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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

00:14:48

Upper Extremity Nerve Examination

NPTE Clinical Files | Physical Therapy ·

2024/02/21

Tamia presents with an unspecified work-related injury to her right upper extremity. Upon examination, the patient demonstrates weakness in wrist flexion and loss of forearm pronation. The patient also exhibits a diminished brachial reflex and a positive Froment's sign. Which nerve is LEAST likely to be affected? A. Median nerve B. Ulnar nerve C. Musculocutaneous nerve D. Posterior interosseous nerve LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and

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00:12:07

Chronic Anemia

NPTE Clinical Files | Physical Therapy ·

2024/02/14

Charlie is a patient with chronic anemia who is participating in a physical therapy program. Which of the following signs should the physical therapist monitor for during exercise? A. Sudden increase in blood pressure B. Excessive sweating C. Tachycardia and dyspnea on exertion D. Hyperactivity 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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00:14:03

Post Surgical Ankle/Foot

NPTE Clinical Files | Physical Therapy ·

2024/02/07

Sahar is educating her student about surgical protocols of the foot and ankle. A patient who presents two weeks post-surgery for an Achilles tendon repair, should avoid which of the following? A. Passive dorsiflexion to mild discomfort B. Seated toe extensions C. Gentle isometric plantarflexion exercises D. Active ankle inversion and eversion LINKS MENTIONED: Text Us For NPTE Help: (727) 732-4573 PT Hustle: www.thepthustle.com --- Support this podcast:

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00:34:41

3 Secrets To Passing The NPTE in 2024

NPTE Clinical Files | Physical Therapy ·

2024/01/31

In this podcast episode, Dr. Kyle Rice, also known as Coach K, focuses on the mission of the PT Hustle and 3 tips for helping any physical therapist PASS the NPTE, who struggles with standardized tests. He uncovers the three major mistakes people make when preparing for the exam and how to resolve them. Join us on this enlightening podcast episode! LINKS MENTIONED: Text Us For NPTE Help: (727) 732-4573 PT Hustle: www.thepthustle.com --- Support this podcast:

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00:14:04

Upper Extremity Neurological Signs and Symptoms

NPTE Clinical Files | Physical Therapy ·

2024/01/24

Jeremy is a 55 year old male who presents with numbness and tingling in both hands, loss of pain and temperature sensation in a glove-like distribution, and decreased grip strength. This patient MOST likely suffers from: A. Cervical radiculopathy B. Thoracic outlet syndrome C. Peripheral neuropathy D. Carpal tunnel syndrome 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

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00:14:41

Orthostatic Hypotension

NPTE Clinical Files | Physical Therapy ·

2024/01/17

Blake wants to reduce the risk of orthostatic hypotension in a patient with low blood pressure. The physical therapist should: A. Encourage slow transitions from sitting to standing B. Have the patient perform deep breathing exercises before standing C. Recommend wearing compression stockings during sessions D. Check the chart for blood pressure reducing medications LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to

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00:12:48

Vestibular Caloric Test

NPTE Clinical Files | Physical Therapy ·

2024/01/10

Copeland is evaluating a 55-year-old patient who presents with a mild case of unilateral vestibular hypofunction and associated hearing loss on the left side. The therapist performs the caloric test by instilling warm water into the affected ear. What is the MOST likely direction of the patient's nystagmus during this test? A. Towards the opposite side, but reduced in magnitude B. Absent or significantly reduced nystagmus C. Towards the same side, but reduced in magnitude D. Eye movement is

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00:13:12

Down Syndrome Examination

NPTE Clinical Files | Physical Therapy ·

2024/01/03

Peter is a physical therapist who is working with a 3-year-old child who has Down syndrome. The therapist observes increased flexibility and hypermobility. These findings is primarily due to: A. Poor muscle tone B. Ligamentous laxity C. Delayed bone age D. Spastic muscle contractions 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 stuck.

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00:12:41

Shoulder Pain Telehealth Visit

NPTE Clinical Files | Physical Therapy ·

2023/12/27

Kayla is a physical therapist who is evaluating a patient with shoulder pain via telehealth. The patient is unable to accurately palpate the area of maximal tenderness. What alternative method should the therapist use to localize the pain? A. Guide the patient through a series of active range of motion exercises to identify the painful location B. Instruct the patient to use a foam roller to identify the tender area. C. Ask the patient to describe the quality of pain in different shoulder

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00:16:15

Home Modifications

NPTE Clinical Files | Physical Therapy ·

2023/12/20

Frankie is a physical therapist who, during a home health visit, notices that the patient's home has several potential safety hazards. What is the FIRST step the therapist should take? A. Ignore the hazards as addressing them is not within the therapist’s scope of practice. B. Report the hazards to the patient’s primary care physician. C. Discuss and educate the patient and family about the hazards and suggest modifications. D. Contact a social worker to assess the home environment. LINKS

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00:27:27

Lateral Epicondylitis

NPTE Clinical Files | Physical Therapy ·

2023/12/13

Setting: Sports Clinic Gender: Female Age: 28 years Presenting Problem/Current Condition: Pain in the right elbow after increasing the frequency of her tennis games. Medical History: No significant medical issues Other Information: Recreational tennis player, recently started competing Physical Therapy Examination(s): Tenderness over the lateral epicondyle. Pain on resisted wrist extension Physical Therapy Plan of Care: None, this is the first visit 1. What is the MOST likely diagnosis for

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00:16:51

Addison's Examination

NPTE Clinical Files | Physical Therapy ·

2023/12/06

Wendy presents with a recent diagnosis of Addison's disease and has. been referred to physical therapy. During exercise, the therapist should expectant of which of the following symptoms? A. Hypertension and tachycardia B. Hyperglycemia and diaphoresis C. Hypotension and fatigue D. Hypoglycemia and hyperreflexia 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

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00:19:20

Hypothyroidism & Interventions

NPTE Clinical Files | Physical Therapy ·

2023/11/29

Burton is a 45-year-old male patient with a long-standing history of hypothyroidism who presents with complaints of increasing fatigue, cold intolerance, and muscle stiffness. Physical therapy examination reveals slowed reflexes and generalized muscle weakness. Which intervention should be prioritized in this patient's treatment plan? A. High-intensity resistance training B. Aerobic exercise for endurance training C. Gentle stretching and range of motion exercises D. Balance and proprioception

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00:22:00

NPTE Clinical Scenario Acute Care

NPTE Clinical Files | Physical Therapy ·

2023/11/22

Question 1: Given the patient's medication and medical history, which complication is he at an increased risk for during mobility training A) Orthostatic hypotension B) Fractures C) Respiratory distress D) Hyperkalemia Question 2: The patient is exhibiting difficulty following multi-step commands. Which approach would be MOST appropriate when giving instructions for exercises? A) Provide written instructions with diagrams. B) Give complex, multi-step verbal commands rapidly. C) Demonstrate the

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00:12:32

Lower Extremity Muscle Actions

NPTE Clinical Files | Physical Therapy ·

2023/11/15

June presents with complaints of pain during the midstance to terminal stance phase of gait. Upon examination, there's excessive pronation of the subtalar joint and pes planus deformity. What muscle is MOST likely weakened? A) Flexor digitorum brevis B) Tibialis posterior C) Abductor hallucis D) Extensor digitorum longus 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

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00:11:42

Foot Ulcer

NPTE Clinical Files | Physical Therapy ·

2023/11/08

Belinda is a 46-year-old patient with a history of diabetes presents with a non-healing ulcer on the plantar surface of the foot. Upon examination, the therapist notes a well-defined ulcer with a punched-out appearance surrounded by callused skin. Which type of ulcer is this most indicative of? A) Venous stasis ulcer B) Arterial insufficiency ulcer C) Neuropathic ulcer D) Pressure ulcer LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong

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00:11:21

NPTE Stroke Question

NPTE Clinical Files | Physical Therapy ·

2023/11/01

Kelly is a 60-year-old patient who is post-stroke and exhibits a steppage gait pattern. What is the MOST likely underlying neuromuscular deficit contributing to this gait deviation? A) Weak hip flexors B) Weak ankle dorsiflexors C) Spastic quadriceps D) Spastic hip adductors 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 stuck. Are you

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00:14:37

Research Correlation

NPTE Clinical Files | Physical Therapy ·

2023/10/25

Janie is a physical therapist who is conducting research to determine the relationship between hours of standing per day and the severity of lower back pain in factory workers. After analyzing the data, the therapist finds a positive, strong correlation (r = 0.85) between the two variables. What does this correlation coefficient indicate? A) An 85% chance that standing longer hours directly causes increased back pain severity. B) A strong relationship between hours of standing and back pain

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00:12:03

Knee Pain

NPTE Clinical Files | Physical Therapy ·

2023/10/18

Roger is a 45-year-old is an avid cyclist who presents with anterior knee pain, especially after long rides. The pain is localized near the patellar tendon's inferior pole. What condition best describes these symptoms? A) Patellofemoral pain syndrome B) Osgood-Schlatter disease C) Patellar tendinitis D) Chondromalacia patellae 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

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00:11:36

ACL Reconstruction Protocol

NPTE Clinical Files | Physical Therapy ·

2023/10/04

Jason is a 25-year-old soccer player who sustained an anterior cruciate ligament (ACL) injury 8 weeks ago and underwent surgical repair. Current therapy goals are to restore neuromuscular control and proprioception. Which exercise will BEST address these goals? A) Open-chain knee extension exercises in sitting B) Balance exercises on a wobble board C) Prone hamstring curls D) Passive range of motion of the knee LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two

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