Medical NPTE : National Physical Therapy test Exam Dumps

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Exam Number : NPTE
Exam Name : National Physical Therapy Exam
Vendor Name : Medical
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The Federation of State Boards of Physical Therapy (FSBPT) administers the National Physical Therapy test (NPTE), the examination that every graduate of a physical therapy or physical therapist assistant education program must pass to become a licensed physical therapist or licensed/certified physical therapist assistant (or to regain licensure/certification if lapsed) in the United States (US). Foreign-educated candidates who wish to become licensed in the US must also take and pass this examination.

The NPTE is a computer-administered examination. The physical therapist licensure examination has five sections each with 50 questions. Of the 250 multiple choice questions, only 200 are scored. The other 50 questions are being pretested to see if they meet the standards to be included in future exams. The physical therapist assistant licensure examination has four sections with a total of 200 multiple choice questions. As in the physical therapist examination, 50 of these questions are being pre-tested and are not scored.

The scoring ranges from 200-800. The minimum passing score is 600 for both the PT and PTA exam.

Testing is administered at Prometric Testing Centers. Candidates are not required to test in the jurisdiction for which they are applying for licensure.

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Medical Physical Practice Test

Two-finger examine on rape survivors is banned — so why is it nevertheless performed? | NPTE braindumps and boot camp

“Two-finger check” or “virginity test” is carried out under the false impression that it will probably check whether a survivor has had vaginal intercourse, and that can gauge the credibility of her sexual assault testimony.

The Madurai Bench of Madras excessive courtroom on April 21 directed the Tamil Nadu executive to ban the "two-finger check" performed on sexual assault survivors, citing old judgments which pointed out that the practice became unconstitutional and invasive. The Supreme courtroom had deemed the practice unconstitutional in 2013, and held that the check may still no longer be carried out. despite these instructions, it continues to be carried out in a couple of components of the nation, including in Tamil Nadu, prompting the HC to reiterate the apex courtroom’s order.

both-finger verify is an unscientific and regressive system that involves the insertion of two fingers into an individual’s vagina to gauge the laxity of vaginal muscle groups, thereby picking her ‘virginity’. it is in line with the patriarchal assumption that a woman who is sexually energetic, is much less likely to had been sexually assaulted; a number of judgments and research have shown that a person’s sexual history have no pertaining to sexual assault.

in the existing case earlier than a division bench of Justices R Subramanian and N Sathish Kumar on the Madras high court, a man who changed into convicted for sexually assaulting a minor changed into appealing towards the existence imprisonment awarded to him with the aid of a lessen court docket. throughout the hearings, the Madras HC made the commentary that “it is necessary for us to position an conclusion to the apply of the two-finger verify. We find that both-finger verify is being used in cases involving sexual offences, especially, on minor victims. As early as 2013, the Hon'ble Supreme court docket had held that the two-finger check and its interpretation violates the right of rape survivors to privateness, real and mental integrity, and dignity.” The court docket additionally stated different old judgments and pronounced, “We have no doubt that the two-finger examine can't be authorised to be persevered. therefore, we challenge a route to the state executive to ban the observe of two-finger examine on victims of sexual offences with the aid of the medical gurus forthwith.”

Why both-finger look at various is complicated

Dr Jayashree, Professor of community medicine in govt medical college, Kannur, notes that the two-finger test — also called ‘virginity look at various’, and in scientific terms, 'per-vaginum examination’ — is aimed at checking the presence/absence of hymen and if the vaginal muscular tissues are loose or not to gauge sexual assault. despite the fact, the examine is unscientific since the hymen can rupture as a result of a few causes aside from sexual intercourse, together with enjoying activities, using a bicycle, the usage of tampons, and all the way through scientific examinations. “youngsters, individuals accept as true with that the absence or rupture in hymen primarily skill that the lady was sexually active,” advocate and activist Ajeetha says. 

“If the test is used to verify sexual assault on the basis of “laxity” of vaginal muscle tissues, the laxity would depend on particular person’s psychological state, not on no matter if she has been sexually lively,” Dr Jayashree explains. as an example, an individual who is relaxed may additionally have greater laxity in the vaginal muscular tissues when the medical examination is achieved. besides the fact that children, if someone is distressed, the vaginal muscular tissues can also also be demanding — which is indicative of stress, no longer her virginity or the credibility of her testimony of sexual assault. “hence, laxity of the vaginal muscle groups tells us nothing about rape,” Dr Jayashree says. fairly, the check is painful, retraumatising, and unethical, she provides.

it's additionally a fantasy that the hymen is without problems an untouched membrane that covers the vagina if the lady is a virgin. Clinicians look at that the hymen ruptures in the first few days after beginning and can both continue to be as a rim around the vaginal opening or as a membrane with one or more small ruptures that in part cowl the vagina. There are also situations where an individual can menstruate and have a sexual relationship devoid of causing any rupture to the hymen. 

regardless of these records, when a focus of the medical examination is on the hymen and virginity, it deviates consideration from the precise act of sexual assault. “This examine stems from the misconception that rape and sexuality are connected,” suggest Sudha Ramalingam says. “in line with the check, it is believed no matter if the girl has had sexual relations before, which leads to false presumptions that a sexually energetic woman can't be assaulted. here's now not only wrong, however also patriarchal and misogynistic. The test is additionally an invasion of privateness,” she provides.

Misogyny underlying the practice

Dr Indrajit Khandekar, Professor in the Forensic drugs branch in Mahatma Gandhi Institute of scientific Sciences (MGIMS), Sevagram, who changed into instrumental in bringing the ban on both-finger look at various in Maharashtra in 2011 even earlier than the Supreme courtroom order, argues that the goal of subjecting a survivor to the two-finger verify waters right down to one question: Is the rape victim ‘habituated’ to intercourse or no longer, which is frequently then used to slut shame or discredit her. “originally, in situations of sexual assault, it doesn't matter if someone become in the past concerned in sexual acts. Secondly, medically, there is not any approach to grasp even if a person is habitual to intercourse either,” he says. 

A 12 months after the Nirbhaya gangrape and murder case of 2012, The criminal legal guidelines (Amendement) Act, 2013, made both-finger test illegal. The subsequent yr, the area fitness supplier (WHO), UN women, and UN inhabitants Fund (UNFPA) released a clinical instruction manual titled ‘Healthcare for women Subjected to Intimate associate Violence or Sexual Violence’, which particularly states, “There is no vicinity for virginity (or ‘two-finger’) checking out; it has no scientific validity.” additional, the instruction manual additionally asks healthcare people to bear in mind that “being sexually assaulted is a demanding experience” and to “be very careful now not to raise her distress”.

“There was additionally a social media crusade in 2018 by the WHO and UN mentioning that the verify should still be banned. Even the guidelines released through our Ministry of health and household Welfare (MoHFW) state the same. however the element is, these adjustments are not communicated to the medical doctors and judicial authorities and police correctly,” says Dr Mohamed Khader Meeran, author of sufferers’ Rights in India. The ‘instructions and Protocols - Medico-criminal take care of Survivors/Victims of Sexual Violence’ launched by means of the MoHFW in 2014 states that the verify “should now not be carried out for organising rape/sexual violence”. 

Dr Jayashree says that both-finger look at various continues like many different banned, misogynistic practices. “Dowry is banned nonetheless it is practiced in India. In a patriarchal country like India, the gadget is geared against controlling ladies's our bodies and their sexuality. Archaic rape laws (pre-1860) referred to that a girl who had up to now had relationships can't be raped; but while those legal guidelines are eliminated, a convention like the two-finger test premised on the same regressive ideas nevertheless happens,” she says. 

“Many people are neither mindful that both-finger verify is banned nor about different approaches which are allowed. the sole authority who may still be liable to make the people, principally stakeholders, aware is the state executive because fitness is a state discipline. Steps should still be taken to ship periodic communications to every person within the device with the existing developments,” Dr Mohammed says.

The deserve to popularise up to date scientific processes

by the way, Dr Indrajit is also part of the professional committee appointed by means of countrywide clinical commission (NMC) -- the physique which became reconstituted in 2020 from the MCI in accordance with Niti Aayog’s recommendation in 2019 -- for medical education reforms. The knowledgeable committee turned into constituted after a Madras HC order to address the issues about LGBTQIA+ community within the MBBS curriculum. In procedure of the same, Dr Indrajit additionally insisted that syllabi in scientific books be updated with the present clinical examination protocols for sexual assault that excludes virginity exams. The present syllabus includes parts about discussing “medicolegal significance of the hymen” and “defining virginity, defloration, legitimacy and its medico-legal importance.”

Following Dr Indrajit’s recommendation, the NMC recommended modifications within the Forensic medicine field, and directed that the college students should learn about the baselessness of both-finger examine. 

one more challenge in Tamil Nadu, Dr Mohammed features out, is that there are no legit common textbooks in the state. “until 2020, the medical Council of India’s (MCI) Graduate clinical regulations dictated the pursuits, based on which textbooks or authors will also be chosen via the associations. despite the fact that the books are looking to maintain both-finger look at various for historical context, they may still emphasise that it's unscientific, unlawful, and against continuing the practice.”

while courts have reiterated the invalidity of both-finger verify time and once again, “the problem is that medical colleges and hospitals are not given clear guidance to ban these exams,” Ajeetha says. “scientific curriculum has to include these adjustments, and there's plenty to unlearn as patriarchal, unscientific practices are deep rooted and legitimised in books and examine materials.”

in lots of instances, americans do not know about the updated approaches. “Neither the prosecution is aware of nor the police know that there is no benefit to the two-finger test. And victims are naturally unaware, too. So, the clinical Council should take it up to show the docs and reiterate it invariably. Even after that the observe still continues, there should still be some sort of outcome for the medical practitioner,” she says. 

Rights of sexual assault survivors 

aside from reeling beneath the trauma of the sexual assault itself, many survivors can also not be aware of what to expect if they file the crime and are sent for scientific examination. Dr Jayashree explains that a fundamental clinical examination would encompass documenting any injuries on the body, swab collection and so on. “according to the adult’s complaint, we must principally investigate if there are any wounds or scars. but the most critical factor is that we may still make the patient relaxed, and get maximum evidence viable with no distress to the survivor. simply put, we have to deal with an individual’s private components and accidents the manner we deal with some other damage. assortment of samples is imperative because we need proof,” she says.

Dr Mohamed Khader says that the scientific examination, be it any part, can simplest be carried out with the consent of the adult. “Even when the test must be done to compile facts, the method needs to be explained to the adult, and the examine need to be conducted in the presence of a lady attender. If the survivor is a minor, consent of parents need to be sought,” he says. He adds that specific instructions were issued by the MoHFW within the regard.

The MoHFW states that “consent should still be taken for right here applications: examination, trial assortment for clinical and forensic examination, medicine, and police intimation.” MoHFW also says that “docs are legally certain to determine and provide medicine to survivors of sexual violence.”

based on the MoHFW, the doctors may still inform the survivors or their guardians (in case of minors) about what can be finished for assorted factors. One, so that medico-felony examination is finished to assist the investigation, arrest, and the prosecution of people who committed the sexual offence. extra, since the person’s body would need to be examined for injuries and to compile forensic facts to help the investigation. This might also encompass acquiring samples of clothing, hair, international materials, saliva, pubic hair, etc.

If the survivor is a baby, the guardian or guardian has the total right to refuse both best the medico-legal examination or evidence collection or both. however, MoHFW clearly states that this refusal should not be used to disclaim medicine to the survivor. while the sanatorium and medical professional are certain to document the sexual violence to the police as per law, they should not do devoid of the consent of the survivor or their guardian/dad or mum. And that too shall now not result in the denial of remedy. 

“In case the survivor is a minor, we ought to record it to the police as per POCSO Act. If the parent/guardian doesn't consent, we need to confer with them and provide the assurance that anonymity should be maintained. although, when the survivor is above 18 years of age, we need their consent, the denial of which means we should still no longer file. however we are attempting to convince them,” Dr Jayashree explains.

What to predict in a clinical examination

Dr Indrajit additionally notes that the earlier after the sexual assault the scientific examination happens, probably the most constructive the assortment of medical evidence. “specifically if it is before the survivor has washed their physique,” he says, adding that it is extremely effective if they carry the outfits they were donning on the time the assault happened, with them. He observes even though that gathering evidence reminiscent of semen and DNA can show difficult after ninety six hours of the assault, “documenting accidents or scars, if any, will also be finished even after those 4 days.”

He explains that there 4 aspects to a scientific examination:

  • regularly occurring and real examination all through the body (that takes observe of accidents, scars or marks on the physique). The medical practitioner additionally tries to gauge mental trauma or psychological stress too

  • Exam of the adult’s private materials (which appears for external and interior injuries)

  • specific examination in response to particular person circumstances (in line with what the survivor states) 

  • sample collection (corresponding to DNA, blood, semen)

  • in accordance with MoHFW, enquiring concerning the survivor’s menstrual heritage, together with the cycle size and period, date of last duration is also normal all through a clinical examination. this is finished as a result of if the survivor had been menstruating at the time of the medical examination, a second examination could be essential to listing accidents certainly. additionally, some evidence should be would becould very well be lost with the blood. heritage of vaccination will even be requested, specifically about tetanus and Hepatitis B. here is achieved to look if the survivor wants prophylaxis, which is the medicine to evade the occurrence of any sickness.

    Edited by using Geetika Mantri

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