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.
45episodes
Episodes
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Sensitivity & Specificity Principles
Mar 2500:11:00Tap to summarizeCarmen is performing a special test on her patient. The test has a sensitivity of 95% and a specificity of 30%. The patient tests negative. What is the BEST interpretation?A) The condition is unlikely presentB) The condition is likely presentC) The test confirms the diagnosisD) The test has low false negativesJoin the FREE Facebook Group: www.nptegroup.com
Transcribe →A Must Know Neurologic Examination Concept
Mar 1800:11:19Tap to summarizeElena presents with significant muscle atrophy in the lower extremities, fasciculations of the gastrocnemius, and a 1+ Achilles tendon reflex. During gait, the patient demonstrates a "slapping" foot strike. These signs are MOST indicative of: A) A lesion in the corticospinal tractB) An injury to the cerebellumC) Compression of the posterior columns D) A lesion in the anterior horn cellsJoin the FREE Facebook Group: www.nptegroup.com
Transcribe →Lumbar HNP Treatment
Mar 1100:10:55Tap to summarizeYesenia is a 37-year-old patient with lumbar disc herniation who reports pain radiating to the posterior thigh. During treatment, repeated lumbar extension causes leg pain to resolve but increases central low back discomfort. Which intervention is MOST appropriate to continue?A) Discontinue extension due to increased lumbar painB) Progress lumbar flexion exercises to reduce spinal compressionC) Continue repeated lumbar extension within toleranceD) Introduce hamstring stretching to reduce neural tensionJoin the FREE Facebook Group: www.nptegroup.comDownload my lumbar spine intervention cheatsheet: www.nptecheatsheet.com/lumbar-treat
Transcribe →Transfemoral Amputee Gait Deviation
Mar 400:11:45Tap to summarizeBenito, a patient with a right transfemoral amputation, demonstrates circumduction of the prosthetic limb during the swing phase. Which of the following prosthetic causes is MOST likely contributing to this deviation?A) Insufficient socket flexionB) Socket is excessively abductedC) Knee friction is too lowD) Foot is set too posteriorlyJoin the FREE Facebook Group: www.nptegroup.com
Transcribe →Pediatric Clinical Decision Making
Feb 2500:10:57Tap to summarizeVictor is a 12-year-old male who presents with a limp and groin pain. The hip rests in external rotation, and hip flexion produces obligatory external rotation. Which of the following should the physical therapist initiate FIRST?A) Begin hip strengthening and gait trainingB) Stretch hip internal rotators and adductorsC) Make the patient non–weight bearing and refer urgentlyD) Initiate aquatic therapy for pain-free ROMJoin the FREE Facebook Group: www.nptegroup.com
Transcribe →Cranial Nerve Examination Part 2
Feb 1800:10:38Tap to summarizeBelsnickel is a 63-year-old male who presents with right-sided facial paralysis, inability to abduct the right eye, and an absent corneal blink reflex on the right. Sensation to the face is intact. These findings are MOST consistent with a lesion affecting which of the following cranial nerves?A) Cranial nerve V, VIB) Cranial nerve VIC) Cranial nerve VI, VIID) Cranial nerve II, VIJoin the FREE Facebook Group: www.nptegroup.com
Transcribe →Cranial Nerve Examination Part 1
Feb 1100:09:32Tap to summarizeJuvelyn shows an impaired corneal reflex, loss of facial sensation, and difficulty chewing on the right side. Which of the following is MOST likely impaired?A) Difficulty chewing on the leftB) Vertebrobasilar insufficiency (VBI) test on the rightC) Jaw jerk testD) SwallowingUse PTH020 to get 20% off the 90-day Truelearn Subscription: www.truelearn.comDownload my quick cranial nerves cheatsheet: www.nptecheatsheet.com/cranial
Transcribe →Pediatric Lower Extremity Evaluation
Feb 400:10:59Tap to summarizeHallie presents with bilateral anterior knee pain and an in-toeing gait. Craig’s test reveals 10° of femoral anteversion on both sides. Which of the following special tests is MOST appropriate to further assess the cause of the in-toeing?A) FABER testB) Tibial torsion testC) Q-angle measurementD) Thomas testJoin the FREE Facebook Group: www.nptegroup.com
Transcribe →NPTE Medications Side Effects
Jan 2800:09:27Tap to summarizeLionel has a past medical history of hypertension and has been referred to physical therapy for generalized fatigue and reduced exercise tolerance. During the session, the therapist notes mild bilateral lower extremity edema. Which of the following medications is MOST likely contributing to these findings?A) LisinoprilB) FurosemideC) AmlodipineD) MetoprololJoin the FREE Facebook Group: www.nptegroup.com
Transcribe →NPTE Unfamiliar Terms
Jan 2100:09:45Tap to summarizeFaith is a 65-year-old female recovering from hip replacement surgery and presents with mild calf swelling and tenderness. Based on Virchow’s Triad, which of the following is the LEAST likely contributing factor to her symptoms?A) Endothelial injuryB) Stasis of blood flowC) HypercoagulabilityD) Arterial insufficiencyJoin the FREE Facebook Group: www.nptegroup.comDownload my unfamiliar terms cheatsheet: www.nptecheatsheet.com/unfamiliar-terms
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