NPTE-PTA Functional Training and Gait 3

Question 1

What is the Timed Up and Go (TUG) test cutoff score associated with increased fall risk in community-dwelling older adults?

Accepted Answer

12 seconds

Answer

A TUG score greater than 12 seconds in community-dwelling older adults is associated with increased fall risk and mobility impairment.

Question 2

For a patient with right hemiplegia performing wheelchair propulsion, which technique is most efficient?

Accepted Answer

Using the unaffected arm on the hand rim and the unaffected leg to assist propulsion and steer

Answer

Hemiplegic patients most efficiently propel a wheelchair using the unaffected arm on the hand rim combined with the unaffected foot on the floor for steering and added propulsion.

Question 3

A patient performing ADL training is unable to reach overhead due to limited shoulder ROM. Which adaptive strategy is most appropriate?

Accepted Answer

Use a reacher/grabber device to extend functional reach

Answer

A reacher/grabber extends the patient's functional reach without requiring full shoulder ROM, promoting independence in ADLs while joint mobility is being restored.

Question 4

During stair training with axillary crutches in a non-weight-bearing patient descending stairs, which sequence is correct?

Accepted Answer

Crutches and affected leg down first, then unaffected leg

Answer

Descending stairs: crutches and the affected (non-weight-bearing) leg go down first, then the unaffected leg follows; 'bad goes down' in the mnemonic.

Question 5

Which of the following correctly describes the 'two-point' gait pattern with crutches?

Accepted Answer

Left crutch and right leg advance together, then right crutch and left leg advance together

Answer

The two-point gait pattern involves simultaneous advancement of the contralateral crutch and leg (e.g., left crutch with right foot), mimicking normal arm-leg reciprocal movement.

NPTE-PTA - National Physical Therapy Examination for Physical Therapist Assistants Practice Test

NPTE-PTA - National Physical Therapy Examination for Physical Therapist Assistants Practice Test

NPTE-PTA Functional Training and Gait 3