NPTE-PT Musculoskeletal System Examination 3

Question 1

During gait analysis, a patient demonstrates contralateral pelvic drop during single-leg stance. This indicates weakness of which muscle?

Accepted Answer

Ipsilateral gluteus medius

Answer

Ipsilateral gluteus medius weakness causes the pelvis to drop on the opposite (contralateral) side during single-leg stance, known as a Trendelenburg gait.

Question 2

Which ligament is tested by the anterior drawer test at the ankle?

Accepted Answer

Anterior talofibular ligament

Answer

The anterior drawer test at the ankle stresses the anterior talofibular ligament (ATFL), the most commonly injured ankle ligament.

Question 3

A patient presents with a positive Phalen's test and Tinel's sign at the wrist. Symptoms include numbness in the thumb, index, and middle fingers. This presentation is consistent with:

Accepted Answer

Carpal tunnel syndrome

Answer

Carpal tunnel syndrome involves median nerve compression at the wrist, producing sensory symptoms in the thumb, index, middle, and radial half of the ring finger.

Question 4

On joint mobilization grading (Maitland), a Grade III mobilization is BEST described as:

Accepted Answer

Large amplitude oscillation into resistance

Answer

Maitland Grade III involves large amplitude oscillations that move into tissue resistance and are used for pain management and increasing mobility.

Question 5

Which of the following findings is MOST consistent with a complete rotator cuff tear rather than tendinopathy?

Accepted Answer

Significant weakness with resisted shoulder abduction

Answer

Significant weakness with resisted abduction (supraspinatus) is a hallmark of a full-thickness rotator cuff tear, as the muscle-tendon unit is no longer intact.

NPTE-PT Test Practice Test

NPTE-PT Test Practice Test

NPTE-PT Musculoskeletal System Examination 3