The NPTE is continuously evolving based on the needs of the profession. Here are some general trends that have been observed in the NPTE:

1. Increasing emphasis on clinical reasoning and problem-solving skills: In recent years, there has been a shift in the NPTE towards testing candidates' ability to apply their knowledge to real-life situations. This has resulted in an increased emphasis on clinical reasoning and problem-solving skills.

2. Integration of technology: With the growing use of technology in the field of physical therapy, there has been a corresponding integration of technology into the NPTE. Candidates may now encounter questions that require them to interpret data from electronic medical records, use telehealth technologies, or analyze patient outcomes using digital tools.

3. Increased focus on patient-centered care: In line with the broader trend in healthcare towards patient-centered care, the NPTE has also placed a greater emphasis on candidates' ability to communicate effectively with patients and collaborate with interdisciplinary teams.

4. Greater diversity and inclusivity: In recent years, there has been a push to increase diversity and inclusivity in the physical therapy profession. This has also been reflected in the NPTE, with a greater emphasis on cultural competence and sensitivity to the needs of diverse patient populations.

5. Evolving content domains: The content domains of the NPTE have evolved over time to reflect changes in the field of physical therapy. For example, in 2018, the content outline was revised to include a greater emphasis on pharmacology and medical imaging.

Overall, the NPTE is a dynamic exam that evolves over time to reflect changes in the field of physical therapy. Candidates should stay up-to-date with the latest trends and changes in the exam to ensure that they are adequately prepared.