NPTE-PTA Other Systems and System Interactions Practice Questions
5 areas of FSBPT’s content outline · 11–27 of the 140 scored questions
180 questions across the whole content outline in 4 hours, with a score for Other Systems so you know where you stand.
Free Other Systems drillPain from which organ is commonly referred to the right shoulder?
Other Systems and System Interactions on the NPTE-PTA
This page groups five smaller outline areas that together carry 11–27 of the 140 scored questions: metabolic and endocrine (4–6), gastrointestinal (0–4), genitourinary (0–4), lymphatic (2–6) and system interactions (5–7). System interactions questions describe a patient with more than one condition, such as diabetes with hypertension or dementia after a hip fracture.
- Share of the exam
- Metabolic & Endocrine Systems 4–6, Gastrointestinal System 0–4, Genitourinary System 0–4, Lymphatic System 2–6, System Interactions 5–7 of the 140 scored questions (FSBPT outline, effective January 2024)
- On our mock exam
- 19 scored questions, inside FSBPT’s range
- Our drill
- 10 questions from 62 other systems questions, untimed, an explanation after every answer; one free attempt, unlimited with a pass

What Other Systems and System Interactions questions test
- Metabolic and endocrine: diabetes and exercise, hypoglycemia signs and response, insulin timing, thyroid disorders, obesity and osteoporosis risk
- Lymphatic: lymphedema stages, girth measurement, manual lymphatic drainage, compression bandaging and garments, and precautions after node removal
- Gastrointestinal and genitourinary: reflux positioning, ostomies, bowel and bladder programs, incontinence types, pelvic floor training and biofeedback, and kidney disease
- System interactions: cancer and treatment side effects, multitrauma, autoimmune disease, pregnancy, polypharmacy, depression and anxiety, and dimensions of pain
Sit the full exam under the real clock
180 questions across the whole content outline in 4 hours, with a score for Other Systems so you know where you stand.
Free Other Systems drillHow to study it
- Know the hypoglycemia response: stop exercise, check glucose if possible and give fast-acting carbohydrate, about 15 grams.
- Learn the incontinence types by trigger: stress (cough, sneeze, lift), urge (sudden need), overflow and functional.
- For system interactions questions, ask which condition limits the session most today; the answer usually protects against the most serious risk.
- Take the other systems drill until you score 80% or better.
Common questions
Are pelvic floor questions on the NPTE-PTA?
Yes, within the genitourinary system (0–4 scored questions). The outline names bladder programs, biofeedback and pelvic floor retraining as interventions.
What does system interactions mean on the NPTE?
Conditions whose main impact is on more than one system, such as cancer, multitrauma or pregnancy, plus comorbidities, polypharmacy, psychological conditions and pain. The outline gives it 5–7 of the 140 scored questions.
180 questions across the whole content outline in 4 hours, with a score for Other Systems so you know where you stand.
Free Other Systems drillThe other NPTE-PTA content areas
- Cardiovascular and Pulmonary Systems
- Musculoskeletal System
- Neuromuscular and Nervous Systems
- Integumentary System
- Equipment, Devices and Technologies
- Therapeutic Modalities
- Safety and Protection
- Professional Responsibilities and Research
- Vital signs and lab values drill
- NPTE-PTA practice exam (180 questions, 4 hours)
Sources
- FSBPT: NPTE Candidate Handbook (version 2025.02): format, timing, scoring, fees, testing limits, results
- FSBPT: NPTE-PTA Test Content Outline, effective January 2024
- FSBPT: NPTE Content (outlines in effect since January 2024)
- FSBPT: 2026 NPTE dates and deadlines
- FSBPT: Retake Exam
- FSBPT: Practice Exam and Assessment Tool (PEAT)
Original practice questions for exam preparation, written to the NPTE-PTA Test Content Outline (effective January 2024). They are not NPTE questions or recalled questions. Independent practice, not affiliated with or endorsed by the Federation of State Boards of Physical Therapy (FSBPT) or Prometric. NPTE is a registered trademark of FSBPT.