NPTE Musculoskeletal (MSK) Practice Exam

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• What type of pain condition is likely to be assessed using the Hoovers test?
• Which of the following is the most common primary bone tumor?
• At midstance, what moment is occurring at the hip?
• What happens to the foot in cases of forefoot varus?
• What is the primary muscle activity at the hip during the transition from flexion to neutral in foot flat?
• What is the overall ratio of glenohumeral to scapulothoracic motion in scapulohumeral rhythm?
• What is a classical presentation of arthrogryposis often described as "Frog Leg"?
• During which phase of gait is heel off observed in the new terminology?
• What type of strengthening exercises are advised against when treating patellofemoral pain?
• In patients with discal pathology, what symptom is significantly reduced when they are reclined?
• What does a positive Kernig's sign indicate?
• During the standing flexion test for the lumbar spine, what indicates a positive test?
• In Legg-Calvé-Perthes disease, pain is typically felt where?
• In clinical practice, transverse friction massage is primarily indicated for:
• What is active insufficiency?
• What vitamin deficiency is primarily associated with osteomalacia?
• Which pathology is characterized by mid-low back pain lasting about 3 months and onset before age 40, more common in men?
• What autoimmune condition is associated with a characteristic butterfly rash?
• During phase II of scapulohumeral rhythm (90-180 degrees), how much movement comes from the glenohumeral joint?
• To increase end range shoulder flexion from 120-180 degrees, which glide should be performed?
• What is characterized by psoatic limp in Legg-Calvé-Perthes disease?
• Which hip position is associated with the transition from heel strike to foot flat?
• Which lab marker may be helpful in diagnosing ankylosing spondylitis?
• What part of the lower extremity does the sural nerve supply?
• What is a characteristic of the S1 nerve root?
• What region of the body does an abdominal aortic aneurysm (AAA) typically refer pain to?
• What is the position of the hip at toe off?
• What deformity characterizes Klumpke Palsy?
• What happens to the moment at the ankle during foot flat?
• For a posterior lateral disc herniation on the left, how should you position the patient for intervention?
• What type of fracture is classified as a boxer's fracture?
• What is the "unhappy triad" commonly referred to in sports injuries?
• What occurs at the foot during heel off?
• What type of exercises are generally ineffective for treating patellofemoral syndrome?
• What does the term "talipes equinovarus" refer to?
• In the context of Charcot-Marie-Tooth disease, which region is most commonly affected initially?
• Which test would likely be used to assess for spondylolisthesis?
• In a club foot, what is the position of the foot predominantly?
• Before what age does juvenile rheumatoid arthritis (RA) typically onset?
• What is the primary position of a patient during the resisted horizontal extension test?
• In hip replacement surgery, which joint is primarily immobilized for several months to ensure proper healing?
• Which SLAP lesion is the most common type?
• Which of the following best describes Hoovers test?
• In the tight retinacular test, if more DIP flexion occurs with PIP flexion, what does this suggest?
• Kehr's sign is associated with pain in which area?
• What is typically a common finding when a patient is malingering?
• What direction of movement occurs during elevation/depression of the sternoclavicular joint?
• What are the primary symptoms associated with fibromyalgia?
• What should be avoided in the management of Myositis ossificans?
• What is the defining symptom of posterior interosseous nerve syndrome?
• What test should be performed prior to manual therapy treatment of the cervical spine?
• What is the normal distance that can be discriminated for 2 point discrimination?
• At heel strike, how is the foot positioned?
• In what condition is the long-term thickening of connective tissue characteristic?
• When checking for clonus, should the knee be in flexion or extension?
• When performing cervical mechanical traction, what position is recommended for optimal foraminal opening?
• What can aggressive physical therapy and mobilization following a muscle injury lead to?
• Genu valgus typically results in excessive torsion of which position of the tibia?
• Which nerve supplies the anterior tibialis muscle?
• Individuals with which condition may benefit most from immediate weight bearing after hip surgery due to their cognitive status?
• What does L5 refer to in terms of myotome function?
• What are the primary symptoms of juvenile rheumatoid arthritis?
• Heberden's nodes are commonly associated with which type of arthritis?
• What is the classic arm position associated with Erb's Palsy?
• In terms of treatment, what should be considered if the lumbopelvic rhythm is not normal?
• What type of pain is typically associated with degenerative joint disease (DJD)?
• What are the phases of the gait stance broken into according to O'Sullivan?
• In flat foot, the knee is transitioning from what position?
• What is indicated if the PSIS does not move during Gillet's test when the knee is brought to the chest?
• Which cutaneous nerve supplies the medial aspect of the leg?
• What is Panner's disease primarily characterized by?
• What is the main concern with patella alta in terms of knee function?
• What can cause weak and painless muscle symptoms?
• What signifies the presence of blood in the peritoneal cavity related to Kehr's sign?
• Which condition does the stork standing test help identify?
• What type of moment occurs at the knee during toe-off (pre-swing)?
• What common condition is associated with "shin splints"?
• During the gait cycle, what is the primary action at the hip during initial contact?
• Which graft type is noted for its potential quad atrophy delaying rehab after ACL repair?
• What test is used to assess the integrity of the Achilles tendon?
• Which treatment is appropriate for Myositis ossificans?
• Swan neck deformity is largely due to what anatomical change?
• What is the purpose of the resisted supination external rotation test?
• What corresponds to heel off in old gait terms in new gait terminology?
• Which type of foot position is indicative of conditions like club foot?
• What is the primary complication of a medially displaced patella in genu valgus?
• What moment is occurring at the hip during the foot flat phase of gait?
• What does the hamstring tendon graft provide compared to the patellar tendon graft for ACL repair?
• What position is the arm in during the resisted supination external rotation test?
• What is the bone mineral density (BMD) range for osteopenia?
• What is the osteokinematic position of the hip at heel strike?
• What are common characteristics of arthrogryposis?
• What indicates a positive painful arc test?
• What are the main characteristics of anterior interosseous syndrome?
• Which tests make up the test cluster for shoulder impingement?
• What structure is primarily tested during the Bunnel-littler test?
• How many weeks post grade 2 sprain does healing typically allow for the initiation of strengthening exercises?
• What is the required number of tender points to diagnose fibromyalgia?
• Which test can be performed to assess for an upper lumbar spine nerve root lesion?
• What occurs to the spine during lumbopelvic rhythm when moving into lumbar flexion?
• What is a notable disadvantage of using a patellar tendon graft for ACL repair?
• Which position is most comfortable for an individual experiencing facet entrapment?
• What is another name for Lasegue's test?
• The presence of weak and painful muscles could indicate what?
• What does a strong and painful muscle indicate?
• Which of the following tests is NOT used to evaluate for malingering?
• When performing distraction to assess pain relief, reduction of pain in the neck indicates what condition?
• Which syndrome is associated with muscle weakness following flu-like symptoms?
• Which condition is characterized by a BMD of -2.5 or lower?
• What is the significance of palpating the PSIS during the standing flexion test?
• Which wrist fracture is most commonly associated with a fall on an outstretched hand (FOOSH)?
• When measuring the Q angle, the axis of the goniometer goes over what structure?
• What type of moment is occurring at the hip during heel strike?
• Where is the measurement taken in the functional reach test?
• What structure is primarily involved in Salter-Harris fractures?
• What is the role of the erector spinae during heel strike?
• Which nerve supplies the gastrocnemius muscle?
• What type of intervention is indicated for scoliosis with a cob angle greater than 45 degrees?
• What condition may occur secondary to ischemia following a supracondylar fracture?
• What test involves a patient supine with their shoulder in 90 degrees abduction followed by adduction and medial rotation?
• Which condition is characterized by inflammation at the bottom of the patella due to overuse?
• What does the "screw home mechanism" refer to in knee biomechanics?
• In terms of movement, how does the 1st CMC joint function?
• What is typically the first symptom experienced by individuals with multiple sclerosis?
• What condition is characterized by bilateral pain and stiffness in multiple joints?
• What is the position of the ankle during midstance?
• How is Lhermitte's sign performed?
• What is the initial weight bearing status following ACL surgery?
• What type of joint injury is most commonly associated with AC joint pathology?
• A Bankart lesion may be accompanied by which type of fracture?
• What nerve is biased during SLR testing when performing dorsiflexion and inversion?
• Which condition is characterized by pain around the ear, restricted opening of the jaw, and decreased pain at rest?
• What does Gillet's test assess in relation to the pelvis and sacrum?
• What begins to contract concentrically at the ankle during heel off?
• Which activity would most likely NOT aggravate symptoms of nursemaid's elbow?
• Which muscle grade indicates a full range of motion against gravity?
• Which of the following is considered an important factor in assessing alignment on radiographs?
• In which shoulder movements does biceps tendonitis typically worsen?
• Which nerve is primarily involved in sensation to the heel area?
• What distinguishes the Biceps Load Test I from Biceps Load Test II?
• In Fryette's third law, what happens to motion in one plane when motion is initiated in another plane?
• A small child is holding their arm in pronation and cannot supinate it without pain. What is the likely diagnosis?
• Which of the following scenarios would likely prompt the use of Burns test?
• To bias the peroneal nerve during SLR testing, which combination of movements should be used?
• Medial tibial stress syndrome is primarily an overuse injury affecting which muscles?
• What condition results in radial wrist deviation upon extension?
• Which muscle is innervated by the C5 myotome?
• What are the symptoms associated with radial tunnel syndrome?
• What is a characteristic feature of a Colles fracture?
• What does the pivot shift test assess?
• To maintain correct ergonomics, at what distance should a computer screen be positioned from the eyes?
• What condition is characterized by the abnormal movement of the fibroadipose meniscoid in the facet, leading to pain?
• What imaging technique is specifically used to evaluate non-perfusing areas of the heart or brain?
• What aspect of the shoulder does the "jerk test" examine for instability?
• Which of the following describes the expected response of the PSIS during the standing flexion test?
• How can you bias the tibial nerve during SLR testing?
• What is the forearm position during ULTT4?
• Ape hand deformity is the result of dysfunction in which area?
• A common sign of a meniscal tear includes tenderness where?
• When may respiratory care be necessary for scoliosis?
• How does the "lift off test" differ from the "internal rotation lag sign test"?
• What type of moment occurs at the ankle during heel strike?
• During the initial swing acceleration phase, what is the knee position?
• In the costoclavicular syndrome test, what is the position of the shoulder?
• During heel strike, what moment is the knee experiencing and how is it being countered?
• Which muscle group does the myotome L3 correspond with?
• How do you perform the Hughston's plica test?
• When performing transverse friction massage, the therapist primarily aims to:
• The compression load used in the "jerk test" is applied to which part of the body?
• Excessive pronation can lead to which abnormal hip rotation?
• What moment occurs at toe off in the foot?
• What type of muscle contraction is used in preparation for push-off at the ankle during heel off?
• What action is associated with the C8 myotome?
• In structural scoliosis, what happens when an individual flexes their spine?
• What is the main characteristic of the hand of benediction?
• What is included in the new ranchos gait terms?
• In O'Brien's test, what could a reduction of pain in neutral rotation suggest?
• What type of response is transverse friction massage specifically supposed to stimulate?
• Which of Fryette's laws refers to the motion of the spine when in the neutral position?
• What type of disorder is arthrogryposis?
• During the Wright (hyperabduction) test, what is the position of the shoulder?
• What does Morton's sign help to identify?
• In new gait terms, what is heel strike referred to as?
• In complex regional pain syndrome (CRPS), which type is associated with nerve injury?
• In which age group does Slipped Capital Femoral Epiphysis (SCFE) typically occur?
• The hamstring 90/90 test is considered positive if the leg cannot attain how many degrees from neutral?
• Which nerves are primarily involved in Erb's Palsy?
• What condition is indicated if the hip can be dislocated with the Barlow maneuver?
• Which structure is primarily responsible for producing sharp pain with movement in facet dysfunction?
• What is the definition of passive insufficiency?
• Between which muscles does the ulnar nerve pass, often becoming entrapped?
• What is the typical angle for coxa valga?
• What does a reduction of symptoms during the shoulder abduction test indicate?
• What is gamekeeper's thumb best described as?
• What is a prominent early symptom of progressive systemic sclerosis?
• What distinguishes Waddell's signs from other clinical assessments?
• What does the camel sign in posture assessment indicate?
• What condition results from a BMD range of -1 to -2.5?
• Which of the following is a common flexion position used to evaluate lower extremity reflexes?
• In what location would you most likely feel tenderness for someone with radial tunnel syndrome?
• What is considered the gold standard for identifying a labral tear?
• What type of hip replacement is beneficial for individuals with fragile bones?
• After a hip replacement, an individual will be partial weight bearing for approximately how long?
• What joint does the tight retinacular test focus on?
• In which position is there typically no pain for discal pathology with nerve root compromise?
• Which long bone most commonly suffers a compound fracture and is notable for its poor blood supply?
• During patellofemoral dysfunction, instability or pain typically occurs within the first how many degrees of knee flexion?
• If someone has an AC joint pathology, what kind of movement will likely cause pain and instability?
• What is the normal range for mouth opening in millimeters?
• What movement is commonly seen with psoatic limp?
• Which of the following best describes the properties of joints affected by arthrogryposis?
• What type of SLAP tear is defined as a partial tear and degeneration of the superior labrum?
• The centralization phenomenon is critical in identifying what type of lumbar issue?
• What is the ankle position at heel off (terminal stance)?
• What is the main symptom of AIN syndrome?
• In the long-sitting test, what indicates a positive result for anterior and posterior tests?
• Which test is used to measure anteversion of the hip?
• What are the steps in the vertebral artery test?
• What is the correct starting position of the knee in the pivot shift test?
• What are the nerve roots associated with heel walking?
• What signifies a positive result in O'Brien's test?
• In phase II (90-180 degrees) of scapulohumeral rhythm, how much motion is contributed by the scapulothoracic joint?
• What is the primary purpose of Thessaly's test?
• What position is the hip moving towards during foot flat?
• In managing spondylolisthesis, which type of exercises should be avoided?
• The Goldthwait's test aims to determine dysfunction in which anatomical region?
• Which special test is recommended for a patient experiencing lateral knee pain after starting daily cycling?
• In the compression rotation test, how is the arm positioned?
• What is the role of the piriformis muscle in hip dynamics?
• What is the primary goal of using Waddell's signs in assessment?
• Charcot-Marie-Tooth disease is characterized by which of the following?
• Most shoulder dislocations occur in which direction?
• What characterizes disc displacement without reduction?
• What is the characteristic finding in a first degree ligament sprain regarding joint stability?
• How many tests need to be positive in the test cluster for sacroiliac (SI) dysfunction to indicate a high likelihood of SI dysfunction?
• What type of moment is present at the knee during midstance?
• What deformity may result from excessive femoral anteversion greater than 25 degrees?
• What is a primary symptom associated with biceps tendonitis?
• What is the effect of a complete Type II SLAP lesion?
• The pressure provocation test is designed to identify which condition?
• What is a common contributing factor to excessive femoral internal rotation?
• What is the recommended intervention for scoliosis with a cob angle between 25 and 40 degrees?
• What is characteristically different about swelling in meniscal injuries compared to ACL injuries?
• What is a common exercise recommendation for patients with spondylolisthesis?
• What characterizes pain during Stage III impingement?
• To increase flexion at the patellofemoral joint, which glide of the patella is recommended?
• During heel strike, how are the gluteal and hamstring muscles contracting?
• Which condition is characterized by pain exacerbated by forceful forearm rotation or elbow extension?
• Forefoot varus typically leads to which biomechanical response?
• For which symptoms should central posterior-anterior (PAs) mobilizations be performed?
• Which muscle grade is indicated for a patient who can move their limb against gravity but demonstrates gradual release of the position?
• At what average age do males typically present with slipped capital femoral epiphysis (SCFE)?
• When treating tendonosis, which type of exercises should be prioritized initially?
• What is the primary goal of a biceps tenodesis procedure?
• Two clicks during jaw movement upon opening and closing the jaw typically indicate what condition?
• Which of the following is a characteristic finding of a second degree ligament sprain?
• What reflex is tested at the L4 segment?
• During foot flat, which muscle begins to eccentrically contract?
• In patellofemoral syndrome, the Q angle may be greater than how many degrees?
• In the first 90 degrees of elevation, which joint provides the majority of scapulothoracic motion?
• During a biceps tenodesis, where is the biceps tendon reattached?
• What average age do females typically present with slipped capital femoral epiphysis (SCFE)?
• If a person has hypermobility in the TMJ, which direction will the jaw deviate upon opening?
• What is the primary purpose of transverse friction massage?
• What is the expected outcome of transverse friction massage after effective application?
• Which test is used to identify shoulder labrum pathology?
• What is a key characteristic of an abdominal aortic aneurysm related to pain symptoms?
• How many pounds of force is recommended during cervical traction to rule out neck involvement?
• Which test involves resisting the arm while it is positioned in internal rotation?
• What is the cause of a boutonniere deformity?
• The Bunnel-littler test is primarily used to differentiate between what types of conditions in the fingers?
• What type of moment is maximal at the ankle during heel off?
• What is Sjögren's syndrome?
• Which tests are included in the rotator cuff tear test cluster?
• What does high specificity in repetitive movements for lumbar discs indicate?
• What does Brudzinski's sign indicate in patients?
• After a total hip replacement, restrictions on flexion, internal rotation, and adduction should be maintained for how long?
• What is the expected outcome of a median nerve injury?
• What is the primary position for the elbow flexion test?
• Which type of hip replacement is preferred for younger, more active individuals?
• Which of the following tests is NOT included in the sacroiliac cluster?
• What does Fryette's second law state about spinal motion in full flexion or extension?
• In a hip replacement, which type allows for faster exercise and weight bearing?
• What is the position of the knee during midstance?
• In the infraspinatus test, how is the arm positioned?
• In which context is Burns test utilized?
• Which portion of the meniscus has the highest chance of healing after a tear?
• Which term describes the evaluation of bone density in a DEXA scan?
• What differentiates posterior interosseous nerve entrapment from radial tunnel syndrome?
• What is characteristic of Stage I impingement?
• What position should the head and arm be in during Adson's test?
• Which type of patella is less efficient for exerting forces for knee extension?
• In the cervical spine from C2-C7, what is the typical relationship between side bending and rotation?
• What myotome corresponds to heel raises?
• What is the primary symptom that denotes acute locked back due to facet entrapment?
• For treatment of gout, which ion is used and what is its charge?
• During the posterior apprehension sign, what is the purpose of applying a posterior force through the elbow?
• What is another name for a reverse Colles' fracture?
• What condition is characterized by initial pain leading to edema, decreased circulation, osteoporosis, and atrophy?
• In the traditional Ober's test, how is the knee positioned?
• Which of the following is NOT considered a characteristic of successful malingering assessment?
• What best describes SLR testing?
• Which term describes a 'bucket-handle' tear of the labrum?
• At what average age does Legg-Calvé-Perthes disease typically onset?
• Which of the following describes the effect of spondylolysis on radiographic view?
• What does the term "muscle grade" refer to?
• What is the position of the arm during O'Brien's test?
• During toe-off, what is the position of the knee?
• What does the compression rotation test for the shoulder assess?
• A positive Craig's test indicates excessive femoral anteversion when the angle is greater than what degree?
• What occurs after the initial 30 degrees of motion in scapulohumeral rhythm?
• How can you differentiate anterior interosseous nerve (AIN) syndrome from carpal tunnel syndrome?
• How does pain characteristic differ between DJD and facet dysfunction?
• Which test is used to differentiate between lumbar dysfunction and sacroiliac joint (SIJ) dysfunction?
• Which joint contributes more to shoulder elevation between 90-180 degrees?
• Which test is identified by palpating the lateral epicondyle while fully flexing the wrist?
• During the first 30 degrees of scapulohumeral rhythm, where does the majority of motion originate?
• What is Paxinos sign essentially a test for?
• What indicates a positive result in Finkelstein's test?
• During the McMurray's test, external rotation of the tibia stresses which meniscus?
• At which foot positions are all moments dorsiflexion except?
• In patients with osteoporosis, which type of exercise should be avoided to prevent wedge fractures?
• Hautant's test requires the patient to be in what arm position?
• At heel strike, what is the typical degree of hip flexion?
• Spondylolysis is identified by a defect in which part of the vertebra?
• In the initial swing acceleration phase, the ankle is positioned at how many degrees of dorsiflexion?
• What is the typical foot position at toe off?
• A positive result in the elbow flexion test would suggest which of the following conditions?
• Which of the following conditions is characterized by limited range of motion at the PIP joint with hyperextension?
• What is the initial weight-bearing status after hip open reduction and internal fixation (ORIF)?
• In a full thickness rotator cuff tear, what classic symptom is typically observed?
• In the ABCs of radiographs, what does "A" stand for?
• Finkelstein's test primarily evaluates which tendons?
• Thoracic outlet syndrome may lead to weakness in muscles supplied by which nerve roots?
• Which organs are most likely to have cancer that spreads to the bones?
• What is the hip position during the initial swing acceleration phase?
• Which type of hip replacement allows for immediate weight bearing, which is advantageous for certain populations?
• What does Hautant's test evaluate?
• What does SLR stand for in a clinical context?
• Which symptom is NOT characteristic of Piriformis syndrome?
• What movement occurs at the pelvis during lumbar flexion according to the lumbopelvic rhythm?
• What is the weight-bearing status immediately after a cemented hip replacement?
• Which phase of scapulohumeral rhythm involves little to no motion of the scapula?
• The Biceps Load Test I primarily assesses for which type of shoulder pathology?
• How is the Ortolani test performed?
• What are the normal Q angles for men and women?
• What type of patient is indicated to have a positive Kernig's sign?
• In Gaenslen's test, which SI joint is being stressed with the top leg extended?
• During which test is axial load applied while performing internal and external rotation of the shoulder?
• Which additional muscle can entrap the median nerve along with the pronator teres?
• What condition might involve fibrous changes in the internal organs?
• What is the best definition of equinus in terms of foot position?
• What degree range is considered normal for anteversion of the hip?
• When transitioning from lumbar flexion to standing, what is the correct pattern of movement regarding the hips and pelvis?
• What is the primary symptom of Stage II impingement?
• What is the normal tibiofemoral shaft angle in degrees?
• What is indicated by sharp pain in the shoulder during the jerk test?
• What is the primary role of the gluteal muscles at toe off?
• What condition is characterized by median nerve entrapment?
• Which of the following tests uses a leg raise to assess for malingering?
• What is considered the "setting phase" for the scapula in the first degrees of elevation?
• Which symptom is NOT commonly associated with shoulder dislocations?
• What muscle is eccentrically contracting during toe-off at the knee?
• What is the typical angle for coxa vara?
• What does flat foot in old gait terminology occur during?
• What is the most effective method to close the foramen in the cervical spine?
• During the transverse ligament stress test, a PA glide is performed on which vertebra?
• What is progressive systemic sclerosis also known as?
• What does the Ortolani test specifically assess?