NPTE-PT Review 2

Question 1

A patient presents with weakness of the deltoid and inability to abduct the shoulder beyond 15 degrees. Which nerve is most likely injured?

Accepted Answer

Axillary nerve

Answer

The axillary nerve innervates the deltoid muscle, which is the primary shoulder abductor beyond the initial 15 degrees initiated by the supraspinatus.

Question 2

Which special test is most specific for a posterior cruciate ligament (PCL) tear?

Accepted Answer

Posterior drawer test

Answer

The posterior drawer test is the most specific and sensitive test for PCL integrity, assessing posterior tibial translation on the femur.

Question 3

A patient recovering from a stroke demonstrates difficulty initiating voluntary movements despite intact strength. Which area of the brain is most likely affected?

Accepted Answer

Basal ganglia

Answer

The basal ganglia are responsible for the initiation and scaling of voluntary movements; damage results in bradykinesia and difficulty starting movements.

Question 4

Which respiratory pattern is characterized by alternating periods of apnea and hyperpnea, often seen in patients with heart failure?

Accepted Answer

Cheyne-Stokes respiration

Answer

Cheyne-Stokes respiration features waxing and waning tidal volumes with intervening apneic periods, commonly associated with heart failure and neurological injury.

Question 5

During a gait analysis, a patient demonstrates excessive trunk lateral flexion toward the stance limb. Which muscle weakness is most likely responsible?

Accepted Answer

Gluteus medius

Answer

Gluteus medius weakness causes a Trendelenburg gait; the trunk laterally flexes toward the weak side to bring the center of gravity over the stance limb.

NPTE-PT Test Practice Test

NPTE-PT Test Practice Test

NPTE-PT Review 2