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100+ Free Provimi i Shtetit — Fizioterapeut Practice Questions

Prepare for the Albanian State Examination for the Regulated Profession of Physiotherapist (Provimi i Shtetit për Profesionin e Rregulluar të Fizioterapistit) exam with instant access — no signup required.

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Key Facts: Provimi i Shtetit — Fizioterapeut Exam

Not published (60 min)

Official Exam Length

QSHA Rregullore, Urdher nr. 365, date 28.12.2020

60 Minutes

Time Limit

QSHA Exam Procedures

50% of points (grade 5)

Minimum Passing Score

QSHA - Informacion Lidhur me Provimin e Shtetit ne Profesionet e Rregulluara

10,000 ALL

First Attempt Fee

Ministry of Education & Sports

VAP + Praktika

Pre-Exam Requirement

Urdhri i Infermierit te Shqiperise (UISH)

Law No. 10171

Regulated Professions Act

Parliament of Albania (2009)

Tirana

Centralized Testing Location

QSHA Electronic Examination Center

The Albanian Physiotherapist State Exam is a 60-minute computerised test administered by QSHA in Tirana, passed with at least 50% of the paper's points, with a 10,000 ALL first-attempt fee. Before applying, graduates must complete supervised professional practice and pass UISH's practical skills assessment (Provimi i Vlerësimit të Aftësimit Praktik, VAP). This practice bank offers an English-language clinical adaptation of 100 questions covering kinesitherapy, orthopaedic rehabilitation, neurorehabilitation, cardiopulmonary therapy, electrotherapy, and professional ethics under Law No. 10171; it is a study adaptation, not an official translation or a format simulation.

Sample Provimi i Shtetit — Fizioterapeut Practice Questions

Try these sample questions to test your Provimi i Shtetit — Fizioterapeut exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1Which type of muscle contraction occurs when the external resistance exceeds the internal muscle torque, resulting in controlled elongation of the muscle-tendon unit while producing tension?
A.Eccentric contraction
B.Concentric contraction
C.Isometric contraction
D.Isokinetic contraction
Explanation: An eccentric contraction occurs when a muscle develops active tension while lengthening because the external load is greater than the force generated by the muscle. Eccentric contractions produce higher maximal force per motor unit and have lower metabolic oxygen cost compared to concentric contractions. In clinical rehabilitation, eccentric training is critical for deceleration control and tendon remodeling.
2A patient performs a standing bilateral heel raise (plantarflexion). In biomechanical kinesiology, this movement exemplifies which class of anatomical lever system?
A.First-class lever
B.Second-class lever
C.Third-class lever
D.Fourth-class lever
Explanation: A second-class lever occurs when the external load/resistance lies between the fulcrum (axis) and the effort (muscle force). During a standing heel raise, the fulcrum is at the metatarsophalangeal joints, the body weight acts through the talocrural joint in the middle, and the gastrocnemius-soleus complex exerts upward effort at the calcaneus. This arrangement provides a mechanical advantage greater than 1, maximizing force amplification.
3What is the normal physiological scapulohumeral rhythm ratio observed during active shoulder abduction from 30° to 180°?
A.1:1 ratio between glenohumeral and scapulothoracic motion
B.3:1 ratio between glenohumeral and scapulothoracic motion
C.2:1 ratio between glenohumeral and scapulothoracic motion
D.1:2 ratio between glenohumeral and scapulothoracic motion
Explanation: Normal scapulohumeral rhythm follows an overall 2:1 ratio: for every 3° of total shoulder elevation, 2° occurs at the glenohumeral joint and 1° occurs through upward rotation at the scapulothoracic articulation. For full 180° shoulder abduction, approximately 120° occurs at the glenohumeral joint and 60° at the scapulothoracic joint. Disruption of this coordinated rhythm leads to subacromial impingement and rotator cuff dysfunction.
4Which mechanoreceptor located at the musculotendinous junction responds primarily to increased active muscle tension and mediates autogenic inhibition to prevent tendon avulsion?
A.Muscle spindle primary (Ia) afferent
B.Ruffini ending
C.Pacinian corpuscle
D.Golgi tendon organ (Ib afferent)
Explanation: Golgi tendon organs (GTOs) are encapsulated sensory receptors arranged in series with skeletal muscle fibers at musculotendinous junctions. When high active or passive tension is sensed, GTO Ib afferent fibers stimulate inhibitory interneurons in the spinal cord, causing relaxation (autogenic inhibition) of the homonymous muscle. This protective neurophysiological mechanism is exploited in contract-relax proprioceptive neuromuscular facilitation (PNF) stretching.
5How is a bilateral bodyweight squat categorized compared to a seated knee extension performed on a leg extension machine?
A.Squat is closed kinetic chain; seated leg extension is open kinetic chain
B.Squat is open kinetic chain; seated leg extension is closed kinetic chain
C.Both exercises are classified as open kinetic chain
D.Both exercises are classified as closed kinetic chain
Explanation: In a closed kinetic chain (CKC) exercise like the squat, the distal extremity (foot) remains fixed to a stationary surface, inducing simultaneous motion at multiple contiguous joints (ankle, knee, hip) with joint co-contraction. In an open kinetic chain (OKC) exercise like seated leg extension, the distal segment is free in space, allowing isolated single-joint movement at the knee joint.
6What is the expected physiological cardiovascular response to progressive, moderate-intensity aerobic exercise in a healthy adult?
A.Systolic BP decreases, diastolic BP increases significantly (>20 mmHg)
B.Systolic BP increases linearly with workload, diastolic BP remains relatively stable (±10 mmHg)
C.Both systolic and diastolic BP drop substantially due to peripheral vasodilation
D.Systolic BP remains constant while diastolic BP increases linearly with workload
Explanation: During progressive aerobic exercise, cardiac output increases primarily through increased stroke volume and heart rate, leading to a linear increase in systolic blood pressure (~8-12 mmHg per MET). In contrast, widespread vasodilation in working skeletal muscle vascular beds reduces systemic vascular resistance, keeping diastolic blood pressure relatively unchanged (stable within ±10 mmHg or slightly decreasing).
7A physiotherapist evaluates a patient following wrist trauma. Manual muscle testing (MMT) reveals that the wrist extensors can complete full active range of motion only when gravity is eliminated. What numerical grade is assigned?
A.Grade 1 (Trace)
B.Grade 3 (Fair)
C.Grade 2 (Poor)
D.Grade 4 (Good)
Explanation: Per the Medical Research Council (MRC) and Kendall manual muscle testing scale, Grade 2 (Poor) is defined as the ability to move through full active range of motion in a gravity-minimized position. Grade 3 requires full ROM against gravity with no added resistance, while Grade 1 demonstrates palpable contractile activity without joint displacement.
8Which structural and mechanical joint classification accurately describes the human glenohumeral joint?
A.Uniaxial hinge synovial joint
B.Biaxial condyloid synovial joint
C.Non-axial planar synovial joint
D.Triaxial (multiaxial) spheroidal ball-and-socket synovial joint
Explanation: The glenohumeral joint is anatomically classified as a multiaxial (triaxial) spheroidal ball-and-socket synovial joint. It permits 3 rotational degrees of freedom: flexion/extension in the sagittal plane, abduction/adduction in the frontal plane, and internal/external rotation in the transverse plane, along with circumduction.
9According to the Kaltenborn convex-concave rule of arthrokinematics, what translatory glide occurs at the glenohumeral joint during open-chain physiological shoulder abduction?
A.Superior roll and inferior glide of the humeral head
B.Superior roll and superior glide of the humeral head
C.Inferior roll and superior glide of the humeral head
D.Anterior roll and posterior glide of the humeral head
Explanation: According to the convex-concave rule, when a convex joint surface moves on a stationary concave surface, the roll and glide occur in opposite directions. At the glenohumeral joint, the convex humeral head moves on the concave glenoid fossa; therefore, during shoulder abduction, the humeral head rolls superiorly while simultaneously sliding (gliding) inferiorly to prevent impingement against the coracoacromial arch.
10In patellofemoral joint biomechanics, how do patellofemoral joint reaction forces (PJRF) and contact stresses compare between open-chain (seated knee extension) and closed-chain (squatting) exercises across the range of motion?
A.PJRF is highest near 0°-30° flexion in closed-chain and highest near 60°-90° in open-chain
B.PJRF is highest near 60°-90° flexion in closed-chain and highest near 0°-30° in open-chain
C.PJRF is identical and linear across both open and closed kinetic chain movements
D.PJRF is absent during closed-chain exercises due to hamstring co-activation
Explanation: In closed-chain exercises (squatting), patellofemoral joint reaction forces and contact stresses increase progressively with knee flexion, peaking between 60° and 90° due to increased quadriceps tension and acute contact angle. Conversely, during open-chain knee extension, the external resistance moment arm increases toward full extension, making PJRF highest in the terminal 0°-30° extension range. Understanding this curve is critical for prescribing pain-free exercise arcs in patellofemoral pain syndrome.

About the Provimi i Shtetit — Fizioterapeut Exam

The Albanian Physiotherapist State Examination (Provimi i Shtetit për Fizioterapist) is the mandatory national licensing examination for physiotherapy graduates in Albania under Law No. 10171. Conducted electronically by the Educational Services Center (QSHA) in Tirana, it evaluates essential clinical competencies across kinesitherapy, musculoskeletal, neurological, cardiopulmonary, and physical modality domains. Passing this exam qualifies candidates for professional licensing and registration with the Order of Nurses of Albania (UISH). DISCLOSURE: This question bank is an English-language study adaptation designed to reinforce core physical therapy clinical knowledge, concepts, and examination topics; the official state examination in Albania is administered exclusively in Albanian (Shqip).

Assessment

One 60-minute computerised round at the QSHA examination centre in Tirana (Bulevardi Zhan D'Ark, Nr. 23). The system selects the items automatically and they are identical for every candidate in that session; marking is automatic and the result appears on screen at the end. Candidates report 30 minutes early with photo ID, mobile phones are prohibited, and a written appeal may be sent to QSHA within 10 days of the result.

Time Limit

60 minutes

Passing Score

At least 50% of the paper's total points (at least 50 of 100 points). Grades run from 4 (under 50 points) to 10 (95-100 points); grade 5 (50-54 points) is the minimum pass.

Exam Fee

10,000 ALL for the 1st attempt, 12,500 ALL (2nd), 15,000 ALL (3rd), 17,500 ALL (4th), 20,000 ALL (5th) and 25,000 ALL for the 6th or later attempt, under Council of Ministers Decision No. 560, dated 29.9.2018 on QSHA service tariffs. The fee is prepaid and non-refundable. (Qendra e Shërbimeve Arsimore (QSHA) & Urdhri i Infermierit të Shqipërisë (UISH))

Provimi i Shtetit — Fizioterapeut Exam Content Outline

Not published

Kinesitherapy, Biomechanics & Exercise Physiology

Kinematic chains, joint arthrokinematics, muscle physiology, ROM techniques, gait analysis, and exercise physiology principles.

Not published

Orthopedic & Musculoskeletal Rehabilitation

Post-surgical protocols, fracture management, joint arthroplasty, spinal conditions, ligament repairs, and tendinopathies.

Not published

Neurological Rehabilitation

Stroke (AVC), spinal cord injuries, Parkinson's disease, multiple sclerosis, spasticity, and neuroplasticity interventions.

Not published

Cardiopulmonary & Intensive Care Rehabilitation

Chest physiotherapy, breathing control techniques, cardiac rehabilitation phases, COPD interventions, and ICU early mobility.

Not published

Physical Modalities, Electrotherapy & Hydrotherapy

Electrophysical agents (TENS, NMES), ultrasound therapy, thermotherapy, cryotherapy, iontophoresis, and aquatic rehabilitation.

Not published

Pediatric, Geriatric & Professional Ethics in Physiotherapy

Gross motor milestones, geriatric fall prevention, ergonomics, Albanian Law No. 10171, and UISH professional standards.

How to Pass the Provimi i Shtetit — Fizioterapeut Exam

What You Need to Know

  • Passing score: At least 50% of the paper's total points (at least 50 of 100 points). Grades run from 4 (under 50 points) to 10 (95-100 points); grade 5 (50-54 points) is the minimum pass.
  • Assessment: One 60-minute computerised round at the QSHA examination centre in Tirana (Bulevardi Zhan D'Ark, Nr. 23). The system selects the items automatically and they are identical for every candidate in that session; marking is automatic and the result appears on screen at the end. Candidates report 30 minutes early with photo ID, mobile phones are prohibited, and a written appeal may be sent to QSHA within 10 days of the result.
  • Time limit: 60 minutes
  • Exam fee: 10,000 ALL for the 1st attempt, 12,500 ALL (2nd), 15,000 ALL (3rd), 17,500 ALL (4th), 20,000 ALL (5th) and 25,000 ALL for the 6th or later attempt, under Council of Ministers Decision No. 560, dated 29.9.2018 on QSHA service tariffs. The fee is prepaid and non-refundable.

Keys to Passing

  • Work through all 100 available questions
  • Review every answer and explanation
  • Track weak areas and revisit them
  • Use our AI tutor for tough concepts

Provimi i Shtetit — Fizioterapeut Study Tips from Top Performers

1Review joint biomechanics and arthrokinematics thoroughly, with particular attention to convex-concave rules and scapulohumeral rhythm.
2Memorize post-operative timelines and movement contraindications for high-yield procedures such as total hip arthroplasty (posterior approach) and ACL reconstruction.
3Understand neurological recovery frameworks, including Brunnstrom stages of stroke recovery, ASIA impairment scales for spinal cord injury, and Hoehn & Yahr staging for Parkinson's disease.
4Familiarize yourself with pulmonary rehabilitation techniques (pursed-lip breathing, ACBT, postural drainage angles) and cardiac rehabilitation exercise prescription formulas (Karvonen HRR).
5Learn specific parameters for physical modalities: pulse frequency and duration for NMES/TENS, 1 MHz vs 3 MHz ultrasound depths, and absolute contraindications for electrotherapy.
6Practise under a strict 60-minute clock. Because QSHA does not publish the item count and items carry different point values, train for steady pacing and for finishing within the hour rather than for a fixed number of questions.
7Review the legal foundations under Law No. 10171 and professional ethical guidelines concerning informed consent, patient autonomy, and interprofessional practice.

Frequently Asked Questions

What is the official role of QSHA and UISH in the Albanian Physiotherapist State Exam?

The Educational Services Center (Qendra e Shërbimeve Arsimore - QSHA) is the government agency responsible for organizing, delivering, and scoring the computerized State Examination in Tirana. The Order of Nurses of Albania (Urdhri i Infermierit të Shqipërisë - UISH) is the professional regulatory body that registers candidates, supervises the mandatory professional practice (Praktika Profesionale) and runs the practical skills assessment (VAP) that must be passed before the state exam, and issues the official License to Practice (Leja e Ushtrimit të Profesionit) upon successful completion of the state exam.

What are the prerequisites to register for the Provimi i Shtetit in Physiotherapy?

Candidates must hold an accredited Bachelor's degree in Physiotherapy from a recognized university in Albania or have their foreign degree officially nostrified by the Ministry of Education and Sports. Additionally, candidates must complete a mandatory supervised professional practice registered with UISH and receive a passing evaluation in their internship record booklet.

What is the format, structure, and duration of the official exam?

The exam is delivered on a secure computer terminal at QSHA in Tirana and lasts 60 minutes. QSHA does not publish a fixed item count: the regulation approved by Order No. 365, dated 28.12.2020 requires the official question fund to hold at least 1,500 alternative-response items per profession or profile, requires every item to offer at least four alternatives with only one correct answer, and leaves the structure of each paper to the State Exam Commission. The system selects the items automatically, they are identical for every candidate in that session, they carry different point values, and marking is automatic with the result shown on screen.

What is the passing score and grading system for the examination?

The exam is passed with at least 50% of the total points of the paper, that is at least 50 of 100 points. The published grading scale runs from 4 (under 50 points) through 5 (50-54), 6 (55-64), 7 (65-74), 8 (75-84), 9 (85-94) to 10 (95-100), so grade 5 is the minimum pass. The result appears on screen immediately and a written appeal may be sent to QSHA within 10 days of the result.

How much does the exam cost, and what is the fee structure for retakes?

Per official Ministry of Education regulations, the initial registration fee is 10,000 Albanian Lek (ALL). If a candidate fails, retake fees increase progressively: 12,500 ALL for the 2nd attempt, 15,000 ALL for the 3rd attempt, 17,500 ALL for the 4th attempt, and 20,000 ALL for the 5th attempt.

Where is the state exam administered in Albania?

The examination is conducted in person at the electronic testing facilities of QSHA located at Rruga Naim Frashëri, No. 37, in Tirana, Albania. Candidates must present a valid national ID card or passport and their official payment receipt (mandat-pagesë) on the designated test date.

How do candidates obtain their professional license after passing the exam?

After passing the exam, candidates obtain an official score certificate (Vërtetim i Rezultatit) via the e-Albania portal. They then apply online through the official UISH licensing platform (app-uish.org) by submitting their score certificate, notarized degree, academic transcripts, and licensing fee to receive their Leja e Ushtrimit të Profesionit.

Is the official examination in Albanian, and what is the purpose of this practice bank?

The official QSHA state examination is administered exclusively in Albanian (Shqip). This practice bank provides an English-language study adaptation crafted for students and practitioners who wish to master the underlying physical therapy clinical principles, terminology, and problem-solving scenarios aligned with the national curriculum blueprint.

What legal framework governs the practice of physiotherapy in Albania?

Physiotherapy is classified as a regulated healthcare profession in Albania under Law No. 10171, dated 22.10.2009 ('Për profesionet e rregulluara në Republikën e Shqipërisë'). Practicing physiotherapy without passing the State Exam and maintaining active registration with UISH is strictly prohibited by law.