NPTE Sample Questions

So when I was preparing to write the NPTE I wanted to get my hands on as many sample questions as a possibly could. While there are resources out there, they can be a little bit pricey. I figured that I would create a practice exam for the prospective candidates that had a little more affordable sticker price. Now, with that being said, I highly highly highly recommend scorebuilders NPTE complete study guide and the online advantage program. I found that the exams included in the study guide and the online program were very close to the format of the actual NPTE, and the study guide is very comprehensive and easy to follow. It was my main resource when preparing. Anyway, here is a sample of the questions I plan to have in my practice exam, which I hope to have completed in September for those of you taking the October Exam. 
  1. A patient presents with ipsilateral loss of proprioception and paralysis, as well as contralateral loss of pain and temperature sensation. What spinal cord injury does this describe?
    1. Anterior Cord Syndrome 
    2. Brown Sequard Syndrome 
    3. Central Cord Syndrome 
    4. Posterior Cord Syndrome

  2. A patient reports low back pain with shooting pain into both legs as far as the knee and a feeling of pins and needles that, sometimes, reaches as far as the ankle. He has been informed by his physician that he has sciatica. Which of the following does not mimic the symptoms of sciatica?
    1. Piriformis syndrome 
    2. Sacroiliitis 
    3. Spondylolisthesis 
    4. A tumor located at the spinal nerve root of L1-L2

  3. A 55-year-old patient presents with an ulcer on the lateral aspect of their ankle and has a history atherosclerosis with an Ankle Brachial Index (ABI) of 0.7. Which of the following would the patient most likely exhibit?
    1. COPD 
    2. Obesity 
    3. Poorly Controlled Diabetes Mellitus 
    4. Varicose Veins

  4. A patient’s EKG is shown in the picture to the right. What heart rhythm does the patient exhibit? 

    1. Atrial Fibrillation 
    2. Sinus Bradycardia 
    3. Sinus Tachycardia 
    4. Ventricular Tachycardia

  5. While working in a Skilled Nursing Facility, you are asked to complete an assessment on a 73-year-old patient who has been diagnosed as having a left sided CVA. Which of the following would you not expect the patient to have?
    1. Ataxic movement of bilateral upper limbs 
    2. Difficulty understanding words written or spoken
    3. Hemiparesis of the right leg
    4. Slow, deliberate movements

  6. A 65-year-old African American male patient, who admitted to smoking at least a pack of cigarettes a day, has to urinate more frequently at night, has swollen feet and ankles, and muscle weakness. Which of the following is he most likely experiencing symptoms of?
    1. Exacerbation of COPD 
    2. Left Sided Heart Failure 
    3. Right Sided Heart Failure 
    4. Sickle Cell Anemia

  7. Upon examination of a 23-year-old female patient with complaints of shoulder pain you find that the patient has a painful arc, painful palpation of deltoid tuberosity, weak external shoulder rotation, and a positive Hawkes-Kennedy test. Which of the following muscles is least likely to be a contributing factor to the patient’s pain.
    1. Infraspinatus 
    2. Supraspinatus 
    3. Teres Major 
    4. Teres Minor

  8. Which of the following responsibilities would be most appropriate to delegate to a Physical Therapy Assistant.
    1. Continuation of established treatment plan
    2. Developing an exercise plain for a patient 
    3. Mobilizing a patient for the first time
    4. Taking patient history

  9. An ABG reading shows the following values: pH 7.28, paCO2 49. The patient also has a heart rate of 110bpm. What condition is the patient experiencing?
    1. Acute Respiratory Distress Syndrome 
    2. Metabolic Acidosis 
    3. Metabolic Alkalosis 
    4. Respiratory Acidosis

  10. A 30-year-old man has burns covering his chest, abdomen, and right arm. According to the rule of nines, what percentage of his body has been burned?
    1. 18% 
    2. 22.5% 
    3. 27% 
    4. 31.5%
Answer Key
  1. B
  2. D
  3. C
  4. C
  5. A
  6. C
  7. C
  8. A
  9. D
  10. B
Please let me know your thoughts about the questions, be it about the difficulty, if you want some explanation of the answers, if they're just worded funny. It's hard to be critical of your own work.

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