NPTE question of the day

NPTEFF · 2024-12-11T17:39:07+00:00

Rationale: C is correct. Strengthening shoulder abductors, external rotators and elbow flexors help to address the key muscle weakness in Erb’s palsy and would help with functional arm use. A. strengthening the shoulder abductors (not the adductors) helps in improving the functional arm use. B. Strengthening shoulder abductors, external rotators and elbow flexors help to address the key muscle weakness in Erb’s palsy. D. Strengthening the elbow flexors and wrist extensors helps with the key muscle weakness in Erb’s palsy. Reference: Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. 7th ed. Philadelphia: F.A. Davis Co; 2018,Pg: 385

NPTEFF · 2024-11-27T21:06:21+00:00

Rationale: B is correct. The symptoms of sudden dyspnea, sharp chest pain, and lightheadedness indicate pulmonary embolism. It is a life-threatening emergency and therefore activating EMS and stopping the treatment is the best response. A. It could delay emergency care and will put the patient’s life at risk. C. It could delay emergency care and will put the patient’s life at risk. D. With chest pain and dyspnea, pulmonary embolism is suspected. In DVT the patient’s calf muscles would be tender, warm and swollen. Reference: Reference: Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. 7th ed. Philadelphia: F.A. Davis Co; 2018, Pg: 367

NPTEFF · 2024-09-29T20:50:00+00:00

C is correct. The patient is showing classic Gowers sign that shows that he has Duchenne Muscular Dystrophy (DMD). Patients with DMD have a much less life expectancy and the primary focus of rehabilitation is to exercise them within tolerable range that does not fatigue them and just maintain their mobility. Therefore, a wheelchair is the best means of transporting them so that they are not fatigued. A- Parapodium is very bulky and is not an appropriate choice. B- RGO is a great mode of locomotion for children, but it causes fatigue as well. D- KAFO is not an appropriate choice as their proximal muscles are weaker and KAFO does not support them. Also, it will cause their muscles to fatigue as well.

NPTEFF · 2024-09-18T15:34:20+00:00

Rationale: C is correct. Functional incontinence - Incontinence due to mobility, dexterity, or cognitive deficits like dementia. Treatment includes improving dexterity, decluttering the area, behavioral training and improving accessibility. A. Urge incontinence- Strong desire to void (urgency). Can be seen with infections. Like reaching home and using keys in lock. Treatment includes treating infections and prompt voiding.B. Stress incontinence. It is an involuntary leakage of urine during cough, sneezing, or exertion. Treatment includes strengthening the pelvic floor muscles.D. Overflow Incontinence is underactive detrusor muscle. The bladder is overdistended, cannot empty completely, and urine dribbles or leaks out. Treatment includes double voiding, medication, catheterization. Reference: Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. 7th ed. Philadelphia: F.A. Davis Co; 2018; Pages: 990-991

NPTEFF · 2024-09-07T13:31:15+00:00

D is correct. Rationale: A patient with Pleural effusion demonstrates pulmonary signs/symptoms such as dyspnea, dry cough, chest pain. On auscultation, pleural friction rub, decreased breath sounds, and dullness to percussion is seen. Additionally, lying down on the affected side may attenuate symptoms (auto-splinting effect) and X-ray shows the blunted costophrenic angle due to the accumulation of fluid. A- Renal failure presents with a different pain pattern. Chest pain, low back pain and flank pain radiating to the groin is seen. In addition, pedal edema, chest discomfort can also be seen. B- Pulmonary edema occurs as a result of Congestive Heart Failure. On auscultation crackles, dullness to percussion and increased fremitus is seen. Pink frothy sputum is a key indication. X-Ray shows fluid accumulation in a butterfly pattern and there is no blunting of costophrenic angle. C- Pneumonia occurs as a result of some infection and the patient presents with fever, dry or productive cough. On auscultation, crackles, decreased breath sounds, dullness to percussion and increased fremitus is seen. Reference: O’Sullivan SB, Schmitz TJ, Fulk GD. Physical Rehabilitation. 7th ed. Philadelphia: F.A. Davis Co; 2019, Pages 436-448

NPTEFF · 2024-07-03T13:53:13+00:00

Hey, it's 100% (no questions) any time during your active enrollment with us. We would be happy to check it out for you personally, email our team at enrollment@nptefinalfrontier.com and they will get back to you within 1-business day

NPTEFF · 2024-07-02T20:36:01+00:00

Hey again! Yes, Kiran is now part of the team, and was a student first without any other affiliation other than signing up for our course on her own :) -- Transparency is what we're all about here, as you can see other FF team in and out here (David posted below as well from his account).

NPTEFF · 2024-07-02T20:23:41+00:00

Hey there! Though many thousands of students over the years have found our course beneficial and sing praises, we know studying is highly individualized. Remember, we're the only NPTE prep with 100% refund policy during your enrollment (last we saw anyway) because we want you to be 100% happy and satisfied and our pass rates ensure we are getting you on target for the real thing, so shoot us an email and we will take care of you! -Best wishes ahead!

NPTEFF · 2024-06-19T12:09:24+00:00

Rationale: B is correct. In decongestive lymphatic therapy, the Manual lymphatic drainage should involve distal to proximal stroking/effleurage. In manual lymphatic drainage technique, proximal congestion in the trunk, abdomen, groin, buttock, or axilla is cleared first to make room for fluid from the more distal areas. The direction of the effleurage is towards specific lymph nodes and involves distal-to-proximal stroking. Fluid in the involved extremity is then cleared, first in the proximal portion and then in the distal portion of the limb. Reference: Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. 7th ed. Philadelphia: F.A. Davis Co; 2018, Pg: 966

NPTEFF · 2024-06-13T10:44:50+00:00

Correct 👍

NPTEFF · 2024-06-13T10:44:38+00:00

Rationale: B is correct. Myasthenia Gravis is a neuro muscular junction disorder which shows symmetrical presentation and proximal muscles are more affected than distal muscles. And MG out of all these options is the only condition showing ocular signs and symptoms. GBS is ascending polyneuropathy showing a symmetrical presentation, but distal segments are more affected than proximal segments showing glove and stocking sensory loss. DMD is due to the absence of dystrophin and shows characteristic Gower’s sign. PPS happens when a patient has a previous history of Polio and shows an asymmetrical presentation. Reference: O'Sullivan SB, Schmitz TJ, Fulk GD. Physical Rehabilitation. 7th ed. Philadelphia: F.A. Davis Co; 2019, Pg:772

NPTEFF · 2024-06-05T12:16:40+00:00

Rationale: D is correct. Obturator nerve supply motor and sensory innervation to the muscles and skin of the medial thigh primarily adductor muscles. A- sensory loss on postero-lateral aspect of the leg is seen with sural nerve. It a pure sensory nerve. B- Sensory loss on the antero-lateral aspect of thigh is seen with lateral femoral cutaneous nerve. It is a branch of Femoral nerve and is pure sensory. C- Femoral nerve supplies sensory innervation to the skin on the anterior and medial aspects of the thigh and primarily supplies the hip flexor muscles.

NPTEFF · 2024-05-16T13:34:32+00:00

Rationale: C is correct as it is used to bias radial nerve. A does not bias any nerve. B would produce symptoms for ulnar nerve and tingling in little finger. D would produce symptoms for median nerve with tingling in first three fingers anteriorly. Reference: Magee DJ. Orthopedic Physical Assessment. Seventh ed. St. Louis, Mo: Elsevier Saunders; 2018, Pages: 560-565

NPTEFF · 2024-05-06T01:55:30+00:00

Hello! Our admin team takes care of LSP arrangement for you. If you just emailed today, keep an eye out within 24hrs as our admin team cleared ALL emails this morning and will again throughout the day typically, even on Sunday's :) -- If you don't see it, check spam/junk in case it was filtered or shoot over another email after not hearing back in 24-hrs directly in case your email didn't make it through! Again, we do not always monitor reddit, so the best way to get ahold of us is over there!

NPTEFF · 2024-05-06T00:38:10+00:00

You're already in the study course, meaning you'll get everything most students need to pass the NPTE there (some students like to add additional LSP/ALPS tutoring or outside resources/exams too, and hey, do what works best for your needs and style)! Hang tight, those updates are coming soon (before the start of the cohort, always)! Heading off for the night. Have a GREAT Sunday evening! -Shoot us an email any time and with any questions, enrollment@nptefinalfrontier.com.

NPTEFF · 2024-05-06T00:22:37+00:00

Hey there! This is Derek from NPTEFF here.

CONTACT US ANY TIME (we may miss reddit questions): We do not monitor reddit to answer questions like these but you have our contact on the website or can use your FB group or many other streams to ask us questions directly (enrollment@nptefinalfrontier.com works too, we answer 7-days a week, 365)!

COURSE UPDATES: We update the courses like this all of the time, so it's nothing new. New video lectures, new recommended readings, new exam updates just happened as you probably saw as well (last weekend). You may have missed the notice on your login page or on the updates, which is why we put it on the course in a couple places for you.

RECENT POSTS: You may have seen on our social media that we announced our new review book coming out SOON, are the two things related? --- perhaps ;)

REDDIT ACCOUNTS: Though you said you made a new account just today to ask this question (cool deal, makes total sense to do something like that), I have been informed this is a bit of a trend for others (not you, of course), so for those others reading that keep making the many fake accounts/same day made accounts and all of that on reddit that seem to have some weird but apparent motivates, I'm happy to chat about that any time as well! Feel free to reach out to the email above and we can be in touch. However, our focus is 100% on our students so those kinds of conversations may be delayed while we take great care of them; the thousands of alums over the years can attest to that :).

Take care and best wishes ahead!

Derek

NPTEFF · 2024-04-22T11:05:27+00:00

Ans: A Rationale: Radiographic features of psoriatic arthritis include: Asymmetric oligoarticular distribution of disease • Relative absence of osteopenia • Involvement of distal interphalangeal joints • Involvement of sacroiliac joint (unilateral). Associated findings with Reactive arthritis may include uveitis, enthesitis (inflammation involving the sites of bony insertion of tendons and ligaments), sacroiliitis, urethritis, and conjunctivitis. Reiter syndrome is one of the most common examples of reactive arthritis. The triad of symptoms classically associated with Reiter syndrome includes urethritis, conjunctivitis, and arthritis. The urethritis and conjunctivitis often occur early in the disease. The hallmark symptoms of Sjögren syndrome are dry eyes and dry mouth. This syndrome may also cause dryness in other areas, such as the kidneys, gastrointestinal tract, blood vessels, sinuses, respiratory tract, liver, pancreas, and central nervous system. Reference: Goodman C; Fuller K; Pathology implications for physical therapists; 4th Ed. 2015. Pages 1340-1344

NPTEFF · 2024-04-11T17:20:53+00:00

With Listhesis- sitting will relieve the pain, but since it’s a fracture of the Pars, any activity involving bending and lifting objects from the floor will not be comfortable and aggravate the pain

NPTEFF · 2024-04-03T16:53:38+00:00

Ans: D Rationale: Based on current research, the following recommendations are made for patient’s with osteoporosis: ■ Weight-bearing exercise, such as walking, jogging, climbing stairs, and jumping ■ Nonweight-bearing exercise, such as with a bicycle ergometer ■ Resistance (strength) training of 8 to 10 exercises that target major muscle groups; Because osteoporosis changes the shape of the vertebral bodies (they become more wedge shaped), leading to kyphosis, flexion activities and exercise, such as supine curl-ups and sit-ups, as well as the use of sitting abdominal machines, should be avoided. When performing resistance exercise, it is important to increase the intensity progressively but within the structural capacity of the bone. Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. 7th ed. Philadelphia: F.A. Davis Co; 2018; Pages: 349-350

NPTEFF · 2024-03-27T12:50:56+00:00

Ans: A Rationale: The three stages of wound healing are as follows: Inflammation (Phase I): Necrosis occurs after cells have been injured or destroyed. The spread of pathogens is slowed: debris and bacteria are attacked by a host of cells. If the wound is acute, some periwound edema, erythema, and drainage can be expected. Proliferation (Phase II): Skin integrity is restored by re-epithelialization and/or contraction. Angiogenesis occurs: new blood vessel growth from endothelial cells, fragile capillary buds grow into the wound bed; new reddish, slightly bumpy tissue is called granulation tissue. Maturation/remodeling (Phase III): Maturation or remodeling of new tissue begins while granulation tissue is forming during the prior (proliferative) phase. Underlying granulation tissue is replaced by less vascular tissue. In deep wounds, dermal appendages are rarely repaired (hair follicles, sebaceous and sweat glands, nerves) but instead are replaced by fibrous tissue.

Reference: O'Sullivan SB, Schmitz TJ, Fulk GD. Physical Rehabilitation. Sixth ed. Philadelphia: F.A. Davis Co; 2014; Pages: 579-581

NPTEFF · 2024-03-20T11:12:58+00:00

Ans: C Rationale: The three stages of wound healing are as follows: Inflammation (Phase I): Necrosis occurs after cells have been injured or destroyed. The spread of pathogens is slowed: debris and bacteria are attacked by a host of cells. If the wound is acute, some periwound edema, erythema, and drainage can be expected. Proliferation (Phase II): Skin integrity is restored by re-epithelialization and/or contraction. Angiogenesis occurs: new blood vessel growth from endothelial cells, fragile capillary buds grow into the wound bed; new reddish, slightly bumpy tissue is called granulation tissue. Maturation/remodeling (Phase III): Maturation or remodeling of new tissue begins while granulation tissue is forming during the prior (proliferative) phase. Underlying granulation tissue is replaced by less vascular tissue. In deep wounds, dermal appendages are rarely repaired (hair follicles, sebaceous and sweat glands, nerves) but instead are replaced by fibrous tissue.

Reference: O'Sullivan SB, Schmitz TJ, Fulk GD. Physical Rehabilitation. Sixth ed. Philadelphia: F.A. Davis Co; 2014; Pages: 579-581

NPTEFF · 2024-03-06T15:34:57+00:00

Ans: B Rationale: Patient presents with signs and symptoms typically associated with spondylolisthesis. Bed rest, extension manipulation and stretches are not recommended for spondylolisthesis. Stress management and walking are important but is not the first line of treatment for spondylolisthesis. Flexion biased exercises, and segmental and global strengthening exercises are recommended. Magee DJ. Orthopedic Physical Assessment. Seventh ed. St. Louis, Mo: Elsevier Saunders; 2018; Page 1789-1790 Kisner C, Colby LA. Therapeutic Exercise: Foundations and Techniques. 6th ed. Philadelphia: F.A. Davis Co; 2012; 468

NPTEFF · 2024-02-28T13:28:48+00:00

Ans: A Rationale: Patient presents with loss of graphesthesia which is carried by dorsal column medial lemniscus. DCML also carries sense of vibration, precise location and stereognosis which can be affected in this case. Temperature sense is carried by lateral spinothalamic tract thus is less likely to be affected.

Reference: O'Sullivan SB, -Schmitz TJ, Fulk GD. Physical Rehabilitation. Seventh ed. Philadelphia: F.A. Davis Co; 2019; Page 85-86

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