NPTE Clinical Files | Physical Therapy

Latest Episodes:

Scapular Dysfunction 2 May 25, 2022

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Laura is being re-evaluated 12 weeks status post rotator cuff repair. While performing shoulder abduction actively, the therapist observes excessive clavicular elevation and lateral flexion of the trunk to the opposite side. The MOST likely cause of these findings include; diminished range of motion and

A. Inadequate serratus anterior activation

B. Posterior glenohumeral joint soft tissue tightness

C. Excess upper trapezius activation

D. Pectoralis minor tightness

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Causes of Lymphedema May 18, 2022

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Hemisha is a student clinical intern providing an in-service about the causes of lymphedema. Which of the following is NOT a cause of secondary lymphedema?

A. Dysplasia

B. Radiation

C. Chronic venous insufficiency

D. Infection

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Lateral Trunk Bending May 11, 2022

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Bebet is recovering from a right CVA and wears a solid AFO to stabilize the left foot. While observing gait, the therapist notices lateral trunk bending towards the left during midstance. Which of the following is the best intervention to correct this problem?
A. Strengthen the hamstrings on the left side
B. Strengthen the hip abductors on the left side
C. Strengthen the hip abductors on the right side
D. Strengthen the hip flexors on the right side

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Parkinson's Disease Plan of Care Apr 27, 2022

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Eddy presents with a history of Parkinson’s Disease and is being seen in the inpatient hospital. The patient is ambulatory but requires close supervision by the therapist to prevent falls. Which of the following is the most appropriate focus for the physical therapist’s plan of care?

A. Wheelchair training

B. Mobility training using bilateral axillary crutches

C. Caregiver training for contact guarding during ambulation on level surfaces and stair negotiation

D. Manual perturbation training

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Leg Length Discrepancy Apr 20, 2022

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Kevin assesses a patient’s functional leg length difference and discovers that the right lower extremity is longer. Which of the following joint actions would LEAST likely be present due to this discrepancy?

A. Right foot in supination

B. Right sacroiliac joint in posterior rotation

C. Left sacroiliac joint in posterior rotation

D. Right knee in extension

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Weight Bearing Precautions Apr 13, 2022

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Rani is being treated status post bilateral Achilles tendon repair after a fall from a tall ladder. Post-surgical orders are for TTWB (Toe Touch Weight Bearing) bilaterally. Which of the following assistive devices would be the MOST appropriate?

A. Bilateral canes

B. Wheelchair

C. Axillary crutches

D. Standard walker

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Median Nerve Palsy Apr 06, 2022

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Audra presents with wasting of the thenar eminence of the hand as a result of median nerve palsy. The patient’s thumb appears to have fallen in line with the fingers due to the pull of the extensor muscles. Upon examination, the patient is unable to oppose or flex the thumb. The observed clinical findings are MOST likely associated with which of the following deformities?

A. Ape hand deformity

B. Boutonniere deformity

C. Carpal tunnel syndrome

D. Benedict hand

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Hypoventilation & Differential Diagnosis Mar 30, 2022

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Saanvi is being treated by physical therapy for dizziness and functional decline. Hypoventilation is NOT a breathing pattern commonly associated with which of the following conditions?

A. Guillain-Barre

B. Myasthenia Gravis

C. Hypoxemia

D. Amyotrophic lateral sclerosis

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Cobb Angle Mar 23, 2022

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Ryland, a 13-year-old male, presents with left thoracic scoliosis. The patient denies back pain; however, the patient's Cobb angle has progressed from 20 to 27 degrees over the past year. Which of the following is MOST recommended:

A. Perform trunk strengthening exercises for muscles on the right

B. Refer the patient for an orthopedic surgery consult

C. Immediate referral for orthosis fitting

D. Advise the child's guardians to monitor progression and continue with HEP

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Diabetic Polyneuropathy Mar 16, 2022

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Manny presents to physical therapy with diabetic polyneuropathy. Which of the following skin care recommendations is the MOST appropriate for this patient?
A. Place limbs in a hot soak with epson salt
B. Moisturize feet and between toes with lanolin
C. Trim nails daily to keep them short
D. Purchase shoe wear with extra depth

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