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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

00:09:44

Medical Team Communication

NPTE Clinical Files | Physical Therapy ·

2025/02/19

Teniah was admitted to the acute care hospital with community-acquired pneumonia. She reports shortness of breath and fatigue. Auscultation reveals decreased breath sounds in the right lower lobe, and SpO₂ drops from 95% to 88% with exertion. Resting vital signs: HR 92 bpm, BP 142/86 mmHg, RR 22 breaths per minute. Which finding requires the MOST immediate communication with the medical team?A) Decreased breath sounds in the right lower lobeB) Blood pressure of 142/86 mmHgC) Resting respiratory rate

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00:10:57

Parkinson’s Disease: Stages & Treatments

NPTE Clinical Files | Physical Therapy ·

2025/02/12

Jamie presents with stage 3 Parkinson’s disease and marked presbycusis and reports frequent freezing episodes during ambulation. She demonstrates a reduced step length and minimal arm swing. Her goal is to improve safety and mobility. Which intervention is MOST appropriate to address the patient’s freezing episodes?A) Dynamic balance training B) Rhythmic auditory cueing C) External visual cues D) Strengthening postural muscles DOWNLOAD THIS EPISODES CHEATSHEET:

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00:11:17

Rotator Cuff Tear Rehab Protocols

NPTE Clinical Files | Physical Therapy ·

2025/02/05

Travasia is 4 weeks post-supraspinatus repair. She reports mild soreness but no significant pain. Examination reveals limited passive shoulder elevation beyond 90° due to stiffness and marked restriction in active range of motion. Which intervention is MOST appropriate at this stage?A) Resisted external rotation with a resistance band B) Active-assisted range of motion for shoulder flexion C) Pendulum exercises for shoulder mobility D) Isometric strengthening of the supraspinatus TEXT OUR TEAM:

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00:08:40

Gait Dysfunction Assessment

NPTE Clinical Files | Physical Therapy ·

2025/01/29

Narek reports progressive gait difficulties, including frequent tripping and reduced foot clearance during swing phase. Which examination is MOST appropriate to evaluate the primary cause of his impairments?A) Neurological assessment of the deep common peroneal nerve B) Assessment of proprioception in the lower extremities C) Passive motion of the ankle into plantarflexion D) Skin assessment on the bottom of the heel Join the FREE Facebook Group: www.nptegroup.com

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00:08:51

Pressure Ulcer Examination

NPTE Clinical Files | Physical Therapy ·

2025/01/22

Talar is a diabetic patient that presents with a chronic foot ulcer that has not healed despite standard care. The ulcer is clean, but the tissue around the wound is swollen and warm, and there is noticeable erythema. What is the MOST likely underlying cause of this condition?A) Poor wound dressing technique B) Venous insufficiency Infection C) Necrotic tissue D) Infection DOWNLOAD THIS EPISODES CHEATSHEET: www.nptecheatsheet.com/pressure-ulcer-staging

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00:11:14

ECG Evaluation

NPTE Clinical Files | Physical Therapy ·

2025/01/15

Jamie is a 68 year old male with a history of hypertension presents with dizziness, palpitations, and shortness of breath. An ECG reveals a regular rhythm at 110 bpm with narrow QRS complexes and absent P waves. What is the MOST likely diagnosis?A) Atrial fibrillation B) Paroxysmal supraventricular tachycardia (PSVT) C) Ventricular tachycardia D) Sinus tachycardia TEXT OUR TEAM: (727) 732-4573

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00:10:47

Stroke Rehabilitation Strategies

NPTE Clinical Files | Physical Therapy ·

2025/01/08

Hamza is 3 weeks post-stroke and presents with right-sided hemiparesis. He is able to sit unsupported but struggles to stand and has difficulty walking without assistance. His Brunnstrom stage is III for the right upper extremity and II for the right lower extremity. Which of the following interventions would be most appropriate for this patient to improve his functional mobility and independence?A) Facilitate weight-bearing on the right lower extremity using assistive devices B) Move the patient's

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00:10:17

Shoulder Differential Diagnosis

NPTE Clinical Files | Physical Therapy ·

2025/01/01

Milani presents with anterior shoulder pain and reports difficulty with overhead activities. The patient describes intermittent clicking and discomfort with forward reaching. On examination, the therapist observes a positive Speed’s test, normal strength in external rotation, and no pain with passive shoulder elevation. Which of the following is the MOST likely diagnosis?A. Bankart lesion B. Subacromial bursitis C. Biceps tendinopathy D. Rotator cuff tendinopathy DOWNLOAD THIS EPISODES

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00:11:30

Neurological Outcome Measures

NPTE Clinical Files | Physical Therapy ·

2024/09/25

Jeremy is performing a neurological evaluation. The therapist notes repeated falls in quiet standing with a suspected forward anticipatory balance impairment. Which of the following tests is MOST likely to reveal this specific impairment? A) Functional Reach Test B) Romberg Test C) Sensory Organization Test D) Standing in tandem with eyes closed LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Practice Question Club: www.npteclub.com --- Support this podcast:

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00:11:25

Other Systems Differential Diagnosis

NPTE Clinical Files | Physical Therapy ·

2024/09/18

A 45-year-old female presents to physical therapy with complaints of persistent fatigue, and unexplained weight loss. Upon examination, the therapist notes tachycardia, low blood pressure episodes, and excessive sweating. Which of the following is the MOST likely diagnosis?A) Graves Disease B) Cor Pulmonale C) Hypoglycemia D) Adrenocortical hyperplasia Links Mentioned: NPTE Tips & Tricks: www.nptegroup.com Truelearn: USE CODE: PTH020 --- Support this podcast:

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00:48:17

What Would I Do Different After Passing The NPTE W/...

NPTE Clinical Files | Physical Therapy ·

2024/09/12

Are you a PT wondering where you'll find the money to pay off your student loan debt? In this exclusive episode, Coach K and his long-term mentor and best friend Greg Todd discuss what they'd do differently after Passing the NPTE to build financial freedom. Check out Greg's Exclusive Resources for Clinical Files Listeners Only! Side Hustle Checklist - https://smartsuccesshealthcare.com/sidehustlekr How to Prep for Job Interviews - https://smartsuccesshealthcare.com/interviewkr

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00:13:10

Cardio Exercise Prescription

NPTE Clinical Files | Physical Therapy ·

2024/09/11

Lina presents with a history of chronic heart failure, increased dyspnea and fatigue during daily activities. The physical therapist plans to implement an aerobic exercise program. Which of the following exercise protocols is MOST appropriate for this patient? A) 70-85% of HRmax, 5 times per week, for 45-60 minutes B) 50-60% of HRR, 3 times per week, for 20-40 minutes C) 30-40% of HRmax, daily, for 10-15 minutes D) 80-90% of HRR, 4 times per week, for 60 minutes LINKS MENTIONED: NPTE Tips &

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00:10:51

Burn Interventions 2

NPTE Clinical Files | Physical Therapy ·

2024/09/04

Bronny presents to the hospital with burns to the anterior neck, chest, axillas, and cubital fossa regions. Which of the following positions is the BEST for this patient?A. Cervical slight extension, arm abduction with elbow extension B. Neutral cervical spine, shoulder external rotation with wrist extension C. Cervical slight flexion, arm elevated and elbow extended D. Cervical extension with arm abduction and elbow flexion LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips

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00:11:43

Pediatric Hypotonia

NPTE Clinical Files | Physical Therapy ·

2024/08/28

Cory is a 3 year old child presents with severe hypotonia. The child has difficulty maintaining an upright posture and frequently collapses when attempting to sit or stand. Which of the following interventions would be MOST appropriate?A. Sitting balance exercises on an unstable surface such as a wobble cushion B. Passive stretching of the hamstrings to improve flexibility C. Practicing squats with support to encourage leg strength D. Rhythmic stabilization exercises in a seated position on a

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00:10:37

Groin Pain Differential

NPTE Clinical Files | Physical Therapy ·

2024/08/21

Everett presents with right groin pain. Which of the following conditions must be ruled out FIRST?A) Diverticulitis B) L2 nerve root compression C) Appendicitis D) Psoas abscess LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

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00:11:37

MSK Joint Mobility Intervention

NPTE Clinical Files | Physical Therapy ·

2024/08/14

Calen presents to physical therapy with difficulty grasping a glass. Upon examination, the patient has diminished joint mobility at the 2nd MCP and difficulty performing abduction of the digit. Which of the following glides is the MOST effective? A. Volar glide B. Dorsal glide C. Radial glide D. Medial glide LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast:

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00:12:58

MSK Postural Examination

NPTE Clinical Files | Physical Therapy ·

2024/08/07

During a clinical evaluation, Aiyinde notices that a patient exhibits pronounced anterior pelvic tilt while standing but this posture significantly improves when the patient engages in a squat. This observation is MOST likely due to tightness in which of the following muscles?A. Iliopsoas B. Gluteus maximus C. Rectus abdominis D. Biceps femoris (long head) LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com --- Support this podcast:

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00:14:13

Dizziness Evaluation

NPTE Clinical Files | Physical Therapy ·

2024/07/31

Wajiha presents with a chief complaint of dizziness upon waking and difficulty washing hair secondary to the onset of dizziness. The patient is currently unable to reach down to pick up objects from the floor. The patient denies heart palpitations and states that she has frequent nausea but does not vomit. What condition is the MOST likely present?A. Meniere’s Disease B. Canalithiasis C. Optic neuritis D. Vestibulo-Ocular Reflex impairment LINKS MENTIONED: Practice Question

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00:10:33

Complete Decongestive Therapy

NPTE Clinical Files | Physical Therapy ·

2024/07/24

Kyle is treating a patient in stage 1 of complete decongestive therapy (CDT). Which of the following is NOT a primary focus in this phase: A. Manual lymphatic drainage and short stretch bandages B. Use of a customized compression garment C. Education on keeping the skin clean and dry D. Exercising the trunk before affected extremities LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast:

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00:10:10

Balance & Falls

NPTE Clinical Files | Physical Therapy ·

2024/07/17

Jared presents with a history of cataracts and has been experiencing repeated falls at home. Six months ago, his home was remodeled, and new carpets were installed, coinciding with the onset of the falls. Which sensory system is the patient MOST dependent on for balance?A. Vision, somatosensory, and vestibular B. Vision and somatosensory C. Somatosensory D. Vestibular LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com --- Support this

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349 results

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