NPTE-PT Review 3

Question 1

A patient with T6 complete spinal cord injury is performing wheelchair propulsion and suddenly develops pounding headache, diaphoresis above the lesion, and hypertension. What is the most appropriate immediate action?

Accepted Answer

Sit the patient upright and identify the noxious stimulus

Answer

Autonomic dysreflexia management begins with sitting the patient upright to lower BP reflexively and immediately identifying and removing the offending noxious stimulus below the level of injury.

Question 2

Which manual therapy technique is classified as a Grade V mobilization according to the Maitland grading system?

Accepted Answer

High-velocity low-amplitude thrust

Answer

Grade V in the Maitland system is a high-velocity low-amplitude (HVLA) thrust technique performed at the end of available range.

Question 3

A patient demonstrates a positive Finkelstein test. Which condition does this finding indicate?

Accepted Answer

De Quervain's tenosynovitis

Answer

A positive Finkelstein test—pain along the radial wrist with thumb adduction and ulnar deviation—indicates De Quervain's tenosynovitis of the APL and EPB tendons.

Question 4

Which type of muscle contraction produces the greatest amount of force for a given level of muscle activation?

Accepted Answer

Eccentric

Answer

Eccentric contractions allow muscles to produce greater force than isometric or concentric contractions due to passive elastic component contributions and cross-bridge mechanics.

Question 5

A patient with chronic obstructive pulmonary disease (COPD) reports improved breathing with which position?

Accepted Answer

Sitting forward leaning on forearms (forward lean sitting)

Answer

Forward lean sitting fixes the shoulder girdle, allowing accessory breathing muscles to act on the thorax rather than the shoulder, reducing dyspnea in COPD patients.

NPTE-PT Test Practice Test

NPTE-PT Test Practice Test

NPTE-PT Review 3