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The Lachman test (20–30° knee flexion) is most sensitive and specific for ACL tears. Anterior drawer (B) is less reliable due to hamstring guarding. Pivot shift (C) tests dynamic instability but is less sensitive acutely. Valgus stress (D) = MCL.

On NPTE, ACL special tests are frequent musculoskeletal topics.

Chest pain with acute shortness of breath is a medical emergency, suggestive of myocardial infarction, pulmonary embolism, or other life-threatening conditions. The therapist should immediately stop the activity and call EMS (911). Continuing to walk (A) risks further harm. Heat (C) and percussion (D) are inappropriate and delay life-saving care.

NPTE questions emphasize recognizing red flags. Therapists must prioritize patient safety, follow emergency protocols, and never attempt to “treat” a suspected cardiac or pulmonary emergency in the clinic. Documentation and communication with the medical team are essential follow-up steps.

Crohn’s disease affects the small intestine, causing malabsorption of nutrients, leading to weight loss, anemia, and fatigue. Gallstones (B) may occur but are secondary. Cirrhosis (C) is liver-related. Barrett’s esophagus (D) is associated with GERD, not Crohn’s.

On NPTE exams, Crohn’s disease must be differentiated from ulcerative colitis. Therapists should be aware of malnutrition risks and design safe, energy-conserving interventions.

Lachman’s test = most sensitive for ACL injury. Posterior drawer (A) = PCL. McMurray (C) and Apley’s (D) = meniscus.

On NPTE, ACL special test selection is a frequent MSK question.

Safe rehab for stable angina uses HR below ischemic threshold and RPE (11–13 moderate). Exceeding threshold (A) triggers ischemia. Restricting all aerobic activity (C) prevents conditioning. Isometrics (D) can spike BP.

On NPTE, safe cardiac rehab intensity guidelines are highly testable.