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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Knee Pain Differential & Examination Findings
Jan 1400:10:46Tap to summarizeSkye is a soccer player who reports intermittent knee locking and joint line pain following a twisting injury 2 weeks ago. The McMurray test reproduces pain with a click. Which additional clinical finding would MOST support the suspected diagnosis?A) Positive Pivot shift test B) Negative Clarke’s testC) Positive Thessaly test at 20° flexionD) Pain with valgus stress testingJoin the FREE Facebook Group: www.nptegroup.com
Transcribe →Lymph Node Dissection
Jan 700:10:40Tap to summarizeBrittinie presents with difficulty pushing up from a chair, weakness with shoulder extension and adduction, and no significant sensory deficits. She recently underwent axillary lymph node dissection following surgery for breast cancer. Which of the following peripheral nerves is MOST likely injured?A) Axillary nerveB) Thoracodorsal nerveC) Long thoracic nerveD) Radial nerveJoin the FREE Facebook Group: www.nptegroup.com
Transcribe →Scar Tissue Mobilization Techniques
Oct 1500:07:42Tap to summarizeDiego is six weeks post-rotator cuff repair and reports stiffness and a pulling sensation near the surgical incision during overhead movement. Examination reveals restricted shoulder range of motion and palpable adhesions. Which technique is MOST appropriate to address the patient’s symptoms?A) EffleurageB) Transverse friction massageC) Myofascial releaseD) Joint mobilizationDOWNLOAD THIS EPISODE'S CHEATSHEET:www.nptecheatsheet.com/soft-tissue
Transcribe →COPD: Exercise Testing & Prescription
Oct 800:11:10Tap to summarizeLuca is a 68 year old male with moderate COPD who is referred for physical therapy to improve exercise tolerance. He reports dyspnea with minimal exertion and has a 6-minute walk test distance of 250 meters. His resting oxygen saturation is 92% on room air. Which of the following is the MOST appropriate initial exercise approach?A) Interval training with short work and rest periods at moderate intensityB) Continuous training at 75% of peak work rate to build enduranceC) Resisted walking with a weighted vest to strengthen lower extremitiesD) Breathing retraining combined with unsupported upper extremity exercisesJoin the FREE Facebook Group: www.nptegroup.com
Transcribe →Alzheimer’s Disease: PT Treatment
Oct 100:10:30Tap to summarizeAmara presents with mild to moderate Alzheimer’s disease and has impaired gait and balance. She becomes disoriented in new environments and struggles with multi-step instructions.Which intervention is MOST appropriate for this patient?A) High-intensity balance exercises on uneven surfacesB) Dual-task training to improve cognitive functionC) Structured gait training in a familiar environmentD) Community ambulation to enhance adaptabilityTEXT OUR TEAM: (727) 732-4573
Transcribe →Post-Op Total Knee Arthroplasty
Sep 2400:09:50Tap to summarizeHelga is two days post-total knee arthroplasty (TKA) and reports moderate knee pain and stiffness. Her knee range of motion is 0–45 degrees, and her incision is well-approximated with mild edema. Which intervention is MOST appropriate to prioritize during this session?A) Full weight bearing on the surgical legB) Low-intensity range of motion exercises to increase knee flexionC) Ambulation with a rollator walker for at least 200 feetD) Manual lymphatic drainage to reduce swellingDOWNLOAD THIS EPISODE'S CHEATSHEET:www.nptecheatsheet.com/tka
Transcribe →Electrotherapy- Indications & Contraindications New
Sep 1700:10:48Tap to summarizeFreda presents with persistent shoulder pain following rotator cuff repair surgery. The therapist considers using electrical stimulation for pain management. The patient has a history of mild hypertension controlled with medication and reports occasional muscle spasms in the surgical area. Which of the following would MOST likely require avoidance of electrical stimulation?A) Metal anchors used during surgical fixationB) Recent use of anti-hypertensive medicationC) Active muscle spasms near the surgical siteD) Impaired sensation over the affected shoulderJoin the FREE Facebook Group: www.nptegroup.com
Transcribe →Integumentary Outcome Measures
Sep 1000:08:52Tap to summarizeMohammad is documenting outcomes for a patient who has been treated for a venous ulcer. Which of the following improvements is the MOST significant to report? A) The patient reports a decrease in pain from 6/10 to 2/10 B) The patient's walking distance has increased from 100 meters to 300 meters C) The wound size has decreased from 6 cm² to 3 cm² D) The patient's lower leg swelling has reduced by 50%TEXT OUR TEAM:(727) 732-4573
Transcribe →Surgical Pain Examination
Sep 300:08:38Tap to summarizeSweeney recently underwent a hysterectomy and requests to sit after ambulating a few feet. The patient reports dizziness and right lower extremity pain. On examination, her resting heart rate is 102 bpm, and she has significant swelling in her right lower leg. Which of the following should be assessed FIRST: A) Walking distance before stopping B) Pulse pressure C) Deep calf tenderness D) Dorsal pedal integrityDOWNLOAD THIS EPISODE'S CHEATSHEET:www.nptecheatsheet.com/dvt-implications
Transcribe →Shoulder Instability- Recognizing & Testing
Aug 2700:08:13Tap to summarizeAzaria is a 22-year-old swimmer with intermittent right shoulder pain who complains of a slipping sensation during overhead activities. Which of the following tests should be performed FIRST?A) Apprehension test B) Speed's test C) Drop arm test D) Load and shift test Join the FREE Facebook Group: www.nptegroup.com
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