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There are 50 questions in this exam. You have 1 hour to finish the exam. There are
23 cardiovascular questions in the NPTE. 5 questions for Clinical Application, 4
for Examination, 7 for Differential
a) memory loss
b) bradycardia
c) confusion
d) weakness and palpitations
a) tracheal deviation
b) decreased breath sounds
c) decreased residual volume
d) increased tidal volume
a) disorientation
b) tingling or numbness of the extremities
c) dizziness or lightheadedness
d) hyperreflexia
6. You are treating an elderly patient with a cardiac history. He presents with initial
symptoms of mental confusion, shortness of breath and generalized weakness. What do
you suspect?
a) pneumonia
b) transient ischemic attack
c) COPD
d) myocardial infarction
7. The combined signs and symptoms of absent breath sounds, sudden onset of chest
pain and shortness of breath may indicate:
a) bronchitis
b) pneumothorax
c) cystic fibrosis
d) pneumonia
9. A patient with a C5 spinal cord injury will not have the abdominal musculature
necessary to return the diaphragm to a high domed position during exhalation. Which
position will best help the patient?
a) prone
b) supine
c) sitting
d) sidelying
10. A patient in the intensive care unit rehabilitating from a serious infection is connected
to a series of lines and tubes. Which lower extremity intravenous site would be most
appropriate to administer an intravenous line ?
a) Antecubital vein
b) Basilic vein
c) Cephalic vein
d) Saphenous vein
11. A physical therapist examines a patient diagnosed with left-sided heart failure. Which
finding is NOT typically associated with this condition?
a) pulmonary edema
b) persistent cough
c) dependent edema
d) muscular weakness
12. This is used to improve ventilation to hypoventilated lung segments, alter regional
distribution of gas, maintain or restore functional regional capacity, maintain or improve
mobility of chest wall and prevent pulmonary compromise.
a) Segmental Breathing
b) Sustained Maximal Inspiration
c) Active Cycle Breathing
d) Diaphragmatic breathing
a) 5 seconds
b) 10 seconds
c) 20 seconds
d) 30 seconds
14. Your patient reports a dull ache, tightness, or pain in the calf. What should you
suspect?
15. A physical therapist monitors the blood pressure of a 28 - year- old male during
increasing levels of physical exertion. Assuming a normal physiologic response to
exercise, what effect would this have ?
16. Patients with congestive heart failure tend to have excessive fluid retention in the
pulmonary and systemic circulation. As a result, a diet high in what is prescribed?
a) fiber
b) sodium
c) calcium
d) potassium
17. Which technique that can allow patients to complete functional activities without
shortness of breath or dyspnea?
a) Activity pacing
b) Pursed lip breathing
c) Meditation
d) Yoga
18. A physical therapist reviews the medical record of a 60-year-old male status post
myocardial infarction. Which potential complication of a myocardial infarction is the
patient MOST susceptible to?
a) heart failure
b) arrhythmias
c) thrombus formation
d) heart structural damage
19. This is an obstructive pulmonary disease, often a sequela of premature infants with
respiratory distress syndrome.
a) Bronchopulmonary Dysplasia
b) Asthma
c) Bronchiectasis
d) SARS
a) facial color
b) facial expression
c) rating on a perceived exertion scale
d) respiration rate
a) angiotensin
b) histamine
c) epinephrine
d) norepinephrine
22. A physician orders the nursing staff to administer digitalis to a patient diagnosed with
congestive heart failure. The physician's PRIMARY goal using this medication is to:
a) tidal volume
b) inspiratory reserve volume
c) residual volume
d) functional residual capacity
24. A physical therapist monitors a patient's respiration rate during exercise. Which of
the following would be considered a normal response?
a) the respiration rate declines during exercise as the intensity of exercise increases
b) the respiration rate does not increase during exercise
c) the rhythm of the respiration pattern becomes irregular during exercise
d) the respiration rate decreases as the intensity of the exercise plateaus
25. This is used with patients who are unable to cough on command, such as infants,
patients following brain injury or stroke.
a) Cough
b) Endotracheal suctioning
c) Assisted cough
d) Tracheal stimulation
26. A physical therapist reviews the results of a pulmonary function test. Assuming
normal values, which of the following measurements would you expect to be the
GREATEST?
a) vital capacity
b) tidal volume
c) residual volume
d) inspiratory reserve volume
27. The physical therapist prepares an educational program for an individual with chronic
venous insufficiency. Which of the following would not be appropriate to include in the
patient education program?
29. A physical therapist instructs the patient to expire maximally after taking a maximal
inspiration. The therapist can use these instructions to measure:
31. A physical therapist performs palpation with a patient positioned in standing as part
of a respiratory assessment. Which structure would be Most appropriate to assess with
the therapist positioned behind the patient?
a) Mediastinum
b) Upper lobes
c) Right middle lobe
d) Lower lobes
32. What is the potential space between the two pleura that maintains the approximation
of the ribcage and lungs?
a) Upper airways
b) Intrapleural space
c) Visceral Pleura
d) Parietal Pleura
33. This is part of the heart chamber that receives blood from the RA and pumps blood
via the pulmonary artery to the lungs for oxygenation.
a) Left Atrium
b) Right Ventricle
c) Right Atrium
d) Left Ventricle
34. A physical therapist listens to the lung sounds of a 56-year-old male with chronic
bronchitis. While performing auscultation the therapist identifies distinct lung sounds with
a high constant pitch during exhalation. This type of sound is MOST consistent with:
a) crackles
b) rales
c) rhonchi
d) wheezes
35. The physical therapist claps between the clavicle and nipple bilaterally on a patient.
The patient is in supine with a pillow under the knees. The This technique is utilized for
postural drainage of the:
a) cor pulmonale
b) anemia
c) atelectasis
d) diaphoresis
37. A physical therapist examines the breath sounds of a 62-year-old male diagnosed
with lung problems. The therapist identifies rales during both inspiration and expiration.
This finding is MOST representative of:
a) pleural effusion
b) pulmonary fibrosis
c) impaired secretion clearance
d) localized stenosis
38. A physical therapist elects to utilize the Six-Minute Walk Test as a means of
quantifying endurance for a patient rehabilitating from a lengthy illness. Which variable
would be the MOST appropriate to measure when determining the patient's endurance
level with this objective test?
a) perceived exertion
b) heart rate response
c) elapsed time
d) distance walked
39. The medical record of your patient indicates that he is currently taking digitalis. What
effect would you expect digitalis to have on the patient's ECG?
40. This is part of the heart chamber that receives blood from systemic circulation, from
the superior and inferior vena cavae.
a) Left Atrium
b) Right Ventricle
c) Right Atrium
d) Left Ventricle
a) diaphragm
b) external intercostals
c) internal intercostals
d) upper trapezius
a) bradycardia
b) tachycardia
c) increased AV conduction time
d) ST segment sagging
43. These are valves which prevent backflow of blood from aorta and pulmonary arteries
into the ventricles during diastole.
a) Heart Tissue
b) Heart Chambers
c) Semilunar Valves
d) Atrioventricular valves
44. Your patient has difficulty clearing out secretions through coughing alone. Which
other technique would you implement to help him clear the more peripheral secretions?
a) Cough
b) Endotracheal suctioning
c) Active Cycle Breathing
d) Tracheal stimulation
45. This is an independent program using an external device that vibrates the airways on
exhalation to improve airway clearance.
a) Autogenic Drainage
b) The Flutter device
c) Active Cycle Breathing
d) Tracheal stimulation
a) Cystic Fibrosis
b) Asthma
c) Bronchiectasis
d) SARS
47. Which of the following should NOT be done when controlling external bleeding?
a) Wear gloves
b) Apply gauze pads using firm pressure
c) Elevate the bleeding part if possible
d) Perform CPR
48. You are in a restaurant, when suddenly you overheard that someone is choking. You
arrive at the scene and note that the patient is unconscious. What should NOT be done
when the patient is unconscious?
e) Check airway
f) Use Heimlich maneuver
g) Give two breaths
h) Perform CPR
49. You are treating a 50 year old patient with a total knee replacement. She suddenly
complains of chest pain and shortness of breath. She is at risk for:
a) Pleural Effusion
b) Myocardial Infarction
c) Pulmonary embolism
d) Pneumonia
50. You are treating a patient with no active abdominal muscle strength. He is also not
able to follow directions. You want to clear his lungs from secretions. Which technique
would you choose?
a) Cough
b) Endotracheal suctioning
c) Assisted cough
d) Tracheal stimulation