What is the Thai Physical Therapy Council licensing examination?

It is the statutory national licensing examination administered by the Physical Therapy Council of Thailand (สภากายภาพบำบัด) under the Physical Therapy Profession Act B.E. 2547. Successful completion of all examination components is required to register as a licensed physical therapist (กภ.) entitled to practice clinically in Thailand.

Who is eligible to sit for the licensing examination?

Graduates holding a Bachelor of Science in Physical Therapy (วท.บ. กายภาพบำบัด) from a university or institution accredited by the Physical Therapy Council of Thailand, who hold Thai citizenship or qualify under Council foreign practitioner recognition regulations and possess active Council student/applicant membership.

What is the passing score and format for the examination?

The 4/2569 notice schedules three electronic papers containing 100, 50, and 100 questions. Confirm the current passing criteria in the Council regulations; this page does not quote an unverified percentage.

Is the official licensing examination administered in Thai or English?

Confirm the permitted assessment languages with the Physical Therapy Council. This independent English-language MCQ study adaptation preserves key Thai statutory terms and does not establish that an official English sitting or translation exists.

What are the legal practice rights granted upon passing and obtaining the license?

Licensed physical therapists in Thailand may independently evaluate, diagnose movement impairments, formulate physical therapy treatment plans, administer physical modalities and manual therapies, and establish private physical therapy clinics in accordance with the Physical Therapy Profession Act B.E. 2547 and the Sanatorium Act.

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Key Facts: Thai Physical Therapy Council License Exam

250 questions

Total across the three papers in the 4/2569 timetable

Physical Therapy Council application notice 4/2569, section 8

B.E. 2547

Enactment year of Thai Physical Therapy Profession Act

Royal Thai Government Gazette Vol. 121 Part 65 A

7.5 hours

Three electronic papers over two days in the 4/2569 sitting

Physical Therapy Council application notice 4/2569, section 8

กภ.

Official Thai professional title abbreviation for licensed physical therapist

Physical Therapy Council of Thailand

Practice Thai physical therapy licensing topics with 100 independent multiple-choice questions across musculoskeletal, neuro, cardiopulmonary, pediatric, geriatric, community, and jurisprudence domains. The official examination requires a 60% passing mark per component. This English-language study adaptation presents clinical vignettes, test biomechanics, and Thai legal standards with key Thai terminology in parentheses.

Sample Thai Physical Therapy Council License Practice Questions

Try these sample questions to review concepts for the Thai Physical Therapy Council License exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.

1A physical therapist evaluates a 22-year-old football player who sustained a non-contact knee injury with a sudden deceleration and twisting mechanism, hearing an audible 'pop'. When assessing the integrity of the anterior cruciate ligament (ACL), why is the Lachman test clinically superior to the Anterior Drawer test in the acute post-injury phase?

A.The Lachman test places the hamstrings at maximum tension, mechanically forcing anterior tibial translation

B.Testing at 20°–30° of knee flexion minimizes secondary stabilization from the posterior horn of the medial meniscus and reduces hamstring guarding

C.The Anterior Drawer test assesses the posterior cruciate ligament, making it an inappropriate diagnostic comparison for acute ACL rupture

D.Testing at 90° of knee flexion eliminates the influence of joint effusion on anterior tibial displacement

Explanation: The Lachman test is performed at 20°–30° of knee flexion, where the anterior cruciate ligament (ACL) is the primary restraint to anterior tibial translation. At 90° of flexion (used in the Anterior Drawer test), protective hamstring spasm and the posterior horn of the medial meniscus wedging against the femoral condyle can produce false-negative results, especially in acute swollen knees.

2A 45-year-old painter presents with painful arc between 60° and 120° of active shoulder abduction and anterior shoulder pain during overhead reaching. The physical therapist positions the patient's arm in 90° of forward shoulder flexion and forcefully internally rotates the humerus. Which special orthopedic test is being performed, and what anatomical structure is primarily being impinged?

A.Hawkins-Kennedy test, compressing the supraspinatus tendon against the coracoacromial ligament

B.Neer impingement test, compressing the long head of the biceps tendon against the greater tuberosity

C.Speed's test, stretching the subscapularis tendon against the lesser tuberosity

D.Yergason's test, displacing the transverse humeral ligament across the bicipital groove

Explanation: The Hawkins-Kennedy test is performed by flexing the shoulder to 90° and forcefully internally rotating the arm, which drives the greater tuberosity under the coracoacromial arch and compresses the supraspinatus tendon and subacromial bursa. A reproduction of shoulder pain indicates subacromial impingement syndrome.

3According to the convex-concave rule of joint arthrokinematics (Kaltenborn concept), when mobilizing the glenohumeral joint to improve active physiological shoulder abduction, which direction of passive accessory glide of the humeral head relative to the glenoid fossa is indicated?

A.Superior glide of the convex humeral head on the concave glenoid

B.Anterior glide of the concave humeral head on the convex glenoid

C.Inferior (caudal) glide of the convex humeral head on the concave glenoid

D.Posterior glide of the concave glenoid on the convex humeral head

Explanation: The glenohumeral joint consists of a convex humeral head moving within a concave glenoid fossa. According to the convex-concave rule, when a convex joint surface moves on a stable concave surface, the roll and slide occur in opposite directions. Because physiological shoulder abduction involves a superior roll of the humeral head, an inferior (caudal) glide is required to facilitate abduction and prevent subacromial impingement.

4A 38-year-old tennis instructor complains of sharp lateral elbow pain that radiates down the dorsum of the forearm, exacerbated by gripping a racket. On physical examination, Mill's test and Cozen's test are positive. Which tendon and muscle origin is most commonly involved in this pathology?

A.Pronator teres at the medial epicondyle

B.Extensor carpi ulnaris at the supracondylar ridge

C.Flexor carpi radialis at the common flexor tendon

D.Extensor carpi radialis brevis (ECRB) at the lateral epicondyle

Explanation: Lateral epicondylalgia (tennis elbow) primarily involves degenerative microtrauma and angiofibroblastic tendinosis of the extensor carpi radialis brevis (ECRB) origin at the lateral epicondyle of the humerus. Cozen's test (resisted wrist extension with radial deviation) and Mill's test (passive pronation, wrist flexion, and elbow extension) provoke tension at this specific tendon origin.

5A 54-year-old patient with type 2 diabetes presents with gradual onset of progressive shoulder stiffness and deep resting night pain lasting 4 months. Passive range of motion reveals the classic capsular pattern of the glenohumeral joint. Which pattern of proportional motion limitation confirms this presentation?

A.External rotation is most limited, followed by abduction, then internal rotation

B.Internal rotation is most limited, followed by flexion, then external rotation

C.Abduction is most limited, followed by internal rotation, then external rotation

D.Flexion and extension are equally limited, with preserved rotation

Explanation: The capsular pattern of the glenohumeral joint, as defined by Cyriax and widely tested on licensure exams, is limitation of external rotation greater than abduction, which in turn is greater than internal rotation (ER > ABD > IR). This pattern signifies diffuse involvement of the joint capsule, characteristic of adhesive capsulitis (frozen shoulder).

6A 42-year-old office worker reports severe right lower extremity radiating pain down the posterolateral thigh, anterolateral leg, and into the dorsum of the foot and great toe. Physical examination reveals weakness of the extensor hallucis longus (manual muscle test grade 3/5) and diminished sensation in the first web space. Which nerve root is affected, and what neurodynamic test finding has the highest specificity for true disc herniation with nerve root compression?

A.L4 nerve root; positive femoral nerve traction test

B.S1 nerve root; absent Achilles tendon reflex

C.L5 nerve root; positive Well-Leg Raise (Crossed Straight Leg Raise) test

D.L5 nerve root; positive Faber (Patrick's) test

Explanation: The clinical findings of extensor hallucis longus weakness and sensory deficit over the first dorsal web space pinpoint an L5 radiculopathy. The Well-Leg Raise (Crossed Straight Leg Raise) test—where elevating the asymptomatic lower extremity reproduces radicular pain in the symptomatic leg—has high diagnostic specificity (~90%) for a lumbar intervertebral disc herniation compressing the nerve root.

7A physical therapist assesses a 50-year-old accountant with suspected cervical radiculopathy. According to Wainner's clinical prediction rule, which set of four clinical examination findings yields a positive likelihood ratio greater than 30 when all four are present?

A.Positive Hoffmann sign, positive Babinski sign, hyperreflexia, and clonus

B.Positive Spurling's test A, positive Upper Limb Neurodynamic Test 1 (median nerve), positive cervical distraction test, and ipsilateral cervical rotation less than 60°

C.Positive Adson's test, positive Roos test, positive Wright's test, and positive Costoclavicular maneuver

D.Positive Sharp-Purser test, positive alar ligament stress test, neck flexion weakness, and bilateral hand paresthesia

Explanation: Wainner's clinical prediction rule for cervical radiculopathy includes four specific variables: (1) positive Spurling's test A, (2) positive Upper Limb Neurodynamic Test 1 (Elvey/median nerve bias), (3) positive cervical distraction test (symptom relief with traction), and (4) active ipsilateral cervical rotation of less than 60°. When all 4 tests are positive, the post-test probability of cervical radiculopathy increases to approximately 90% (positive likelihood ratio = 30.3).

8A 24-year-old female runner presents with insidious anterior knee pain behind and around the patella, aggravated by descending stairs, prolonged sitting (movie theater sign), and squatting. Assessment reveals excessive dynamic knee valgus and contralateral pelvic drop during a single-leg squat. Which exercise prescription strategy is supported by current clinical practice guidelines for patellofemoral pain syndrome (PFPS)?

A.Isolated open kinetic chain knee extensions from 0° to 30° with heavy ankle weights

B.Exclusive rest, immobilization in a knee brace, and ultrasound therapy to the retropatellar space

C.Passive stretching of the lateral retinaculum combined with aggressive non-weight-bearing hamstring curls

D.Combined hip posterolateral muscle strengthening (gluteus medius and maximus) and quadriceps strengthening

Explanation: Clinical practice guidelines for patellofemoral pain strongly recommend combining hip-targeted exercises (strengthening gluteus medius, gluteus maximus, and hip external rotators) with knee-targeted quadriceps exercises. Proximal hip control reduces dynamic knee valgus and excessive femoral internal rotation, thereby reducing lateral patellar tracking and retropatellar contact stress.

9A physical therapist performs the McMurray test on a 30-year-old basketball player who reports knee catching and clicking following an acute pivoting trauma. To specifically stress the posterior horn of the medial meniscus, how should the therapist position and manipulate the patient's lower extremity?

A.Fully flex the knee, apply external tibial rotation and a valgus stress, then passively extend the knee

B.Fully flex the knee, apply internal tibial rotation and a varus stress, then passively extend the knee

C.Maintain the knee at 90° flexion, apply internal tibial rotation, and perform an anterior translation

D.Place the patient prone, flex the knee to 90°, and apply distraction with internal rotation

Explanation: To assess the medial meniscus with the McMurray test, the therapist fully flexes the knee, palpates the medial joint line, applies external tibial rotation (which moves the posterior horn of the medial meniscus anteriorly between the condyles) and a gentle valgus force, and slowly extends the knee. A palpable or audible click accompanied by pain indicates a tear.

10A 20-year-old athlete lands awkwardly on an opponent's foot during a volleyball game, sustaining an acute ankle inversion injury. According to the Ottawa Ankle Rules, which physical examination finding warrants obtaining an ankle radiographic series?

A.Ecchymosis and edema localized over the anterior talofibular ligament

B.Pain along the anterior border of the tibia 10 cm proximal to the ankle joint

C.Bone tenderness along the distal 6 cm of the posterior edge or tip of the lateral or medial malleolus, or inability to bear weight for 4 steps

D.Point tenderness over the base of the fifth metatarsal bone without malleolar tenderness

Explanation: The Ottawa Ankle Rules state that an ankle X-ray series is only required if there is malleolar zone pain and any of the following: (1) bone tenderness along the distal 6 cm of the posterior edge or tip of the lateral malleolus, (2) bone tenderness along the distal 6 cm of the posterior edge or tip of the medial malleolus, or (3) inability to bear weight both immediately and in the emergency department/clinic for four steps.

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