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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Clinical Test Of Sensory Interaction On Balance
11/08/2021 Duration: 13minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Curtis is being seen in a center for low vision and balance for an evaluation using the CTSIB protocol. The patient is found to become increasingly unstable when the eyes are blindfolded on level ground and when the dome is placed over the head while the foam is used. Given the prior information, which of the following conclusions is the MOST accurate? A. The patient is dependent on the somatosensory system only B. The patient is dependent on all three systems C. The patient is dependent on vision only D. The patient is dependent on the vestibular system but lacks pain, temperature, and vibration sensation 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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Cranial Nerve Examination
04/08/2021 Duration: 15minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Caihong is treating a patient with a suspected CN XI injury. Which of the following would be the LEAST likely found during a routine examination? A. Atrophy, fasciculations, ipsilateral weakness B. Inability to shrug ipsilateral shoulder C. Inability to turn head contralaterally D. Weakness of contralateral sternocleidomastoid and trapezius 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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Headaches
28/07/2021 Duration: 20minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Ryllis is a 21-year-old male who presents to physical therapy complaining of severe headaches that typically occur only on the left side. The patient describes the pain as “throbbing or pulsating” and concentrated around and behind the left eye. Which of the following types of headache is the patient most likely experiencing? A. Acute whiplash injury B. Migraine headaches C. Tension headaches D. Cervicogenic headaches 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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Modalities Education Workshop
21/07/2021 Duration: 17minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Sam is performing an educational workshop for other therapists about the proper utilization of low-dose ultrasound in clinical practice. Which of the following conditions is low-dose ultrasound considered CONTRAINDICATED: A. Over the distal femur in a 16-year-old with quadriceps tendonitis B. Over the site of a healing proximal humeral fracture in a 34-year-old female C. Over the lower back in a 31-year-old female who is 2 weeks postpartum D. Over the hip in a 60-year-old female with a total hip replacement using methyl methacrylate 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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Determining Neurological Level Of Injury
14/07/2021 Duration: 24minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Elsa is evaluating a patient with a recent spinal cord injury. The patient presents with intact sensation along the lateral shoulders, lateral forearms, and thumbs. Myotomal testing reveals 5/5 elbow flexors, 3+/5 wrist extensors, and 1/5 elbow extensors and finger flexors, bilaterally. According to the ASIA impairment rating scale, which of the following should be documented into the patient's medical record: A. C6 Neurological level of Injury B. C5 Neurological level of Injury C. C7 Neurological level of Injury D. C8 Neurological level of Injury 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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Bariatric Wheelchair
07/07/2021 Duration: 21minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Annie is being discharged home from the inpatient setting following a fracture of her right pelvis. She is having difficulty propelling her new wheelchair and cannot travel more than 30 feet before becoming fatigued. The therapist realizes that the patient's severe obesity is impacting her wheelchair mobility. Which of the following wheelchair adjustments would BEST improve the patient's mobility? A. Move the front casters back B. Move the rear axle forward C. Move the rear axle back D. Allow the patient to use a lower extremity to assist with propulsion Did you get this question wrong?! If you were stuck between two answers and selected the wr
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The Man Behind The Mission
30/06/2021 Duration: 01h05minI am switching it up this week to let you in on my story so that you can see what YOU are capable of. I faced intense challenges like test anxiety, low self-esteem and even lower self-worth. In this episode I laid it all out there to help you better understand the specialized theory behind The PT Hustle and why I developed a system that will make you dominate the NPTE! If you feel that you’ve been branded as a failure, stay in alignment. You are not alone! The PT Hustle is here to support students that were just like me. We focus on helping you steal your power back through a holistic approach that is going to change your experience with the NPTE! Links Mentioned: If you want to hear more on my experience with the NPTE test, join www.NPTEgroup.com I would love to connect with you, reach out to help@thepthustle.com Check out our courses and get started today! Visit NPTE Prep Courses --- Support this podcast: https://anchor.fm/thepthustle/support
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Medial Heel Pain
23/06/2021 Duration: 16minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Zamara is treating a patient with recurrent medial heel pain with long-distance walking and running. During quiet standing, the patient has a flat medial longitudinal arch and overpronation of the rearfoot. Which of the following muscles is MOST likely weak: A. Fibularis longus B. Extensor hallicus longus C. Posterior tibialis D. Gastrocnemius 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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Congenital Hip Dysplasia
16/06/2021 Duration: 13minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Ehsan is treating a 5-month-old child with congenital hip dysplasia. The therapist is considering the use of a Pavlik harness. Which of the following motions is the MOST recommended with the use of this device: A. Hip flexion and abduction B. Hip extension, abduction, and internal rotation C. Pelvic protraction, hip flexion, and hip internal rotation D. Neutral hip position with 30 degrees of external rotation 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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Forefoot Varus
09/06/2021 Duration: 18minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Shaniqua presents with left foot pain along lateral side of the 5th metatarsal. Upon examination, the patient has a 14 degree fixed forefoot varus. During quiet standing, the patient’s rearfoot is noticeably everted. Which of the following interventions is the MOST recommended: A. Metatarsal bar B. Lateral rearfoot wedge C. Medial forefoot wedge D. Additional padding along the 5th metatarsal 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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Medication & PT Treatment
02/06/2021 Duration: 15minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Fran is three days status post open reduction internal fixation (ORIF) after a femoral fracture. The patient is currently taking morphine, lisinopril, and hydrochlorothiazide. Before performing out of bed activities, the therapist should be MOST concerned about: A. Blood pressure B. Heart Rate C. Urinary output D. Pain level 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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Lymphedema 2
26/05/2021 Duration: 20minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Annie presents with a recent onset of right upper extremity lymphedema after a right radical mastectomy with lymph node dissection. The patient's lymphedema no longer improves with elevation. Which of the following is MOST recommended: A. Manual lymph drainage, long stretch bandages, aerobic exercise B. Manual lymph drainage, short stretch bandages, aerobic exercise C. Manual lymph drainage, pneumatic compression 70 - 80mmhg D. Short stretch bandages, limb elevation, the purchase of custom garments 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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Individuals with Disabilities Education Act (IDEA)
19/05/2021 Duration: 16minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Adisa is working with a child with cerebral palsy in the school system. The therapist would like to ensure that the child is being provided all necessary care according to the Individuals with Disabilities Education Act. Which of the following is NOT covered under IDEA? A. Therapist directed interventions to be performed by the child's teacher B. Monthly reassessments to monitor the child's progress C. A standing frame to facilitate learning in the classroom D. A position in any given extracurricular activity or sport 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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Pregnancy & Exercise
12/05/2021 Duration: 15minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Milana is five months pregnant and is requesting wellness advice from a physical therapist on living a more active lifestyle. Considering this patient's condition, which of the following is an absolute contraindication for aerobic exercise? A. History of pulmonary fibrosis B. BMI of 17 C. History of recurrent ankle sprains D. History of a sedentary lifestyle 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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Neurologic Examination
28/04/2021 Duration: 15minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Priya is being evaluated for lower back pain with symptoms radiating into her right lower extremity. The patient's diagnostic imaging shows an L3 intervertebral foraminal encroachment. Upon examination, which of the following is the LEAST likely to be observed: A. Normal hip flexion strength B. Diminished sensation along the distal anteromedial thigh & knee C. 3+ knee jerk reflex D. Intact vibration sensation at the medial malleolus 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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Blood Pressure
21/04/2021 Duration: 18minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Jince is being trained in assessing a patient's blood pressure in the lower extremity using the popliteal artery. To accurately identify the highest pressure exerted by blood on the arterial wall, the student should be instructed to listen for: A. Sudden muffling, with a soft blowing quality B. A second round of intense rhythmic tapping after a brief pause C. A murmur or swishing sound D. The first clear, faint rhythmic tapping sounds 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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Burn Interventions
14/04/2021 Duration: 17minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Jessica is treating a patient with a partial thickness burn extending down to the papillary layer of the dermis. Which of the following is the physical therapist's PRIMARY ROLE: A. Prepping the wound for primary intention strategies B. Debridement of small and sturdy blisters C. Ensuring mobility of surrounding joints in preparation for surgical intervention D. Desiccation of the burn site 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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Mechanical Traction 2
07/04/2021 Duration: 15minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Manny is treating a patient with a medial lumbar disc protrusion and severe radicular lower extremity pain. During mechanical traction, the patient reports a complete resolution of pain. Which of the following is the BEST course of action? A. Continue with traction and monitor pain levels B. Terminate traction and refer back to the physician C. Assess the patient's lower extremity sensation and reflexes D. Increase intensity of traction force 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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Understanding The Cooldown
31/03/2021 Duration: 14minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Carrie is treating a patient post heart transplant in cardiac rehabilitation. The treating therapist instructs the patient to perform a 5-10 minute cooldown following a 25-minute aerobic exercise. Which of the following is the MOST likely rationale for the cooldown: A. To prevent a rapid increase in blood pressure B. Maintain adequate venous return C. Facilitate the removal of lactic acid D. Increase myocardial oxygen demand 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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Documenting Signs
24/03/2021 Duration: 16minAre you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Jake was involved in a driver's side motor vehicle accident and has been diagnosed with a ruptured spleen. The patient complains of left shoulder pain even though the left shoulder has been cleared of musculoskeletal injury. Which finding should be documented into the patient's record: A. Kehr sign B. Murphy’s sign C. Blumberg’s sign D. Bakody's Sign 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