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National Physical Therapy Examination for Physical Therapists (NPTE-PT) Syllabus

Cardiovascular and Pulmonary Systems

Covers examination, foundational sciences and interventions for cardiovascular and pulmonary conditions.

14%
Weight
31
Questions
14
Marks

Examination

  • Vital signs and exercise tolerance testing
  • Breathing pattern and rib cage excursion
  • Heart and lung auscultation
  • Outcome measures such as the 6-minute walk test

Foundations for Evaluation, Differential Diagnosis and Prognosis

  • Cardiopulmonary anatomy and physiology
  • Cardiac and pulmonary pathologies
  • Medical management, imaging and labs
  • Drug effects on PT management

Interventions

  • Aerobic and endurance training
  • Airway clearance techniques
  • Cardiac rehabilitation
  • Responses and complications of interventions

Musculoskeletal System

Covers examination, foundational sciences and interventions for musculoskeletal conditions.

27%
Weight
62
Questions
27
Marks

Examination

  • Special tests and joint integrity
  • Goniometry and manual muscle testing
  • Movement analysis and joint biomechanics
  • Outcome measures

Foundations for Evaluation, Differential Diagnosis and Prognosis

  • Musculoskeletal pathologies and prognosis
  • Medical and surgical management
  • Regenerative medicine and connective tissue disorders
  • Differential diagnosis and red flags

Interventions

  • Therapeutic exercise
  • Joint mobilization and manual therapy
  • Post-operative rehabilitation protocols
  • Adverse effects of interventions

Neuromuscular and Nervous Systems

Covers examination, foundational sciences and interventions for CNS, PNS and ANS conditions.

24%
Weight
55
Questions
24
Marks

Examination

  • Sensory, reflex and cranial nerve testing
  • Balance and coordination tests
  • Gait and movement analysis
  • Outcome measures

Foundations for Evaluation, Differential Diagnosis and Prognosis

  • CNS, PNS and ANS pathologies
  • Prognosis of neurologic conditions
  • Pharmacology and regenerative medicine
  • Differential diagnosis

Interventions

  • Motor control and motor learning principles
  • Neuromuscular re-education
  • Balance and gait training
  • Functional training

Integumentary System

Covers examination, foundational sciences and interventions for skin and wound conditions.

5%
Weight
12
Questions
5
Marks

Examination

  • Wound assessment and staging
  • Friction, shear and pressure risk
  • Scar mobility
  • Outcome measures

Foundations for Evaluation, Differential Diagnosis and Prognosis

  • Skin pathologies and burns
  • Wound healing physiology
  • Medical management
  • Differential diagnosis

Interventions

  • Wound debridement and dressings
  • Pressure injury prevention
  • Positioning and scar management
  • Complications of interventions

Metabolic and Endocrine Systems

Covers foundational sciences and interventions for metabolic and endocrine conditions.

3%
Weight
6
Questions
3
Marks

Foundations for Evaluation, Differential Diagnosis and Prognosis

  • Diabetes and thyroid disorders
  • Medical management through labs and imaging
  • Pharmacology impact
  • Differential diagnosis

Interventions

  • Exercise prescription for metabolic disease
  • Monitoring blood glucose responses
  • Anatomy and physiology relevant to interventions
  • Adverse effects

Gastrointestinal System

Covers examination, foundational sciences and interventions for gastrointestinal conditions.

3%
Weight
6
Questions
3
Marks

Examination

  • Bowel dysfunction questionnaires
  • Abdominal special signs (Murphy, Rovsing, McBurney)
  • Muscle tension and trigger points
  • Positioning for bowel movement

Foundations for Evaluation, Differential Diagnosis and Prognosis and Interventions

  • GI pathologies and prognosis
  • Medical management and drug effects
  • Reflux-prevention positioning
  • Bowel programs

Genitourinary System

Covers examination, foundational sciences and interventions for genitourinary and pelvic floor conditions.

2%
Weight
4
Questions
2
Marks

Examination and Foundations for Evaluation, Differential Diagnosis and Prognosis

  • Genitourinary anatomy and physiology
  • GU pathologies and prognosis
  • Pharmacology
  • Differential diagnosis

Interventions

  • Bladder programs
  • Biofeedback
  • Pelvic floor retraining
  • Adverse effects

Lymphatic System

Covers examination, foundational sciences and interventions for lymphatic conditions.

3%
Weight
7
Questions
3
Marks

Examination and Foundations for Evaluation, Differential Diagnosis and Prognosis

  • Lymphedema measurement
  • Lymphatic anatomy and physiology
  • Lymphatic pathologies
  • Differential diagnosis

Interventions

  • Manual lymphatic drainage
  • Compression bandaging and garments
  • Complete decongestive therapy
  • Adverse effects

System Interactions

Covers multisystem conditions, comorbidities and psychological factors that affect PT management.

5%
Weight
11
Questions
5
Marks

Multisystem Conditions

  • Cancer and sarcoidosis
  • Pregnancy
  • Polypharmacy
  • Medical management across systems

Comorbidities and Psychosocial Factors

  • Comorbidities such as diabetes with hypertension
  • Dementia with hip fracture
  • Psychological conditions
  • Multidimensional pain

Equipment, Devices and Technologies

Covers assistive, adaptive, prosthetic, orthotic and protective devices.

3%
Weight
7
Questions
3
Marks

Assistive and Adaptive Devices

  • Walkers, canes and crutches
  • Wheelchairs and seating
  • Mechanical lifts
  • Device selection

Prosthetics and Orthotics

  • Microprocessor-controlled prostheses
  • Braces and splints
  • Taping and compression garments
  • Indications and contraindications

Therapeutic Modalities

Covers thermal, electrical, ultrasound, mechanical and biofeedback modalities.

3%
Weight
6
Questions
3
Marks

Thermal and Ultrasound

  • Superficial heat and cryotherapy
  • Therapeutic ultrasound parameters
  • Indications and contraindications
  • Precautions

Electrotherapy and Mechanical Modalities

  • NMES, TENS, FES and interferential current
  • Iontophoresis
  • Traction and continuous passive motion
  • Intermittent compression and biofeedback

Safety and Protection

Covers patient handling, medical lines and equipment, emergencies, infection control and abuse recognition.

3%
Weight
7
Questions
3
Marks

Patient and Environmental Safety

  • Safe patient handling
  • Fall prevention
  • Lines, tubes, catheters and monitors
  • Oxygen delivery and ventilators

Emergencies and Infection Control

  • CPR and first aid
  • Standard precautions and isolation
  • Sterile technique
  • Signs of abuse and neglect

Professional Responsibilities

Covers documentation, patient rights, roles, ethics, reimbursement and legal standards.

3%
Weight
6
Questions
3
Marks

Practice Standards

  • Documentation standards
  • Patient rights (ADA, IDEA, HIPAA)
  • PT, PTA and support staff roles
  • Professional ethics

Practice Management

  • Billing, coding and reimbursement
  • Risk management and quality assurance
  • Cultural and socioeconomic factors
  • Health information technology and telehealth

Research and Evidence-Based Practice

Covers research methods, measurement, statistics and use of evidence.

2%
Weight
5
Questions
2
Marks

Research Methods and Measurement

  • Qualitative and quantitative designs
  • Levels of evidence
  • Reliability and validity
  • Data collection methods

Statistics and Using Evidence

  • t-test, chi-square, ANOVA and correlation
  • Likelihood ratios and effect size
  • Confidence intervals
  • Clinical practice guidelines and prediction rules

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Learning Progress

Cardiovascular and Pulmonary Systems 85%
Musculoskeletal System 92%

Practice Test Scores

95%
Latest Score
Above passing threshold

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