NPTE-PT Review 5

Question 1

A physical therapist is treating a patient with complex regional pain syndrome (CRPS). Which intervention has the strongest evidence for reducing allodynia and restoring function?

Accepted Answer

Graded motor imagery and mirror therapy

Answer

Graded motor imagery (GMI) and mirror therapy target cortical reorganization and have the strongest evidence for reducing pain and improving function in CRPS.

Question 2

Which ASIA Impairment Scale classification describes a patient with motor and sensory function preserved below the neurological level of injury, with more than half of key muscles below the level having a grade less than 3?

Accepted Answer

ASIA C

Answer

ASIA C indicates motor-incomplete injury where motor function is preserved below the neurological level, but more than half of key muscle functions below the level have a muscle grade less than 3.

Question 3

A patient with patellofemoral pain syndrome (PFPS) would most benefit from strengthening which muscle group based on current evidence?

Accepted Answer

Hip abductors and external rotators

Answer

Strengthening hip abductors and external rotators reduces dynamic valgus and patellofemoral joint stress, and has strong evidence for improving outcomes in PFPS.

Question 4

During lumbar spine assessment, a positive FABER (Patrick's) test suggests pathology in which structure?

Accepted Answer

Sacroiliac joint or hip joint

Answer

The FABER test stresses both the sacroiliac joint and the hip joint; a positive test (groin or posterior pain) implicates pathology in either structure.

Question 5

Which type of contracture results from prolonged immobilization and involves shortening of the musculotendinous unit without bony changes?

Accepted Answer

Myostatic contracture

Answer

Myostatic contracture occurs when a muscle is immobilized in a shortened position, reducing the number of sarcomeres in series; it responds well to stretching.

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NPTE-PT Review 5