NPTE Clinical Files | Physical Therapy

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Total Knee Arthroplasty & Biomechanics Oct 13, 2021

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Livia is two weeks status post right total knee arthroplasty. During a supine active straight leg raise, the patient is unable to extend the knee fully. Upon examination, the patient can achieve full knee extension passively. Which of the following is the MOST likely cause of the patient's deficit?

A. Tightness of the posterior capsule of the knee

B. Femoral nerve impairment

C. Popliteus muscle spasm

D. Restricted inferior patellofemoral mobility

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TMJ Differential Oct 06, 2021

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Jesse presents to physical therapy with complaints of mild right-sided jaw discomfort. She reports a two-year history of right-sided jaw clicking that accompanied a loss of mouth opening. Upon examination, the patient has no clicking and her mouth opening ROM is 41mm actively and 47mm passively. Which of the following pathologies is MOST likely present?

A. Disc displacement with reduction

B. Capsular fibrosis

C. Disc displacement without reduction

D. Lateral pterygoid muscle spasms

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Baseball Pitcher Injury Sep 29, 2021

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Rick is a baseball pitcher that was injured while throwing five days ago. The patient describes a sharp shoulder pain felt during the deceleration phase of the pitch. Which of the following muscle groups is the MOST likely to be injured?

A. Subscapularis, teres major, latissimus dorsi

B. Infraspinatus, teres minor, latissimus dorsi

C. Infraspinatus, teres minor

D. Supraspinatus, posterior deltoid, rhomboids

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Quadrant Pain Sep 22, 2021

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Laika is a 30-year-old female who presents with intermittent lower right quadrant pain. In addition to lower back pain, the patient has been experiencing polyarthralgia that has progressed slowly over time. The patient reports that only passing stool or gas seems to relieve the symptoms. Which of the following conditions is the MOST likely present?

A. Splenitis

B. Chron's Disease

C. Appendicitis

D. Ulcerative Colitis

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SOAP Note Sep 15, 2021

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Koorin is an 18-month-old child with a history of significant developmental delay. The parents report that the child is unable to sit unsupported for self-feeding. Which of the following sections should this information be documented?

A. Objective section

B. Assessment section

C. Subjective section

D. Plan section

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Memory Loss Sep 08, 2021

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Gurdy is an 80-year-old female who presents with confusion and a progressive loss of memory that has been present for months. In addition, the patient has a shortened attention span and episodes of hallucinations and paranoia, especially in the late afternoons. Which of the following pathologies is the patient MOST likely experiencing?

A. Delirium

B. Cerebrovascular accident

C. Alzheimer's disease

D. Urinary tract infection

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Lower Extremity MSK Differential Sep 01, 2021

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Jason is an 11-year-old male with a nagging pain on the posterior aspect of both heels. The child is involved in multiple sports that involve frequent running and jumping. The patient has limited dorsiflexion along with pain that is elicited with mediolateral compression of lower 1/3 of the posterior calcaneus. Which of the following pathologies is the MOST likely present?

A. Sinding-Larson Johannson Syndome

B. Sever's Disease

C. Achilles Tendinopathy

D. Plantar Fascitis

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ACA Stroke Aug 18, 2021

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Gary presents status post anterior cerebral artery stroke. Which of the following is the LEAST likely to be a clinical manifestation of anterior cerebral artery syndrome?

A. Homonymous hemianopsia

B. Contralateral hemiparesis involving mainly the LE

C. Contralateral hemisensory loss involving mainly the LE

D. Urinary incontinence

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Clinical Test Of Sensory Interaction On Balance Aug 11, 2021

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Curtis is being seen in a center for low vision and balance for an evaluation using the CTSIB protocol. The patient is found to become increasingly unstable when the eyes are blindfolded on level ground and when the dome is placed over the head while the foam is used. Given the prior information, which of the following conclusions is the MOST accurate?

A. The patient is dependent on the somatosensory system only

B. The patient is dependent on all three systems

C. The patient is dependent on vision only

D. The patient is dependent on the vestibular system but lacks pain, temperature, and vibration sensation

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Cranial Nerve Examination Aug 04, 2021

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Caihong is treating a patient with a suspected CN XI injury. Which of the following would be the LEAST likely found during a routine examination?

A. Atrophy, fasciculations, ipsilateral weakness

B. Inability to shrug ipsilateral shoulder

C. Inability to turn head contralaterally

D. Weakness of contralateral sternocleidomastoid and trapezius

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