Gerard arrives at physical therapy reporting acute lower back pain following an attempt to lift a heavy box. The pain radiates into both lower extremities constantly. During examination, all lumbar motions exacerbate the pain, and the patient prefers to stand and sit with increased lumbar flexion. Which pathology is MOST likely present?

A) Lumbar Herniated Disc

B) Facet Joint Syndrome

C) Sacroiliac Joint Dysfunction

D) Ankylosing Spondylitis

LINKS MENTIONED:

• NPTE Tips & Tricks: www.nptegroup.com
• Truelearn: USE CODE: PTH020
• PT Hustle Phone Number: (727) 732-4573

Margot, a 53-year-old woman, presents to physical therapy with bilateral, symmetrical enlargement of her legs extending from her hips to her ankles, sparing the feet. She reports the condition is painful and has worsened over several years. Skin texture is normal, and there is no pitting edema. Which condition is MOST consistent with these findings?

A) Chronic venous insufficiency

B) Obesity-related lymphedema

C) Primary lymphedema

D) Lipedema

LINKS MENTIONED:

• PT Hustle Phone Number: (727) 732-4573
• Get Your Episode Cheatsheet HERE
• NPTE Tips & Tricks: www.nptegroup.com
• Truelearn: USE CODE: PTH020

Jerry, a patient with type 2 diabetes, has been prescribed metformin to manage his blood glucose levels. The physical therapist understands that metformin’s primary function is to:

A) Stimulate the pancreas to produce more insulin.

B) Decrease the liver's production of glucose.

C) Increase the sensitivity of insulin receptors on cells.

D) Slow the absorption of sugar from the intestines.

LINKS MENTIONED:

• NPTE Tips & Tricks: www.nptegroup.com
• Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/meds
• Truelearn: USE CODE: PTH020
• PT Hustle Phone Number: (727) 732-4573

Julian, a 59-year-old patient with a longstanding history of type 2 diabetes, presents with a chronic, non-healing wound on his foot. The wound is located on the lateral aspect of the foot, characterized by a sharply demarcated, circular margin, and a pale, dry base with minimal exudate. His medical history includes poorly controlled hypertension and intermittent claudication. What is the most likely classification of this ulcer?

A) Venous ulcer

B) Mixed arterial-venous ulcer

C) Pure arterial ulcer

D) Neuropathic ulcer

LINKS MENTIONED:

• NPTE Tips & Tricks: www.nptegroup.com
• Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/ulcerclass

Richard is a 75-year-old male patient being treated by physical therapy. In educating a patient with chronic obstructive pulmonary disease (COPD) about managing exacerbations at home, what advice should the physical therapist emphasize as MOST important?

A. Use of an incentive spirometer every 2 hours while awake.

B. Maintenance of a high-protein, low-carbohydrate diet.

C. Participation in daily, moderate-intensity aerobic exercise.

D. Keeping the home environment well-ventilated and free of irritants.

LINKS MENTIONED:

• NPTE Tips & Tricks: www.nptegroup.com
• Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/pulmonaryinterventions

Vivek is being seen by physical therapy after recovering well from a stroke. The patient is refining gait during the autonomous stage of motor learning. Which activity is BEST to challenge their gait adaptability?

A. Walking backwards on a treadmill


B. Navigating a cluttered hallway


C. Stepping over obstacles at 6 inch heights


D. Reciprocal pedaling on a stationary bike

LINKS MENTIONED:

• NPTE Tips & Tricks: www.nptegroup.com
• Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/motor

Henry presents with right-sided congestive heart failure and reports slight limitations in physical activity. The patient is comfortable at rest; however, ordinary physical activity results in fatigue, palpitation, or dyspnea. Based on this description, which of the following activities is the patient MOST likely able to do without exacerbating their symptoms? A) Climbing two flights of stairs without stopping B) Walking 3mph on a treadmill C) Laying flat in Trendelenburg position D) Running a short distance

LINKS MENTIONED:

• Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.
• NPTE Tips & Tricks: www.nptegroup.com
• Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/CHF

Andrea is a 45-year-old patient presents to physical therapy with complaints of fluctuating muscle weakness, notably worsening toward the evening. The patient reports difficulty maintaining upward gaze and a history of transient diplopia. No sensory deficits were reported. Which of the following conditions is MOST likely? A) Multiple Sclerosis (MS) B) Amyotrophic Lateral Sclerosis (ALS) C) Guillain-Barré Syndrome (GBS) D) Myasthenia Gravis (MG)

LINKS MENTIONED:

• Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/mg
• Check out our Instagram account: www.nptegroup.com

A physical therapy clinic is planning to install a new wheelchair ramp that incorporates a switchback for space efficiency. According to ADA guidelines, what is the MINIMUM required landing size at the switchback to ensure compliance and safety?
A) 36 inches by 36 inches
B) 48 inches by 48 inches
C) 60 inches by 60 inches
D) 72 inches by 72 inches

LINKS MENTIONED:

• Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.
• Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/wheelchairs
• Check out our Instagram account: www.nptegroup.com

Jessie is a 12-year-old male patient who presents with an onset of groin pain. The patient has a BMI of 28 and a recent growth spurt. The physical therapist notes the patient has a limp with external rotation of the affected leg during ambulation. Which of the following diagnoses is MOST likely?

A) Legg-Calvé-Perthes Disease

B) Slipped Capital Femoral Epiphysis

C) Osgood-Schlatter Disease

D) Septic Arthritis

LINKS MENTIONED:

• Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/pediatriceval
• Check out our Instagram account: www.instagram.com/thepthustle

Joscelin receives a referral for a patient with a diagnosis that the therapist is unfamiliar with. What is the INITIAL course of action?

A. Decline the referral, citing lack of expertise

B. Accept the patient and start treatment

C. Research the condition

D. Refer the patient to another therapist

LINKS MENTIONED:

• Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.
• Join the group specifically built to help PT Students DOMINATE the NPTE: www.nptegroup.com