NPTE Clinical Files | Physical Therapy

Latest Episodes:

Individuals with Disabilities Education Act (IDEA) May 19, 2021

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Adisa is working with a child with cerebral palsy in the school system. The therapist would like to ensure that the child is being provided all necessary care according to the Individuals with Disabilities Education Act. Which of the following is NOT covered under IDEA?

A. Therapist directed interventions to be performed by the child's teacher

B. Monthly reassessments to monitor the child's progress

C. A standing frame to facilitate learning in the classroom

D. A position in any given extracurricular activity or sport

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Pregnancy & Exercise May 12, 2021

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Milana is five months pregnant and is requesting wellness advice from a physical therapist on living a more active lifestyle. Considering this patient's condition, which of the following is an absolute contraindication for aerobic exercise?

A. History of pulmonary fibrosis

B. BMI of 17

C. History of recurrent ankle sprains

D. History of a sedentary lifestyle

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Neurologic Examination Apr 28, 2021

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Priya is being evaluated for lower back pain with symptoms radiating into her right lower extremity. The patient's diagnostic imaging shows an L3 intervertebral foraminal encroachment. Upon examination, which of the following is the LEAST likely to be observed:

A. Normal hip flexion strength

B. Diminished sensation along the distal anteromedial thigh & knee

C. 3+ knee jerk reflex D. Intact vibration sensation at the medial malleolus

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Blood Pressure Apr 21, 2021

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Jince is being trained in assessing a patient's blood pressure in the lower extremity using the popliteal artery. To accurately identify the highest pressure exerted by blood on the arterial wall, the student should be instructed to listen for:

A. Sudden muffling, with a soft blowing quality

B. A second round of intense rhythmic tapping after a brief pause

C. A murmur or swishing sound

D. The first clear, faint rhythmic tapping sounds

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Burn Interventions Apr 14, 2021

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Jessica is treating a patient with a partial thickness burn extending down to the papillary layer of the dermis. Which of the following is the physical therapist's PRIMARY ROLE:

A. Prepping the wound for primary intention strategies

B. Debridement of small and sturdy blisters

C. Ensuring mobility of surrounding joints in preparation for surgical intervention

D. Desiccation of the burn site

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Mechanical Traction 2 Apr 07, 2021

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Manny is treating a patient with a medial lumbar disc protrusion and severe radicular lower extremity pain. During mechanical traction, the patient reports a complete resolution of pain. Which of the following is the BEST course of action?

A. Continue with traction and monitor pain levels

B. Terminate traction and refer back to the physician

C. Assess the patient's lower extremity sensation and reflexes

D. Increase intensity of traction force

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Understanding The Cooldown Mar 31, 2021

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Carrie is treating a patient post heart transplant in cardiac rehabilitation. The treating therapist instructs the patient to perform a 5-10 minute cooldown following a 25-minute aerobic exercise. Which of the following is the MOST likely rationale for the cooldown:

A. To prevent a rapid increase in blood pressure

B. Maintain adequate venous return

C. Facilitate the removal of lactic acid

D. Increase myocardial oxygen demand

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Documenting Signs Mar 24, 2021

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Jake was involved in a driver's side motor vehicle accident and has been diagnosed with a ruptured spleen. The patient complains of left shoulder pain even though the left shoulder has been cleared of musculoskeletal injury. Which finding should be documented into the patient's record:

A. Kehr sign

B. Murphy’s sign

C. Blumberg’s sign

D. Bakody's Sign

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Complete Decongestive Therapy (CDT) Mar 17, 2021

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India is treating a patient with stage 1 left lower extremity lymphedema. The therapist would like to use complete decongestive therapy principles to reduce the patient's swelling. Which of the following interventions is the MOST appropriate?

A. Pneumatic compression devices at 70 - 90 mmHg

B. Gentle light strokes, starting proximally and stroking distally

C. Ace bandages placed into a figure 8 arrangement

D. Comprilan bandaging performed immediately after lymph drainage

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Restricted Range of Motion Mar 10, 2021

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Suzzane is being evaluated for persistent neck pain and limited cervical range of motion on the right. The patient reports that the pain began two days ago after sleeping awkwardly. Upon examination, the patient's pain is only provoked when the patient attempts to look over the right shoulder. During joint mobility testing of the cervical spine, which of the following arthrokinematic glides is the MOST likely to be impaired?

A. Upglide of one or more facets on the right

B. Downglide of one more facets on the left

C. Downglide of one or more facets on the right

D. Upglide of one or more facets on the left

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