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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

00:17:54

Burn Interventions

NPTE Clinical Files | Physical Therapy ·

2021/04/14

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Jessica is treating a patient with a partial thickness burn extending down to the papillary layer of the dermis. Which of the following is the physical therapist's PRIMARY ROLE: A. Prepping the wound for primary intention strategies B. Debridement of small and sturdy blisters C. Ensuring mobility of surrounding joints in preparation for surgical intervention D. Desiccation of the burn site Did

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00:15:26

Mechanical Traction 2

NPTE Clinical Files | Physical Therapy ·

2021/04/07

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Manny is treating a patient with a medial lumbar disc protrusion and severe radicular lower extremity pain. During mechanical traction, the patient reports a complete resolution of pain. Which of the following is the BEST course of action? A. Continue with traction and monitor pain levels B. Terminate traction and refer back to the physician C. Assess the patient's lower extremity sensation and

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00:14:40

Understanding The Cooldown

NPTE Clinical Files | Physical Therapy ·

2021/03/31

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Carrie is treating a patient post heart transplant in cardiac rehabilitation. The treating therapist instructs the patient to perform a 5-10 minute cooldown following a 25-minute aerobic exercise. Which of the following is the MOST likely rationale for the cooldown: A. To prevent a rapid increase in blood pressure B. Maintain adequate venous return C. Facilitate the removal of lactic acid D

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00:16:08

Documenting Signs

NPTE Clinical Files | Physical Therapy ·

2021/03/24

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Jake was involved in a driver's side motor vehicle accident and has been diagnosed with a ruptured spleen. The patient complains of left shoulder pain even though the left shoulder has been cleared of musculoskeletal injury. Which finding should be documented into the patient's record: A. Kehr sign B. Murphy’s sign C. Blumberg’s sign D. Bakody's Sign Did you get this question wrong?! If you

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00:17:59

Complete Decongestive Therapy (CDT)

NPTE Clinical Files | Physical Therapy ·

2021/03/17

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com India is treating a patient with stage 1 left lower extremity lymphedema. The therapist would like to use complete decongestive therapy principles to reduce the patient's swelling. Which of the following interventions is the MOST appropriate? A. Pneumatic compression devices at 70 - 90 mmHg B. Gentle light strokes, starting proximally and stroking distally C. Ace bandages placed into a figure 8

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00:16:25

Restricted Range of Motion

NPTE Clinical Files | Physical Therapy ·

2021/03/10

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Suzzane is being evaluated for persistent neck pain and limited cervical range of motion on the right. The patient reports that the pain began two days ago after sleeping awkwardly. Upon examination, the patient's pain is only provoked when the patient attempts to look over the right shoulder. During joint mobility testing of the cervical spine, which of the following arthrokinematic glides is the

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00:16:58

Emphysema

NPTE Clinical Files | Physical Therapy ·

2021/03/03

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Gerdy is being treated for chronic emphysema in the outpatient clinic. After a trial of sit-to-stand transfers, the patient is seen hyperventilating. Which of the following breathing techniques is most recommended? A. Pursed-lip breathing B. Diaphragmatic breathing C. Active cycle of breathing D. Postural drainage Did you get this question wrong?! If you were stuck between two answers and

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00:16:51

Exercise Tolerance Test 2

NPTE Clinical Files | Physical Therapy ·

2021/02/24

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Kyle is reviewing medical records for a patient who was recently discharged from cardiac rehabilitation phase I. The discharge note mentions that the exercise tolerance test (ETT) was terminated prematurely. Which of the following would be an ABSOLUTE indication to terminate the test? A. 2 of 4 on Angina Scale at 70% Max HR B. ST-segment depression of 2 mm C. Change in SBP from 146/88 to 130/90

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00:14:17

Russian Electrical Stimulation

NPTE Clinical Files | Physical Therapy ·

2021/02/17

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Cam is a football player who underwent an ACL reconstruction four days ago. The therapist would like to follow the clinic’s post-op guidelines by implementing russian electrical stimulation into the therapy sessions. What is the PRIMARY rationale for the use of this modality: A. Increase the cross-sectional area of the quadriceps B. Reduce the negative effects of reflex inhibition C. Decrease

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00:12:44

Scapular Dysfunction

NPTE Clinical Files | Physical Therapy ·

2021/02/10

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Lucas presents with a history of right shoulder pain and difficulty reaching overhead. The initial symptoms have resolved, however the patient continues to demonstrate excessive upward rotation of the scapula. Which of the following muscles should be STRENGTHENED: A. Mid-trapezius B. Lower trapezius C. Subscapularis D. Serratus anterior Did you get this question wrong?! If you were stuck

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00:17:19

Discharge Plans

NPTE Clinical Files | Physical Therapy ·

2021/02/03

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Clara is being seen for complications of end-stage primary progressive multiple sclerosis (PPMS). The physical therapist's plan of care for discharge should contain all of the following EXCEPT? A. Teach patient and family members about skin-care and hygiene B. Teach family regarding positioning and transfers C. Teach family or caregiver variety of strengthening exercises to show patient daily

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00:18:56

Radiating Pain

NPTE Clinical Files | Physical Therapy ·

2021/01/27

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Derrick presents with neck stiffness and radiating symptoms down the right arm. The patient's symptoms are provoked with right cervical rotation and side-bending. However, the symptoms are immediately relieved when “hanging upside down” or when “placing the right hand on top of the head”. Which of the following interventions is expected to yield the BEST outcome: A. Cervical manipulation B

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00:11:27

Hyperparathyroidism 2

NPTE Clinical Files | Physical Therapy ·

2021/01/20

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Jason's medical record shows a history of hyperparathyroidism. Which of the following comorbidities is the MOST likely present? A. Osteoporosis B. Skin straie C. Weight gain D. Heat intolerance 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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00:14:16

Brain Injury Examination

NPTE Clinical Files | Physical Therapy ·

2021/01/13

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Aaron is reviewing a patient's medical chart which reads acute non-dominant hemispheric lesion. The physical therapist can expect to see all of the following presentations EXCEPT: A. Agnosia B. Impulsive behavior C. Difficulty controlling the left side of the body D. Difficulty processing verbal and written commands Did you get this question wrong?! If you were stuck between two answers and

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00:16:43

Vestibular Schwannoma

NPTE Clinical Files | Physical Therapy ·

2021/01/06

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Marissa is working with a patient with a vestibular schwannoma on the right vestibulocochlear nerve. The patient complains of unsteadiness and room spinning. Which of the following interventions is the MOST recommended: A. Canalith repositioning maneuver B. Frenkel’s exercises C. Habituation training D. Semont maneuver Did you get this question wrong?! If you were stuck between two answers and

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00:13:58

Nerve Injuries & Gait

NPTE Clinical Files | Physical Therapy ·

2020/12/23

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Helena is a patient with severe back pain that presents with a posterolateral lumbar herniated nucleus pulposus (HNP) at L3-L4. Which of the following findings is MOST likely to be present? A. Delayed heel off during terminal stance B. Knee buckling during loading response C. Excessive hip flexion during early swing D. Excessive trunk extension during mid-stance Did you get this question wrong?

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00:13:31

Brain Functions

NPTE Clinical Files | Physical Therapy ·

2020/12/16

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Marissa is suspected of having damage to the precentral gyrus. Which of the following should the evaluating therapist assess for: A. Ability to sense touch and temperature B. Ability to initiate a motor task C. Ability to identify family members and close friends D. Ability to comprehend spoken and written language Did you get this question wrong?! If you were stuck between two answers and

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00:14:38

Nerve Injuries & Function Loss

NPTE Clinical Files | Physical Therapy ·

2020/12/09

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Roger presents with marked swelling at the medial elbow after hours of resting his arm down on a flat surface. The patient complains of diminished sensation along the medial aspect of his right hand. Which of the following activities is likely the MOST difficult for the patient to perform? A. Writing with a fine-tipped pen B. Carrying a bucket using a two-finger hook grasp C. Swiping a credit

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00:15:59

Feedback

NPTE Clinical Files | Physical Therapy ·

2020/12/02

Are you looking for an awesome cheatsheet that reviews the facts to know about feedback for the NPTE? Look no further: www.kylericeprep.com/feedback Jonie is instructing a patient with a CVA on proper gait sequence using a hemi-cane. The patient is seen dragging the device and placing excessive weight onto the hemiparetic limb. Which of the following is the MOST effective form of feedback? A. Summed feedback B. Performance feedback C. Bandwidth feedback D. Faded-feedback Did you get this question

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00:13:58

Diagnostic Imaging

NPTE Clinical Files | Physical Therapy ·

2020/11/25

Are you looking for an awesome cheatsheet that reviews the facts to know about diagnostic imaging for the NPTE? Look no further: www.kylericeprep.com/DI Aaralyn presents with a suspected Type 2 SLAP lesion and is undergoing diagnostic imaging using contrast to enhance visualization. Which of the following tests is the MOST likely to be performed? A. Computerized Tomography B. Bone Scintillography C. Magnetic Resonance Arthrogram (MRA) D. Positron Emission Tomography (PET-scan) Did you get this

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