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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

00:13:47

Forefoot Pain Evaluation

NPTE Clinical Files | Physical Therapy ·

2024/07/10

Kelly a 30-year-old marathon runner presents with a gradual onset of persistent pain at the base of the first metatarsal, which intensifies during long runs and eases with rest. Examination reveals localized swelling, tenderness on palpation, and pain during passive extension of the big toe. Radiographs show no fractures but a slight increase in the space between the first and second metatarsal bones. What is the MOST likely diagnosis?A) Turf toe B) Sesamoiditis C) Hallux valgus D)

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00:16:04

Cardiac Immediate Action

NPTE Clinical Files | Physical Therapy ·

2024/07/03

Jane has a history of coronary artery disease (CAD) and is performing marching and lunges during an in-home visit. The patient suddenly reports chest pain, shortness of breath, and dizziness. The physical therapist's IMMEDIATE action should be:A. Stop the exercise and have the patient sit down B. Administer nitroglycerin and continue the exercise at a lower intensity C. Call emergency medical services (EMS) immediately D. Measure the patient's blood pressure and heart rate LINKS

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00:13:54

Pediatric Lower Extremity Evaluation

NPTE Clinical Files | Physical Therapy ·

2024/06/26

Matt, a 17-year-old athlete, experiences chronic muscle weakness, foot deformities (high arches and hammer toes), and sensory deficits in his legs and feet. These symptoms have been progressively worsening over the past few years, without any associated swelling or inflammation. Which condition is MOST likely present?A) Osteomyelitis B) Juvenile rheumatoid arthritis C) Sever's disease D) Hereditary Motor & Sensory Neuropathy (HMSN) LINKS MENTIONED: NPTE Tips & Tricks:

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00:11:38

Multiple Sclerosis Interventions

NPTE Clinical Files | Physical Therapy ·

2024/06/19

Suely a 40-year-old female with multiple sclerosis (MS) presents with ataxic gait, characterized by wide base of support, irregular steps, and difficulty maintaining balance. Which of the following interventions is MOST appropriate to address her gait abnormalities?A. High-intensity plyometric exercises B. Treadmill training with body-weight support C. Functional electrical stimulation (FES) of the quadriceps D. Static stretching of the lower extremities LINKS MENTIONED: NPTE Tips & Tricks:

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00:12:45

Diabetes & Wound Care

NPTE Clinical Files | Physical Therapy ·

2024/06/12

Blakely is a 65-year-old female with a history of type 2 diabetes mellitus presents with a non-healing wound on her left foot. The wound has been present for six weeks and shows no signs of improvement. Which of the following interventions is MOST appropriate to promote wound healing?A. Hydrotherapy with whirlpool B. Application of a moist wound dressing C. Daily debridement with a dry gauze D. Use of systemic antibiotics only LINKS MENTIONED: NPTE Tips & Tricks PT Hustle Phone Number: (727)

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00:12:23

Anterior Knee Pain & Cycling

NPTE Clinical Files | Physical Therapy ·

2024/06/05

Raj presents with anterior knee pain that worsens during prolonged cycling. Which of the following adjustments to the bike setup would be MOST beneficial in alleviating the cyclist's symptoms?A. Lowering the saddle height B. Raising the saddle height C. Moving the saddle forward D. Moving the saddle backward LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com PT Hustle Phone Number: (727) 732-4573 Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast:

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00:13:41

ACL Reconstruction Rehabilitation

NPTE Clinical Files | Physical Therapy ·

2024/05/29

Caden is a physical therapist who notes that a patient with a recent ACL reconstruction is reluctant to perform weight-bearing exercises. The patient expresses fear of re-injury. The MOST appropriate response to facilitate rehabilitation progress would involve:A. Encouraging the patient to ignore the fear and push through discomfort. B. Implementing graded exposure therapy and psychological support to address fear-avoidance behaviors. C. Focusing exclusively on non-weight-bearing exercises until

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00:12:46

Assistive Device Prescription 2

NPTE Clinical Files | Physical Therapy ·

2024/05/22

Xavier is a patient who recently underwent hip replacement surgery and is now at a rehabilitation facility with a weight-bearing as tolerated (WBAT) status. The patient is 75 years old with mild Parkinson’s disease, affecting his balance and coordination. Given these considerations, which assistive device would be MOST appropriate for this patient during the initial phase of recovery?A) Standard cane B) Quad cane C) Front-wheeled walker D) Rollator walker LINKS MENTIONED: Truelearn: USE CODE:

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00:12:19

Acute Low Back Pain

NPTE Clinical Files | Physical Therapy ·

2024/05/15

Gerard arrives at physical therapy reporting acute lower back pain following an attempt to lift a heavy box. The pain radiates into both lower extremities constantly. During examination, all lumbar motions exacerbate the pain, and the patient prefers to stand and sit with increased lumbar flexion. Which pathology is MOST likely present? A) Lumbar Herniated Disc B) Facet Joint Syndrome C) Sacroiliac Joint Dysfunction D) Ankylosing Spondylitis LINKS MENTIONED: NPTE Tips & Tricks:

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00:12:56

Lower Extremity Lymphedema

NPTE Clinical Files | Physical Therapy ·

2024/05/08

Margot, a 53-year-old woman, presents to physical therapy with bilateral, symmetrical enlargement of her legs extending from her hips to her ankles, sparing the feet. She reports the condition is painful and has worsened over several years. Skin texture is normal, and there is no pitting edema. Which condition is MOST consistent with these findings? A) Chronic venous insufficiency B) Obesity-related lymphedema C) Primary lymphedema D) Lipedema LINKS MENTIONED: PT Hustle Phone Number: (727)

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00:12:05

Drug Interactions

NPTE Clinical Files | Physical Therapy ·

2024/05/01

Jerry, a patient with type 2 diabetes, has been prescribed metformin to manage his blood glucose levels. The physical therapist understands that metformin’s primary function is to:A) Stimulate the pancreas to produce more insulin. B) Decrease the liver's production of glucose. C) Increase the sensitivity of insulin receptors on cells. D) Slow the absorption of sugar from the intestines. LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here:

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00:11:56

Ulcer Examination

NPTE Clinical Files | Physical Therapy ·

2024/04/24

Julian, a 59-year-old patient with a longstanding history of type 2 diabetes, presents with a chronic, non-healing wound on his foot. The wound is located on the lateral aspect of the foot, characterized by a sharply demarcated, circular margin, and a pale, dry base with minimal exudate. His medical history includes poorly controlled hypertension and intermittent claudication. What is the most likely classification of this ulcer? A) Venous ulcer B) Mixed arterial-venous ulcer C) Pure arterial

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00:10:43

Respiratory Interventions

NPTE Clinical Files | Physical Therapy ·

2024/04/17

Richard is a 75-year-old male patient being treated by physical therapy. In educating a patient with chronic obstructive pulmonary disease (COPD) about managing exacerbations at home, what advice should the physical therapist emphasize as MOST important?A. Use of an incentive spirometer every 2 hours while awake. B. Maintenance of a high-protein, low-carbohydrate diet. C. Participation in daily, moderate-intensity aerobic exercise. D. Keeping the home environment well-ventilated and free of

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00:13:33

Stroke & Motor Learning

NPTE Clinical Files | Physical Therapy ·

2024/04/10

Vivek is being seen by physical therapy after recovering well from a stroke. The patient is refining gait during the autonomous stage of motor learning. Which activity is BEST to challenge their gait adaptability?A. Walking backwards on a treadmill B. Navigating a cluttered hallway C. Stepping over obstacles at 6 inch heights D. Reciprocal pedaling on a stationary bike LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here:

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00:12:52

Right Congestive Heart Failure

NPTE Clinical Files | Physical Therapy ·

2024/04/03

Henry presents with right-sided congestive heart failure and reports slight limitations in physical activity. The patient is comfortable at rest; however, ordinary physical activity results in fatigue, palpitation, or dyspnea. Based on this description, which of the following activities is the patient MOST likely able to do without exacerbating their symptoms?A) Climbing two flights of stairs without stopping B) Walking 3mph on a treadmill C) Laying flat in Trendelenburg position D) Running a

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00:12:03

Neurological Differential Diagnosis

NPTE Clinical Files | Physical Therapy ·

2024/03/27

Andrea is a 45-year-old patient presents to physical therapy with complaints of fluctuating muscle weakness, notably worsening toward the evening. The patient reports difficulty maintaining upward gaze and a history of transient diplopia. No sensory deficits were reported. Which of the following conditions is MOST likely?A) Multiple Sclerosis (MS) B) Amyotrophic Lateral Sclerosis (ALS) C) Guillain-Barré Syndrome (GBS) D) Myasthenia Gravis (MG) LINKS MENTIONED: Get Your Episode Cheatsheet here:

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00:10:38

Ramp Specifications & ADA Requirements

NPTE Clinical Files | Physical Therapy ·

2024/03/20

A physical therapy clinic is planning to install a new wheelchair ramp that incorporates a switchback for space efficiency. According to ADA guidelines, what is the MINIMUM required landing size at the switchback to ensure compliance and safety?A) 36 inches by 36 inchesB) 48 inches by 48 inchesC) 60 inches by 60 inchesD) 72 inches by 72 inchesLINKS MENTIONED: 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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00:12:38

Pediatric Evaluation

NPTE Clinical Files | Physical Therapy ·

2024/03/13

Jessie is a 12-year-old male patient who presents with an onset of groin pain. The patient has a BMI of 28 and a recent growth spurt. The physical therapist notes the patient has a limp with external rotation of the affected leg during ambulation. Which of the following diagnoses is MOST likely?A) Legg-Calvé-Perthes Disease B) Slipped Capital Femoral Epiphysis C) Osgood-Schlatter Disease D) Septic Arthritis LINKS MENTIONED: Get Your Episode Cheatsheet here:

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00:12:39

Initial Course of Action

NPTE Clinical Files | Physical Therapy ·

2024/03/06

Joscelin receives a referral for a patient with a diagnosis that the therapist is unfamiliar with. What is the INITIAL course of action?A. Decline the referral, citing lack of expertise B. Accept the patient and start treatment C. Research the condition D. Refer the patient to another therapist LINKS MENTIONED: 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

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00:10:58

HIPAA

NPTE Clinical Files | Physical Therapy ·

2024/02/28

Henry is treating a patient with severe complications after right total knee arthroplasty. The therapist is preparing a new total knee arthroplasty presentation for his healthcare team and wants to remain HIPAA compliant. Which of the following is NOT a form of protected health information covered under HIPAA? A. Patient aliasB. Medical record number C. Photograph of the right knee D. Home address LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and

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349 results

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