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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

00:08:04

Skin Condition Evaluation

NPTE Clinical Files | Physical Therapy ·

2025/11/26

Zayden presents with well-defined, raised plaques on the extensor surfaces of his elbows and knees. The lesions are covered with silvery scales, and he reports occasional itching and no systemic symptoms. What is the MOST likely diagnosis?A) Atopic dermatitisB) Psoriasis vulgarisC) Tinea corporisD) Lichen planusJoin the FREE Facebook Group: www.nptegroup.com

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00:09:12

DVT: Signs & Prevention

NPTE Clinical Files | Physical Therapy ·

2025/11/19

Miraide is recovering from a total hip arthroplasty and reports mild calf discomfort on the second day post-surgery. On examination, there is no significant swelling or redness, but the patient has a resting heart rate of 105 bpm. Which of the following interventions is MOST appropriate to reduce the risk of deep vein thrombosis?A) Initiate ambulation with a walkerB) Apply ice packs to the calfC) Administer ankle pumps and quad setsD) Perform a Homan’s test to confirm DVTDOWNLOAD THIS EPISODES

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00:08:02

Cerebral Palsy: Gait Analysis

NPTE Clinical Files | Physical Therapy ·

2025/11/12

Orion is a 12-year-old with spastic diplegic cerebral palsy and is evaluated for gait abnormalities. The therapist observes excessive hip flexion, knee flexion, and ankle dorsiflexion throughout the gait cycle. Which of the following gait patterns BEST describes these findings?A) Crouch gaitB) Scissoring gaitC) Ataxic gaitD) Steppage gaitTEXT OUR TEAM:(727) 732-4573

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00:10:07

Osteoarthritic Impacts On Gait

NPTE Clinical Files | Physical Therapy ·

2025/11/05

Kai is a 65-year-old male who presents with deep groin pain, morning stiffness lasting 30 minutes, and a positive scour test. Which gait deviation is MOST likely to be observed?A) Uneven cadenceB) Decreased step length on the unaffected limbC) Lateral trunk lean toward the unaffected limbD) Marked hip internal rotation on the affected sideDOWNLOAD THIS EPISODE'S CHEATSHEET:www.nptecheatsheet.com/osteo-arthritis

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00:08:37

Cervical Spine Radiculopathy

NPTE Clinical Files | Physical Therapy ·

2025/10/29

Harper presents with neck pain and tingling radiating into the right hand. Symptoms worsen with overhead activities and improve with the arm at rest. Examination reveals weakness in elbow flexion, diminished biceps reflex, and reduced sensation over the lateral forearm. Which of the following tests is the MOST effective to assess this condition? A) Spurling’s testB) Cervical distraction testC) Upper limb tension test (ULTT) for the median nerveD) Adson’s testJoin the FREE Facebook Group:

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00:08:30

Pediatric Growth Milestones

NPTE Clinical Files | Physical Therapy ·

2025/10/22

DeShawn is assessing a 12-month-old child during a developmental screening. The child can pull to stand, cruise along furniture, and grasp small objects using a pincer grip, but has not yet started walking independently. Which of the following findings is MOST concerning?A) Inability to walk independentlyB) Absence of babbling or single wordsC) Persistence of the Moro reflexD) Lack of interest in grasping toysTEXT OUR TEAM: (727) 732-4573

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00:07:42

Scar Tissue Mobilization Techniques

NPTE Clinical Files | Physical Therapy ·

2025/10/15

Diego is six weeks post-rotator cuff repair and reports stiffness and a pulling sensation near the surgical incision during overhead movement. Examination reveals restricted shoulder range of motion and palpable adhesions. Which technique is MOST appropriate to address the patient’s symptoms?A) EffleurageB) Transverse friction massageC) Myofascial releaseD) Joint mobilizationDOWNLOAD THIS EPISODE'S CHEATSHEET:www.nptecheatsheet.com/soft-tissue

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00:11:10

COPD: Exercise Testing & Prescription

NPTE Clinical Files | Physical Therapy ·

2025/10/08

Luca is a 68 year old male with moderate COPD who is referred for physical therapy to improve exercise tolerance. He reports dyspnea with minimal exertion and has a 6-minute walk test distance of 250 meters. His resting oxygen saturation is 92% on room air. Which of the following is the MOST appropriate initial exercise approach?A) Interval training with short work and rest periods at moderate intensityB) Continuous training at 75% of peak work rate to build enduranceC) Resisted walking with a

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00:10:30

Alzheimer’s Disease: PT Treatment

NPTE Clinical Files | Physical Therapy ·

2025/10/01

Amara presents with mild to moderate Alzheimer’s disease and has impaired gait and balance. She becomes disoriented in new environments and struggles with multi-step instructions.Which intervention is MOST appropriate for this patient?A) High-intensity balance exercises on uneven surfacesB) Dual-task training to improve cognitive functionC) Structured gait training in a familiar environmentD) Community ambulation to enhance adaptabilityTEXT OUR TEAM: (727) 732-4573

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00:09:50

Post-Op Total Knee Arthroplasty

NPTE Clinical Files | Physical Therapy ·

2025/09/24

Helga is two days post-total knee arthroplasty (TKA) and reports moderate knee pain and stiffness. Her knee range of motion is 0–45 degrees, and her incision is well-approximated with mild edema. Which intervention is MOST appropriate to prioritize during this session?A) Full weight bearing on the surgical legB) Low-intensity range of motion exercises to increase knee flexionC) Ambulation with a rollator walker for at least 200 feetD) Manual lymphatic drainage to reduce swellingDOWNLOAD THIS

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00:10:48

Electrotherapy- Indications & Contraindications New

NPTE Clinical Files | Physical Therapy ·

2025/09/17

Freda presents with persistent shoulder pain following rotator cuff repair surgery. The therapist considers using electrical stimulation for pain management. The patient has a history of mild hypertension controlled with medication and reports occasional muscle spasms in the surgical area. Which of the following would MOST likely require avoidance of electrical stimulation?A) Metal anchors used during surgical fixationB) Recent use of anti-hypertensive medicationC) Active muscle spasms near the

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00:08:52

Integumentary Outcome Measures

NPTE Clinical Files | Physical Therapy ·

2025/09/10

Mohammad is documenting outcomes for a patient who has been treated for a venous ulcer. Which of the following improvements is the MOST significant to report? A) The patient reports a decrease in pain from 6/10 to 2/10 B) The patient's walking distance has increased from 100 meters to 300 meters C) The wound size has decreased from 6 cm² to 3 cm² D) The patient's lower leg swelling has reduced by 50%TEXT OUR TEAM:(727) 732-4573

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00:08:38

Surgical Pain Examination

NPTE Clinical Files | Physical Therapy ·

2025/09/03

Sweeney recently underwent a hysterectomy and requests to sit after ambulating a few feet. The patient reports dizziness and right lower extremity pain. On examination, her resting heart rate is 102 bpm, and she has significant swelling in her right lower leg. Which of the following should be assessed FIRST: A) Walking distance before stopping B) Pulse pressure C) Deep calf tenderness D) Dorsal pedal integrityDOWNLOAD THIS EPISODE'S CHEATSHEET:www.nptecheatsheet.com/dvt-implications

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00:08:13

Shoulder Instability- Recognizing & Testing

NPTE Clinical Files | Physical Therapy ·

2025/08/27

Azaria is a 22-year-old swimmer with intermittent right shoulder pain who complains of a slipping sensation during overhead activities. Which of the following tests should be performed FIRST?A) Apprehension test B) Speed's test C) Drop arm test D) Load and shift test Join the FREE Facebook Group: www.nptegroup.com

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00:12:14

Vestibular Assessment

NPTE Clinical Files | Physical Therapy ·

2025/08/20

John reports dizziness and unsteadiness when walking, especially in busy environments or when turning his head quickly. He denies positional dizziness but struggles to read signs while walking. Examination reveals normal balance in static postures and no spontaneous nystagmus. Which test is MOST appropriate to assess the suspected deficit?A) Dix-Hallpike maneuverB) Head thrust testC) Snellen Chart Reading while walkingD) Romberg testDOWNLOAD THIS EPISODE'S

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00:10:48

Medical Imaging Interpretation

NPTE Clinical Files | Physical Therapy ·

2025/08/13

Before an evaluation, Arial is reviewing the patient's MRI report that describes sequestration at the L4 – L5 level. The intake form reveals sensory changes along the lateral calf, and dorsum of the foot. Which clinical finding is the most consistent with the medical record? A) Impaired heel walking B) Gastrocnemius and soleus atrophy C) Extensor hallicus longus weakness D) Saddle paraesthesiaTEXT OUR TEAM:(727) 732-4573

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00:10:00

Hand & Wrist Pathologies

NPTE Clinical Files | Physical Therapy ·

2025/08/06

Samantha is an office worker who presents with pain and numbness in the right hand, particularly at night. On examination, there is decreased sensation along the palmar aspect of the thumb, index, and middle fingers. Which the of the following is the LEAST likely impaired: A) Abductor pollicus brevisB) Flexor pollicus longusC) Opponens pollicus D) 2nd LumbricalDOWNLOAD THIS EPISODE'S CHEATSHEET:www.nptecheatsheet.com/hand-wrist

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00:10:04

Post-Surgical Incision Care

NPTE Clinical Files | Physical Therapy ·

2025/07/30

Denise is six days post-abdominal surgery with a midline incision. The incision is well-approximated with slight redness but no drainage or dehiscence. She is concerned about safely participating in physical therapy. Which recommendation is MOST appropriate for this patient?A) Avoid core exercises until 6 weeks post-opB) Continue light activities and monitor for redness, swelling, or drainageC) Apply heat to the incision before exercise to promote healingD) Use high-compression abdominal binders

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00:12:18

CABG / Post-Op PT Guidelines

NPTE Clinical Files | Physical Therapy ·

2025/07/23

Kelly is referred to physical therapy six days after coronary artery bypass graft (CABG) surgery. She reports mild fatigue but denies chest pain or shortness of breath. Her resting heart rate is 85 bpm, and her blood pressure is 125/80 mmHg. The therapist plans to begin light aerobic exercise as part of her cardiac rehabilitation. Which of the following is the MOST appropriate guideline to follow during this session?A) Monitor for a target heart rate of 70–80% of her age-predicted maximumB) Avoid

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00:09:20

Mystery Pathology Examination Findings

NPTE Clinical Files | Physical Therapy ·

2025/07/16

Ollie reports progressive weakness in his legs and tingling sensations in his hands and feet after a recent upper respiratory infection. On examination, he has moderate dorsiflexor weakness, and mild gait instability. Which of the following is the MOST anticipated finding? A) Hyperreflexia with distal weaknessB) Loss of tactile sensationC) Severe gross hip muscle weaknessD) Limb contracturesDOWNLOAD THIS EPISODE'S CHEATSHEET:www.nptecheatsheet.com/gbs25

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