[미국 물리치료사] NPTE 실전모의고사

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225 문제

• An overhead athlete reports deep shoulder pain with a click during late cocking. Which exa…
• After a prolonged episode of hypotension, a patient has bilateral proximal upper and lower…
• A patient six months after orthotopic heart transplantation shows a blunted heart rate ris…
• A therapist is asked to assist with mobility in a magnetic resonance imaging suite. Which …
• A cyclist fell onto the point of the shoulder and now has a visible step deformity at the …
• A patient after stroke can perform isolated wrist extension with the elbow extended and sh…
• Contrast bath therapy alternating warm and cold immersion is used PRIMARILY to:
• A volleyball player with patellar tendinopathy has settled irritability and now tolerates …
• A diabetic foot ulcer extends to expose tendon and bone without abscess or osteomyelitis. …
• Duration of post-traumatic amnesia after traumatic brain injury is used PRIMARILY to:
• A patient demonstrates medial scapular winging that increases during a wall push-up. Which…
• A patient's echocardiogram reports a left ventricular ejection fraction of 30 percent. Thi…
• A patient reports numbness of the small finger and medial ring finger that worsens with pr…
• A young boy uses his hands to climb up his thighs when rising from the floor. This sign MO…
• Which element is MOST essential in a physical therapy plan of care for third-party payment…
• A novice runner reports diffuse pain along the posteromedial tibial border that eases afte…
• A patient who received anthracycline chemotherapy now reports exertional dyspnea and ankle…
• Neural mobilization for a patient with median nerve mechanosensitivity is MOST appropriate…
• Prone positioning in a patient with severe acute respiratory distress syndrome is used PRI…
• A patient reports the ring finger catching in flexion and requiring passive assistance to …
• Which consequence of significant vitamin D deficiency is MOST relevant to physical therapy…
• A young adult reports sudden severe posterior neck pain and occipital headache after a min…
• A patient with poor peripheral perfusion and cold fingers shows an erratic pulse oximetry …
• Which patient is the BEST candidate for a total-body mechanical lift during transfers?
• A patient with liver cirrhosis becomes increasingly confused with a flapping tremor of the…
• A middle-aged patient cannot perform a single-leg heel raise and shows a flattened medial …
• A patient with dysphagia is placed on thickened liquids. The purpose of thickening is to:
• A runner has focal tenderness over the anterior tibial cortex with night pain and normal r…
• A one-way speaking valve placed on a tracheostomy tube requires which condition to be safe…
• Early after arthroscopic hip labral repair, which motion is MOST commonly restricted?
• A patient reports symptom provocation during smooth pursuit, saccades, and convergence tes…
• In the PICO framework used to structure a clinical question, the letter C represents:
• Which finding MOST suggests that shoulder pain originates from the cervical spine rather t…
• A patient reports pelvic pain with tenderness of the pelvic floor muscles and difficulty r…
• A patient with myasthenia gravis develops rapidly worsening weakness with difficulty breat…
• Compression garments are applied after a healed deep partial-thickness burn PRIMARILY to:
• A patient with heart failure is comfortable at rest but experiences symptoms with less tha…
• Which modification is MOST appropriate when treating lymphedema of the face and neck after…
• A patient reports pain and limited extension at the first metatarsophalangeal joint with a…
• Which skill is MOST important to teach a new manual wheelchair user for negotiating a curb…
• Which change during an inpatient therapy session MOST warrants activating a rapid response…
• Which feature MOST supports a musculoskeletal chest wall source rather than a cardiac sour…
• Which precaution is MOST important when treating a child with myelomeningocele?
• Which strategy BEST confirms that a patient with limited health literacy understands a hom…
• A patient stands steadily with eyes open but sways markedly and loses balance when the eye…
• The Glasgow Coma Scale is scored from which three components?
• A therapist applies axial compression through the femur while moving the hip through an ar…
• Fine late-inspiratory crackles heard at both lung bases MOST commonly reflect:
• Which finding MOST indicates that ankle radiographs are warranted after an inversion injur…
• Which condition requires airborne precautions with a fit-tested respirator rather than sta…
• A patient reports symmetric ascending weakness beginning in the legs with absent deep tend…
• During the first six weeks after a rotator cuff repair, which activity is MOST commonly pe…
• Which method BEST documents the size of an open wound over time?
• A patient with a family history of an autosomal dominant neurodegenerative disease shows i…
• A patient reports arm heaviness and paresthesia that worsens with overhead work and carryi…
• Threshold inspiratory muscle training is prescribed for a patient with chronic lung diseas…
• Mirror therapy for a patient with upper limb hemiparesis is performed by:
• An adolescent gymnast reports low back pain worsened by extension, with a palpable step-of…
• A patient with isolated dorsiflexor weakness and no spasticity or instability would benefi…
• Two-point discrimination testing is used PRIMARILY to assess:
• A patient in the painful freezing stage of adhesive capsulitis reports night pain and rapi…
• A patient with known hyperthyroidism becomes agitated with a very high heart rate, fever, …
• A patient with peripheral arterial disease reports calf pain that begins after two blocks …
• A prone patient reports anterior thigh symptoms when the knee is flexed and the hip extend…
• Serial casting for an elbow flexion contracture works PRIMARILY by:
• Which element is MOST essential to valid informed consent before a physical therapy interv…
• A new parent reports radial wrist pain reproduced when the thumb is held in the fist and t…
• An older adult falls with the neck hyperextended and now has weakness that is greater in t…
• Pursed lip breathing benefits a patient with obstructive lung disease PRIMARILY by:
• Which exercise principle is BEST supported for a patient with knee osteoarthritis and mode…
• A limb with lymphedema shows pitting edema that reduces substantially with elevation and h…
• Which parameter is MOST important when delivering task-specific locomotor training after s…
• True leg length is MOST appropriately measured from which landmarks?
• Which modification is MOST appropriate for a patient with significant gastroesophageal ref…
• Which finding MOST distinguishes a peripheral facial nerve palsy from a central facial wea…
• After a tibial fracture, a patient reports escalating deep pain out of proportion to the i…
• Which consideration is MOST important when prescribing exercise for a patient with advance…
• A six-minute walk test result is MOST useful for:
• During a Dix-Hallpike maneuver toward the right, a patient develops upbeating torsional ny…
• Which goal is MOST important during the first two weeks after total knee arthroplasty?
• A trial reports a number needed to treat of 5 for an intervention. This MOST means that:
• A patient receives botulinum toxin injection for elbow flexor spasticity. Physical therapy…
• A patient reports lateral elbow pain with resisted wrist extension and gripping, with norm…
• A patient with stress urinary incontinence and a weak but coordinated pelvic floor would b…
• A tape measure placed around the thorax at the xiphoid level during maximal inhalation and…
• When delivering dexamethasone by iontophoresis, the medication is placed under which elect…
• Which property of water is MOST responsible for allowing an unsteady patient to practice s…
• Which exercise precaution is MOST important for a patient with sickle cell disease?
• A hospitalized patient repeatedly attempts to get out of bed unsafely. Which response is M…
• Negative pressure wound therapy is MOST appropriately applied to:
• Which observation contributes to a hypermobility score during a screening examination?
• A patient can sustain activity at approximately 5 metabolic equivalents without symptoms. …
• During passive elbow extension, a therapist feels a catch followed by minimal resistance t…
• Which finding MOST supports deep gluteal muscle involvement rather than a lumbar radiculop…
• Which task is MOST appropriately delegated to a physical therapist assistant?
• A patient with multiple sclerosis reports temporary worsening of vision and weakness after…
• Low-load blood flow restriction training is MOST useful when a patient:
• Which medication-related factor MOST increases fall risk in an older adult receiving thera…
• Adding mental rehearsal of a movement without physical execution is MOST useful as a suppl…
• During single-limb stance on the right, the left side of the pelvis drops. This finding MO…
• A burn is moist and red with blisters and is painful to light touch. This description BEST…
• An oscillating positive expiratory pressure device assists secretion clearance PRIMARILY b…
• Which combination of findings MOST urgently requires emergency referral in a patient with …
• Which criterion is MOST appropriate before clearing an athlete for return to cutting sport…
• Immediately after a needlestick injury during a clinical procedure, the FIRST action shoul…
• A patient with a complete injury at the C6 level would MOST likely achieve which functiona…
• Which activity is MOST appropriate to avoid for a patient with established vertebral osteo…
• To produce a strengthening contraction of the quadriceps with neuromuscular electrical sti…
• The rate pressure product, calculated from heart rate and systolic blood pressure, is used…
• A Berg Balance Scale score in the low range MOST indicates:
• A patient reports knee catching and pain along the medial joint line, reproduced during a …
• Which finding BEST describes a clinically significant diastasis of the rectus abdominis af…
• Which intervention BEST addresses left spatial neglect during functional activity?
• Several weeks after a wrist fracture, a patient has disproportionate burning pain with ski…
• Which strategy BEST reduces the risk of hypoglycemia during exercise for a patient using i…
• A patient in atrial fibrillation has an irregularly irregular pulse. Which implication for…
• Which combination of findings is MOST characteristic of amyotrophic lateral sclerosis?
• A patient with low back and leg pain reports that repeated lumbar extension reduces and ce…
• Axillary crutches are correctly fitted when:
• A patient cannot shrug the shoulder against resistance on one side and has weakness turnin…
• Compared with an intracapsular femoral neck fracture, an intertrochanteric fracture is MOS…
• Multilayer compression bandaging for lower limb lymphedema should be applied so that press…
• Which activity is MOST consistent with typical sternal precautions early after median ster…
• A patient with Parkinson disease freezes when approaching a doorway. Which strategy is MOS…
• Which combination MOST supports a diagnosis of cervical radiculopathy?
• Which recommendation is MOST appropriate for a patient with a recent colostomy beginning a…
• A child with cerebral palsy walks indoors and outdoors with a handheld mobility device and…
• Eccentric heel drop exercise for midportion Achilles tendinopathy is MOST appropriately pr…
• The minimal detectable change of an outcome measure represents:
• A modified Borg scale used during walking allows the therapist to:
• During arm elevation, a patient shows early and excessive scapular elevation with limited …
• A patient becomes lightheaded with a marked drop in blood pressure on standing during the …
• Gaze stabilization exercise for unilateral vestibular hypofunction is performed by:
• Which consideration is MOST important when planning mobility for a patient of very large b…
• A pressure injury presents as intact skin with a localized area of non-blanchable redness …
• Which change in vital signs from supine to standing MOST supports orthostatic hypotension?
• With the patient prone, passively flexing the knee causes the hip on the same side to rise…
• A gait assessment that includes walking with head turns, over obstacles, and with a narrow…
• Which practice is MOST appropriate when transporting a patient using a portable oxygen cyl…
• Which approach MOST improves diagnostic confidence when sacroiliac joint pain is suspected…
• A patient after left hemisphere stroke speaks fluently with normal rhythm but the content …
• A 10-gram monofilament applied to the plantar foot is used PRIMARILY to:
• When measuring grip strength with a handheld dynamometer, the standardized position places…
• Which sign during early cardiac rehabilitation MOST requires terminating the exercise sess…
• When using body weight supported treadmill training, the amount of support should be:
• Which element is MOST important in reducing reinjury risk after a hamstring strain?
• Which study design generally provides the STRONGEST evidence about the effect of an interv…
• Sustained rhythmic beating of the ankle after a quick dorsiflexion stretch MOST indicates:
• A patient reports lateral hip pain when lying on that side and when standing on one leg, w…
• Which approach is BEST supported for managing cancer-related fatigue during treatment?
• Diaphragmatic breathing retraining is MOST appropriately taught by:
• A patient with long-standing diabetes reports symmetric numbness and burning in both feet …
• A patient has a painless capsular restriction of shoulder external rotation with low irrit…
• Which factor MOST influences the depth of tissue cooling achieved with an ice pack?
• When training a sit-to-stand transfer for a patient with left hemiplegia, the therapist sh…
• A therapist passively elevates the arm in the scapular plane with the forearm internally r…
• A patient on long-term high-dose corticosteroids shows central weight gain, thin skin with…
• An adolescent athlete remains symptomatic at rest four days after a concussion. Which reco…
• A patient has a hot swollen knee with fever and severe pain on any joint motion two days a…
• A therapist is unable to lift a fold of skin at the base of the second toe on a swollen li…
• A third heart sound heard in an older adult with dyspnea MOST commonly reflects:
• A patient with a transtibial prosthesis shows excessive knee flexion in early stance. Whic…
• To unload approximately half of a patient's body weight during aquatic gait training, imme…
• A therapist discovers an error in a completed paper note. The MOST appropriate correction …
• A patient stands well on a firm surface with eyes open but becomes very unsteady on a comp…
• A patient cannot oppose the thumb and shows thenar wasting after a wrist laceration. Which…
• A patient reports deep constant low back pain with a pulsating sensation in the abdomen an…
• Which pattern of exercise blood pressure response is MOST concerning during a graded exerc…
• Which feedback schedule BEST supports long-term learning of a new movement skill?
• A young adult reports insidious low back pain with morning stiffness lasting over an hour …
• A manual wheelchair seat that is substantially too wide is MOST likely to cause:
• A patient who had poliomyelitis decades ago now reports new weakness and fatigue in previo…
• A patient with chronic low back pain and high fear of movement would benefit MOST from:
• A patient reports a sudden strong urge to void with leakage on the way to the bathroom and…
• A patient begins a generalized tonic-clonic seizure during a treatment session. The MOST a…
• A patient with recurrent ankle sprains shows increased inversion laxity with a soft end fe…
• Adding a cognitive task during gait training is MOST appropriate when the goal is to:
• Which element is MOST important in a handoff when a patient moves from acute care to inpat…
• Which finding MOST indicates a need for airway suctioning in a patient with an artificial …
• Scar mobilization over a surgical incision is MOST appropriately started when:
• A community-dwelling older adult completes a Timed Up and Go test in 16 seconds. This resu…
• A patient with hip osteoarthritis is MOST likely to show the greatest passive limitation i…
• Which consideration is MOST important when titrating supplemental oxygen for a patient wit…
• After a flexion injury of the spine, a patient has loss of motor function and pain and tem…
• Which factor MOST delays fracture healing?
• A patient with moderate cognitive impairment has difficulty sequencing a standard rolling …
• Which positioning strategy BEST reduces the risk of upper limb contracture in a patient wi…
• A patient with lumbar spinal stenosis reports leg symptoms during walking that ease with s…
• A patient with chronic leg swelling develops a rapidly spreading area of warmth and rednes…
• A postoperative patient has new unilateral calf swelling with warmth and tenderness. What …
• Which feature MOST suggests a central rather than peripheral cause of vertigo?
• With the shoulder abducted to 90 degrees and externally rotated, a patient reports a sensa…
• A therapist observes a colleague repeatedly documenting treatment sessions that were not a…
• A deep tendon reflex that is brisker than average but without clonus is MOST appropriately…
• Which feature MOST supports a cervicogenic origin for a patient's headache?
• Manual lymphatic drainage for an affected limb is MOST appropriately performed by:
• A high pressure alarm sounds on a mechanical ventilator during a therapy session. Which ca…
• Functional electrical stimulation applied during gait for foot drop after stroke is timed …
• A patient reports posterior leg symptoms at 40 degrees of straight leg raise that intensif…
• Which sequence is MOST appropriate when leaving the room of a patient on contact precautio…
• A patient overshoots the target during finger-to-nose testing and has difficulty performin…
• After a first-time traumatic anterior shoulder dislocation treated without surgery, early …
• Which intervention has the STRONGEST evidence for improving the components of metabolic sy…
• Which condition is a contraindication to chest percussion over the affected area?
• Which practice condition BEST promotes independent problem solving during motor relearning…
• Which finding MOST supports clinical lumbar instability as a contributor to a patient's ba…
• Which exercise approach is BEST supported for an older adult identified as frail?
• A patient with a spinal cord injury at T4 develops a pounding headache, sweating above the…
• A firm capsular end feel with limited passive wrist extension after prolonged immobilizati…
• A patient reports right shoulder and scapular pain that worsens after fatty meals with no …
• Which strategy BEST allows a patient with severe chronic obstructive pulmonary disease to …
• A brief cognitive screening tool administered during rehabilitation is MOST useful for:
• Which combination MOST increases the risk of a bone stress injury in a female distance run…
• Pulsed therapeutic ultrasound at a low duty cycle is selected PRIMARILY when the goal is t…
• A patient after stroke loses balance when reaching beyond arm's length in sitting. Which p…
• Following a posterior approach total hip arthroplasty, which position MOST increases the r…
• Which exercise modification is MOST appropriate during the second and third trimesters of …
• The active cycle of breathing technique clears secretions PRIMARILY by combining:
• During a Thomas test, the tested thigh remains lifted off the table and the knee extends t…
• A diagnostic test with very high specificity is MOST useful for:
• A patient after stroke has lower extremity weakness that is greater than upper extremity w…
• Which change BEST represents an appropriate application of progressive overload in a stren…
• A patient falls during ambulation training in the clinic. After ensuring safety, the thera…
• Which practice BEST reflects effective interprofessional collaboration in a rehabilitation…
• A wound bed appears dry with minimal exudate and healthy granulation. Which dressing prope…