NPTE Clinical Files | Physical Therapy
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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 d...
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Genitourinary Interventions (Incontinence)
Mila reports a sudden, intense urge to urinate followed by leakage before reaching the bathroom. The patient voids frequently throughout the day and w...
Basal Ganglia Dysfunction & Intervention
Mackenzie presents to physical therapy following a stroke affecting the basal ganglia. The patient exhibits bradykinesia and difficulty initiating mov...
Lower Extremity Swelling Interventions
Bellie presents with persistent bilateral lower extremity swelling that worsens throughout the day. The therapist is selecting an intervention to assi...
Mid Thoracic Pain Evaluation
Dr. Rice evaluates a patient with a chief complaint of mid-thoracic pain radiating around the left lateral rib cage. The patient reports symptoms wors...
Sensitivity & Specificity Principles
Carmen is performing a special test on her patient. The test has a sensitivity of 95% and a specificity of 30%. The patient tests negative. What is th...
A Must Know Neurologic Examination Concept
Elena presents with significant muscle atrophy in the lower extremities, fasciculations of the gastrocnemius, and a 1+ Achilles tendon reflex. During...
Lumbar HNP Treatment
Yesenia is a 37-year-old patient with lumbar disc herniation who reports pain radiating to the posterior thigh. During treatment, repeated lumbar exte...
Transfemoral Amputee Gait Deviation
Benito, a patient with a right transfemoral amputation, demonstrates circumduction of the prosthetic limb during the swing phase. Which of the followi...
Pediatric Clinical Decision Making
Victor is a 12-year-old male who presents with a limp and groin pain. The hip rests in external rotation, and hip flexion produces obligatory external...
Cranial Nerve Examination Part 2
Belsnickel is a 63-year-old male who presents with right-sided facial paralysis, inability to abduct the right eye, and an absent corneal blink reflex...
Cranial Nerve Examination Part 1
Juvelyn shows an impaired corneal reflex, loss of facial sensation, and difficulty chewing on the right side. Which of the following is MOST likely im...
Pediatric Lower Extremity Evaluation
Hallie presents with bilateral anterior knee pain and an in-toeing gait. Craig’s test reveals 10° of femoral anteversion on both sides. Which of the f...
NPTE Medications Side Effects
Lionel has a past medical history of hypertension and has been referred to physical therapy for generalized fatigue and reduced exercise tolerance. Du...
NPTE Unfamiliar Terms
Faith is a 65-year-old female recovering from hip replacement surgery and presents with mild calf swelling and tenderness. Based on Virchow’s Triad, w...
Knee Pain Differential & Examination Findings
Skye is a soccer player who reports intermittent knee locking and joint line pain following a twisting injury 2 weeks ago. The McMurray test reproduce...
Lymph Node Dissection
Brittinie presents with difficulty pushing up from a chair, weakness with shoulder extension and adduction, and no significant sensory deficits. She r...
Pelvic Health & Intervention
Betty is a 45-year-old female who presents to physical therapy with complaints of pelvic pain, urinary frequency, and urgency without signs of infecti...
Hypertrophic Cardiomyopathy
Josue recommends a prolonged warm-up for a patient with hypertrophic cardiomyopathy before initiating aerobic exercise. Which of the following is the...
ALS: Functional Mobility Management
Bill presents with early-stage amyotrophic lateral sclerosis (ALS) and reports mild lower extremity weakness and occasional tripping when walking on u...
Low Back Pain Treatment Considerations
Aiyana is an office worker with chronic low back pain who is referred to physical therapy. During a core stability assessment, the patient demonstrate...
Nutrition & Hydration in PT
Leilani is an athlete who reports muscle cramps, fasciculations in the legs, and fatigue during prolonged training sessions. Which of the following is...
Skin Condition Evaluation
Zayden presents with well-defined, raised plaques on the extensor surfaces of his elbows and knees. The lesions are covered with silvery scales, and h...
DVT: Signs & Prevention
Miraide is recovering from a total hip arthroplasty and reports mild calf discomfort on the second day post-surgery. On examination, there is no signi...
Cerebral Palsy: Gait Analysis
Orion is a 12-year-old with spastic diplegic cerebral palsy and is evaluated for gait abnormalities. The therapist observes excessive hip flexion, kne...
Osteoarthritic Impacts On Gait
Kai is a 65-year-old male who presents with deep groin pain, morning stiffness lasting 30 minutes, and a positive scour test. Which gait deviation is...
Cervical Spine Radiculopathy
Harper presents with neck pain and tingling radiating into the right hand. Symptoms worsen with overhead activities and improve with the arm at rest....
Pediatric Growth Milestones
DeShawn is assessing a 12-month-old child during a developmental screening. The child can pull to stand, cruise along furniture, and grasp small objec...
Scar Tissue Mobilization Techniques
Diego is six weeks post-rotator cuff repair and reports stiffness and a pulling sensation near the surgical incision during overhead movement. Examina...
COPD: Exercise Testing & Prescription
Luca is a 68 year old male with moderate COPD who is referred for physical therapy to improve exercise tolerance. He reports dyspnea with minimal exer...
Alzheimer’s Disease: PT Treatment
Amara presents with mild to moderate Alzheimer’s disease and has impaired gait and balance. She becomes disoriented in new environments and struggles...
Post-Op Total Knee Arthroplasty
Helga is two days post-total knee arthroplasty (TKA) and reports moderate knee pain and stiffness. Her knee range of motion is 0–45 degrees, and her i...
Electrotherapy- Indications & Contraindications New
Freda presents with persistent shoulder pain following rotator cuff repair surgery. The therapist considers using electrical stimulation for pain mana...
Integumentary Outcome Measures
Mohammad is documenting outcomes for a patient who has been treated for a venous ulcer. Which of the following improvements is the MOST significant to...
Surgical Pain Examination
Sweeney recently underwent a hysterectomy and requests to sit after ambulating a few feet. The patient reports dizziness and right lower extremity pai...
Shoulder Instability- Recognizing & Testing
Azaria is a 22-year-old swimmer with intermittent right shoulder pain who complains of a slipping sensation during overhead activities. Which of the f...
Vestibular Assessment
John reports dizziness and unsteadiness when walking, especially in busy environments or when turning his head quickly. He denies positional dizziness...
Medical Imaging Interpretation
Before an evaluation, Arial is reviewing the patient's MRI report that describes sequestration at the L4 – L5 level. The intake form reveals sensory c...
Hand & Wrist Pathologies
Samantha is an office worker who presents with pain and numbness in the right hand, particularly at night. On examination, there is decreased sensatio...
Post-Surgical Incision Care
Denise is six days post-abdominal surgery with a midline incision. The incision is well-approximated with slight redness but no drainage or dehiscence...
CABG / Post-Op PT Guidelines
Kelly is referred to physical therapy six days after coronary artery bypass graft (CABG) surgery. She reports mild fatigue but denies chest pain or sh...