NPTE-PTA Functional Training and Gait

Question 1

During normal gait, when does the center of mass reach its lowest point?

Accepted Answer

During loading response (foot flat)

Answer

At initial contact (heel strike)

Answer

During midstance

Answer

At terminal stance (heel rise)

Question 2

Which assistive device provides the most stability for a patient who is non-weight-bearing on the right lower extremity?

Accepted Answer

Standard walker

Answer

Single-point cane

Answer

Forearm (Lofstrand) crutches

Answer

Axillary crutches

Question 3

A patient with a right hip replacement is using a cane. In which hand should the cane be held?

Accepted Answer

Left hand (contralateral to the affected hip)

Answer

Right hand (ipsilateral to the affected hip)

Answer

Either hand — it makes no difference

Answer

No cane is needed after hip replacement

Question 4

Which gait pattern is safest for a patient who is touch-down weight-bearing (TDWB) using axillary crutches on a staircase going up?

Accepted Answer

Lead with the unaffected leg up, then bring crutches and affected leg

Answer

Lead with the affected leg up, then bring the unaffected leg

Answer

Go up with both legs simultaneously

Answer

Use a swing-through pattern on stairs

Question 5

What is the primary purpose of the push-off phase (terminal stance to pre-swing) in the gait cycle?

Accepted Answer

Forward propulsion of the body

Answer

Shock absorption and weight acceptance

Answer

Lateral weight transfer

Answer

Hip extension and trunk stabilization

Question 6

Which adaptive equipment modification helps a patient with severe bilateral grip weakness to perform self-feeding?

Accepted Answer

Universal cuff (utensil holder)

Answer

Rocker knife

Answer

Built-up handle utensils

Answer

Long-handled spoon