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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

00:16:28

SOAP Note

NPTE Clinical Files | Physical Therapy ·

2021/09/15

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Koorin is an 18-month-old child with a history of significant developmental delay. The parents report that the child is unable to sit unsupported for self-feeding. Which of the following sections should this information be documented? A. Objective section B. Assessment section C. Subjective section D. Plan section Did you get this question wrong?! If you were stuck between two answers and

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00:19:52

Memory Loss

NPTE Clinical Files | Physical Therapy ·

2021/09/08

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Gurdy is an 80-year-old female who presents with confusion and a progressive loss of memory that has been present for months. In addition, the patient has a shortened attention span and episodes of hallucinations and paranoia, especially in the late afternoons. Which of the following pathologies is the patient MOST likely experiencing? A. Delirium B. Cerebrovascular accident C. Alzheimer's

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00:15:16

Lower Extremity MSK Differential

NPTE Clinical Files | Physical Therapy ·

2021/09/01

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Jason is an 11-year-old male with a nagging pain on the posterior aspect of both heels. The child is involved in multiple sports that involve frequent running and jumping. The patient has limited dorsiflexion along with pain that is elicited with mediolateral compression of lower 1/3 of the posterior calcaneus. Which of the following pathologies is the MOST likely present? A. Sinding-Larson

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00:17:05

ACA Stroke

NPTE Clinical Files | Physical Therapy ·

2021/08/18

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Gary presents status post anterior cerebral artery stroke. Which of the following is the LEAST likely to be a clinical manifestation of anterior cerebral artery syndrome? A. Homonymous hemianopsia B. Contralateral hemiparesis involving mainly the LE C. Contralateral hemisensory loss involving mainly the LE D. Urinary incontinence Did you get this question wrong?! If you were stuck between two

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00:13:01

Clinical Test Of Sensory Interaction On Balance

NPTE Clinical Files | Physical Therapy ·

2021/08/11

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Curtis is being seen in a center for low vision and balance for an evaluation using the CTSIB protocol. The patient is found to become increasingly unstable when the eyes are blindfolded on level ground and when the dome is placed over the head while the foam is used. Given the prior information, which of the following conclusions is the MOST accurate? A. The patient is dependent on the

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00:15:58

Cranial Nerve Examination

NPTE Clinical Files | Physical Therapy ·

2021/08/04

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Caihong is treating a patient with a suspected CN XI injury. Which of the following would be the LEAST likely found during a routine examination? A. Atrophy, fasciculations, ipsilateral weakness B. Inability to shrug ipsilateral shoulder C. Inability to turn head contralaterally D. Weakness of contralateral sternocleidomastoid and trapezius Did you get this question wrong?! If you were stuck

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00:20:16

Headaches

NPTE Clinical Files | Physical Therapy ·

2021/07/28

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Ryllis is a 21-year-old male who presents to physical therapy complaining of severe headaches that typically occur only on the left side. The patient describes the pain as “throbbing or pulsating” and concentrated around and behind the left eye. Which of the following types of headache is the patient most likely experiencing? A. Acute whiplash injury B. Migraine headaches C. Tension headaches D

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00:17:38

Modalities Education Workshop

NPTE Clinical Files | Physical Therapy ·

2021/07/21

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Sam is performing an educational workshop for other therapists about the proper utilization of low-dose ultrasound in clinical practice. Which of the following conditions is low-dose ultrasound considered CONTRAINDICATED: A. Over the distal femur in a 16-year-old with quadriceps tendonitis B. Over the site of a healing proximal humeral fracture in a 34-year-old female C. Over the lower back in

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00:24:57

Determining Neurological Level Of Injury

NPTE Clinical Files | Physical Therapy ·

2021/07/14

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Elsa is evaluating a patient with a recent spinal cord injury. The patient presents with intact sensation along the lateral shoulders, lateral forearms, and thumbs. Myotomal testing reveals 5/5 elbow flexors, 3+/5 wrist extensors, and 1/5 elbow extensors and finger flexors, bilaterally. According to the ASIA impairment rating scale, which of the following should be documented into the patient's

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00:21:27

Bariatric Wheelchair

NPTE Clinical Files | Physical Therapy ·

2021/07/07

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Annie is being discharged home from the inpatient setting following a fracture of her right pelvis. She is having difficulty propelling her new wheelchair and cannot travel more than 30 feet before becoming fatigued. The therapist realizes that the patient's severe obesity is impacting her wheelchair mobility. Which of the following wheelchair adjustments would BEST improve the patient's mobility

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01:05:07

The Man Behind The Mission

NPTE Clinical Files | Physical Therapy ·

2021/06/30

I am switching it up this week to let you in on my story so that you can see what YOU are capable of. I faced intense challenges like test anxiety, low self-esteem and even lower self-worth. In this episode I laid it all out there to help you better understand the specialized theory behind The PT Hustle and why I developed a system that will make you dominate the NPTE! If you feel that you’ve been branded as a failure, stay in alignment. You are not alone! The PT Hustle is here to support students

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00:16:16

Medial Heel Pain

NPTE Clinical Files | Physical Therapy ·

2021/06/23

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Zamara is treating a patient with recurrent medial heel pain with long-distance walking and running. During quiet standing, the patient has a flat medial longitudinal arch and overpronation of the rearfoot. Which of the following muscles is MOST likely weak: A. Fibularis longus B. Extensor hallicus longus C. Posterior tibialis D. Gastrocnemius Did you get this question wrong?! If you were stuck

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00:13:14

Congenital Hip Dysplasia

NPTE Clinical Files | Physical Therapy ·

2021/06/16

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Ehsan is treating a 5-month-old child with congenital hip dysplasia. The therapist is considering the use of a Pavlik harness. Which of the following motions is the MOST recommended with the use of this device: A. Hip flexion and abduction B. Hip extension, abduction, and internal rotation C. Pelvic protraction, hip flexion, and hip internal rotation D. Neutral hip position with 30 degrees of

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00:18:52

Forefoot Varus

NPTE Clinical Files | Physical Therapy ·

2021/06/09

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Shaniqua presents with left foot pain along lateral side of the 5th metatarsal. Upon examination, the patient has a 14 degree fixed forefoot varus. During quiet standing, the patient’s rearfoot is noticeably everted. Which of the following interventions is the MOST recommended: A. Metatarsal bar B. Lateral rearfoot wedge C. Medial forefoot wedge D. Additional padding along the 5th

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00:15:37

Medication & PT Treatment

NPTE Clinical Files | Physical Therapy ·

2021/06/02

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Fran is three days status post open reduction internal fixation (ORIF) after a femoral fracture. The patient is currently taking morphine, lisinopril, and hydrochlorothiazide. Before performing out of bed activities, the therapist should be MOST concerned about: A. Blood pressure B. Heart Rate C. Urinary output D. Pain level Did you get this question wrong?! If you were stuck between two

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00:20:22

Lymphedema 2

NPTE Clinical Files | Physical Therapy ·

2021/05/26

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Annie presents with a recent onset of right upper extremity lymphedema after a right radical mastectomy with lymph node dissection. The patient's lymphedema no longer improves with elevation. Which of the following is MOST recommended: A. Manual lymph drainage, long stretch bandages, aerobic exercise B. Manual lymph drainage, short stretch bandages, aerobic exercise C. Manual lymph drainage,

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00:16:24

Individuals with Disabilities Education Act (IDEA)

NPTE Clinical Files | Physical Therapy ·

2021/05/19

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Adisa is working with a child with cerebral palsy in the school system. The therapist would like to ensure that the child is being provided all necessary care according to the Individuals with Disabilities Education Act. Which of the following is NOT covered under IDEA? A. Therapist directed interventions to be performed by the child's teacher B. Monthly reassessments to monitor the child's

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00:15:52

Pregnancy & Exercise

NPTE Clinical Files | Physical Therapy ·

2021/05/12

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Milana is five months pregnant and is requesting wellness advice from a physical therapist on living a more active lifestyle. Considering this patient's condition, which of the following is an absolute contraindication for aerobic exercise? A. History of pulmonary fibrosis B. BMI of 17 C. History of recurrent ankle sprains D. History of a sedentary lifestyle Did you get this question wrong?! If

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00:15:52

Neurologic Examination

NPTE Clinical Files | Physical Therapy ·

2021/04/28

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Priya is being evaluated for lower back pain with symptoms radiating into her right lower extremity. The patient's diagnostic imaging shows an L3 intervertebral foraminal encroachment. Upon examination, which of the following is the LEAST likely to be observed: A. Normal hip flexion strength B. Diminished sensation along the distal anteromedial thigh & knee C. 3+ knee jerk reflex D. Intact

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00:18:22

Blood Pressure

NPTE Clinical Files | Physical Therapy ·

2021/04/21

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Jince is being trained in assessing a patient's blood pressure in the lower extremity using the popliteal artery. To accurately identify the highest pressure exerted by blood on the arterial wall, the student should be instructed to listen for: A. Sudden muffling, with a soft blowing quality B. A second round of intense rhythmic tapping after a brief pause C. A murmur or swishing sound D. The

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