NPTE-PT Musculoskeletal System Interventions 5

Question 1

A patient with a hip labral tear presents with anterior hip pain and clicking. Which therapeutic exercise should be AVOIDED early in rehabilitation?

Accepted Answer

Hip flexion past 90° with external load

Answer

Hip flexion beyond 90° under load compresses the anterior labrum and should be avoided early in rehabilitation for anterior hip labral tears.

Question 2

Which outcome measure is MOST appropriate to assess functional mobility and fall risk in an older patient with hip OA?

Accepted Answer

Timed Up and Go (TUG) test

Answer

The TUG test is a validated functional mobility assessment that measures fall risk and is appropriate for older patients with lower extremity conditions like hip OA.

Question 3

A patient has weakness in the serratus anterior. Which movement pattern will be MOST impaired?

Accepted Answer

Scapular upward rotation and protraction during overhead reach

Answer

Serratus anterior is the primary scapular protractor and contributes to upward rotation; weakness impairs overhead reaching and causes scapular winging.

Question 4

Which intervention is indicated for a patient with thoracic outlet syndrome caused by a tight anterior scalene?

Accepted Answer

Scalene and pectoral muscle stretching with postural correction

Answer

TOS due to tight anterior scalene is treated with scalene and pectoral stretching combined with postural correction to open the thoracic outlet.

Question 5

During gait analysis, a patient demonstrates contralateral pelvic drop (Trendelenburg gait). Which muscle is MOST likely weak?

Accepted Answer

Hip abductors on the stance limb side

Answer

Contralateral pelvic drop during stance indicates weakness of the hip abductors (primarily gluteus medius) on the weight-bearing side, resulting in Trendelenburg gait.

NPTE-PT Test Practice Test

NPTE-PT Test Practice Test

NPTE-PT Musculoskeletal System Interventions 5