NPTE Clinical Files | Physical Therapy
NPTE Clinical Files | Physical Therapy
Kyle Rice
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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 to solve clinical puzzles while learning the latest research related to the topic. Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Respiratory Interventions
Richard 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
Apr 17
10 min
Stroke & Motor Learning
Vivek 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
Apr 10
13 min
Right Congestive Heart Failure
Henry 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
Apr 3
12 min
Neurological Differential Diagnosis
Andrea 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
Mar 27
12 min
Ramp Specifications & ADA Requirements
A 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
Mar 20
10 min
Pediatric Evaluation
Jessie 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
Mar 13
12 min
Initial Course of Action
Joscelin 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
Mar 6
12 min
HIPAA
Henry 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
Feb 28
10 min
Upper Extremity Nerve Examination
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 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
Feb 21
14 min
Chronic Anemia
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 stuck. Join the group specifically built to help PT Students DOMINATE the NPTE: www.nptegroup.com Want the NPTE cheatsheet that goes with this episode? Download it here: https://www.nptecheatsheet.com/chronic-anemia1 --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Feb 14
12 min
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