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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

health & fitness

All Episodes

00:12:48

Frozen Shoulder Rehab Protocols

NPTE Clinical Files | Physical Therapy ·

2025/07/09

Rella presents with a diagnosis of adhesive capsulitis in the freezing phase. She reports persistent, deep shoulder pain at rest and significant discomfort with attempted movement. Passive range of motion reveals capsular end-feel in all directions, particularly with external rotation. Which intervention is MOST appropriate to address the patient’s symptoms at this stage?A) Low-load prolonged passive stretching with gradual increases in intensityB) Submaximal isometric exercises to reduce pain and

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00:08:39

Pharmacology for PTs

NPTE Clinical Files | Physical Therapy ·

2025/07/02

Bailey presents with a history of osteoarthritis and hypertension and is referred to physical therapy for knee pain management. She reports taking over-the-counter medication daily for pain relief. During the session, she mentions experiencing mild stomach discomfort and occasional dizziness. Her blood pressure is 138/86 mmHg. Which medication is MOST likely contributing to the patient’s symptoms?A) AcetaminophenB) IbuprofenC) Calcium-channel blockerD) Glucosamine supplementDOWNLOAD THIS

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00:11:39

Lymphedema Management - Compression & Therapy

NPTE Clinical Files | Physical Therapy ·

2025/06/25

Pouria presents with secondary lymphedema following breast cancer treatment. The patient reports heaviness in the arm and mild discomfort but denies significant pain. The affected arm shows a circumference 3 cm greater than the contralateral arm. She has no open wounds or signs of infection. Which compression and therapy strategy is MOST appropriate to manage this patient’s lymphedema?A) High-stretch bandages to provide consistent pressure during rest and activityB) Intermittent pneumatic

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00:08:15

Atrial Fibrillation / PT Considerations

NPTE Clinical Files | Physical Therapy ·

2025/06/18

Jafar has a history of atrial fibrillation and reports occasional fatigue and palpitations. His resting heart rate is 96 bpm and irregular, and he takes a beta-blocker. During a six-minute walk test, he experiences mild shortness of breath but completes the test without difficulty. Which consideration is MOST important when developing this patient’s exercise program?A) Monitor for a target heart rate based on age-predicted max heart rateB) Use a perceived exertion scale to guide exercise intensityC)

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00:11:04

Traumatic Brain Injury / Assessment & Treatment

NPTE Clinical Files | Physical Therapy ·

2025/06/11

Taylor presents with a TBI and is recently learning to transfer from a wheelchair to a bed independently. The therapist aims to facilitate the learning process while minimizing cognitive load. Which training strategy is MOST effective for this stage of motor learning?A) Massed practice; intrinsic feedbackB) Distributed practice; concurrent feedbackC) Blocked practice; knowledge of results feedbackD) Random practice; knowledge of performance feedbackJoin the FREE Facebook Group:

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00:10:31

Ankle Pain - Clinical Patholophysiology

NPTE Clinical Files | Physical Therapy ·

2025/06/04

Kyle reports sudden posterior ankle pain after jumping, describing it as feeling “kicked.” Examination reveals mild swelling, a palpable gap above the calcaneus, limited active plantarflexion, and inability to perform a single-leg heel raise. Passive range of motion is full and pain-free. Which finding BEST explains the patient’s inability to perform a single-leg heel raise?A) Tear of the medial ankle stabilizer leading to decreased propulsion strengthB) Inflammation of the plantar aponeurosis

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00:10:36

Lumbar Spine Pathologies / Red Flags

NPTE Clinical Files | Physical Therapy ·

2025/05/28

Martha presents with six weeks of dull, intermittent low back pain. The pain worsens with standing but improves slightly with rest. Examination reveals mild lumbar tenderness and restricted motion. Which line of questioning is MOST important to uncover a potential red flag?A) “Have you noticed changes in bowel or bladder habits?” B) “What activities seem to aggravate or relieve your pain?”C) “Have you experienced an increased heart rate and dizziness upon standing? "D) “Do you have

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00:09:42

Assistive Device Training

NPTE Clinical Files | Physical Therapy ·

2025/05/21

Gertrude presents with right knee osteoarthritis and is being trained to use a cane. She demonstrates unsteady steps when initiating gait and turning, occasionally placing the cane too far ahead of her. She reports feeling unsure about how to use the cane properly in crowded environments. Which intervention is MOST important to improve the patient’s safety and confidence during cane use?A) Adjust cane height to ensure proper weight distributionB) Train safe gait initiation and turning techniquesC)

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00:10:31

Foot Ulcers / Key Assessments

NPTE Clinical Files | Physical Therapy ·

2025/05/14

Betty presents with type 2 diabetes and a non-healing ulcer on the lateral ankle. The ulcer is dry, and the patient reports discomfort in her posterior lower leg with walking. On examination, the affected foot has a capillary refill that is prolonged. Which assessment is MOST important to include during the initial evaluation?A) Monofilament testing for protective sensationB) Visual inspection for signs of infectionC) ABI to evaluate vascular supplyD) Toe pressure measurement for microvascular

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00:10:25

Peripheral Artery Disease & Walking Programs

NPTE Clinical Files | Physical Therapy ·

2025/05/07

Cobert presents with a history of peripheral artery disease and was referred to physical therapy for walking endurance. He reports intermittent claudication in his calves after walking 100 meters and frequently stops to rest. His resting ABI is 0.7 in both legs. The goal is to enhance his functional capacity and quality of life. Which walking program is MOST appropriate to improve this patient’s functional capacity?A) Treadmill walking at 60% of maximal heart rate, continuous for 30 minutesB)

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00:11:10

Multiple Sclerosis - Symptoms & Interventions

NPTE Clinical Files | Physical Therapy ·

2025/04/30

Liara presents with relapsing-remitting multiple sclerosis with complaints of fatigue and difficulty walking. She reports worsening symptoms in the afternoon but denies any new relapses. Examination reveals mild spasticity in the lower limbs, decreased endurance, and poor postural control. The patient works as a teacher and finds it challenging to maintain energy throughout the day. Which intervention is MOST appropriate to improve the patient’s functional mobility and address her symptoms?A)

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00:09:29

Knee OA Examination

NPTE Clinical Files | Physical Therapy ·

2025/04/23

Rachel presents with knee pain that worsens with activity and improves with rest. She describes stiffness lasting about 30 minutes in the morning and difficulty with stairs. On examination, there is mild joint swelling and crepitus with knee flexion and extension. Which examination finding is MOST indicative of knee osteoarthritis?A) Positive McMurray testB) Reduced knee flexion range of motionC) Medial joint line tendernessD) Presence of effusionTEXT OUR TEAM:(727) 732-4573

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00:10:11

Burns - Classification & PT Interventions

NPTE Clinical Files | Physical Therapy ·

2025/04/16

Lorren sustained burns to his right forearm and hand while working with hot oil. The burn area is red with blistering, and the patient reports significant pain. On examination, capillary refill is intact, and the wound blanches with pressure. The patient is referred to physical therapy to prevent complications during the early phase of healing. Which intervention is MOST appropriate during the initial phase of rehabilitation?A) Daily aggressive stretching to maintain range of motionB) Moisturizing

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00:09:23

Exercise Physiology

NPTE Clinical Files | Physical Therapy ·

2025/04/09

Nivayah presents with a history of myocardial infarction and type 2 diabetes. The patient reports limited endurance and shortness of breath when walking up a flight of stairs. The physical therapist wants to assess her aerobic capacity and guide the exercise prescription while considering safety due to her cardiovascular history. Which outcome measure is MOST appropriate to assess this patient’s aerobic capacity?A) VO2 max test using a treadmill protocolB) 6-minute walk testC) Borg Rating of

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00:09:45

Cardiac Rehab Phases

NPTE Clinical Files | Physical Therapy ·

2025/04/02

Jamie is a 62-year-old female who is referred to outpatient cardiac rehabilitation 3 weeks after a myocardial infarction. She reports feeling fatigued with moderate exertion but denies chest pain. Her resting vitals are HR 80 bpm, BP 128/82 mmHg, and SpO₂ 98%. She completed Phase I rehabilitation without complications and is eager to begin exercising to improve her endurance. Which activity is MOST appropriate to initiate during Phase II of cardiac rehabilitation?A) Jogging on a treadmill at 70%

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00:07:45

Spinal Cord Injuries / ASIA Scale

NPTE Clinical Files | Physical Therapy ·

2025/03/26

Teddy sustained a spinal cord injury at the C7 level after a motor vehicle accident. During the ASIA examination, the patient has preserved sensation at S4-S5 but no voluntary anal contraction. Motor function is absent below C7. Reflex activity is present. How should this patient’s spinal cord injury be classified on the ASIA Impairment Scale?A) ASIA A (Complete)B) ASIA B (Sensory Incomplete)C) ASIA C (Motor Incomplete)D) ASIA D (Motor Incomplete)TEXT OUR TEAM: (727) 732-4573

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00:10:12

Hip Special Tests / Key Signs

NPTE Clinical Files | Physical Therapy ·

2025/03/19

Carlos is a long-distance runner who presents with deep groin pain that worsens with running and prolonged sitting. He also reports occasional clicking and a sensation of instability in the left hip. Examination reveals full strength and range of motion, but pain is elicited during specific hip movements that compress the joint. Which clinical test is MOST appropriate to confirm the suspected diagnosis?A) FABER testB) Thomas testC) Scour testD) FADIR testJoin the FREE Facebook Group:

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00:08:46

Knee Special Tests

NPTE Clinical Files | Physical Therapy ·

2025/03/12

Beniah is a 21-year-old female soccer player who presents with right knee pain and instability after pivoting during a game. She reports hearing a “pop” at the time of injury and is now hesitant to bear weight. Examination reveals mild swelling, limited range of motion, and hamstring guarding. Which special test is MOST sensitive for detecting an ACL tear in this patient?A) Lachman testB) Anterior drawer testC) Pivot shift testD) Valgus stress testDOWNLOAD THIS EPISODES CHEATSHEET:

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00:08:36

Wound Healing Stages

NPTE Clinical Files | Physical Therapy ·

2025/03/05

Heather is a female with diabetes who is referred to physical therapy for evaluation of a right heel wound. The wound measures 4 cm in diameter, shows a dry black eschar covering the entire wound bed, and has no surrounding erythema or drainage. The patient denies pain at the wound site. Which wound stage is MOST consistent with the described findings?A) Stage IIB) Stage IIIC) Stage IVD) UnstageableTEXT OUR TEAM: (727) 732-4573

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00:10:03

Wheelchair Prescription & Positioning

NPTE Clinical Files | Physical Therapy ·

2025/02/26

Jessica presents with a C6 spinal cord injury and is being fitted for a wheelchair. She has full innervation of the deltoids, biceps, and wrist extensors but lacks active triceps function. The patient requires independence in propulsion and activities of daily living. During assessment, she demonstrates forward shoulder positioning and mild scapular instability. Which wheelchair feature is MOST appropriate to optimize the patient’s function and minimize shoulder strain?A) Reclining backrest to

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