upper trapezius, lower trapezius, and serratus anterior working together.

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

DVT is a medical emergency; the PT must immediately refer to or consult with a physician before any physical therapy intervention.

Question 4

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

Accepted Answer

Stance phase

Answer

The stance phase (from initial contact to toe off) constitutes approximately 60% of the normal gait cycle at comfortable walking speed.

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

Training the patient to actively scan toward the neglected side is the primary treatment strategy for unilateral spatial neglect.

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NPTE-PT MCQ 5