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.
44episodes
Episodes
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Retention vs Acquisition: A High-Yield NPTE Motor Learning Question
1w ago00:12:43Tap to summarizeAnisa is being treated in an inpatient rehabilitation facility following a traumatic brain injury (TBI). The physical therapist has been training the patient to ambulate using a two-point gait pattern with a single-point cane. Anisa consistently performs the gait pattern correctly in a quiet hallway without verbal cueing. Which of the following is the BEST strategy to improve long-term retention and carryover of this skill?A) Open environment with randomized practiceB) Closed environment with serial practiceC) Open environment with serial practiceD) Closed environment with blocked practiceText our team the word COACH for a free diagnostic: (727) 732-4573
Transcribe →Genu Valgum Examination - Must Know NPTE Concept
2w ago00:12:18Tap to summarizeTasnuva is referred to physical therapy for progressively worsening right knee pain. The patient reports symptoms that have gradually increased over the past year and are aggravated by prolonged walking. Observation reveals right coxa vara and significant genu valgum during standing. Which of the following structures is MOST likely contributing to the patient’s symptoms?A) Anterior cruciate ligamentB) Gluteus medius tendonC) Medial meniscusD) Lateral meniscusText our team the word COACH for a free diagnostic: (727) 732-4573
Transcribe →Radial Head Displaced Fracture - LEAST LIKELY
3w ago00:11:39Tap to summarizeStephanie is evaluating a patient 8 weeks after sustaining a displaced radial head fracture following a fall onto an outstretched hand. The patient reports persistent lateral elbow pain, difficulty actively extending the wrist and fingers, and weakness when gripping objects. Which of the following examination findings is LEAST likely?A) 5/5 elbow extension manual muscle testB) Limited forearm supination range of motionC) Diminished finger extension passive range of motionD) Decreased power grip strengthJoin the FREE NPTE Facebook Group: www.nptegroup.comText our team the word COACH for a free diagnostic: (727) 732-4573
Transcribe →Non-Systems - Appropriate Discharge
4w ago00:11:51Tap to summarizeJeff is a 78-year-old patient recovering from a right CVA. The patient requires moderate assistance for transfers and bed mobility. During therapy, frequent vital sign monitoring is necessary due to ongoing cardiac instability. The patient is now able to tolerate approximately 75 minutes of therapy each day; however, they live alone in a two-story home. Which of the following is the MOST appropriate discharge setting?A) Inpatient rehabilitation facilityB) Skilled nursing facilityC) Home with home health physical therapyD) Long-term acute care hospitalJoin the FREE NPTE Facebook Group: www.nptegroup.comText our team the word COACH for a free diagnostic: (727) 732-4573
Transcribe →Diabetes Examination
Jul 800:15:54Tap 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
Jul 100:13:19Tap 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
Jun 2400:14:07Tap 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
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