NPTE Plan

Metabolic, Endocrine, GI, Genitourinary and Lymphatic Systems: practice questions

2 original questions · 2 editor-approved · every choice explained.

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Blueprint-mapped questions with full rationales for every choice.

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Metabolic, Endocrine, GI, Genitourinary and Lymphatic SystemsDifficulty 2/5

Forty minutes into a session a patient with type 1 diabetes becomes shaky, sweaty and anxious. What is the correct sequence?

  1. AEncourage rest and water, then resume when the symptoms settle
  2. BContinue with light activity because exercise will normalise glucose
  3. CFinish the current exercise set, then check glucose and provide juice
  4. DStop, check glucose, give 15 g of fast carbohydrate and recheck in 15 minutes
Show answer and rationale

Correct: D. These are hypoglycaemia symptoms. The response is to stop, test, treat with about 15 grams of fast-acting carbohydrate and retest after 15 minutes, repeating if still low.

  • C — Completing a set delays treatment of a falling glucose.
  • A — Water does not raise blood glucose.
  • B — Continued exercise lowers glucose further.
Metabolic, Endocrine, GI, Genitourinary and Lymphatic SystemsDifficulty 3/5

Which finding is a contraindication to manual lymphatic drainage and compression bandaging?

  1. AAcute cellulitis with fever and spreading erythema in the limb
  2. BPost-mastectomy oedema present for longer than twelve months
  3. CPitting oedema that reduces overnight with limb elevation
  4. DStage II lymphoedema with fibrotic tissue changes in the limb
Show answer and rationale

Correct: A. Acute infection is a contraindication to complete decongestive therapy; treating it can spread the infection. It is treated medically first, after which decongestive therapy resumes.

  • D — Fibrotic stage II lymphoedema is an indication for decongestive therapy.
  • B — Chronicity is not a contraindication.
  • C — Reducible pitting oedema is an early and treatable presentation.

Primary references

  1. NPTE-PT Test Content Outline, effective January 2024 (v1.1) — Federation of State Boards of Physical Therapy (FSBPT) · primary · retrieved 2026-09-22, verified 2026-09-22