NPTE Clinical Files | Physical Therapy

Latest Episodes:

Emphysema Mar 03, 2021

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Gerdy is being treated for chronic emphysema in the outpatient clinic. After a trial of sit-to-stand transfers, the patient is seen hyperventilating. Which of the following breathing techniques is most recommended?

A. Pursed-lip breathing

B. Diaphragmatic breathing

C. Active cycle of breathing

D. Postural drainage

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Exercise Tolerance Test 2 Feb 24, 2021

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Kyle is reviewing medical records for a patient who was recently discharged from cardiac rehabilitation phase I. The discharge note mentions that the exercise tolerance test (ETT) was terminated prematurely. Which of the following would be an ABSOLUTE indication to terminate the test?

A. 2 of 4 on Angina Scale at 70% Max HR

B. ST-segment depression of 2 mm

C. Change in SBP from 146/88 to 130/90 with profuse sweating

D. Patient expressed moderate levels of fatigue throughout test

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Russian Electrical Stimulation Feb 17, 2021

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Cam is a football player who underwent an ACL reconstruction four days ago. The therapist would like to follow the clinic’s post-op guidelines by implementing russian electrical stimulation into the therapy sessions. What is the PRIMARY rationale for the use of this modality:

A. Increase the cross-sectional area of the quadriceps

B. Reduce the negative effects of reflex inhibition

C. Decrease postoperative pain and swelling

D. Improve the patient’s chances of negotiating stairs unaided

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Scapular Dysfunction Feb 10, 2021

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Lucas presents with a history of right shoulder pain and difficulty reaching overhead. The initial symptoms have resolved, however the patient continues to demonstrate excessive upward rotation of the scapula. Which of the following muscles should be STRENGTHENED:

A. Mid-trapezius

B. Lower trapezius

C. Subscapularis

D. Serratus anterior

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Discharge Plans Feb 03, 2021

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Clara is being seen for complications of end-stage primary progressive multiple sclerosis (PPMS). The physical therapist's plan of care for discharge should contain all of the following EXCEPT?

A. Teach patient and family members about skin-care and hygiene

B. Teach family regarding positioning and transfers

C. Teach family or caregiver variety of strengthening exercises to show patient daily

D. Teach family passive ROM exercises to perform daily

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Radiating Pain Jan 27, 2021

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Derrick presents with neck stiffness and radiating symptoms down the right arm. The patient's symptoms are provoked with right cervical rotation and side-bending. However, the symptoms are immediately relieved when “hanging upside down” or when “placing the right hand on top of the head”. Which of the following interventions is expected to yield the BEST outcome:

A. Cervical manipulation

B. Cervical mechanical traction

C. Median nerve gliding

D. Stretching of rectus capitis anterior and longus colli

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Hyperparathyroidism 2 Jan 20, 2021

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Jason's medical record shows a history of hyperparathyroidism. Which of the following comorbidities is the MOST likely present?

A. Osteoporosis

B. Skin straie

C. Weight gain

D. Heat intolerance

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Brain Injury Examination Jan 13, 2021

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Aaron is reviewing a patient's medical chart which reads acute non-dominant hemispheric lesion. The physical therapist can expect to see all of the following presentations EXCEPT:

A. Agnosia

B. Impulsive behavior

C. Difficulty controlling the left side of the body

D. Difficulty processing verbal and written commands

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Vestibular Schwannoma Jan 06, 2021

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Marissa is working with a patient with a vestibular schwannoma on the right vestibulocochlear nerve. The patient complains of unsteadiness and room spinning. Which of the following interventions is the MOST recommended:

A. Canalith repositioning maneuver

B. Frenkel’s exercises

C. Habituation training

D. Semont maneuver

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Nerve Injuries & Gait Dec 23, 2020

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Helena is a patient with severe back pain that presents with a posterolateral lumbar herniated nucleus pulposus (HNP) at L3-L4. Which of the following findings is MOST likely to be present?

A. Delayed heel off during terminal stance

B. Knee buckling during loading response

C. Excessive hip flexion during early swing

D. Excessive trunk extension during mid-stance

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