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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

00:10:06

Ankylosing Spondylitis

NPTE Clinical Files | Physical Therapy ·

2022/07/06

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Siobahn is a 17-year-old male with a medical diagnosis of Juvenile Rheumatoid Arthritis and Ankylosing Spondylitis. Upon examination, the patient’s spine is hypomobile but denies pain with palpation and during spinal movements. Which of the following interventions is the MOST recommended: A. Postural education to reduce lumbar lordosis B. Supine abdominal crunches C. Grade 4 mobilizations at

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00:11:47

Joint Mobilization

NPTE Clinical Files | Physical Therapy ·

2022/06/29

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Aiden is being evaluated for mild discomfort in the right hip joint after a running injury two weeks ago. Upon examination, the patient has stiffness, hypomobility, decreased hip flexion, and internal rotation range of motion. Which of the following mobilizations should be performed FIRST: A. Anterior B. Inferior C. Posterior D. Distraction Did you get this question wrong?! If you were stuck

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00:10:31

Gait Analysis & Initial Contact

NPTE Clinical Files | Physical Therapy ·

2022/06/22

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Carmello is performing a gait analysis and notices that the patient’s toes are the first points of contact with the ground during initial contact. Which of the following is the LEAST likely to be a possible cause of this gait deviation? A. Leg length discrepancy B. Reciprocal inhibition of dorsiflexors C. Painful heel D. Profound dorsiflexor weakness Did you get this question wrong?! If you were

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00:12:19

Falls & Meds

NPTE Clinical Files | Physical Therapy ·

2022/06/15

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Francine has a past medical history of angina, depression, and acid reflux. The patient is being seen for frequent falls in the home but denies dizziness, vertigo, or sudden weakness. The therapist suspects blurred vision as the primary cause. Which of the following medications is the MOST likely contributing to the patient's falls? A. Aspirin B. Warfarin C. Amitriptyline D. Omeprazole Did you

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00:10:56

Plumb Line 2

NPTE Clinical Files | Physical Therapy ·

2022/06/08

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Gupta is assessing a patient's posture using a new plumbline assessment tool. Upon examination, the line of gravity falls posteriorly to the cervical spine joints. Which of the following opposing muscle groups is likely the MOST active? A. Serratus anterior B. Longus Colli C. Obliquus capitis superior D. Iliocostalis Dorsi Did you get this question wrong?! If you were stuck between two answers

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00:14:41

Thoracic Spinal Cord Injury Findings

NPTE Clinical Files | Physical Therapy ·

2022/06/01

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Vidhi is performing a chart review of his patient who has a T1 ASIA B SCI. Which of the following findings is MOST likely when treating this patient? A. Paradoxical breathing pattern B. Use of a mechanical ventilator C. Moderate to maximal assistance with wheelchair to bed transfers D. Household and community ambulator with HKAFOs and crutches Did you get this question wrong?! If you were stuck

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00:12:14

Scapular Dysfunction 2

NPTE Clinical Files | Physical Therapy ·

2022/05/25

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Laura is being re-evaluated 12 weeks status post rotator cuff repair. While performing shoulder abduction actively, the therapist observes excessive clavicular elevation and lateral flexion of the trunk to the opposite side. The MOST likely cause of these findings include; diminished range of motion and A. Inadequate serratus anterior activation B. Posterior glenohumeral joint soft tissue

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00:12:04

Causes of Lymphedema

NPTE Clinical Files | Physical Therapy ·

2022/05/18

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Hemisha is a student clinical intern providing an in-service about the causes of lymphedema. Which of the following is NOT a cause of secondary lymphedema? A. Dysplasia B. Radiation C. Chronic venous insufficiency D. Infection 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

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00:10:15

Lateral Trunk Bending

NPTE Clinical Files | Physical Therapy ·

2022/05/11

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Bebet is recovering from a right CVA and wears a solid AFO to stabilize the left foot. While observing gait, the therapist notices lateral trunk bending towards the left during midstance. Which of the following is the best intervention to correct this problem? A. Strengthen the hamstrings on the left side B. Strengthen the hip abductors on the left side C. Strengthen the hip abductors on the

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00:14:26

Parkinson's Disease Plan of Care

NPTE Clinical Files | Physical Therapy ·

2022/04/27

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Eddy presents with a history of Parkinson’s Disease and is being seen in the inpatient hospital. The patient is ambulatory but requires close supervision by the therapist to prevent falls. Which of the following is the most appropriate focus for the physical therapist’s plan of care? A. Wheelchair training B. Mobility training using bilateral axillary crutches C. Caregiver training for contact

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00:10:13

Leg Length Discrepancy

NPTE Clinical Files | Physical Therapy ·

2022/04/20

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Kevin assesses a patient’s functional leg length difference and discovers that the right lower extremity is longer. Which of the following joint actions would LEAST likely be present due to this discrepancy? A. Right foot in supination B. Right sacroiliac joint in posterior rotation C. Left sacroiliac joint in posterior rotation D. Right knee in extension Did you get this question wrong?! If you

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00:11:00

Weight Bearing Precautions

NPTE Clinical Files | Physical Therapy ·

2022/04/13

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Rani is being treated status post bilateral Achilles tendon repair after a fall from a tall ladder. Post-surgical orders are for TTWB (Toe Touch Weight Bearing) bilaterally. Which of the following assistive devices would be the MOST appropriate? A. Bilateral canes B. Wheelchair C. Axillary crutches D. Standard walker Did you get this question wrong?! If you were stuck between two answers and

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00:15:06

Median Nerve Palsy

NPTE Clinical Files | Physical Therapy ·

2022/04/06

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Audra presents with wasting of the thenar eminence of the hand as a result of median nerve palsy. The patient’s thumb appears to have fallen in line with the fingers due to the pull of the extensor muscles. Upon examination, the patient is unable to oppose or flex the thumb. The observed clinical findings are MOST likely associated with which of the following deformities? A. Ape hand

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00:12:28

Hypoventilation & Differential Diagnosis

NPTE Clinical Files | Physical Therapy ·

2022/03/30

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Saanvi is being treated by physical therapy for dizziness and functional decline. Hypoventilation is NOT a breathing pattern commonly associated with which of the following conditions? A. Guillain-Barre B. Myasthenia Gravis C. Hypoxemia D. Amyotrophic lateral sclerosis 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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00:13:48

Cobb Angle

NPTE Clinical Files | Physical Therapy ·

2022/03/23

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Ryland, a 13-year-old male, presents with left thoracic scoliosis. The patient denies back pain; however, the patient's Cobb angle has progressed from 20 to 27 degrees over the past year. Which of the following is MOST recommended: A. Perform trunk strengthening exercises for muscles on the right B. Refer the patient for an orthopedic surgery consult C. Immediate referral for orthosis fitting D

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00:13:24

Diabetic Polyneuropathy

NPTE Clinical Files | Physical Therapy ·

2022/03/16

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Manny presents to physical therapy with diabetic polyneuropathy. Which of the following skin care recommendations is the MOST appropriate for this patient? A. Place limbs in a hot soak with epson salt B. Moisturize feet and between toes with lanolin C. Trim nails daily to keep them short D. Purchase shoe wear with extra depth Did you get this question wrong?! If you were stuck between two answers

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00:12:43

Iontophoresis

NPTE Clinical Files | Physical Therapy ·

2022/03/09

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Kenny is looking to facilitate scar healing with iontophoresis. Which of the following should the therapist utilize during treatment? A. Acetate B. Copper C. Dexamethasone phosphate D. Lodine 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. ---

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00:13:20

Exertional Chest Pain

NPTE Clinical Files | Physical Therapy ·

2022/03/02

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Devaroy presents to physical therapy with a past medical history of stable angina. The therapist wishes to avoid exercising the patient into chest pain by determining myocardial oxygen consumption associated with myocardial ischemia. Which of the following measures is the MOST important when calculating myocardial oxygen consumption? A. Respiratory Rate B. Diastolic Blood Pressure C. Heart

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00:14:19

Chest Tubes

NPTE Clinical Files | Physical Therapy ·

2022/02/23

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Joselito is a physical therapist treating a patient with a hemothorax and chest tube placement. During bedside treatment, the therapist knocks over the collection reservoir. Which of the following actions should the therapist take NEXT? A. Terminate treatment and contact the physician immediately B. Contact nursing and continue treatment C. Place the reservoir in an upright position below the

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00:13:40

Educational Workshop

NPTE Clinical Files | Physical Therapy ·

2022/02/16

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Bruno is a physical therapist providing an educational workshop on lower back pain prevention. Which of the following physical activities has the MOST potential to exert the greatest pressure on the L3 vertebral disc? A. Coughing or straining B. Small repetitive jumps C. Lifting a 20-kg weight with the back straight and knees bent D. Lifting a 20-kg weight with the back bent and knees

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