NPTE Clinical Files | Physical Therapy

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Lower Leg Differential Diagnosis Jan 18, 2023

Show notes

Ryan presents with anterolateral leg pain and reports progressive worsening since an increase in his training regimen over the past two weeks. Symptoms appear in the later stages of running and last 2-3 hours after the run. The anterior tibialis muscle is tender and taut on palpation. Resisted dorsiflexion is strong but reproduces the patient's pain. Which of the following is the MOST likely diagnosis?

A. Medial Tibial Stress Syndrome

B. Stress fracture

C. Acute compartment syndrome

D. Chronic exertional compartment syndrome

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Wound Classification Jan 11, 2023

Show notes

Kemp is treating a patient with lymphedema who presents to physical therapy with a script for wound care. The patient’s chart describes the wound bed as shallow and irregular on the anteromedial lower leg. In addition, the peri-wound area is described as scaly, weepy, and warm with hemosiderin staining. Which wound type does the patient MOST likely have based on this clinical presentation?

A. Vascular venous

B. Arterial

C. Mixed

D. Inflammatory vasculitis

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Pulse Assessment Jan 04, 2023

Show notes

Rosa presents with a history of CAD and has complaints of pale cool skin on the right lower extremity. The therapist suspects a femoral artery dysfunction. Which of the following pulses is BEST to indicate an impaired flow or blockage in femoral artery?

A. Carotid

B. Femoral

C. Popliteal

D. Pedal

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Gait Interventions Dec 28, 2022

Show notes

Estephania is treating a patient with a transfemoral amputation who presents with excessive right hip flexion during routine gait analysis. Upon examination, the patient has 4/5 gross MMT and decreased right hip extension range of motion. Which of the following interventions is the MOST appropriate?

A. Single leg bridging

B. Prone lying positioning

C. 6’’ step downs

D. Anterior stump desensitization

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Cardiac Rehabilitation Dec 21, 2022

Show notes

Bhava is a physical therapist who is educating a group of practitioners on indications for cardiac rehabilitation. Which of the following diagnoses is the LEAST appropriate for a formal cardiac rehabilitation program?

A. Coronary artery bypass graft (CABG)

B. Acute myocardial infarction

C. Chronic heart failure with unstable angina

D. Percutaneous transluminal coronary angioplasty

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Diastasis Recti Dec 14, 2022

Show notes

Heather is a 32-year-old who presents two weeks postpartum with low back pain. She has a referral to evaluate and treat her 2.25cm diastasis recti. Which of the following interventions would be the MOST appropriate to treat this condition?

A. Hooklying abdominal crunches

B. Hooklying head lifts while hands crossed over midline

C. Hooklying diagonal trunk curls

D. Supine pelvic floor repeated contraction

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Neurological Assessement & Sensory Function Dec 07, 2022

Show notes

Blherim performs a routine examination of a patient's neurological function of their hand. Using calipers with a fine tip, the patient can perceive two points when the distance between the points is 11mm or greater. This finding is MOST consistent with which of the following:

A. Dorsal column injury

B. Anterior horn cell lesion

C. Spinocerebellar tract lesion

D. Damage to the precentral gyrus

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Musculoskeletal Origin Nov 23, 2022

Show notes

Jenny presents with an idiopathic onset of anterior shoulder pain. Which of the following is NOT consistent with a musculoskeletal origin:

A. Night pain while lying on the affected side

B. Intractable pain

C. Positive Hornblower's sign

D. No change in symptoms with bowel movements

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Overpronation Nov 16, 2022

Show notes

Jesse presents with complaints of right lateral knee pain. Upon gait assessment, the patient has significant overpronation on the right. Which of the following examination findings would BEST explain the observed overpronation?

A. Forefoot valgus

B. Femoral anteversion

C. Genu varum

D. Hip flexor weakness

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

Cryotherapy Nov 09, 2022

Show notes

Sohaila is a clinical instructor testing her student on the physiological effects of cryotherapy. Which of the following is NOT an effect of cryotherapy?

A. Pain reduction

B. Decrease in spasticity

C. Reduction in joint stiffness

D. Decrease in nerve conduction velocity

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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