Synopsis
NPTE CLINICAL FILES is a podcast from the creator of Dominating the NPTE, hosted by Kyle Rice. NPTE Case files explains a true clinical scenario in the form a mock NPTE-based questioneach week. 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 Case Files gives the Physical Therapist a weekly opportunity to solve clinical puzzles while learning the latest research related to the topic.
Episodes
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Anterior Knee Pain & Cycling
05/06/2024 Duration: 12minRaj 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: https://podcasters.spotify.com/pod/show/thepthustle/support
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ACL Reconstruction Rehabilitation
29/05/2024 Duration: 13minCaden 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 the fear subsides. D. Increasing the intensity of weight-bearing exercises to quickly regain strength. LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com PT Hustle Phone Number: (727) 732-4573 Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Assistive Device Prescription 2
22/05/2024 Duration: 12minXavier 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: PTH020 Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/assistive-ad NPTE Tips & Tricks: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Acute Low Back Pain
15/05/2024 Duration: 12minGerard 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: www.nptegroup.com Truelearn: USE CODE: PTH020 PT Hustle Phone Number: (727) 732-4573 --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Lower Extremity Lymphedema
08/05/2024 Duration: 12minMargot, 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) 732-4573 Get Your Episode Cheatsheet HERE NPTE Tips & Tricks: www.nptegroup.com Truelearn: USE CODE: PTH020 --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Drug Interactions
01/05/2024 Duration: 12minJerry, 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: https://www.nptecheatsheet.com/meds Truelearn: USE CODE: PTH020 PT Hustle Phone Number: (727) 732-4573 --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Ulcer Examination
24/04/2024 Duration: 11minJulian, 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 ulcer D) Neuropathic ulcer LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/ulcerclass --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Respiratory Interventions
17/04/2024 Duration: 10minRichard 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 irritants. LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/pulmonaryinterventions --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Stroke & Motor Learning
10/04/2024 Duration: 13minVivek 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: https://www.nptecheatsheet.com/motor --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Right Congestive Heart Failure
03/04/2024 Duration: 12minHenry 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 short distance 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. NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/CHF --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Neurological Differential Diagnosis
27/03/2024 Duration: 12minAndrea 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: https://www.nptecheatsheet.com/mg Check out our Instagram account: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Ramp Specifications & ADA Requirements
20/03/2024 Duration: 10minA 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 inches 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. Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/wheelchairs Check out our Instagram account: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Pediatric Evaluation
13/03/2024 Duration: 12minJessie 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: https://www.nptecheatsheet.com/pediatriceval Check out our Instagram account: www.instagram.com/thepthustle --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Initial Course of Action
06/03/2024 Duration: 12minJoscelin 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 stuck. Join the group specifically built to help PT Students DOMINATE the NPTE: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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HIPAA
28/02/2024 Duration: 10minHenry 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 alias B. 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 selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Upper Extremity Nerve Examination
21/02/2024 Duration: 14minTamia 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 selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Join the group specifically built to help PT Students DOMINATE the NPTE: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Chronic Anemia
14/02/2024 Duration: 12minCharlie 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 stuck. Join the group specifically built to help PT Students DOMINATE the NPTE: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Post Surgical Ankle/Foot
07/02/2024 Duration: 14minSahar 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: https://podcasters.spotify.com/pod/show/thepthustle/support
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3 Secrets To Passing The NPTE in 2024
31/01/2024 Duration: 34minIn 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: https://podcasters.spotify.com/pod/show/thepthustle/support
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Upper Extremity Neurological Signs and Symptoms
24/01/2024 Duration: 14minJeremy 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 #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support