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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

00:13:43

Cardiac Rehabilitation

NPTE Clinical Files | Physical Therapy ·

2022/12/21

Bhava is a physical therapist who is educating a group of practitioners on indications for cardiac rehabilitation. Which of the following diagnoses is the LEAST appropriate for a formal cardiac rehabilitation program? A. Coronary artery bypass graft (CABG) B. Acute myocardial infarction C. Chronic heart failure with unstable angina D. Percutaneous transluminal coronary angioplasty LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong

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00:12:59

Diastasis Recti

NPTE Clinical Files | Physical Therapy ·

2022/12/14

Heather is a 32-year-old who presents two weeks postpartum with low back pain. She has a referral to evaluate and treat her 2.25cm diastasis recti. Which of the following interventions would be the MOST appropriate to treat this condition? A. Hooklying abdominal crunches B. Hooklying head lifts while hands crossed over midline C. Hooklying diagonal trunk curls D. Supine pelvic floor repeated contraction LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and

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00:15:14

Neurological Assessement & Sensory Function

NPTE Clinical Files | Physical Therapy ·

2022/12/07

Blherim performs a routine examination of a patient's neurological function of their hand. Using calipers with a fine tip, the patient can perceive two points when the distance between the points is 11mm or greater. This finding is MOST consistent with which of the following: A. Dorsal column injury B. Anterior horn cell lesion C. Spinocerebellar tract lesion D. Damage to the precentral gyrus LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected

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00:12:42

Musculoskeletal Origin

NPTE Clinical Files | Physical Therapy ·

2022/11/23

Jenny presents with an idiopathic onset of anterior shoulder pain. Which of the following is NOT consistent with a musculoskeletal origin: A. Night pain while lying on the affected side B. Intractable pain C. Positive Hornblower's sign D. No change in symptoms with bowel movements 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

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00:12:33

Overpronation

NPTE Clinical Files | Physical Therapy ·

2022/11/16

Jesse presents with complaints of right lateral knee pain. Upon gait assessment, the patient has significant overpronation on the right. Which of the following examination findings would BEST explain the observed overpronation? A. Forefoot valgus B. Femoral anteversion C. Genu varum D. Hip flexor weakness 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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00:12:09

Cryotherapy

NPTE Clinical Files | Physical Therapy ·

2022/11/09

Sohaila is a clinical instructor testing her student on the physiological effects of cryotherapy. Which of the following is NOT an effect of cryotherapy? A. Pain reduction B. Decrease in spasticity C. Reduction in joint stiffness D. Decrease in nerve conduction velocity 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

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00:10:49

Pusher's Syndrome

NPTE Clinical Files | Physical Therapy ·

2022/11/02

Roger is status post cerebrovascular accident and is being evaluated by physical therapy. The patient seems to disregard safety and repeatedly falls onto their weak side. Which of the following is a diagnostic factor of Pusher Syndrome: A. Contralateral loss of pain and temperature sensation B. Trunk lean towards the uninvolved side C. Abduction of the uninvolved extremities D. Inability to push through involved upper extremity LINKS MENTIONED: Did you get this question wrong?! If you were stuck

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00:10:59

Wound Functional Outcomes

NPTE Clinical Files | Physical Therapy ·

2022/10/26

Jenny is assessing an immobilized patient with a sacral pressure wound. During the assessment, the therapist examines the change in wound and surrounding skin attributes, reduction in wound depth, change in exudate characteristics, and wound closure. These performance indicators are all associated with which of the following outcomes? A. Progression through the phases of wound healing B. Oxygenation or perfusion of tissue C. Reduced or controlled edema D. Infection control LINKS MENTIONED: Did

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00:10:46

Diabetes Symptoms

NPTE Clinical Files | Physical Therapy ·

2022/10/19

Hasim is educating a patient on the negative effects of diabetes on the body. Which of the following is NOT a sign or symptom of untreated or uncontrolled diabetes mellitus? A. Polyuria B. Polydipsia C. Polyphagia D. Weight gain 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 of Coach K’s Top MSK

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00:08:50

Manual Muscle Testing

NPTE Clinical Files | Physical Therapy ·

2022/10/12

Juri is performing elbow flexion manual muscle testing on a 16-year-old male athlete. Elbow flexion was graded a 4 out of 5, and the motion was strong but painful. Based on the findings, the therapist should reasonably conclude which of the following? A. No lesion or neurological deficit involving the tested muscle and tendon B. Minor lesion of the tested muscle or tendon C. Disorder of the neuromuscular junction D. Complete rupture of the tested muscle or tendon LINKS MENTIONED: Did you get

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00:10:55

Sensitivity & Specificity

NPTE Clinical Files | Physical Therapy ·

2022/09/28

Mariah finds in the literature that the Homans’ sign to screen for DVT is no longer advocated because the test lacks sensitivity and specificity. Which of the following is a consequence of a false-negative test? A. Receiving treatment when it is indicated B. Not receiving treatment when it is indicated C. Unnecessary treatment or further diagnostic testing D. Positive test result but the characteristic was absent LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two

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00:08:29

Hypovolemia

NPTE Clinical Files | Physical Therapy ·

2022/09/21

Jeroomie presents with suspected hypovolemia after a long outing in the sun. Which of the following is the MOST anticipated finding: A. Arterial dilation B. Elevated heart rate with standing C. Bounding pulse D. Elevated central venous pressure 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 of Coach

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00:09:43

BPPV

NPTE Clinical Files | Physical Therapy ·

2022/09/14

Simon presents to the clinic with complaints of "room spinning" and transient nausea. The evaluating therapist suspects cupulolithiasis. Which of the following is NOT a characteristic of BPPV from cupulolithiasis? A. Immediate onset of vertigo in provoking positions B. Presence of nystagmus C. Persistence of vertigo and nystagmus as long as the patient is in the provoking position D. Delayed onset of vertigo in provoking positions LINKS MENTIONED: Did you get this question wrong?! If you were

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00:12:31

Nerve Impingement

NPTE Clinical Files | Physical Therapy ·

2022/09/07

Marco presents to physical therapy complaining of diminished grip strength and neck discomfort at rest. Upon examination, the patient has weakened finger DIP flexion and wrist extension compared to the right. The patient also has diminished sensation along the hypothenar eminence. Which of the following conditions is MOST likely present? A. C6 nerve root impingement B. C7 nerve root impingement C. C8 nerve root impingement D. T1 nerve root impingement LINKS MENTIONED: Did you get this

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00:10:14

Breathing Techniques

NPTE Clinical Files | Physical Therapy ·

2022/08/24

Parneet is instructing a patient on properly performing stacked breathing. Which of the following is the MOST likely indication for stacked breathing: A. Hyperventilation B. Crackles C. Hypoventilation D. Limited chest wall mobility 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 of Coach K’s Top MSK

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00:14:54

Pearson Coefficient

NPTE Clinical Files | Physical Therapy ·

2022/08/17

Jethroe oversees a research study assessing the relationship between the frequency of exercise per week and the number of falls in elderly subjects. The Pearson coefficient is found to be -0.87. When presenting this information, which of the following is the MOST accurate: A. Exercising more often causes fewer falls in elderly subjects B. Increased frequency of exercise has an inverse relationship with the number of falls in elderly subjects C. Exercising more often causes a higher incidence of

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00:10:00

Cognitive Assessment

NPTE Clinical Files | Physical Therapy ·

2022/08/10

Brenda is treating a patient with a recent brain injury. The therapist applies a strong noxious stimulus to the patient's forearm to elicit a response. The patient is difficult to arouse but, while awake, remains confused. Which of the following should be documented in the patient's record? A. Stupor B. Obtunded C. Lethargic D. Comatose 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,

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00:08:59

Reducing Muscle Tone

NPTE Clinical Files | Physical Therapy ·

2022/08/03

Breancha is treating a patient with Multiple Sclerosis and marked extensor tone in the lower extremities. Which of the following is the MOST effective strategy to reduce tone: A. Prolonged cooling B. Light stroking C. Spinning in a chair D. High-frequency vibration 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

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00:09:36

Berg Balance Scale

NPTE Clinical Files | Physical Therapy ·

2022/07/27

Hughandra decides to evaluate the balance of an elderly patient using the Berg Balance Scale. Which of the following is NOT an area examined using this test? A. Unsupported sitting B. Retrieving an object from the floor C. Standing on one foot D. Walking while completing horizontal head turns 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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00:10:55

Vestibular Rehabilitation 2

NPTE Clinical Files | Physical Therapy ·

2022/07/13

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Nywening is treating a patient diagnosed with a unilateral vestibular loss after repeated ear infections. The patient's main complaint is motion sensitivity and nausea. Which of the following options is the BEST choice for treatment? A. Canalith repositioning maneuver B. Semont maneuver C. Habituation exercises D. Frenkel's exercises Did you get this question wrong?! If you were stuck between

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