NPTE Clinical Files | Physical Therapy

Anisa is being treated in an inpatient rehabilitation facility following a traumatic brain injury (TBI). The physical therapist has been training the patient to ambulate using a two-point gait pattern with a single-point cane. Anisa consistently performs the gait pattern correctly in a quiet hallway without verbal cueing. Which of the following is the BEST strategy to improve long-term retention and carryover of this skill?
A) Open environment with randomized practice
B) Closed environment with serial practice
C) Open environment with serial practice
D) Closed environment with blocked practice
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Tasnuva is referred to physical therapy for progressively worsening right knee pain. The patient reports symptoms that have gradually increased over the past year and are aggravated by prolonged walking. Observation reveals right coxa vara and significant genu valgum during standing. Which of the following structures is MOST likely contributing to the patient’s symptoms?
A) Anterior cruciate ligament
B) Gluteus medius tendon
C) Medial meniscus
D) Lateral meniscus
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Stephanie is evaluating a patient 8 weeks after sustaining a displaced radial head fracture following a fall onto an outstretched hand. The patient reports persistent lateral elbow pain, difficulty actively extending the wrist and fingers, and weakness when gripping objects. Which of the following examination findings is LEAST likely?
A) 5/5 elbow extension manual muscle test
B) Limited forearm supination range of motion
C) Diminished finger extension passive range of motion
D) Decreased power grip strength
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Jeff is a 78-year-old patient recovering from a right CVA. The patient requires moderate assistance for transfers and bed mobility. During therapy, frequent vital sign monitoring is necessary due to ongoing cardiac instability. The patient is now able to tolerate approximately 75 minutes of therapy each day; however, they live alone in a two-story home. Which of the following is the MOST appropriate discharge setting?
A) Inpatient rehabilitation facility
B) Skilled nursing facility
C) Home with home health physical therapy
D) Long-term acute care hospital
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Chimezie is performing an initial examination of a patient with type 2 diabetes mellitus. The patient’s most recent hemoglobin A1C is 6.7%. During inspection of the right foot, the therapist observes a small ulcer on the plantar surface beneath the fifth metatarsal head. The patient reports progressively limiting walking activities because of discomfort in the involved foot. Which of the following examination procedures is MOST important for the therapist to perform?
A) Measure the patient’s maximum ambulation distance
B) Inspect the medial ankle for additional ulceration
C) Test protective sensation using a 10-g monofilament
D) Measure capillary blood glucose before continuing the examination
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