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100+ Free NHRA Allied Health Practice Questions

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A patient with chronic kidney disease is prescribed a drug that is mainly cleared by the kidneys. Why does renal impairment increase the risk of drug toxicity for such medications?

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Sample NHRA Allied Health Practice Questions

Try these sample questions to test your NHRA Allied Health exam readiness. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A physiotherapist assesses a patient 3 days after an acute ankle inversion injury. There is marked swelling, bruising, and the patient cannot bear weight for four steps. According to the Ottawa Ankle Rules, what is the most appropriate next action?
A.Apply a full below-knee plaster cast immediately
B.Reassure and discharge with no follow-up
C.Begin aggressive resisted strengthening exercises
D.Refer for ankle radiography to exclude a fracture
Explanation: The Ottawa Ankle Rules indicate radiography when a patient is unable to bear weight for four steps both immediately and at assessment, or has bony tenderness at specific malleolar/midfoot points. This patient meets the inability-to-weight-bear criterion, so imaging is warranted to exclude a fracture before rehabilitation.
2During a neurological assessment, a physiotherapist elicits a brisk knee-jerk reflex, sustained ankle clonus, and an upgoing plantar (Babinski) response on the right. These findings are most consistent with which type of lesion?
A.Lower motor neuron lesion
B.Peripheral sensory neuropathy
C.Upper motor neuron lesion
D.Neuromuscular junction disorder
Explanation: Hyperreflexia, clonus, and an extensor (upgoing) plantar response are classic signs of an upper motor neuron lesion, reflecting loss of descending inhibitory control over spinal reflexes. This pattern is seen in conditions such as stroke or spinal cord injury above the lesion level.
3A physiotherapist is treating a patient on the second day after an uncomplicated total knee arthroplasty. Which intervention is the highest priority to reduce the risk of postoperative complications?
A.Early mobilisation and active knee range-of-motion exercises
B.Strict bed rest with the knee immobilised for one week
C.High-load plyometric jumping drills
D.Deep transverse friction massage over the incision
Explanation: Early mobilisation and active range-of-motion exercises after total knee arthroplasty reduce the risk of deep vein thrombosis, joint stiffness, and deconditioning, and they improve functional outcomes. Modern enhanced-recovery protocols emphasise mobilising patients within the first 24 to 48 hours.
4A 60-year-old patient with chronic obstructive pulmonary disease is referred for chest physiotherapy with retained secretions in the right lower lobe. Which technique is most appropriate to aid secretion clearance from that lobe?
A.Postural drainage positioning the right lower lobe uppermost with percussion
B.Sitting the patient fully upright and asking them to hold their breath
C.Placing the patient flat in supine with the head dependent only
D.Vigorous resisted upper-limb weight training
Explanation: Postural drainage uses gravity to assist secretion movement from a specific lung segment toward the central airways; the affected lobe is positioned uppermost so secretions drain downward, often combined with percussion and the active cycle of breathing. Correct positioning for the right lower lobe targets that segment.
5A physiotherapist plans to apply a hot pack to a patient's lower back. Which of the following is an absolute contraindication to superficial thermotherapy in the treatment area?
A.Chronic, well-controlled low back pain
B.Mild muscle guarding without swelling
C.Acute haemorrhage or active bleeding in the area
D.A two-week-old healed surgical scar
Explanation: Heat causes vasodilation and increased local blood flow, which can worsen active bleeding or acute haemorrhage; it is therefore contraindicated over areas of acute bleeding, acute inflammation, malignancy, or impaired sensation. Cold is preferred in the acute haemorrhagic phase.
6A patient with a C6 complete spinal cord injury is being assessed for functional capacity. Based on the typical innervation of the C6 myotome, which active movement should the physiotherapist expect to be PRESERVED?
A.Wrist extension
B.Finger flexion and intrinsic hand function
C.Active hip flexion
D.Ankle dorsiflexion
Explanation: The C6 myotome controls wrist extension (extensor carpi radialis), so a patient with a complete C6 lesion retains wrist extension, which enables a passive tenodesis grip. Movements innervated below C6 are lost in a complete injury.
7When prescribing aerobic exercise intensity for a stable cardiac rehabilitation patient, a physiotherapist uses the Karvonen (heart rate reserve) method. The heart rate reserve is best defined as:
A.Maximum heart rate minus resting heart rate
B.Maximum heart rate plus resting heart rate
C.Resting heart rate multiplied by two
D.Maximum heart rate divided by age
Explanation: Heart rate reserve (HRR) equals maximum heart rate minus resting heart rate. The Karvonen formula adds a percentage of HRR back to the resting heart rate to set an individualised target training zone, which accounts for resting fitness better than percent-of-max alone.
8A physiotherapist performs the anterior drawer test at the knee and notes excessive anterior tibial translation compared with the uninjured side. This finding most strongly suggests injury to which structure?
A.Posterior cruciate ligament
B.Anterior cruciate ligament
C.Medial collateral ligament
D.Lateral meniscus
Explanation: The anterior drawer test assesses anterior cruciate ligament (ACL) integrity; the ACL resists anterior translation of the tibia on the femur. Excessive anterior translation indicates ACL laxity or rupture.
9A patient develops a stage 2 pressure ulcer over the sacrum. As part of the multidisciplinary plan, which physiotherapy-related measure is most appropriate to prevent further skin breakdown?
A.Keep the patient in one fixed position to avoid disturbing the wound
B.Restrict all movement and mobilisation indefinitely
C.Apply continuous local heat to the ulcer site
D.Implement a regular repositioning schedule and pressure-relieving positioning
Explanation: Regular repositioning (commonly every 2 hours for at-risk immobile patients) and offloading pressure from bony prominences are central to pressure-injury prevention and healing. Mobilisation and pressure redistribution reduce sustained tissue ischaemia.
10A physiotherapist measures a patient's elbow range of motion with a goniometer. For elbow flexion, the stationary arm is aligned with the lateral midline of the humerus toward the acromion, and the moving arm is aligned with which landmark?
A.The lateral midline of the radius toward the radial styloid
B.The medial border of the scapula
C.The shaft of the ulna toward the olecranon
D.The midline of the fifth metacarpal
Explanation: For elbow flexion goniometry, the fulcrum is over the lateral epicondyle, the proximal (stationary) arm points to the acromion along the humerus, and the distal (moving) arm aligns with the lateral midline of the radius toward the radial styloid. Correct landmark alignment ensures valid, reproducible measurements.

About the NHRA Allied Health Exam

The NHRA Allied Health licensure examination is a Prometric-delivered computer-based test required for allied health professionals to practise in Bahrain. It is profession-specific (physiotherapy, medical laboratory, radiography and related disciplines) and also assesses Bahrain scope of practice, professional conduct and patient safety. Candidates must hold an approved NHRA license application and eligibility code before scheduling.

Assessment

Computer-based, single-best-answer multiple-choice questions delivered by Prometric. The exam is profession-specific (e.g., physiotherapy, medical laboratory, radiography) plus Bahrain scope-of-practice content; most allied-health papers contain around 150 MCQs.

Time Limit

Approximately 3 hours (180 minutes) total seating time

Passing Score

Pass/Fail result. The pass standard is commonly cited around 60% (estimated 55-60% for allied health). NHRA issues only a Pass or Fail outcome, not a numerical score, with no negative marking.

Exam Fee

Paid through Prometric at registration; NHRA does not publish a single fixed allied-health fee publicly. Confirm the current amount via your eligibility documents and the Prometric portal. (Bahrain National Health Regulatory Authority (NHRA))

NHRA Allied Health Exam Content Outline

21%

Physiotherapy & Rehabilitation

Musculoskeletal, neurological and cardiorespiratory assessment and rehabilitation, electrotherapy, exercise prescription, special tests and safe manual handling.

19%

Medical Laboratory Science

Haematology, clinical chemistry, microbiology, transfusion science, urinalysis, specimen integrity, critical values and quality control.

19%

Radiography & Medical Imaging

Positioning, exposure factors, radiation protection and dose optimisation (ALARA), contrast media, and MRI/CT/ultrasound safety and image quality.

14%

Infection Control & Patient Safety

Hand hygiene, transmission-based precautions, PPE doffing, sterilisation and disinfection, sharps and clinical waste, and device-associated infection prevention.

14%

Pharmacology & Clinical Fundamentals

Medication safety and rights, dose and IV-rate calculations, vital signs, drug monitoring, and basic life support and emergency care.

13%

Professional Practice, Ethics & Bahrain Scope of Practice

NHRA licensing, renewal and CPD, scope of practice and supervision, informed consent, confidentiality, documentation and conflicts of interest.

How to Pass the NHRA Allied Health Exam

What You Need to Know

  • Passing score: Pass/Fail result. The pass standard is commonly cited around 60% (estimated 55-60% for allied health). NHRA issues only a Pass or Fail outcome, not a numerical score, with no negative marking.
  • Assessment: Computer-based, single-best-answer multiple-choice questions delivered by Prometric. The exam is profession-specific (e.g., physiotherapy, medical laboratory, radiography) plus Bahrain scope-of-practice content; most allied-health papers contain around 150 MCQs.
  • Time limit: Approximately 3 hours (180 minutes) total seating time
  • Exam fee: Paid through Prometric at registration; NHRA does not publish a single fixed allied-health fee publicly. Confirm the current amount via your eligibility documents and the Prometric portal.

Keys to Passing

  • Complete 500+ practice questions
  • Score 80%+ consistently before scheduling
  • Focus on highest-weighted sections
  • Use our AI tutor for tough concepts

NHRA Allied Health Study Tips from Top Performers

1Focus your revision on your own discipline (physiotherapy, laboratory, or radiography) since the real exam is profession-specific, then layer in the cross-cutting infection control, patient safety and ethics content.
2Practise applied clinical scenarios and calculations (dose, IV drip rate, BMI) rather than rote facts, because NHRA emphasises scenario-based problem solving over memorisation.
3Learn the NHRA scope-of-practice and supervision rules and standard radiation/infection-control safety principles, as these recur across all allied-health papers.

Frequently Asked Questions

How many questions are on the NHRA allied health exam and how long is it?

Most NHRA allied-health Prometric papers contain about 150 single-best-answer multiple-choice questions with roughly a 3-hour (180-minute) seating time. The exact count can vary by profession, so check your Prometric confirmation.

What is the passing score for the NHRA allied health exam?

NHRA reports a simple Pass or Fail outcome rather than a numerical score. The pass standard is commonly cited around 60% (with estimates of 55-60% for allied health), and there is no negative marking.

Who administers the NHRA allied health licensure exam?

The exam is regulated by Bahrain's National Health Regulatory Authority (NHRA) and delivered as a computer-based test by Prometric. Candidates must have an approved NHRA license application and eligibility code before scheduling through Prometric.

Which allied health professions take the NHRA exam?

NHRA licenses a range of allied health professionals including physiotherapists, medical laboratory staff, radiographers and other categorised technicians and technologists, each tested on profession-specific knowledge plus Bahrain scope of practice.