NPTE-PT Musculoskeletal System Examination 4

Question 1

The capsular pattern of the glenohumeral joint is restriction in which order of movements?

Accepted Answer

External rotation > Abduction > Internal rotation

Answer

The glenohumeral capsular pattern as described by Cyriax is greatest restriction in external rotation, followed by abduction, then internal rotation.

Question 2

A patient demonstrates weakness in toe extension (hallux) and foot drop. Which nerve is most likely injured?

Accepted Answer

Common peroneal nerve (deep branch)

Answer

The deep peroneal (fibular) nerve innervates the tibialis anterior and extensor hallucis longus; injury causes foot drop and inability to extend the great toe.

Question 3

During the scapular winging test, medial scapular winging during a wall push-up is caused by weakness of which muscle?

Accepted Answer

Serratus anterior

Answer

Serratus anterior weakness (long thoracic nerve palsy) causes medial scapular winging during pushing activities as the medial border lifts off the thorax.

Question 4

Which of the following BEST describes the end-feel of a normal elbow extension?

Accepted Answer

Hard (bony)

Answer

Normal elbow extension has a hard/bony end-feel due to the olecranon process contacting the olecranon fossa, abruptly stopping motion.

Question 5

Which test differentiates between lumbar spinal stenosis and vascular claudication?

Accepted Answer

Bicycle test (van Gelderen's test)

Answer

The bicycle test differentiates neurogenic (spinal stenosis) from vascular claudication: symptoms with upright cycling but relief with forward-flexed cycling suggest neurogenic origin.

NPTE-PT Test Practice Test

NPTE-PT Test Practice Test

NPTE-PT Musculoskeletal System Examination 4