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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

00:14:48

Visceral Evaluation

NPTE Clinical Files | Physical Therapy ·

2023/05/10

Kaida patient presents with severe epigastric pain that radiates to her back, accompanied by nausea and vomiting. She reports a history of heavy alcohol use and a recent episode of gallbladder stones. Upon examination, there is tenderness in the upper abdomen and elevated serum lipase levels. What is the MOST likely diagnosis? A. Pancreatitis B. Gastritis C. Peptic ulcer disease D. Gastroesophageal reflux disease (GERD) LINKS MENTIONED: Did you get this question wrong?! If you were stuck between

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00:10:44

Bone Mineral Density & Exercise

NPTE Clinical Files | Physical Therapy ·

2023/05/03

Hadiya is a 60-year-old female who presents to physical therapy with a diagnosis of generalized weakness and a bone Mineral Density T-Score of -1.5. Which of the following interventions is the MOST recommended: A. Marching in 5ft of water B. Supine abdominal crunches C. Endurance training on an upper body ergometer D. Stair climbing 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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00:10:19

Exercise Response

NPTE Clinical Files | Physical Therapy ·

2023/04/26

Freyja 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

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00:09:40

Thomas Test

NPTE Clinical Files | Physical Therapy ·

2023/04/19

Efe presents to physical therapy with hip pain. During a routine examination, the patient lacks hip extension, has a positive Thomas test, and has excessive anterior pelvic tilt. Which of the following tissues is the MOST likely shortened? A. Rectus femoris B. Iliopsoas C. Hamstrings D. Tensor Fascia Latae 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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00:10:26

Cardiovascular Interventions

NPTE Clinical Files | Physical Therapy ·

2023/04/12

Dariana is a 70-year-old patient who presents to physical therapy with a history of congestive heart failure. Upon examination, the patient has significant edema in the lower extremities. Which of the following is the MOST appropriate intervention for this patient? A. Lower extremity strengthening exercises B. Cardiovascular exercise C. Trendelenburg positioning D. Postural drainage and percussion LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and

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00:13:47

Physical Therapy Ethics 2

NPTE Clinical Files | Physical Therapy ·

2023/04/05

Aiko is treating an uninsured patient who cannot afford the cost of treatment. The patient's condition is chronic and requires specialized ongoing care to manage symptoms and prevent complications. What is the MOST appropriate action for the physical therapist to take in this situation? A. Continue with treatment as usual and ask the patient to pay what they can, even if it means reducing the frequency or duration of treatment B. Refer the patient to a low-cost or free clinic that can provide

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00:10:17

THR Complications

NPTE Clinical Files | Physical Therapy ·

2023/03/29

Laird is treating a patient who has recently undergone a posterolateral total hip replacement surgery. Which of the following postoperative complications should the therapist be MOST concerned about observing during the examination? A. Hematoma B. Neuroborreliosis C. Infection D. Anterior dislocation of the hip implant 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

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00:09:01

Pediatric Musculoskeletal Examination

NPTE Clinical Files | Physical Therapy ·

2023/03/22

Janese is a young child who presents to physical therapy with a medical diagnosis of clubfoot. Which of the following is the correct description: A. Plantarflexion, eversion, adduction B. Dorsiflexion, inversion, adduction C. Plantarflexion, inversion, adduction D. Dorsiflexion, eversion, abduction 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

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00:08:21

Subacromial Impingement

NPTE Clinical Files | Physical Therapy ·

2023/03/15

Lizzie is performing a routine examination on a patient with a suspected subacromial impingement. Which of the following should be assessed FIRST? A. Shoulder abduction active range of motion B. External rotation manual muscle testing C. Gross shoulder joint mobility D. Lateral shoulder palpation 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

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00:11:40

Patient Tardiness

NPTE Clinical Files | Physical Therapy ·

2023/03/08

India is treating a patient who is frequently late or misses appointments. The patient has a history of poor time management and has apologized for their behavior. What is the MOST appropriate action for the physical therapist to take in this situation? A. Ignore the patient's tardiness or missed appointments and continue with treatment as usual B. Explain the importance of being on time and set clear expectations for the patient's attendance C. Discharge the patient from treatment for

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00:10:23

Physical Therapy Ethics

NPTE Clinical Files | Physical Therapy ·

2023/03/01

Hannah is treating a patient who discloses that they are currently experiencing depression and anxiety. The patient expresses concern that these conditions may interfere with their ability to adhere to their rehabilitation program. What is the MOST appropriate action for the physical therapist to take? A. Focus solely on the physical rehabilitation program B. Acknowledge the patient's concerns but continue with the current program C. Refer the patient to a mental health professional for evaluation

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00:11:43

Chronic Low Back Pain

NPTE Clinical Files | Physical Therapy ·

2023/02/22

Janie is a 50-year-old female who presents with a complaint of chronic low back pain. On examination, the patient reports that she spends most of her day sitting at a desk for work and has limited physical activity. Which of the following is the most appropriate INITIAL recommendation: A. Referral to a pain management specialist for further evaluation B. Prescription of a strengthening program for the low back and core C. Recommendation for the use of a lumbar support cushion while sitting D

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00:07:42

Referred Pain

NPTE Clinical Files | Physical Therapy ·

2023/02/15

Hal is researching common referral sites for pathologies and conditions that affect his patient population. Which of the following is MOST likely associated with substernal chest pain that does not have a referral pain pattern? A. Neurological B. Gastrointestinal C. Breast pain D. Anxiety 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

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00:09:49

Cardiorespiratory Conditions

NPTE Clinical Files | Physical Therapy ·

2023/02/08

April is examining a patient with cardiorespiratory dysfunction. The patient denies any co-existing respiratory disorder however reports a recent trauma to chest. Upon examination, the patient has chest pain that is intensified with inspiration and a non-productive cough. Which of the following pathologies is the MOST likely present? A. Pulmonary embolism B. Pleurisy C. Pneumothorax D. Pneumonia LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected

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00:08:42

Types of Pain

NPTE Clinical Files | Physical Therapy ·

2023/02/01

Jessica, 15-year-old female patient sustained an injury while rollerblading, landing on her right arm. She describes the pain as “deep, nagging, & dull.” Based on the pain description, which of the following structures is MOST likely affected? A. Muscle B. Bone C. Fracture D. Vasculature 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

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00:11:17

Cardiac Conditions

NPTE Clinical Files | Physical Therapy ·

2023/01/25

Blake is a 45-year-old male patient with chest pain at rest, pallor, palpitations, hypertension, and an elevated blood serum cholesterol level of 242 mg/dL. All of these clinical signs and symptoms are MOST likely red flags indicative of which of the following conditions? A. Stable angina pectoris B. Unstable angina pectoris C. Pericarditis D. Peptic ulcer 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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00:18:35

Lower Leg Differential Diagnosis

NPTE Clinical Files | Physical Therapy ·

2023/01/18

Ryan presents with anterolateral leg pain and reports progressive worsening since an increase in his training regimen over the past two weeks. Symptoms appear in the later stages of running and last 2-3 hours after the run. The anterior tibialis muscle is tender and taut on palpation. Resisted dorsiflexion is strong but reproduces the patient's pain. Which of the following is the MOST likely diagnosis? A. Medial Tibial Stress Syndrome B. Stress fracture C. Acute compartment syndrome D. Chronic

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00:11:56

Wound Classification

NPTE Clinical Files | Physical Therapy ·

2023/01/11

Kemp is treating a patient with lymphedema who presents to physical therapy with a script for wound care. The patient’s chart describes the wound bed as shallow and irregular on the anteromedial lower leg. In addition, the peri-wound area is described as scaly, weepy, and warm with hemosiderin staining. Which wound type does the patient MOST likely have based on this clinical presentation? A. Vascular venous B. Arterial C. Mixed D. Inflammatory vasculitis LINKS MENTIONED: Did you get this

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00:10:39

Pulse Assessment

NPTE Clinical Files | Physical Therapy ·

2023/01/04

Rosa presents with a history of CAD and has complaints of pale cool skin on the right lower extremity. The therapist suspects a femoral artery dysfunction. Which of the following pulses is BEST to indicate an impaired flow or blockage in femoral artery? A. Carotid B. Femoral C. Popliteal D. Pedal 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

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00:10:12

Gait Interventions

NPTE Clinical Files | Physical Therapy ·

2022/12/28

Estephania is treating a patient with a transfemoral amputation who presents with excessive right hip flexion during routine gait analysis. Upon examination, the patient has 4/5 gross MMT and decreased right hip extension range of motion. Which of the following interventions is the MOST appropriate? A. Single leg bridging B. Prone lying positioning C. 6’’ step downs D. Anterior stump desensitization LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and

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