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PODCAST

NPTE Clinical Files | Physical Therapy

NPTE Clinical Files is a podcast from the creator of Dominating the NPTE, hosted by Kyle Rice. NPTE Clinical Files explains a true clinical scenario in the form of a mock NPTE-based question. Each question is followed by a set of answer choices, where Dr. Kyle Rice explains the right answer with a detailed rationale. Each season covers all of the major systems and topics found in physical therapy and likely to be found on an NPTE. NPTE Clinical Files gives the Physical Therapist a weekly opportunity

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All Episodes

00:14:27

Examination Findings & Congestive Heart Failure

NPTE Clinical Files | Physical Therapy ·

2023/09/27

Betty is 55-year-old female with a history of congestive heart failure who presents with complaints of dyspnea during moderate activities. She mentions that she has been sleeping with three pillows at night for comfort. Given this information, which clinical term best describes her sleeping condition? A) Eupnea B) Hyperpnea C) Orthopnea D) Apnea LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit

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00:11:27

Cardiopulmonary Findings

NPTE Clinical Files | Physical Therapy ·

2023/09/20

Charese presents a history of chronic obstructive pulmonary disease (COPD) performs a six-minute walk test. Which outcome, if observed during the test, would indicate an exacerbation or worsening of the patient's COPD? A. Increased stride length B. Decreased use of accessory muscles for breathing C. A decrease in SpO2 below 90% D. A decrease in respiratory rate LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to

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00:10:57

Total Hip Arthoplasty Posterior Approach

NPTE Clinical Files | Physical Therapy ·

2023/09/13

Vicky is 67-year-old female with advanced osteoarthritis is scheduled for a total hip arthroplasty. The orthopedic surgeon decides on a posterior approach. Which of the following is the PRIMARY reason for utilizing a posterior approach during the procedure? A. Minimize disruption to hip flexors B. Provide better access to the acetabulum C. Avoid risk to the sciatic nerve D. Reduce surgical time LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected

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00:11:17

Low Energy Hip Fracture

NPTE Clinical Files | Physical Therapy ·

2023/09/06

Jess is working with a patient who has sustained a low-energy hip fracture. These types of fractures are MOST common in which population? A. High-performance athletes during intense training. B. Postmenopausal women with osteoporosis. C. Children between the ages of 5-10 years. D. Middle-aged men during heavy weightlifting sessions. LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to

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00:09:15

Motor Vehicle Accident

NPTE Clinical Files | Physical Therapy ·

2023/08/30

Kemmie is a 48-year-old female patient, who was recently involved in a motor vehicle accident and presents with a T10 level spinal cord injury. In addition to bladder dysfunction and decreased sensation below the level of injury, she is MOST likely to exhibit which of the following? A. Quadriplegia B. Absent lower extremity reflexes C. Absent sensation in C7 dermatome D. Normal upper extremity strength LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and

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00:10:40

Myocardial Infarction 2

NPTE Clinical Files | Physical Therapy ·

2023/08/23

Jerry presents with a history of myocardial infarction and reports experiencing chest pain during exercise. Which of the following interventions would be MOST appropriate? A. Discontinue exercise immediately and refer the patient to a physician B. Continue exercise at a reduced intensity level C. Increase the duration of exercise to build endurance D. Use resistance training to improve cardiac function LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and

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00:14:50

Frequent Falls & Romberg

NPTE Clinical Files | Physical Therapy ·

2023/08/16

Heather is a 65-year-old patient being evaluated for balance issues and frequent falls. She exhibits a wide-based, unsteady gait and a positive Romberg test but shows no muscle weakness. What system impairment is most likely contributing to her balance problem? A. Musculoskeletal System B. Vestibular System C. Visual System D. Somatosensory System LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit

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00:14:50

Shoulder Limitations NPTE Favorite

NPTE Clinical Files | Physical Therapy ·

2023/08/09

Jimare presents with a rotator cuff injury with limitations into internal rotation passively but has full active external range of motion. Which of the following interventions is the MOST likely to be effective: A. Stretching of internal rotators B. Strengthening of internal rotators C. Stretching of the external rotators D. Anterior capsule stretching LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit

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00:13:02

O2 Saturation

NPTE Clinical Files | Physical Therapy ·

2023/08/02

Jaquay is treating a patient with chronic obstructive pulmonary disease (COPD) who complains of dyspnea during daily activities. The patient's SpO2 levels tend to drop below 88% with mild exertion. In addition to continuing with a general exercise program, which of the following interventions would be the MOST beneficial for this patient? A. Instructing the patient in diaphragmatic breathing and pursed-lip breathing. B. Encouraging the patient to hold their breath during activities to conserve

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00:10:25

Medications - Baclofen

NPTE Clinical Files | Physical Therapy ·

2023/07/26

Blane is reviewing a patient's electronic health record and notes that the patient has been prescribed baclofen. The therapist should understand that baclofen is primarily used for which of the following purposes? A. Relief of skeletal muscle spasms B. Increasing heart rate and blood pressure C. Managing symptoms of Parkinson's disease D. Lowering blood sugar levels LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then

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00:09:57

Modified Ashworth Scale

NPTE Clinical Files | Physical Therapy ·

2023/07/19

Bethany is evaluating a patient with hemiplegia who has increased tone in the upper extremity. The therapist uses the Modified Ashworth Scale (MAS) to grade the patient's muscle spasticity. The therapist describes the patient's resistance to movement as a "more marked increase in tone, but limb easily flexed". According to the MAS, how would this patient's spasticity be graded? A. 1 B. 1+ C. 2 D. 3 LINKS MENTIONED: Did you get this question wrong?! If you were stuck

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00:07:10

Neural Function

NPTE Clinical Files | Physical Therapy ·

2023/07/12

Jesse presents with decreased sensation in the left leg and reports difficulty with dorsiflexion and inversion of the foot. Which of the following nerves is MOST likely affected? A. Femoral nerve B. Tibial nerve C. Common peroneal nerve D. Obturator nerve LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle

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00:11:51

Total Hip Arthroplasy Precautions

NPTE Clinical Files | Physical Therapy ·

2023/07/05

Jess is treating an elderly female in the acute care setting who has just had an uncemented total hip arthroplasty via a posterior approach. Which of the following precautions should be instructed to the patient during the early postoperative period? A. Avoid full weightbearing on the operated leg B. Avoid external rotation of the hip C. Avoid hip flexion D. Avoid hip abduction LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one,

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00:11:42

Severe Headache Differential

NPTE Clinical Files | Physical Therapy ·

2023/06/28

Lani is a 15-year-old male who presents with sudden onset of severe headache, neck stiffness, photophobia and a fever. On examination, he has both Kernig's and Brudzinski's signs. Which of the following is the MOST likely diagnosis? A. Meningitis B. Migraine headache C. Cluster headache D. Tension headache LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1

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00:09:18

MSK Special Tests

NPTE Clinical Files | Physical Therapy ·

2023/06/21

Wei presents with severe pain and swelling in her knee after a fall. The therapist performs a diagnostic test for a medial meniscus tear, which results in the patient experiencing pain and clicking. Which of the following tests is MOST appropriate for confirming a medial meniscus tear? A) McMurray test B) Lachman test C) Anterior drawer test D) Posterior drawer test LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need

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00:09:32

Parkinson's Disease Treatment

NPTE Clinical Files | Physical Therapy ·

2023/06/14

Madison is treating a patient with Parkinson's disease who is experiencing gait dysfunction. The therapist decides to incorporate rhythmical auditory stimulation (RAS) into the treatment plan. Which of the following is an accurate statement regarding the use of RAS in treating gait dysfunction in a patient with Parkinson's disease? A. RAS is contraindicated in patients with Parkinson's disease B. RAS has been shown to be effective in improving gait in a patient with Parkinson's

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00:10:34

Rotator Cuff Tear Interventions

NPTE Clinical Files | Physical Therapy ·

2023/06/07

Kofi is a physical therapist treating a patient with an acute rotator cuff tear. Which of the following interventions is MOST appropriate for improving the range of motion in this patient? A) Eccentric strengthening exercises B) Passive range of motion exercises C) Isometric strengthening exercises D) Active range of motion exercises LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to

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00:11:33

Neural Symptoms

NPTE Clinical Files | Physical Therapy ·

2023/05/31

Jackson presents with complaints of numbness and tingling throughout their right hand. The therapist performs a neural tension test on the patient, which reproduces the patient's symptoms. Which of the following is MOST likely involved? A) Median nerve B) Ulnar nerve C) Radial nerve D) Brachial plexus LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to

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00:09:32

Medication Polarity

NPTE Clinical Files | Physical Therapy ·

2023/05/24

Niamh is a 22-year-old patient with a previous forearm laceration presenting with a raised scar that is tender to touch. The therapist would like to use iontophoresis with the appropriate parameters. Which of the following is the MOST recommended for this patient: A. Dexamethosone with positive polarity B. Acetic Acid with negative polarity C. Dexamethosone with negative polarity D. Acetic Acid with positive polarity LINKS MENTIONED: Did you get this question wrong?! If you were stuck between

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00:09:23

TENS Parameters

NPTE Clinical Files | Physical Therapy ·

2023/05/17

Sajan presents with lower back pain and reports that the pain has been persistent without lasting relief. The treating therapist would like to use low-rate TENS with 2 Hz and 200 microseconds parameters. Which of the following is the MOST likely reason for the selected parameters: A. Acute Pain B. Chronic Pain C. Patient’s sensitivity to electrical stimulation D. Patient has a pacemaker LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the

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