NPTE Gait Analysis Practice Questions

10 Free NPTE Gait Analysis Practice Questions (2026)

10 NPTE-style gait analysis practice questions covering the gait cycle, observational gait deviations and their muscular causes, assistive device gait patterns, stair sequencing, gait speed interpretation, and cueing strategies. Multiple-choice format with full rationales. Written and reviewed by a licensed Doctor of Physical Therapy.

How the NPTE tests gait

Gait questions are reverse-engineering problems: the vignette describes what the therapist SEES — a trunk lean, a pelvic drop, a slapping foot — and asks you to name the weak muscle, the compensating strategy, or the nerve behind it. Every classic deviation is a mechanical equation: a missing muscle force, and the body’s cheapest substitute for it. Learn the deviations as cause-and-compensation pairs and the exam’s descriptions decode themselves.

0 of 10 answered
Gait Cycle — Terminology
Question 1 of 10
A physical therapist is documenting an observational gait analysis using Rancho Los Amigos terminology. The therapist observes the point in the cycle where the right lower extremity is bearing all of the body’s weight while the left limb advances forward through the air. For the RIGHT limb, this period is BEST described as which of the following?
Deviation — Lateral Trunk Lean
Question 2 of 10
During gait observation, a therapist notes that when the patient bears weight on the RIGHT limb, the LEFT side of the pelvis drops noticeably. On subsequent laps, the patient begins leaning the trunk over the right stance limb during right stance, and the pelvic drop becomes less visible. These findings MOST indicate weakness of which muscle?
Deviation — Steppage Gait
Question 3 of 10
A 44-year-old male presents two months after a fibular head fracture. During gait, the therapist observes exaggerated right hip and knee flexion during swing, the right forefoot contacting the ground before the heel, and an audible “slap” as the foot lowers. Which of the following BEST explains this gait pattern?
Deviation — Posterior Trunk Lean
Question 4 of 10
A therapist observes a patient who, at initial contact and through loading response on the left limb, abruptly leans the trunk BACKWARD. The rest of the gait cycle appears unremarkable. This compensation MOST indicates weakness of which muscle?
Deviation — Quadriceps Weakness
Question 5 of 10
A 57-year-old female with femoral nerve palsy walks with her trunk inclined FORWARD during stance on the involved limb, and over several months has developed increasing hyperextension of that knee during stance. Which of the following BEST explains this pattern?
Deviation — Antalgic Gait
Question 6 of 10
A patient with right knee osteoarthritis walks with a noticeably SHORTENED stance time on the right limb, a correspondingly quick step onto the left, and reduced right stride length. Which of the following BEST describes this pattern and its cause?
Assistive Devices — Gait Patterns
Question 7 of 10
A 68-year-old male is one day post right ankle open reduction internal fixation with a non-weight-bearing order for the right lower extremity. He is being instructed in axillary crutch gait on level surfaces. Which of the following gait patterns is MOST appropriate?
Assistive Devices — Stairs
Question 8 of 10
A patient with a painful left knee uses a straight cane in the RIGHT hand and is independent on level surfaces. The therapist is teaching stair negotiation with a handrail available on the right going up. Which of the following instructions is correct for ASCENDING the stairs?
Gait Speed — Interpretation
Question 9 of 10
A therapist administers the 10-meter walk test to a 76-year-old female in outpatient rehabilitation and calculates a comfortable gait speed of 0.55 meters per second. Which of the following is the MOST accurate interpretation of this result?
Parkinsonian Gait — Cueing
Question 10 of 10
A 71-year-old male with Parkinson disease demonstrates a shuffling gait with short steps that progressively quicken until he nearly loses his balance forward, reduced arm swing, and episodes of “freezing” when approaching doorways. Which of the following intervention strategies is MOST appropriate for this gait pattern?
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Every gait deviation is an equation: a missing muscle force and its cheapest substitute
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About This Topic

How Gait Analysis Is Tested on the NPTE

Gait is one of the few topics scored across every system in the FSBPT content outline — musculoskeletal deviations, neuromuscular patterns, and the functional training and equipment content of non-systems all draw on it. Try our free 20-question timed NPTE practice test, Musculoskeletal practice questions, or Neuromuscular practice questions to see how gait content appears across the exam.

The deviation pairs the exam tests
Gluteus medius weakness — contralateral pelvic drop; compensated by lean TOWARD the weak side
Gluteus maximus weakness — posterior trunk lean at initial contact
Quadriceps weakness — forward lean or hand-on-thigh; genu recurvatum long-term
Dorsiflexor weakness — steppage swing and foot slap at contact
Plantar flexor weakness — lost push-off, shortened contralateral step
Pain — antalgic timing: shortened stance on the involved side
Weight-bearing orders — three-point for unilateral restriction; two- and four-point for bilateral
Stairs — up with the good, down with the bad; cane travels with the involved limb

Beyond deviations, two more gait threads recur: the gait CYCLE itself — Rancho Los Amigos phase names, the 60/40 stance-swing split, and the location of the double-support periods — and gait SPEED as an outcome measure, with its ambulation-category thresholds and its role as the “sixth vital sign.” Both are pure recall, which makes them fast points for prepared students. See our full NPTE exam format breakdown for how these items fit into the 225-question structure.

The pattern to recognize

Gait questions hide their answers in PHASE and SIDE. Ask when the deviation appears — a stance-phase problem points to a weight-bearing muscle (glutes, quads, calf), a swing-phase problem to a clearance or advancement muscle (dorsiflexors, hip flexors) — and then apply the sided logic carefully: the weak stabilizer is on the stance side, the visible drop is often on the opposite side, and compensatory trunk leans move TOWARD the weakness they are rescuing. Most wrong answers on gait questions are the right muscle on the wrong side.

Cross-Content Reasoning

Where Gait Analysis Connects Across the Exam

Gait is applied anatomy, so its deepest connection is to the musculoskeletal section: every deviation on this page is a muscle function question wearing motion, and the peripheral nerve chains — fibular head to dorsiflexors, femoral nerve to quadriceps — are the same innervation map tested in MSK examination items. The neurologic gait patterns extend the thread into the neuromuscular section: Parkinsonian festination and cueing here, with hemiplegic gait — circumduction, the extensor synergy, and their orthotic management — covered on our Stroke practice questions page, and level-dependent ambulation potential on the Spinal Cord Injury page.

The equipment side connects to our Prosthetics & Orthotics questions — prosthetic gait deviations are their own testable vocabulary, analyzed with the same cause-and-compensation logic used here but with alignment and componentry as the causes — and to the assistive-device content of the non-systems section, where device fit, weight-bearing precision, and functional training live.

And gait speed ties the topic to outcomes and screening: as a predictor of falls, hospitalization, and community participation, it converts a hallway observation into the same risk-stratification thinking tested with lab values and vital signs — one number, one category, one plan.

Study tip

Build your deviation cards as four-line entries: weak muscle, gait phase where the problem appears, what you SEE, and the compensation (with its direction). Then drill the sided-logic pairs the exam loves to flip — pelvic drop opposite the weak gluteus medius, trunk lean toward it; posterior lean for gluteus maximus versus forward lean for quadriceps. Add one card each for the crutch patterns keyed to weight-bearing status and the stair rule, and our complete NPTE study guide covers how to fold it all into a full study plan.

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