[미국 물리치료사] NPTE 문제은행 1000

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1,000 문제

• A patient recovering from a tibial plateau fracture scores 32 out of 80 on the Lower Extre…
• A patient's DASH score improves from 62 to 40 following eight weeks of therapy. What does …
• Which outcome measure is most appropriate for tracking disability in a patient with chroni…
• A community-dwelling older adult completes the Timed Up and Go test in 16 seconds. Which c…
• Which combination of findings is MOST consistent with elevated fall risk?
• During shoulder abduction to 180 degrees, approximately how much motion occurs at the glen…
• A patient demonstrates only 4 degrees of ankle dorsiflexion with the knee extended. Which …
• A patient can complete full range of shoulder abduction against gravity but tolerates no m…
• A patient achieves full elbow flexion range only in a side-lying, gravity-eliminated posit…
• Which test is MOST commonly used to assess supraspinatus involvement?
• A patient cannot lift the dorsum of the hand away from the lumbar spine when the arm is in…
• Which test has the HIGHEST sensitivity for anterior cruciate ligament rupture?
• Valgus stress applied at 0 degrees of knee extension produces excessive gapping. What does…
• Squeezing the calf of a prone patient produces no ankle plantar flexion. This finding indi…
• A patient reports the knee 'catching' and the examiner notes a springy block end-feel on e…
• During passive shoulder abduction the patient stops the examiner because of severe pain be…
• A patient shows passive shoulder motion restricted MOST in external rotation, then abducti…
• Which motion is typically restricted FIRST and MOST in a capsular pattern of the hip?
• During single-limb stance on the right, the patient's left pelvis drops. Which muscle is M…
• A diminished Achilles tendon reflex MOST likely reflects involvement of which nerve root?
• A patient reports low back pain radiating into the leg. Examination shows weakness of grea…
• Numbness isolated to the middle finger MOST likely corresponds to which cervical nerve roo…
• Which cluster of findings BEST supports a diagnosis of cervical radiculopathy?
• During examination of a patient with neck pain, the therapist elicits a positive Hoffmann …
• A test with very high sensitivity is MOST useful clinically when it is:
• A patient has limited shoulder abduction. Based on the concave-convex rule, which accessor…
• During a weight-bearing squat-to-stand (closed chain knee extension), which glide occurs a…
• A 68-year-old reports bilateral leg heaviness after walking two blocks, relieved by sittin…
• A 38-year-old reports right leg pain that worsens with prolonged sitting and coughing, and…
• A patient reports calf pain with walking that resolves after standing still for two minute…
• A patient with acute low back pain reports new saddle numbness and difficulty initiating u…
• Which combination of findings MOST warrants screening for malignancy in a patient with low…
• A 27-year-old patient reports insidious low back pain with morning stiffness lasting over …
• A patient has marked limitation of BOTH active and passive shoulder motion in all directio…
• Which comorbidity is MOST strongly associated with adhesive capsulitis?
• Morning stiffness lasting more than one hour with symmetric involvement of the MCP and PIP…
• Bony enlargement at the distal interphalangeal joints is MOST characteristic of:
• A patient with long-standing rheumatoid arthritis reports neck pain with new hand clumsine…
• A patient presents with a single acutely swollen, hot, exquisitely painful knee and a feve…
• Acute monoarticular pain and redness at the first metatarsophalangeal joint is MOST charac…
• A runner has focal tibial pain and point tenderness, but radiographs are normal. Which is …
• Which imaging modality is MOST appropriate for evaluating a suspected meniscal tear?
• A 45-year-old with no back symptoms undergoes lumbar MRI showing a disc bulge at L4-L5. Wh…
• A hospitalized patient has a hemoglobin of 7.4 g/dL. What is the MOST appropriate response…
• A patient's platelet count is 16,000/uL. Which activity level is MOST appropriate?
• An order reads 'weight bearing as tolerated' (WBAT). What does this permit?
• Which factor is MOST likely to delay fracture healing?
• A patient taking metoprolol is beginning an exercise program. Which method of monitoring i…
• A patient has taken oral prednisone for several years. Which consideration MOST affects th…
• A patient on warfarin has an INR well above the therapeutic range. Which modification is M…
• A patient reports no pain during exercise while taking oxycodone. What is the MOST appropr…
• A patient received a platelet-rich plasma injection for chronic gluteal tendinopathy two d…
• Which consideration is MOST relevant when a patient begins rehabilitation after a PRP inje…
• A DXA scan reports a T-score of -2.8. Which classification is correct?
• Six weeks after a distal radius fracture, a patient has pain disproportionate to the injur…
• A patient with subacromial pain syndrome has completed pain control and postural education…
• Which activity should be MOST limited early in the management of rotator cuff-related shou…
• A patient in the painful (freezing) stage of adhesive capsulitis reports severe night pain…
• Which mobilization grade is MOST appropriate when the primary goal is to increase joint ra…
• Which is the BEST-supported active approach for chronic lateral elbow tendinopathy once ac…
• Current understanding of chronic 'tennis elbow' indicates the underlying pathology is MOST…
• Which splint position is MOST appropriate for conservative management of carpal tunnel syn…
• A patient with carpal tunnel syndrome now demonstrates thenar atrophy and constant numbnes…
• A patient is in a short arm cast after a distal radius fracture. Which intervention is MOS…
• A surgeon has ordered traditional posterior precautions after a posterior approach total h…
• A surgeon has ordered anterior precautions after a direct anterior total hip arthroplasty.…
• Three days after total hip arthroplasty, a patient has new unilateral calf swelling, warmt…
• Which goal takes priority in the early phase after total knee arthroplasty?
• Which positioning instruction is MOST appropriate for a patient recovering from total knee…
• In the early weeks after ACL reconstruction, many protocols perform low-load open kinetic …
• Which complaint is MOST associated with a bone-patellar tendon-bone autograft compared wit…
• Which intervention has the strongest evidence for patellofemoral pain syndrome?
• Which intervention is MOST effective for reducing recurrence after a lateral ankle sprain?
• Which finding after an inversion ankle injury MOST indicates the need for radiographs unde…
• A patient reports heel pain that is worst with the first steps in the morning and has limi…
• A patient with right hip osteoarthritis is issued a cane. In which hand should it be held?
• Which exercise should be AVOIDED in a patient with established osteoporosis and prior vert…
• A patient with rheumatoid arthritis presents during an acute flare with hot, swollen MCP j…
• Which exercise approach is MOST appropriate for a patient with fibromyalgia?
• Which prescription BEST targets muscular strength rather than muscular endurance?
• A patient reports that knee pain and swelling increased after the last session and had not…
• A patient has been on prolonged bed rest following a medical illness. Which musculoskeleta…
• A patient post-stroke scores 38/56 on the Berg Balance Scale. Which interpretation is MOST…
• Which measure quantifies the amount of ASSISTANCE a patient requires across self-care, mob…
• During passive elbow extension the therapist notes a catch followed by minimal resistance …
• Resistance to passive movement that is INDEPENDENT of the velocity of movement and present…
• A patient opens eyes to painful stimulus, makes incomprehensible sounds, and withdraws fro…
• Loss of vibration sense and proprioception with preserved pain and temperature MOST sugges…
• A patient has ipsilateral loss of motor function and proprioception with contralateral los…
• After a hyperextension injury an older adult has greater weakness in the upper extremities…
• A patient with a spinal cord injury has no motor function but preserved sensation below th…
• A patient cannot raise the eyebrow, close the eye, or smile on one side of the face. Which…
• Which of the following combinations of cranial nerves is MOST directly involved in swallow…
• Which finding MOST specifically indicates cerebellar dysfunction?
• A patient stands steadily with eyes open but sways markedly with eyes closed. This positiv…
• The Dix-Hallpike maneuver provoking upbeating torsional nystagmus with a brief latency and…
• Inability to perform rapid alternating pronation and supination is termed:
• A patient has hyperreflexia, increased tone, and a positive Babinski sign with minimal atr…
• Sensory testing at the level of the nipple line corresponds to which dermatome?
• Which key muscle action is tested to determine a C6 motor level in spinal cord injury?
• A patient lifts the hip and knee excessively during swing because the foot cannot clear th…
• Short shuffling steps with reduced arm swing and progressively increasing speed MOST descr…
• A patient recovering from stroke can only flex the shoulder together with elbow flexion, f…
• Which measure is designed specifically to quantify motor impairment after stroke?
• A patient with traumatic brain injury is confused, agitated, and exhibits nonpurposeful ag…
• A patient with right hemisphere stroke does not eat food on the left side of the plate. Co…
• A patient after stroke has greater weakness in the contralateral upper extremity and face …
• Weakness predominantly of the contralateral lower extremity following stroke MOST suggests…
• Which behavioral profile is MOST typical after a RIGHT hemisphere stroke?
• A patient produces effortful, halting speech with relatively preserved comprehension and i…
• Which factor MOST distinguishes early rehabilitation planning after hemorrhagic stroke com…
• Which combination BEST characterizes Parkinson disease?
• A patient with Parkinson disease has bilateral involvement with impaired postural reflexes…
• A patient with multiple sclerosis reports transient worsening of symptoms after a hot bath…
• A patient has coexisting hyperreflexia and spasticity with muscle atrophy and fasciculatio…
• Rapidly progressive symmetric ASCENDING weakness with areflexia following a recent respira…
• Weakness that worsens with sustained activity and improves with rest, with ptosis and dipl…
• A child with cerebral palsy has increased tone predominantly in both lower extremities wit…
• A patient with a T4 spinal cord injury develops a pounding headache, flushing above the le…
• A patient with a complete C6 spinal cord injury is MOST likely to achieve which functional…
• Which imaging modality is MOST sensitive for detecting acute ischemic tissue changes withi…
• Which test BEST differentiates a demyelinating from an axonal peripheral nerve lesion?
• A patient with Parkinson disease is markedly more mobile 60 minutes after taking carbidopa…
• A patient using intrathecal baclofen for spasticity presents with new weakness and excessi…
• Two weeks after botulinum toxin injection into the gastrocnemius for spasticity, which cha…
• An older adult with Parkinson disease taking an anticholinergic agent develops new confusi…
• A patient reports vertigo triggered by rolling over in bed, lasting under one minute, with…
• A patient has facial weakness that SPARES the forehead. Which localization is MOST likely?
• Which principle BEST underlies the diagnosis of multiple sclerosis?
• A patient asks whether stem cell therapy advertised online will restore function after chr…
• Which patient is the BEST candidate for constraint-induced movement therapy after stroke?
• Which practice schedule BEST promotes long-term retention and transfer of a motor skill?
• Which feedback strategy BEST supports long-term motor learning?
• A therapist tells a patient 'your step length was too short on the left.' This is an examp…
• Which intervention BEST reflects a task-oriented approach to gait retraining after stroke?
• When using body weight supported treadmill training after stroke, which parameter is MOST …
• Which intervention is MOST appropriate for a flaccid hemiplegic shoulder with inferior sub…
• A patient with T4 spinal cord injury develops autonomic dysreflexia during therapy. What i…
• A patient with acute C6 spinal cord injury becomes lightheaded and pale when raised to sit…
• Which strategy is MOST effective for reducing freezing of gait in Parkinson disease?
• Which training principle underlies large-amplitude exercise programs for Parkinson disease…
• Which exercise consideration is MOST important for a patient with multiple sclerosis?
• During the recovery phase of Guillain-Barre syndrome, which principle MOST guides exercise…
• Which approach is MOST appropriate for a patient with progressing amyotrophic lateral scle…
• Which intervention is MOST appropriate for posterior canal benign paroxysmal positional ve…
• Gaze stabilization exercises with head movement while fixating a target are used PRIMARILY…
• A patient at Rancho level IV is agitated and combative. Which environmental approach is MO…
• Which intervention BEST addresses left unilateral spatial neglect?
• A patient after stroke actively pushes toward the hemiplegic side and resists correction t…
• For a patient with C6 tetraplegia planning to use a tenodesis grasp, which instruction is …
• Which orthosis is MOST appropriate for isolated foot drop from a common peroneal nerve inj…
• Which intervention is MOST appropriate in the acute phase of peripheral facial nerve palsy…
• A patient with hemiplegia begins a new antihypertensive regimen and reports dizziness when…
• A patient with traumatic brain injury develops a warm, swollen hip with rapidly decreasing…
• Which positioning strategy BEST prevents contracture in a patient with spastic hemiplegia …
• Which outcome measure BEST quantifies submaximal functional exercise capacity in a patient…
• Which scale is MOST appropriate for grading a patient's perceived shortness of breath duri…
• Fine crackles heard at the lung bases at end-inspiration MOST suggest:
• Expiratory wheezing throughout both lung fields MOST likely indicates:
• Which resting value is OUTSIDE the normal adult range and warrants further assessment befo…
• Which response during exercise MOST indicates the session should be stopped?
• Rate pressure product, used to estimate myocardial oxygen demand, is calculated as:
• The first heart sound (S1) is produced by:
• An S3 heart sound in an older adult with dyspnea and peripheral edema MOST suggests:
• A patient with COPD demonstrates upper chest and accessory muscle use with minimal abdomin…
• Chest wall excursion measured with a tape at the xiphoid level is used PRIMARILY to assess…
• A patient reports chest discomfort during exercise that they rate as moderate and botherso…
• Which factor MOST limits the accuracy of pulse oximetry?
• Which finding MOST specifically indicates LEFT-sided heart failure?
• A reduced FEV1/FVC ratio with normal or increased total lung capacity MOST indicates:
• Which mechanism BEST explains the flattened diaphragm seen in advanced emphysema?
• A patient is 3 days post myocardial infarction and is ambulating short distances in the ho…
• An ankle-brachial index of 0.6 MOST indicates:
• A shallow, irregular ulcer at the medial malleolus with surrounding hemosiderin staining a…
• Which finding on a chest radiograph is MOST consistent with left lower lobe atelectasis?
• Which laboratory value is MOST specific for myocardial injury?
• An arterial blood gas shows pH 7.30, PaCO2 55 mm Hg, and HCO3 25 mEq/L. Which disturbance …
• A patient with stable angina takes sublingual nitroglycerin before exercise. Which effect …
• A patient taking a loop diuretic reports muscle cramps and new weakness. Which considerati…
• When should a short-acting bronchodilator MOST appropriately be used relative to pulmonary…
• A patient reports sudden onset of dyspnea with pleuritic chest pain and tachycardia three …
• Pursed lip breathing benefits patients with COPD PRIMARILY because it:
• Which cue BEST facilitates diaphragmatic breathing?
• To drain the posterior basal segments of the lower lobes, which position is MOST appropria…
• Which condition is a contraindication to postural drainage with the head down?
• Which technique uses breathing control, thoracic expansion exercises, and forced expirator…
• Huffing is preferred over forceful coughing in some patients because it:
• Incentive spirometry after abdominal surgery is used PRIMARILY to:
• During phase I cardiac rehabilitation after myocardial infarction, which intensity guideli…
• Which instruction is MOST appropriate for a patient after median sternotomy?
• Which exercise prescription is MOST appropriate for a patient with moderate COPD beginning…
• A patient with COPD desaturates to 86 percent during ambulation despite pursed lip breathi…
• Which sign during exercise MOST suggests decompensated heart failure requiring session ter…
• During pulmonary rehabilitation a patient develops new unilateral calf swelling with warmt…
• Prolonged bed rest in a patient with pneumonia MOST directly produces which cardiovascular…
• In a patient with unilateral right lower lobe pneumonia, which position MOST improves oxyg…
• A wound shows full-thickness skin loss with visible subcutaneous fat but no exposed bone, …
• Which finding defines a stage 1 pressure injury?
• A burn appears mottled red and white, is dry, and has markedly diminished sensation. Which…
• Assessment of scar tissue mobility after a burn across the anterior neck MOST directly inf…
• Using the three-phase model of wound healing that follows hemostasis, which sequence is co…
• A patient with diabetes has a painless, round ulcer with a callused rim on the plantar sur…
• Before applying compression therapy for a venous ulcer, which assessment is MOST important…
• Long-term systemic corticosteroid use MOST affects wound management because it:
• Spreading warmth, erythema, and tenderness around a wound with fever MOST suggests:
• Using the rule of nines in an adult, burns to the entire anterior trunk represent approxim…
• Which dressing is MOST appropriate for a clean, dry wound with minimal exudate that requir…
• Which dressing is MOST appropriate for a wound with heavy exudate?
• Which debridement method is MOST appropriate for a wound with dry, adherent eschar and sig…
• Which positioning strategy BEST prevents contracture after a burn to the anterior axilla?
• Periwound skin that is white, soft, and boggy MOST indicates:
• A patient receiving radiation therapy over the chest wall develops fragile, erythematous s…
• During exercise a patient with type 1 diabetes becomes shaky and diaphoretic but remains a…
• A patient with type 1 diabetes has a blood glucose of 290 mg/dL with ketones present. Whic…
• Which consideration is MOST important when scheduling exercise for a patient using insulin…
• Unexplained fatigue, cold intolerance, weight gain, and delayed reflex relaxation MOST sug…
• Which education point is MOST important for a patient with diabetic peripheral neuropathy …
• Which effect of regular aerobic exercise is MOST relevant in type 2 diabetes?
• For a patient with obesity and knee osteoarthritis beginning exercise, which approach is M…
• A patient on long-term corticosteroid therapy for a pulmonary condition develops elevated …
• Tenderness at a point one third of the distance from the right anterior superior iliac spi…
• Arrest of inspiration during palpation beneath the right costal margin MOST suggests:
• Which position MOST facilitates defecation by improving anorectal angle?
• A patient reports right shoulder pain that is unchanged by shoulder movement or position, …
• Which factor MOST contributes to constipation in a patient on prolonged bed rest?
• Which gastrointestinal effect is MOST associated with long-term opioid analgesic use?
• Which positioning instruction is MOST appropriate for a patient with gastroesophageal refl…
• Which component is central to a bowel program for a patient with spinal cord injury and a …
• Which finding MOST indicates correct pelvic floor muscle contraction during instruction?
• Leakage occurring with coughing, sneezing, or lifting MOST indicates:
• Urge urinary incontinence is MOST directly associated with:
• A patient with spinal cord injury develops new increased spasticity, malaise, and cloudy u…
• Which intervention has the strongest evidence for stress urinary incontinence?
• Which strategy is central to a timed bladder program for urge incontinence?
• Inability to pinch and lift a skin fold at the base of the second toe (positive Stemmer si…
• Which method is MOST appropriate for tracking limb volume change in lymphedema over time?
• Limb swelling that does not reduce with elevation and shows fibrotic tissue changes MOST c…
• Which finding MOST favors deep vein thrombosis rather than lymphedema as the cause of unil…
• Which combination defines complete decongestive therapy for lymphedema?
• Manual lymphatic drainage is performed by first clearing which region?
• Which condition is a contraindication to compression therapy for limb swelling?
• Why is exercise performed WITH compression in lymphedema management?
• Which instruction is MOST appropriate for a patient at risk of lymphedema after axillary l…
• Which exercise approach is MOST appropriate for a patient with cancer-related fatigue duri…
• A patient with known bone metastases to the spine reports new, severe, unremitting back pa…
• A patient receiving chemotherapy reports new numbness and tingling in a stocking-glove dis…
• Which position should generally be AVOIDED for prolonged periods after the first trimester…
• Which assessment finding is MOST consistent with diastasis recti abdominis?
• A patient with both diabetes and hypertension is starting an exercise program. Which combi…
• Which modification is MOST appropriate when treating a patient with moderate dementia afte…
• A patient recovering from stroke shows persistent low mood, loss of interest, and declinin…
• Which statement BEST characterizes persistent (chronic) pain?
• Pain neuroscience education is used PRIMARILY to:
• Which consideration is MOST relevant when exercising a patient with systemic lupus erythem…
• A patient with multitrauma has an unstable pelvic fracture and a stable tibial fracture. W…
• Which consequence of polypharmacy is MOST relevant to physical therapy in older adults?
• Which pattern MOST suggests a systemic rather than musculoskeletal source of symptoms?
• Which factor is MOST associated with the transition from acute to persistent low back pain…
• Which device provides the GREATEST stability for a patient with generalized weakness and i…
• A cane is correctly fitted when the handgrip is at the level of which landmark with the el…
• Which fitting error MOST increases the risk of brachial plexus or radial nerve compression…
• A wheelchair seat that is too DEEP for the user MOST likely produces which problem?
• Which instruction is MOST appropriate for a wheelchair user with impaired sensation to pre…
• A transtibial prosthesis user demonstrates excessive knee flexion in early stance. Which p…
• Which instruction is MOST appropriate for a patient with a new transtibial amputation to p…
• Which orthosis is MOST appropriate for a patient with moderate ankle instability and spast…
• A patient reports numbness and increased distal swelling after being fitted with a compres…
• Which condition is a contraindication to superficial heat application?
• When delivering a negatively charged medication by iontophoresis, the drug should be place…
• Conventional high-rate TENS relieves pain PRIMARILY through which mechanism?
• When using neuromuscular electrical stimulation for quadriceps strengthening after knee su…
• When nonthermal ultrasound has otherwise been judged appropriate for an acute injury, whic…
• To treat a deep structure approximately 4 cm below the surface, which ultrasound frequency…
• Which condition is a contraindication to mechanical lumbar traction?
• Which condition is a contraindication to intermittent pneumatic compression of the lower e…
• Which intervention has the STRONGEST evidence for reducing falls in community-dwelling old…
• Which principle BEST reduces therapist injury risk during patient transfers?
• During mobilization of a patient with a chest tube, which action is MOST appropriate?
• Which line requires the MOST caution regarding limb movement because dislodgement can caus…
• A mechanically ventilated patient becomes agitated with a falling oxygen saturation during…
• A patient collapses and is unresponsive with no normal breathing, and no pulse is definite…
• Standard precautions require hand hygiene:
• A patient with active pulmonary tuberculosis requires which type of precaution?
• A therapist observes bruises in various stages of healing on an older adult who gives inco…
• Which home modification MOST directly reduces fall risk for an older adult with impaired b…
• Which entry BEST meets documentation standards for the objective section of a note?
• Which action is MOST consistent with HIPAA requirements?
• Which law MOST directly governs the provision of physical therapy as a related service wit…
• Which requirement falls under OSHA regulation in the clinical workplace?
• Which task may NOT be delegated to a physical therapist assistant?
• A therapist is asked by an employer to bill for a 60-minute treatment when 30 minutes were…
• A patient repeatedly misses appointments and reports difficulty arranging transportation a…
• Which consideration is MOST important before delivering physical therapy by telehealth?
• Which study design generally provides the HIGHEST level of evidence for the effectiveness …
• A goniometer consistently reads 5 degrees higher than the true value on every measurement.…
• Which concept describes the smallest change in a score that exceeds measurement error?
• Which statistical test is MOST appropriate to compare mean gait speed between three indepe…
• A study reports a mean between-group difference of 4 points with a 95 percent confidence i…
• A positive test result with a high positive likelihood ratio does what to the probability …
• A clinical prediction rule is BEST described as: