Podcast
NPTE Clinical Files | Physical Therapy
Hosted by Kyle Rice · EN
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.
40episodes
Episodes
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Diabetes Examination
2w ago00:15:54Tap to summarizeChimezie is performing an initial examination of a patient with type 2 diabetes mellitus. The patient’s most recent hemoglobin A1C is 6.7%. During inspection of the right foot, the therapist observes a small ulcer on the plantar surface beneath the fifth metatarsal head. The patient reports progressively limiting walking activities because of discomfort in the involved foot. Which of the following examination procedures is MOST important for the therapist to perform?A) Measure the patient’s maximum ambulation distanceB) Inspect the medial ankle for additional ulcerationC) Test protective sensation using a 10-g monofilamentD) Measure capillary blood glucose before continuing the examinationText our team the word COACH for a free diagnostic: (727) 732-4573
Transcribe →Congenital Muscular Torticollis
3w ago00:13:19Tap to summarizeSando is a 4-month-old infant receiving physical therapy for right congenital muscular torticollis. The physical therapist notes improved cervical alignment, increased tolerance to prone positioning, and improved active midline head control. Which of the following goals would be MOST appropriate to include in the patient's plan of care?A) Restore left cervical rotation passive ROMB) Restore right cervical rotation passive ROMC) Restore right cervical side-bending passive ROMD) Restore length of the left sternocleidomastoid muscleJoin the FREE NPTE Facebook Group: www.nptegroup.comText our team the word COACH for a free diagnostic: (727) 732-4573
Transcribe →Scenario - Recreational Runner Anterior Hip Discomfort
4w ago00:14:07Tap to summarizeLeMarcus is a 42-year-old recreational runner who reports progressive anterior hip discomfort after increasing mileage over the past 2 months. Examination reveals:* Hip flexion ROM: 125°* Hip extension ROM is limited compared to the uninvolved side* Positive Thomas test* Negative Ely’s test* Hip flexor strength: 5/5* Hip extensor strength: 5/5* Negative FABER testWhich of the following activities would MOST likely be limited?A) Riding a stationary bicycleB) Walking with a long stride lengthC) Rising from a low chairD) Descending stairs with the affected leg firstJoin the FREE NPTE Facebook Group: www.nptegroup.com
Transcribe →Deep Tendon Reflex Assessment
Jun 1700:11:44Tap to summarizeGarret is a 30-year-old patient who was hospitalized 3 days ago after being diagnosed with Guillain-Barré syndrome. During examination, the patient is able to perform repeated seated marches without difficulty. However, the therapist notes impaired sensation in a glove-and-stocking distribution and difficulty with heel- and toe-walking. The therapist decides to assess the hip flexor deep tendon reflex. Which of the following reflex grades is MOST likely?A) 0B) 1+C) 2+D) 4+Join the FREE NPTE Facebook Group: www.nptegroup.com
Transcribe →Mobilization Grades & Application
Jun 1000:13:14Tap to summarizeUlises presents with intermittent upper extremity paresthesia reproduced with overhead activity. Examination reveals an elevated first rib on the involved side without reports of soft tissue tenderness. Which of the following mobilization techniques is MOST appropriate?A) Large-amplitude oscillations performed into tissue resistanceB) Small-amplitude oscillations performed into tissue resistanceC) Large-amplitude oscillations performed before tissue resistanceD) Small-amplitude oscillations performed before tissue resistanceText our team the word COACH for a free diagnostic: (727) 732-4573Join the FREE Facebook Group: www.nptegroup.com
Transcribe →Substance Abuse & Ethics
Jun 300:14:09Tap to summarizeBrendaisha is a physical therapist who becomes concerned about a colleague who previously completed rehabilitation for substance abuse. Over the past several weeks, the colleague has demonstrated increasing tardiness, reduced attention during patient care, and episodes of excessive drowsiness while completing documentation. No direct evidence of substance use has been observed, and no adverse patient events have occurred. Which of the following actions is MOST appropriate?A) Report the colleague to the state licensing board due to suspected relapseB) Delay intervention unless patient safety is clearly compromisedC) Discuss the observed behaviors privately with the colleague and follow organizational reporting policies if concerns continueD) Continue monitoring the situation until substance use can be objectively verifiedText our team the word COACH for a free diagnostic: (727) 732-4573Join the FREE Facebook Group: www.nptegroup.com
Transcribe →Non-System Ultrasound Safety
May 2700:10:15Tap to summarizeA physical therapist is mentoring a student physical therapist during an outpatient orthopedic clinical rotation. The therapist plans to administer therapeutic ultrasound using the following parameters:* 3 MHz frequency* 20% pulsed duty cycle* 0.5 W/cm² intensity* 6-minute treatment durationWhich of the following patients should NOT receive this treatment?A) A 14-year-old basketball player with Osgood-Schlatter disease over an open tibial epiphyseal plateB) A 72-year-old patient status post cemented total knee arthroplasty 8 months agoC) A 68-year-old male with benign prostatic hyperplasia receiving treatment to the lumbar paraspinalsD) A 59-year-old patient with diabetic neuropathy and absent protective sensation over the treatment regionLooking for a quick way to learn important info about Therapeutic Ultrasound?Download my free cheatsheet here: www.nptecheatsheet.com/therapeutic-usJoin the FREE Facebook Group: www.nptegroup.com
Transcribe →Neurologic Gait Evaluation
May 2000:15:06Tap to summarizeHarry presents with a right-sided posterolateral disc herniation at L5-S1 and demonstrates weakness associated with the involved nerve root. Which of the following gait deviations is MOST likely?A) Diminished propulsion during terminal stanceB) Increased plantarflexion following initial contactC) Contralateral pelvic drop during stanceD) Genu recurvatum during stanceJoin the FREE Facebook Group: www.nptegroup.comAre your scores stuck despite working hard? Take my diagnostic quiz: https://thepthustle.com/blocks
Transcribe →Wound Care Dressing Selection - Peripheral Vascular Disease
May 1300:11:17Tap to summarizeJason is a patient with peripheral vascular disease who presents with a lower leg wound containing dry, adherent slough and minimal exudate. The wound bed appears desiccated, and the surrounding skin is fragile but intact. Which of the following interventions is MOST appropriate?A) Transparent filmB) HydrocolloidC) Impregnated gauzeD) Amorphous hydrogelJoin the FREE Facebook Group: www.nptegroup.comGet my Top 10 MSK Cheatsheets for free: www.nptecheatsheets.com
Transcribe →ACL & Meniscal Surgical Precautions/Contraindications
May 600:12:05Tap to summarizePetey is 4 weeks status post ACL reconstruction with a semitendinosus autograft and partial meniscectomy. Which of the following interventions is LEAST appropriate at this time?A) Quad sets held in knee extensionB) Mini squats to 45 degreesC) Resisted knee flexion with a 3-lb ankle weight in proneD) Sidelying straight leg raisesJoin the FREE Facebook Group: www.nptegroup.comUse PTH020 to get 20% off the 90-day Truelearn Subscription: www.truelearn.com
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