NPTE Clinical Files | Physical Therapy

Latest Episodes:

Pusher's Syndrome Nov 02, 2022

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Roger is status post cerebrovascular accident and is being evaluated by physical therapy. The patient seems to disregard safety and repeatedly falls onto their weak side. Which of the following is a diagnostic factor of Pusher Syndrome:

A. Contralateral loss of pain and temperature sensation

B. Trunk lean towards the uninvolved side

C. Abduction of the uninvolved extremities

D. Inability to push through involved upper extremity

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Wound Functional Outcomes Oct 26, 2022

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Jenny is assessing an immobilized patient with a sacral pressure wound. During the assessment, the therapist examines the change in wound and surrounding skin attributes, reduction in wound depth, change in exudate characteristics, and wound closure. These performance indicators are all associated with which of the following outcomes?

A. Progression through the phases of wound healing

B. Oxygenation or perfusion of tissue

C. Reduced or controlled edema

D. Infection control

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Diabetes Symptoms Oct 19, 2022

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Hasim is educating a patient on the negative effects of diabetes on the body. Which of the following is NOT a sign or symptom of untreated or uncontrolled diabetes mellitus?

A. Polyuria

B. Polydipsia

C. Polyphagia

D. Weight gain

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Manual Muscle Testing Oct 12, 2022

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Juri is performing elbow flexion manual muscle testing on a 16-year-old male athlete. Elbow flexion was graded a 4 out of 5, and the motion was strong but painful. Based on the findings, the therapist should reasonably conclude which of the following?

A. No lesion or neurological deficit involving the tested muscle and tendon

B. Minor lesion of the tested muscle or tendon

C. Disorder of the neuromuscular junction

D. Complete rupture of the tested muscle or tendon

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Sensitivity & Specificity Sep 28, 2022

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Mariah finds in the literature that the Homans’ sign to screen for DVT is no longer advocated because the test lacks sensitivity and specificity. Which of the following is a consequence of a false-negative test?

A. Receiving treatment when it is indicated

B. Not receiving treatment when it is indicated

C. Unnecessary treatment or further diagnostic testing

D. Positive test result but the characteristic was absent

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Hypovolemia Sep 21, 2022

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Jeroomie presents with suspected hypovolemia after a long outing in the sun. Which of the following is the MOST anticipated finding:

A. Arterial dilation

B. Elevated heart rate with standing

C. Bounding pulse

D. Elevated central venous pressure

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BPPV Sep 14, 2022

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Simon presents to the clinic with complaints of "room spinning" and transient nausea. The evaluating therapist suspects cupulolithiasis. Which of the following is NOT a characteristic of BPPV from cupulolithiasis?

A. Immediate onset of vertigo in provoking positions

B. Presence of nystagmus

C. Persistence of vertigo and nystagmus as long as the patient is in the provoking position

D. Delayed onset of vertigo in provoking positions

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Nerve Impingement Sep 07, 2022

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Marco presents to physical therapy complaining of diminished grip strength and neck discomfort at rest. Upon examination, the patient has weakened finger DIP flexion and wrist extension compared to the right. The patient also has diminished sensation along the hypothenar eminence. Which of the following conditions is MOST likely present?

A. C6 nerve root impingement

B. C7 nerve root impingement

C. C8 nerve root impingement

D. T1 nerve root impingement

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Breathing Techniques Aug 24, 2022

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Parneet is instructing a patient on properly performing stacked breathing. Which of the following is the MOST likely indication for stacked breathing:

A. Hyperventilation

B. Crackles

C. Hypoventilation

D. Limited chest wall mobility

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Pearson Coefficient Aug 17, 2022

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Jethroe oversees a research study assessing the relationship between the frequency of exercise per week and the number of falls in elderly subjects. The Pearson coefficient is found to be -0.87. When presenting this information, which of the following is the MOST accurate:

A. Exercising more often causes fewer falls in elderly subjects

B. Increased frequency of exercise has an inverse relationship with the number of falls in elderly subjects

C. Exercising more often causes a higher incidence of falls in elderly subjects

D. Increased frequency of exercise has a direct relationship with the number of falls in elderly subjects

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