NPTE Clinical Files | Physical Therapy

Jeremy is performing a neurological evaluation. The therapist notes repeated falls in quiet standing with a suspected forward anticipatory balance impairment. Which of the following tests is MOST likely to reveal this specific impairment?

A) Functional Reach Test

B) Romberg Test

C) Sensory Organization Test

D) Standing in tandem with eyes closed

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A 45-year-old female presents to physical therapy with complaints of persistent fatigue, and unexplained weight loss. Upon examination, the therapist notes tachycardia, low blood pressure episodes, and excessive sweating. Which of the following is the MOST likely diagnosis?

A) Graves Disease

B) Cor Pulmonale

C) Hypoglycemia

D) Adrenocortical hyperplasia

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Lina presents with a history of chronic heart failure, increased dyspnea and fatigue during daily activities. The physical therapist plans to implement an aerobic exercise program. Which of the following exercise protocols is MOST appropriate for this patient?

A) 70-85% of HRmax, 5 times per week, for 45-60 minutes

B) 50-60% of HRR, 3 times per week, for 20-40 minutes

C) 30-40% of HRmax, daily, for 10-15 minutes

D) 80-90% of HRR, 4 times per week, for 60 minutes

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Bronny presents to the hospital with burns to the anterior neck, chest, axillas, and cubital fossa regions. Which of the following positions is the BEST for this patient?

A. Cervical slight extension, arm abduction with elbow extension

B. Neutral cervical spine, shoulder external rotation with wrist extension

C. Cervical slight flexion, arm elevated and elbow extended

D. Cervical extension with arm abduction and elbow flexion

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Cory is a 3 year old child presents with severe hypotonia. The child has difficulty maintaining an upright posture and frequently collapses when attempting to sit or stand. Which of the following interventions would be MOST appropriate?

A. Sitting balance exercises on an unstable surface such as a wobble cushion

B. Passive stretching of the hamstrings to improve flexibility

C. Practicing squats with support to encourage leg strength

D. Rhythmic stabilization exercises in a seated position on a therapy ball

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Everett presents with right groin pain. Which of the following conditions must be ruled out FIRST?

A) Diverticulitis

B) L2 nerve root compression

C) Appendicitis

D) Psoas abscess

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Calen presents to physical therapy with difficulty grasping a glass. Upon examination, the patient has diminished joint mobility at the 2nd MCP and difficulty performing abduction of the digit. Which of the following glides is the MOST effective?

A. Volar glide

B. Dorsal glide

C. Radial glide

D. Medial glide

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During a clinical evaluation, Aiyinde notices that a patient exhibits pronounced anterior pelvic tilt while standing but this posture significantly improves when the patient engages in a squat. This observation is MOST likely due to tightness in which of the following muscles?

A. Iliopsoas

B. Gluteus maximus

C. Rectus abdominis

D. Biceps femoris (long head)

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Wajiha presents with a chief complaint of dizziness upon waking and difficulty washing hair secondary to the onset of dizziness. The patient is currently unable to reach down to pick up objects from the floor. The patient denies heart palpitations and states that she has frequent nausea but does not vomit. What condition is the MOST likely present?

A. Meniere’s Disease

B. Canalithiasis

C. Optic neuritis

D. Vestibulo-Ocular Reflex impairment

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