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    Education

    NPTE Clinical Files | Physical Therapy

    NPTE Clinical Files is a podcast from the creator of Dominating the NPTE, hosted by Kyle Rice. NPTE Clinical Files explains a true clinical scenario in the form of a mock NPTE-based question. Each question is followed by a set of answer choices, where Dr. Kyle Rice explains the right answer with a detailed rationale. Each season covers all of the major systems and topics found in physical therapy and likely to be found on an NPTE. NPTE Clinical Files gives the Physical Therapist a weekly opportunity to solve clinical puzzles while learning the latest research related to the topic.

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    Latest Episodes:
    Parkinson's Gait Interventions Oct 07, 2020
    Show notes

    Are you looking for an awesome cheatsheet that reviews the facts to know about Parkinson's gait interventions for the NPTE?

    Look no further: https://www.nptecheatsheet.com/parkinsons

    Victor is treating a patient with a history of Parkinson's disease and bradykinesia. Upon examination, the patient has a gait speed of 0.45 m/s and a diminished stride length bilaterally. Which of the following is the MOST recommended to address the impairments:

    A. Floor markers

    B. Rhythmic auditory stimulation

    C. Toe wedge

    D. Standard walker

    Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.


    Functional Electrical Stimulation Sep 30, 2020
    Show notes

    Are you looking for an awesome cheatsheet that reviews the facts to know about functional electrical stimulation for the NPTE?

    Look no further: https://www.nptecheatsheet.com/functional-stim

    Janae presents with a recent stroke and difficulty clearing the right foot during swing. The therapist plans to use electrical stimulation to improve the patient's gait pattern. Which of the following is the MOST appropriate to achieve the desired result:

    A. Over the proximal anterior tibial region, stimulating the deep peroneal nerve

    B. Over the proximal anterior tibial region, stimulating the superficial peroneal nerve

    C. Over the distal anterior tibial region, stimulating the superficial peroneal nerve

    D. Over the distal anterior tibial region, stimulating the tibial nerve

    Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.


    Lower Extremity Swelling Sep 23, 2020
    Show notes

    Are you looking for an awesome cheatsheet that reviews the facts to know about Lymphedema and Lipedema for the NPTE?

    Look no further: https://www.nptecheatsheet.com/lymphedema

    Sammie presents with an enlargement in her bilateral lower extremities; however, no symptoms are present distal to the ankle. The patient reports that legs are tender to touch and easily bruise. Which of the following conditions is the MOST likely present?

    A. Fibromyalgia

    B. Lipedema

    C. Lymphedema

    D. Congestive heart failure

    Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.


    High Altitude & Cardiopulmonary Sep 16, 2020
    Show notes

    Are you looking for an awesome cheatsheet that reviews the facts to know about high altitude and the cardiopulmonary system for the NPTE?

    Look no further: https://www.nptecheatsheet.com/high-altitude

    Ricky has recently started training at a specialized facility located 6,200ft above sea level. The therapist would like to create safe cardiovascular parameters for exercise at this new elevation. Which of the following would be the MOST expected when exercising at a high altitude:

    A. Lower maximal heart rate

    B. Higher maximal heart rate

    C. Lower resting heart rate

    D. Respiratory acidosis

    Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.


    GMFCS & Cerebral Palsy Sep 09, 2020
    Show notes

    Are you looking for an awesome cheatsheet that reviews the facts to know about the Gross Motor Function Classification Scale (GMFCS) for the NPTE?

    Look no further: https://www.nptecheatsheet.com/gmfcs

    Ricardo is preparing a plan of care for a 10-year-old child with cerebral palsy. The patient is classified as a level 4 on the Gross Motor Function Classification System (GMFCS). Which of the following activities is the MOST appropriate:

    A. Standing balance and coordination activities

    B. Gait training using a posterior walker

    C. Stair climbing using handrails

    D. Wheelchair fitting for posture and pressure relief

    Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.


    Vertebrobasilar Insufficiency (VBI) Sep 02, 2020
    Show notes

    Are you looking for an awesome cheatsheet that reviews the facts to know about VBI testing for the NPTE?

    Look no further: https://www.nptecheatsheet.com/vbi

    Martin is treating a 45-year-old male with recurrent neck pain and joint hypomobility. Before initiating end-range cervical mobilizations, the therapist would like to assess for vertebrobasilar insufficiency. To check the left vertebral artery, the MOST effective position to place the patient’s head and neck is:

    A. Flexion

    B. Extension

    C. Right rotation

    D. Left rotation

    Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.


    Postural Assessment Aug 26, 2020
    Show notes

    Are you looking for an awesome cheatsheet that reviews the facts to know about postural assessment for the NPTE?

    Look no further: https://www.nptecheatsheet.com/posture

    Janie is performing a postural assessment on a patient who has a medical diagnosis of lumbago. When assessing lower extremity alignment, the plumb line should fall:

    A. Anteriorly to the lumbar spine

    B. Posteriorly to the hip

    C. Through the hip joint line

    D. Posteriorly to the knee

    Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.


    Psych Principles Aug 19, 2020
    Show notes

    Are you looking for an awesome cheatsheet that reviews the facts to know about cognitive behavioral therapy for the NPTE?

    Look no further: https://www.nptecheatsheet.com/cbt

    Ken is six months status post lumbar fusion and has complaints of persistent pain and often declines to perform basic core exercises. The therapist would like to change the patient’s perception of pain while teaching effective coping methods. Which of the following principles would be the MOST effective:

    A. Cognitive-behavioral therapy

    B. Operant conditioning

    C. Classical conditioning

    D. Positive reinforcement

    Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.


    Torticollis Aug 05, 2020
    Show notes

    Are you looking for an awesome cheatsheet that reviews the facts to know about Torticollis for the NPTE?

    Look no further: https://www.nptecheatsheet.com/torticollis-cheatsheet

    Kumani is creating an at-home stretching routine for a 3-month-old child with right congenital muscular torticollis. Which of the following is the MOST effective:

    A. Laying the child on the left side over a ball
    B. Laying the child on the right side over a ball
    C. Lay the child prone with the head rotated to the right
    D. Lay the child prone with the head rotated to the left

    Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.


    NPTE Core Values Jul 29, 2020
    Show notes

    Yari was recently given authorization by her insurance company for an acute ankle sprain. After the authorization period, the therapist determines that the patient is no longer in need of therapy services; however, the patient requests to continue treatment. Which of the following is the MOST appropriate action?

    A. Allow the patient to pay out of pocket for additional therapy visits
    B. Discharge the patient to a home exercise program
    C. Write a letter to the insurance company requesting more visits
    D. Treat the patient as a pro bono client

    Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.


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