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    Education

    NPTE Clinical Files | Physical Therapy

    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.

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    • Apple Podcasts
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    Latest Episodes:
    NPTE Stroke Question Nov 01, 2023
    Show notes

    Kelly is a 60-year-old patient who is post-stroke and exhibits a steppage gait pattern. What is the MOST likely underlying neuromuscular deficit contributing to this gait deviation?

    A) Weak hip flexors

    B) Weak ankle dorsiflexors

    C) Spastic quadriceps

    D) Spastic hip adductors

    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

    Research Correlation Oct 25, 2023
    Show notes

    Janie is a physical therapist who is conducting research to determine the relationship between hours of standing per day and the severity of lower back pain in factory workers. After analyzing the data, the therapist finds a positive, strong correlation (r = 0.85) between the two variables. What does this correlation coefficient indicate?

    A) An 85% chance that standing longer hours directly causes increased back pain severity.

    B) A strong relationship between hours of standing and back pain severity, but not necessarily a cause-and-effect relationship.

    C) A negative relationship between hours of standing and back pain severity.

    D) An insignificant relationship between the two variables.


    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

    Knee Pain Oct 18, 2023
    Show notes

    Roger is a 45-year-old is an avid cyclist who presents with anterior knee pain, especially after long rides. The pain is localized near the patellar tendon's inferior pole. What condition best describes these symptoms?

    A) Patellofemoral pain syndrome

    B) Osgood-Schlatter disease

    C) Patellar tendinitis

    D) Chondromalacia patellae

    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

    ACL Reconstruction Protocol Oct 04, 2023
    Show notes

    Jason is a 25-year-old soccer player who sustained an anterior cruciate ligament (ACL) injury 8 weeks ago and underwent surgical repair. Current therapy goals are to restore neuromuscular control and proprioception. Which exercise will BEST address these goals?

    A) Open-chain knee extension exercises in sitting

    B) Balance exercises on a wobble board

    C) Prone hamstring curls

    D) Passive range of motion of the knee

    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

    Examination Findings & Congestive Heart Failure Sep 27, 2023
    Show notes

    Betty is 55-year-old female with a history of congestive heart failure who presents with complaints of dyspnea during moderate activities. She mentions that she has been sleeping with three pillows at night for comfort. Given this information, which clinical term best describes her sleeping condition?

    A) Eupnea

    B) Hyperpnea

    C) Orthopnea

    D) Apnea

    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

    Cardiopulmonary Findings Sep 20, 2023
    Show notes

    Charese presents a history of chronic obstructive pulmonary disease (COPD) performs a six-minute walk test. Which outcome, if observed during the test, would indicate an exacerbation or worsening of the patient's COPD?

    A. Increased stride length

    B. Decreased use of accessory muscles for breathing

    C. A decrease in SpO2 below 90%

    D. A decrease in respiratory rate

    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

    Total Hip Arthoplasty Posterior Approach Sep 13, 2023
    Show notes

    Vicky is 67-year-old female with advanced osteoarthritis is scheduled for a total hip arthroplasty. The orthopedic surgeon decides on a posterior approach. Which of the following is the PRIMARY reason for utilizing a posterior approach during the procedure?

    A. Minimize disruption to hip flexors

    B. Provide better access to the acetabulum

    C. Avoid risk to the sciatic nerve

    D. Reduce surgical time

    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

    Low Energy Hip Fracture Sep 06, 2023
    Show notes

    Jess is working with a patient who has sustained a low-energy hip fracture. These types of fractures are MOST common in which population?

    A. High-performance athletes during intense training.

    B. Postmenopausal women with osteoporosis.

    C. Children between the ages of 5-10 years.

    D. Middle-aged men during heavy weightlifting sessions.


    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

    Motor Vehicle Accident Aug 30, 2023
    Show notes

    Kemmie is a 48-year-old female patient, who was recently involved in a motor vehicle accident and presents with a T10 level spinal cord injury. In addition to bladder dysfunction and decreased sensation below the level of injury, she is MOST likely to exhibit which of the following?

    A. Quadriplegia

    B. Absent lower extremity reflexes

    C. Absent sensation in C7 dermatome

    D. Normal upper extremity strength

    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

    Myocardial Infarction 2 Aug 23, 2023
    Show notes

    Jerry presents with a history of myocardial infarction and reports experiencing chest pain during exercise. Which of the following interventions would be MOST appropriate? A. Discontinue exercise immediately and refer the patient to a physician

    B. Continue exercise at a reduced intensity level

    C. Increase the duration of exercise to build endurance

    D. Use resistance training to improve cardiac function

    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

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