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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Cryotherapy
09/11/2022 Duration: 12minSohaila is a clinical instructor testing her student on the physiological effects of cryotherapy. Which of the following is NOT an effect of cryotherapy? A. Pain reduction B. Decrease in spasticity C. Reduction in joint stiffness D. Decrease in nerve conduction velocity 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://anchor.fm/thepthustle/support
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Pusher's Syndrome
02/11/2022 Duration: 10minRoger is status post cerebrovascular accident and is being evaluated by physical therapy. The patient seems to disregard safety and repeatedly falls onto their weak side. Which of the following is a diagnostic factor of Pusher Syndrome: A. Contralateral loss of pain and temperature sensation B. Trunk lean towards the uninvolved side C. Abduction of the uninvolved extremities D. Inability to push through involved upper extremity 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://anchor.fm/thepthustle/support
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Wound Functional Outcomes
26/10/2022 Duration: 10minJenny is assessing an immobilized patient with a sacral pressure wound. During the assessment, the therapist examines the change in wound and surrounding skin attributes, reduction in wound depth, change in exudate characteristics, and wound closure. These performance indicators are all associated with which of the following outcomes? A. Progression through the phases of wound healing B. Oxygenation or perfusion of tissue C. Reduced or controlled edema D. Infection control 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://anchor.fm/thepthustle/support
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Diabetes Symptoms
19/10/2022 Duration: 10minHasim is educating a patient on the negative effects of diabetes on the body. Which of the following is NOT a sign or symptom of untreated or uncontrolled diabetes mellitus? A. Polyuria B. Polydipsia C. Polyphagia D. Weight gain 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 Apply for our coaching program: Prep you can ace - at your pace! --- Support this podcast: https://anchor.fm/thepthustle/support
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Manual Muscle Testing
12/10/2022 Duration: 08minJuri is performing elbow flexion manual muscle testing on a 16-year-old male athlete. Elbow flexion was graded a 4 out of 5, and the motion was strong but painful. Based on the findings, the therapist should reasonably conclude which of the following? A. No lesion or neurological deficit involving the tested muscle and tendon B. Minor lesion of the tested muscle or tendon C. Disorder of the neuromuscular junction D. Complete rupture of the tested muscle or tendon 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 Apply for our coaching program: Prep you can ace - at your pace! --- Support this podcast: https://anchor.fm/thepthustle/support
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Sensitivity & Specificity
28/09/2022 Duration: 10minMariah finds in the literature that the Homans’ sign to screen for DVT is no longer advocated because the test lacks sensitivity and specificity. Which of the following is a consequence of a false-negative test? A. Receiving treatment when it is indicated B. Not receiving treatment when it is indicated C. Unnecessary treatment or further diagnostic testing D. Positive test result but the characteristic was absent 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 If you liked these tips, follow us on TikTok! --- Support this podcast: https://anchor.fm/thepthustle/support
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Hypovolemia
21/09/2022 Duration: 08minJeroomie presents with suspected hypovolemia after a long outing in the sun. Which of the following is the MOST anticipated finding: A. Arterial dilation B. Elevated heart rate with standing C. Bounding pulse D. Elevated central venous pressure 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 If you liked these tips, follow us on TikTok! --- Support this podcast: https://anchor.fm/thepthustle/support
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BPPV
14/09/2022 Duration: 09minSimon presents to the clinic with complaints of "room spinning" and transient nausea. The evaluating therapist suspects cupulolithiasis. Which of the following is NOT a characteristic of BPPV from cupulolithiasis? A. Immediate onset of vertigo in provoking positions B. Presence of nystagmus C. Persistence of vertigo and nystagmus as long as the patient is in the provoking position D. Delayed onset of vertigo in provoking positions 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 If you liked these tips, follow us on TikTok! --- Support this podcast: https://anchor.fm/thepthustle/support
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Nerve Impingement
07/09/2022 Duration: 12minMarco presents to physical therapy complaining of diminished grip strength and neck discomfort at rest. Upon examination, the patient has weakened finger DIP flexion and wrist extension compared to the right. The patient also has diminished sensation along the hypothenar eminence. Which of the following conditions is MOST likely present? A. C6 nerve root impingement B. C7 nerve root impingement C. C8 nerve root impingement D. T1 nerve root impingement 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://anchor.fm/thepthustle/support
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Breathing Techniques
24/08/2022 Duration: 10minParneet is instructing a patient on properly performing stacked breathing. Which of the following is the MOST likely indication for stacked breathing: A. Hyperventilation B. Crackles C. Hypoventilation D. Limited chest wall mobility 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 Looking for more NPTE Practice Questions? Check out TrueLearn and use code PTH020 for 20% off subscription --- Support this podcast: https://anchor.fm/thepthustle/support
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Pearson Coefficient
17/08/2022 Duration: 14minJethroe oversees a research study assessing the relationship between the frequency of exercise per week and the number of falls in elderly subjects. The Pearson coefficient is found to be -0.87. When presenting this information, which of the following is the MOST accurate: A. Exercising more often causes fewer falls in elderly subjects B. Increased frequency of exercise has an inverse relationship with the number of falls in elderly subjects C. Exercising more often causes a higher incidence of falls in elderly subjects D. Increased frequency of exercise has a direct relationship with the number of falls in elderly subjects 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.nptecheatsh
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Cognitive Assessment
10/08/2022 Duration: 10minBrenda is treating a patient with a recent brain injury. The therapist applies a strong noxious stimulus to the patient's forearm to elicit a response. The patient is difficult to arouse but, while awake, remains confused. Which of the following should be documented in the patient's record? A. Stupor B. Obtunded C. Lethargic D. Comatose 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 Apply for our coaching program: Prep you can ace - at your pace! --- Support this podcast: https://anchor.fm/thepthustle/support
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Reducing Muscle Tone
03/08/2022 Duration: 08minBreancha is treating a patient with Multiple Sclerosis and marked extensor tone in the lower extremities. Which of the following is the MOST effective strategy to reduce tone: A. Prolonged cooling B. Light stroking C. Spinning in a chair D. High-frequency vibration 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 Apply for our coaching program: Prep you can ace - at your pace! --- Support this podcast: https://anchor.fm/thepthustle/support
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Berg Balance Scale
27/07/2022 Duration: 09minHughandra decides to evaluate the balance of an elderly patient using the Berg Balance Scale. Which of the following is NOT an area examined using this test? A. Unsupported sitting B. Retrieving an object from the floor C. Standing on one foot D. Walking while completing horizontal head turns 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 Apply for our coaching program: Prep you can ace - at your pace! Looking for more NPTE Practice Questions? Check out TrueLearn and use code PTH020 for 20% off your subscription. --- Support this podcast: https://anchor.fm/thepthustle/support
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Vestibular Rehabilitation 2
13/07/2022 Duration: 10minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Nywening is treating a patient diagnosed with a unilateral vestibular loss after repeated ear infections. The patient's main complaint is motion sensitivity and nausea. Which of the following options is the BEST choice for treatment? A. Canalith repositioning maneuver B. Semont maneuver C. Habituation exercises D. Frenkel's exercises 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. Apply for our coaching program: Prep you can ace - at your pace! --- Support this podcast: https://anchor.fm/thepthustle/support
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Ankylosing Spondylitis
06/07/2022 Duration: 10minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Siobahn is a 17-year-old male with a medical diagnosis of Juvenile Rheumatoid Arthritis and Ankylosing Spondylitis. Upon examination, the patient’s spine is hypomobile but denies pain with palpation and during spinal movements. Which of the following interventions is the MOST recommended: A. Postural education to reduce lumbar lordosis B. Supine abdominal crunches C. Grade 4 mobilizations at ankylosed segments D. Scapular stabilization exercises 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. --- Support this podcast: https://anchor.fm/thepthustle/support
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Joint Mobilization
29/06/2022 Duration: 11minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Aiden is being evaluated for mild discomfort in the right hip joint after a running injury two weeks ago. Upon examination, the patient has stiffness, hypomobility, decreased hip flexion, and internal rotation range of motion. Which of the following mobilizations should be performed FIRST: A. Anterior B. Inferior C. Posterior D. Distraction 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. --- Support this podcast: https://anchor.fm/thepthustle/support
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Gait Analysis & Initial Contact
22/06/2022 Duration: 10minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Carmello is performing a gait analysis and notices that the patient’s toes are the first points of contact with the ground during initial contact. Which of the following is the LEAST likely to be a possible cause of this gait deviation? A. Leg length discrepancy B. Reciprocal inhibition of dorsiflexors C. Painful heel D. Profound dorsiflexor weakness 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. --- Support this podcast: https://anchor.fm/thepthustle/support
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Falls & Meds
15/06/2022 Duration: 12minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Francine has a past medical history of angina, depression, and acid reflux. The patient is being seen for frequent falls in the home but denies dizziness, vertigo, or sudden weakness. The therapist suspects blurred vision as the primary cause. Which of the following medications is the MOST likely contributing to the patient's falls? A. Aspirin B. Warfarin C. Amitriptyline D. Omeprazole 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. --- Support this podcast: https://anchor.fm/thepthustle/support
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Plumb Line 2
08/06/2022 Duration: 10minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Gupta is assessing a patient's posture using a new plumbline assessment tool. Upon examination, the line of gravity falls posteriorly to the cervical spine joints. Which of the following opposing muscle groups is likely the MOST active? A. Serratus anterior B. Longus Colli C. Obliquus capitis superior D. Iliocostalis Dorsi 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. --- Support this podcast: https://anchor.fm/thepthustle/support