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Free Physical Therapist Practice Test

Take this Free Physical Therapist Practice Test to get an idea of what is on the National Physical Therapist Exam (NPTE) for physical therapists (PT). The NPTE for PTs is a standardized exam produced by the Federation of State Boards of Physical Therapy. In case you miss any questions, adequate explanations have been provided. We highly recommend you to take this test.

  1. 10 questions in all. There is no time constraint, so take your time. You need to score at least 80% to pass
  2. You can retake the test at any time. We recommend you share with friends too.
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#1. A patient arrives at an initial evaluation with complaints of ankle pain that began with sudden onset after the patient jumped off a couch. The Thompson Test yields a positive result. This is indicative of:


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The Thompson test is a special test for achilles tendon integrity. Achilles tendon ruptures typically happen with quick movements.

#2. A true leg length discrepancy may be differentiated from sacroiliac contribution by performing the supine to long sit test. When a patient has a right anterior innominate:


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If a leg length discrepancy is due to the SI joint, the supine to long sit test will help indicate the leg length discrepancy. If a patient has an anterior innominate, the leg that looked longer in supine will become shorter in sitting. If the patient has a posterior innominate, the leg that looked shorter in supine will become longer in sitting.

#3. While working with the upper extremity of a patient who recently had a right hemisphere cerebral vascular accident, the therapist should avoid:


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Patients who have recently had a CVA that affects the upper extremity are at higher risks for dislocation.

#4. In the initial evaluation of a patient with back pain, the patient describes symptoms including pain the radiates to the dorsal aspect of the foot accompanied by tingling. On assessment, there is weakness in ankle dorsiflexion. The most likely cause of the patient's back pain is


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This dermatomal and myotomal pattern is one of L4-L5 distribution. Therefore, irritation of that nerve root would be the most likely cause of these symptoms.

#5. A patient presents to therapy with moderate pain in the bilateral distal lower extremities. He reports that the pain is better when his feet are elevated. During evaluation, the therapist notes that the skin has brown discoloration and is flaky and dry. Pedal pulses are normal and +2 pitting edema is present bilaterally. The most likely cause of the patient's leg pain is:


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Signs of arterial insufficiency include severe pain, especially at night, ulcers on the lower third of the legs, diminished pedal pulses, decreased skin temperature, shiny skin with hair loss, and leg elevation that increases pain. Venous insufficiency is identified with mild to moderate pain, normal pedal pulses, increased edema, dry and flaky skin, that is at a normal skin temperature, brown discoloration of the skin, and where leg elevation decreases the pain.

#6. While reviewing a chart of a new evaluation for PT in acute care, the therapist finds that the patient currently has the following lab values: pH: 7.41, PaCo2: 33, HCO3: 20. Which of the following is correct regarding this patient?


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A blood pH level that has returned to normal is indicative that the body has compensated. The PaCo2 is less than 35 and the HCO3 is less than 22 which indicates respiratory alkalosis.

#7. A patient has a sloughy wound with moderate exudate. The most appropriate wound dressing for this patient is:


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Film dressings would be inappropriate because the wound has a moderate amount of exudate. Hydrogels increase moisture, so that would not be an appropriate dressing for this wound either.

#8. You are providing wound care for a recent adult burn unit admission. The patient presents with burns covering the left anterior leg, anterior chest, and left anterior arm. What percent of the patient can you estimate is the burn area?


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Burn area is determined by the rule of 9s. The left leg would be estimated at 9%, the anterior chest would be 18%, and the left arm would be 4.5% for a total of 31.5%.

#9. A patient has a diagnosis of Graves disease. Which physiological response to exercise can you expect for this patient in relation to their diagnosis?


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Patients with Graves disease often have an overactive thyroid. Hyperthyroidism can lead to elevated heart rate.

#10. A patient you are treating with Addison's disease arrives at therapy in visible distress and reports she has been vomiting and having diarrhea for the last two days. She states that the pain in her back and legs is unbearable now, and that she has been blacking out. You assess the patient's vitals and find her blood pressure to be much lower than previous sessions. The best course of action is to:


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Addison’s disease is an adrenal disorder. This patient is showing signs of an adrenal crisis, so emergency medical care is needed.

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