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NPTE Physical Therapy Exam Practice Questions and Answers, Exams of Pharmacology

Western Governors University (WGU)Pharmacology

A series of practice questions and answers relevant to the national physical therapy examination (npte). It covers various scenarios involving patient care, medication side effects, and appropriate physical therapy interventions. The questions address topics such as the impact of medications on exercise progression, identifying contraindications, understanding patient conditions, and selecting appropriate treatment modalities. This resource is designed to help students and professionals prepare for the npte by testing their knowledge and clinical decision-making skills in physical therapy practice. It includes questions on pharmacology, musculoskeletal conditions, neurological conditions, and cardiovascular rehabilitation, providing a comprehensive review of key concepts for the exam. The document also emphasizes the importance of patient safety and evidence-based practice in physical therapy.

Typology: Exams

2024/2025

Available from 08/06/2025

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NPTE Practice Questions & Answers |
| Verified
A physical therapist instructs a patient to sit up slowly and wait until any dizziness passes prior to
standing. A side effect of which of the following medications is the MOST likely reason for this
precaution?
1. Lisinopril (Prinivil)
2. Rosuvastatin (Crestor)
3. Enoxaparin (Lovenox)
4. Gabapentin (Neurontin) - ✔✔1. Lisinopril (Prinivil)
A physical therapist determines that a patient is ready to progress to plyometric exercise. The patient
reports starting a new medication since the last visit. Which of the following medications would be the
MOST likely reason for the therapist deciding to postpone this exercise progression?
1. Ciprofoxacin (Cipro)
2. Celecoxib (Celebrex)
3. Atenolol (Tenormin)
4. Loratadine (Claritin) - ✔✔1. Ciprofloxacin (Cipro)
A patient with asthma uses her rescue inhaler 15 minutes prior to a scheduled exercise session. Which of
the following medications was MOST likely used to prevent exercise-induced dyspnea?
1. Fexofenadine (Allegra)
2. Acetylcysteine (Mucomyst)
3. Albuterol (Ventolin)
4. Tiotropium (Spiriva) - ✔✔3. Albuterol (Ventolin)
A physical therapist employed in an acute care hospital works with a patient with a known latex allergy.
Which of the following items would be LEAST likely to contain latex?
1. Gloves
2. Surgical masks
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Download NPTE Physical Therapy Exam Practice Questions and Answers and more Exams Pharmacology in PDF only on Docsity!

NPTE Practice Questions & Answers |

| Verified

A physical therapist instructs a patient to sit up slowly and wait until any dizziness passes prior to standing. A side effect of which of the following medications is the MOST likely reason for this precaution?

  1. Lisinopril (Prinivil)
  2. Rosuvastatin (Crestor)
  3. Enoxaparin (Lovenox)
  4. Gabapentin (Neurontin) - ✔✔1. Lisinopril (Prinivil) A physical therapist determines that a patient is ready to progress to plyometric exercise. The patient reports starting a new medication since the last visit. Which of the following medications would be the MOST likely reason for the therapist deciding to postpone this exercise progression?
  5. Ciprofoxacin (Cipro)
  6. Celecoxib (Celebrex)
  7. Atenolol (Tenormin)
  8. Loratadine (Claritin) - ✔✔1. Ciprofloxacin (Cipro) A patient with asthma uses her rescue inhaler 15 minutes prior to a scheduled exercise session. Which of the following medications was MOST likely used to prevent exercise-induced dyspnea?
  9. Fexofenadine (Allegra)
  10. Acetylcysteine (Mucomyst)
  11. Albuterol (Ventolin)
  12. Tiotropium (Spiriva) - ✔✔3. Albuterol (Ventolin) A physical therapist employed in an acute care hospital works with a patient with a known latex allergy. Which of the following items would be LEAST likely to contain latex?
  13. Gloves
  14. Surgical masks
  1. Intravenous tubing
  2. Gowns - ✔✔4. Gowns A patient returns to physical therapy after completing medical testing using Doppler ultrasonography. What is the patient MOST likely presenting with?
  3. Peripheral neuropathy
  4. Intermittent claudication
  5. Cardiac arrhythmias
  6. Bursitis - ✔✔2. Intermittent claudication A patient reports muscle pains of excess severity in relation to their current activity level and the interventions provided. Which of the following medications would MOST likely be associated with this finding?
  7. Amlodipine (Norvasc)
  8. Albuterol (Ventolin)
  9. Simvastatin (Zocor)
  10. Methotrexate (Rheumatrex) - ✔✔3. Simvastatin (Zocor) A physical therapist assesses a patient's present pain level and concludes that the current patient- controlled analgesia protocol is not adequate. What is the MOST appropriate action?
  11. Modify the allowable medication dosage
  12. Eliminate the lockout interval
  13. Contact the patient's nurse
  14. Page the patient's referring physician - ✔✔3. Contact the patient's nurse A physical therapist observes a patient complete hip abduction and adduction exercises in standing. Which axis of movement is utilized with these particular motions?
  15. Frontal
  16. Vertical
  17. Anterior-posterior
  1. Sudden change in the position of the head - ✔✔2. Maintained pressure to the palm of the hand A 29-year-old female status post-Colles' fracture is referred to physical therapy. The patient has moderate edema in her fingers and the dorsum of her hand and complains of pain during active range of motion. Which method is MOST appropriate to quantify the patient's edema?
  2. Volumetric measurements
  3. Circumferential measurements
  4. Girth measurements
  5. Anthropometric measurements - ✔✔1. Volumetric measurements A physical therapist assesses the saccadic movements of a patient with a mild traumatic brain injury and notes that the patient has difficulty shifting their gaze laterally, though the other movements occur normally. This impairment MOST likely denotes damage to which cranial nerve?
  6. Cranial nerve II
  7. Cranial nerve III
  8. Cranial nerve IV
  9. Cranial nerve VI - ✔✔4. Cranial nerve VI A physical therapist requests that a physician supervise a submaximal graded exercise test. Which scenario would provide the BEST support for the therapist's decision?
  10. A 48-hear-old female who is asymptomatic with no known risk factors for coronary artery disease.
  11. A 36-year-old male who is asymptomatic with two known risk factors for coronary artery disease.
  12. A 42-year-old female who is asymptomatic with one known risk factor for coronary artery disease.
  13. A 28-year-old male who is symptomatic with no known risk factors for coronary artery disease. - ✔✔4. A 28-year-old male who is symptomatic with no known risk factors for coronary artery disease. A physical therapist works with a patient six weeks following total hip arthroplasty (posterolateral approach). The patient's medical history includes Graves' disease. Which intervention should the therapist avoid when treating the patient?
  14. Supine resisted hip external rotation
  15. Standing hip abduction with an ankle weight
  1. Stair training
  2. Ambulation in a warm therapy pool - ✔✔4. Ambulation in a warm therapy pool A patient rehabilitating from multi-trauma injuries sustained in a motor vehicle accident is not a candidate for patient-controlled analgesia. Which finding may have been MOST relevant when making this determination.
  3. Surgical contraindications
  4. Cognitive impairments
  5. Functional limitations
  6. Gastrointestinal distress - ✔✔2. Cognitive impairments A physical therapist estimates that a patient has lost 20% of their strength in the right hip adductors after sustaining a groin injury two months ago. Which position would be the MOST appropriate when performing a manual muscle test of the right hip adductors based on the hypothesized strength deficit?
  7. Right sidelying
  8. Left sidelying
  9. Prone
  10. Supine - ✔✔1. Right sidelying A physical therapist assesses a one-month-old infant. During the treatment session, the therapist strokes the cheek of the infant, causing the infant to turn its mouth towards the stimulus. What is this action utilized to assess?
  11. Moro reflex
  12. Rooting reflex
  13. Startle reflex
  14. Righting reflex - ✔✔2. Rooting reflex A physical therapist treats a patient post-myocardial infarction that has completed an inpatient cardiac program ad has been cleared for exercise in an outpatient cardiac rehabilitation program. Which training intensity would be MOST likely for this patient?
  15. Training intensity at 10-30% of VO2max with an RPE between 11- 13
  1. Seizure disorder
  2. Atlantoaxial instability
  3. Obesity - ✔✔1. Congenital heart defects A 73-year-old male patient receiving outpatient physical therapy begins to experience acute angina. The patient indicates he uses nitroglycerin to alleviate the angina. What is the MOST appropriate mode of administration?
  4. Oral
  5. Buccal
  6. Sublingual
  7. Topical - ✔✔3. Sublingual A female patient with osteopenia is placed on hormone replacement therapy by her physician. Hormone replacement therapy places the patient at GREATEST risk for which of the following conditions?
  8. Anneurysm
  9. Deep vein thrombosis
  10. Vertebral compression fracture
  11. Colon cancer - ✔✔2. Deep vein thrombosis Recent diagnostic imaging identified the presence of a glenoid labral tear. Which diagnostic imaging method would have MOST likely been used to identify this condition?
  12. Arthrogram
  13. X-ray
  14. Doppler ultrasound
  15. Bone scan - ✔✔1. Arthrogram A physical therapist performs goniometric measurements for elbow flexion with a patient in supine. In order to isolate elbow flexion, which structure should the therapist stabilize?
  16. Distal end of the humerus
  17. Proximal end of the humerus
  1. Distal end of the ulna
  2. Proximal end of the radius - ✔✔1. Distal end of the humerus A physical therapist administers the Berg Balance Scale with a patient status post right CVA prior to discharge from a rehabilitation facility. the patient scored a total score of 39. What should the therapist conclude?
  3. The patient will require a low burden of care once discharged home.
  4. The patient will have difficulty independently reaching for objects
  5. The patient is at significant risk for multiple or recurrent falls
  6. The patient will require assistance during ambulation - ✔✔3. The patient is at significant risk for multiple or recurrent falls A physical therapist implements an exercise program that includes a five-minute cool down period. What does the inclusion of a cool down period assist with?
  7. Increasing mitochondrial number and size
  8. Dilation of constricted capillaries
  9. Increasing maximum oxygen consumption
  10. Preventing pooling of the blood in the extremities - ✔✔4. Preventing pooling of the blood in the extremities A physical therapist treats a six-month-old infant that has a rough, slightly protruding reddish-purple lesion on the right lower side of their face. What is the MOST appropriate term for this type of marking?
  11. Dermatitis
  12. Hemangioma
  13. Nevus
  14. Rosacea - ✔✔2. Hemangioma An infant with developmental dysplasia of the hip is referred to physical therapy. Which of the following devices would the infant MOST likely use to reduce a dislocated hip?
  15. Adductor splint
  16. Abductor pillow
  1. Walker
  2. Axillary crutches
  3. Straight cane - ✔✔1. Parallel bars A physical therapist decides to work on balance with a patient in the modified plantigrade position. Which of the following is a benefit of using this position during treatment?
  4. The patient must rely on only the lower extremities for balance reactions
  5. The position decreases extensor tone in the patient's wrists and elbows
  6. The position uses a wider base of support than does standing
  7. The position increases flexion range of motion at the fingers - ✔✔3. The position uses a wider base of support than does standing A physical therapist reviews the medical record of a patient post-myocardial infarction. The patient is currently in the coronary care unit and is scheduled to begin cardiac rehabilitation tomorrow. This patient is MOST susceptible to which of the following potential complications of a myocardial infarction?
  8. Heart failure
  9. Arrhythmias
  10. Thrombus formation
  11. Heart structural damage - ✔✔2. Arrhythmias A physical therapist uses the BMI scale as a means of assessing a patient's total body composition. Which of the following values would be the MOST representative of a healthy adult?
  12. 14kg/m
  13. 22kg/m
  14. 28kg/m
  15. 37kg/m2 - ✔✔2. 22kg/m A patient with diabetes mellitus is scheduled to walk approximately one half mile as part of a community fitness initiative. The therapist checks the patient's blood glucose level before initiating the activity and finds it is 100mg/dL. This finding indicates that the therapist should make which of the following recommendations?
  1. The patient is safe to perform the activity
  2. The patient should increase food intake with a fruit or bread exchange
  3. The patient should increase food intake with a half of sandwich with fruit or milk
  4. The patient should not exercise until the blood glucose is under better control - ✔✔1. The patient is safe to perform the activity A physical therapist assesses a patient's level of independence using the Functional Independence Measure (FIM). If the patient needs only supervision when bathing, what FIM score would be the MOST appropriate?
  5. 7
  6. 5
  7. 3
  8. 1 - ✔✔2. 5 A physical therapist works with a patient with hemiparesis who uses a hemiplegic chair for mobility. Which activity would become more challenging for the patient based on this specific type of wheelchair?
  9. Reaching for objects outside the base of support
  10. Performing a standing transfer
  11. Performing independent pressure relief
  12. Propelling the wheelchair - ✔✔2. Performing a standing transfer A physical therapist reviews the medical record of a patient with an arthritic condition. Which piece of information would be the MOST useful to definitively diagnose rheumatoid arthritis?
  13. Pain profile
  14. Joint symptoms
  15. Blood tests
  16. Age of onset - ✔✔3. Blood tests A physical therapist reviews the medical record of a patient diagnosed with lower motor neuron paralysis. What would the MOST likely presentation include?
  17. Hypertonia or spasticity

A patient using a transtibial prosthesis demonstrates the ability to ambulate at both a fast cadence and a slow cadence while ambulating down a hallway. Based on this observation, what is the MOST appropriate K-level to assign this patient?

  1. K-level 0
  2. K-level 1
  3. K-level 2
  4. K-level 3 - ✔✔4. K-level 3 A patient is admitted to an acute care hospital following a motor vehicle accident. the patient is presently in a state of unconsciousness without arousal, eye opening, or sleep-wake cycles. the patient does possess intact brainstem reflexes upon examination. Which diagnosis is most likely?
  5. Brain death
  6. Coma
  7. Vegetative state
  8. Locked in syndrome - ✔✔2. Coma A physical therapist treats a patient in the intensive care unit with significant fluid loss. Which objective finding is MOST likely based on the patient's current medical status?
  9. Dependent edema
  10. Distended neck veins
  11. Orthopnea
  12. Postural hypotension - ✔✔4. Postural hypotension A physical therapist is reviewing the medical record of a patient with metabolic syndrome. Which risk factor is MOST prevalent with this diagnosis?
  13. Genetic origin
  14. Obesity/ sedentary lifestyle
  15. Decreased thyroid hormone secretion
  16. Decreased fasting blood glucose level - ✔✔2. Obesity/ sedentary lifestyle

A physical therapist examines an athlete during a football game and is concerned that the patient is experiencing heat exhaustion. Which of the following actions would be the LEAST appropriate?

  1. Give the patient salt tablets to ingest
  2. Place the patient in supine with the legs elevated
  3. Have the patient drink fluids with electrolytes
  4. Loosen the patient's clothing - ✔✔1. Give the patient salt tablets to ingest A patient reports to physical therapy one week status post transtibial amputation. Which sleeping position would be the MOST appropriate to prevent a knee and hip contracture?
  5. Supine with a pillow placed under the knees
  6. Sidelying on the side of the residual limb with a pillow between the legs
  7. Prone lying without the use of any pillows
  8. Sidelying on the non-amputated side without a pillow between the legs - ✔✔3. Prone lying without the use of any pillows