Sinopsis
NPTE CLINICAL FILES is a podcast from the creator of Dominating the NPTE, hosted by Kyle Rice. NPTE Case files explains a true clinical scenario in the form a mock NPTE-based questioneach week. 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 Case Files gives the Physical Therapist a weekly opportunity to solve clinical puzzles while learning the latest research related to the topic.
Episodios
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Total Hip Arthroplasy Precautions
05/07/2023 Duración: 11minJess is treating an elderly female in the acute care setting who has just had an uncemented total hip arthroplasty via a posterior approach. Which of the following precautions should be instructed to the patient during the early postoperative period? A. Avoid full weightbearing on the operated leg B. Avoid external rotation of the hip C. Avoid hip flexion D. Avoid hip abduction LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Severe Headache Differential
28/06/2023 Duración: 11minLani is a 15-year-old male who presents with sudden onset of severe headache, neck stiffness, photophobia and a fever. On examination, he has both Kernig's and Brudzinski's signs. Which of the following is the MOST likely diagnosis? A. Meningitis B. Migraine headache C. Cluster headache D. Tension headache LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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MSK Special Tests
21/06/2023 Duración: 09minWei presents with severe pain and swelling in her knee after a fall. The therapist performs a diagnostic test for a medial meniscus tear, which results in the patient experiencing pain and clicking. Which of the following tests is MOST appropriate for confirming a medial meniscus tear? A) McMurray test B) Lachman test C) Anterior drawer test D) Posterior drawer test LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Parkinson's Disease Treatment
14/06/2023 Duración: 09minMadison is treating a patient with Parkinson's disease who is experiencing gait dysfunction. The therapist decides to incorporate rhythmical auditory stimulation (RAS) into the treatment plan. Which of the following is an accurate statement regarding the use of RAS in treating gait dysfunction in a patient with Parkinson's disease? A. RAS is contraindicated in patients with Parkinson's disease B. RAS has been shown to be effective in improving gait in a patient with Parkinson's disease C. RAS is only effective in patients with advanced stages of Parkinson's disease D. RAS has no effect on gait dysfunction in a patient with Parkinson's disease LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast
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Rotator Cuff Tear Interventions
07/06/2023 Duración: 10minKofi is a physical therapist treating a patient with an acute rotator cuff tear. Which of the following interventions is MOST appropriate for improving the range of motion in this patient? A) Eccentric strengthening exercises B) Passive range of motion exercises C) Isometric strengthening exercises D) Active range of motion exercises LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Neural Symptoms
31/05/2023 Duración: 11minJackson presents with complaints of numbness and tingling throughout their right hand. The therapist performs a neural tension test on the patient, which reproduces the patient's symptoms. Which of the following is MOST likely involved? A) Median nerve B) Ulnar nerve C) Radial nerve D) Brachial plexus LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Medication Polarity
24/05/2023 Duración: 09minNiamh is a 22-year-old patient with a previous forearm laceration presenting with a raised scar that is tender to touch. The therapist would like to use iontophoresis with the appropriate parameters. Which of the following is the MOST recommended for this patient: A. Dexamethosone with positive polarity B. Acetic Acid with negative polarity C. Dexamethosone with negative polarity D. Acetic Acid with positive polarity LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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TENS Parameters
17/05/2023 Duración: 09minSajan presents with lower back pain and reports that the pain has been persistent without lasting relief. The treating therapist would like to use low-rate TENS with 2 Hz and 200 microseconds parameters. Which of the following is the MOST likely reason for the selected parameters: A. Acute Pain B. Chronic Pain C. Patient’s sensitivity to electrical stimulation D. Patient has a pacemaker LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Visceral Evaluation
10/05/2023 Duración: 14minKaida patient presents with severe epigastric pain that radiates to her back, accompanied by nausea and vomiting. She reports a history of heavy alcohol use and a recent episode of gallbladder stones. Upon examination, there is tenderness in the upper abdomen and elevated serum lipase levels. What is the MOST likely diagnosis? A. Pancreatitis B. Gastritis C. Peptic ulcer disease D. Gastroesophageal reflux disease (GERD) LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Bone Mineral Density & Exercise
03/05/2023 Duración: 10minHadiya is a 60-year-old female who presents to physical therapy with a diagnosis of generalized weakness and a bone Mineral Density T-Score of -1.5. Which of the following interventions is the MOST recommended: A. Marching in 5ft of water B. Supine abdominal crunches C. Endurance training on an upper body ergometer D. Stair climbing LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Exercise Response
26/04/2023 Duración: 10minFreyja presents with a history of myocardial infarction and reports experiencing chest pain during exercise. Which of the following interventions would be MOST appropriate? A. Discontinue exercise immediately and refer the patient to a physician B. Continue exercise at a reduced intensity level C. Increase the duration of exercise to build endurance D. Use resistance training to improve cardiac function LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Thomas Test
19/04/2023 Duración: 09minEfe presents to physical therapy with hip pain. During a routine examination, the patient lacks hip extension, has a positive Thomas test, and has excessive anterior pelvic tilt. Which of the following tissues is the MOST likely shortened? A. Rectus femoris B. Iliopsoas C. Hamstrings D. Tensor Fascia Latae LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Cardiovascular Interventions
12/04/2023 Duración: 10minDariana is a 70-year-old patient who presents to physical therapy with a history of congestive heart failure. Upon examination, the patient has significant edema in the lower extremities. Which of the following is the MOST appropriate intervention for this patient? A. Lower extremity strengthening exercises B. Cardiovascular exercise C. Trendelenburg positioning D. Postural drainage and percussion LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Physical Therapy Ethics 2
05/04/2023 Duración: 13minAiko is treating an uninsured patient who cannot afford the cost of treatment. The patient's condition is chronic and requires specialized ongoing care to manage symptoms and prevent complications. What is the MOST appropriate action for the physical therapist to take in this situation? A. Continue with treatment as usual and ask the patient to pay what they can, even if it means reducing the frequency or duration of treatment B. Refer the patient to a low-cost or free clinic that can provide basic care C. Discharge the patient from treatment due to their inability to pay D. Provide the necessary care regardless of the patient's ability to pay and work with the patient to find solutions for managing the cost of treatment LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look n
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THR Complications
29/03/2023 Duración: 10minLaird is treating a patient who has recently undergone a posterolateral total hip replacement surgery. Which of the following postoperative complications should the therapist be MOST concerned about observing during the examination? A. Hematoma B. Neuroborreliosis C. Infection D. Anterior dislocation of the hip implant LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
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Pediatric Musculoskeletal Examination
22/03/2023 Duración: 09minJanese is a young child who presents to physical therapy with a medical diagnosis of clubfoot. Which of the following is the correct description: A. Plantarflexion, eversion, adduction B. Dorsiflexion, inversion, adduction C. Plantarflexion, inversion, adduction D. Dorsiflexion, eversion, abduction LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://anchor.fm/thepthustle/support
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Subacromial Impingement
15/03/2023 Duración: 08minLizzie is performing a routine examination on a patient with a suspected subacromial impingement. Which of the following should be assessed FIRST? A. Shoulder abduction active range of motion B. External rotation manual muscle testing C. Gross shoulder joint mobility D. Lateral shoulder palpation LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://anchor.fm/thepthustle/support
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Patient Tardiness
08/03/2023 Duración: 11minIndia is treating a patient who is frequently late or misses appointments. The patient has a history of poor time management and has apologized for their behavior. What is the MOST appropriate action for the physical therapist to take in this situation? A. Ignore the patient's tardiness or missed appointments and continue with treatment as usual B. Explain the importance of being on time and set clear expectations for the patient's attendance C. Discharge the patient from treatment for noncompliance D. Report the patient's behavior to their primary care physician. LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://anchor.fm/thepthustle
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Physical Therapy Ethics
01/03/2023 Duración: 10minHannah is treating a patient who discloses that they are currently experiencing depression and anxiety. The patient expresses concern that these conditions may interfere with their ability to adhere to their rehabilitation program. What is the MOST appropriate action for the physical therapist to take? A. Focus solely on the physical rehabilitation program B. Acknowledge the patient's concerns but continue with the current program C. Refer the patient to a mental health professional for evaluation and treatment D. Modify the rehabilitation program to incorporate strategies to address the patient's mental health concerns LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com
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Chronic Low Back Pain
22/02/2023 Duración: 11minJanie is a 50-year-old female who presents with a complaint of chronic low back pain. On examination, the patient reports that she spends most of her day sitting at a desk for work and has limited physical activity. Which of the following is the most appropriate INITIAL recommendation: A. Referral to a pain management specialist for further evaluation B. Prescription of a strengthening program for the low back and core C. Recommendation for the use of a lumbar support cushion while sitting D. Recommendation for a program focused on improving posture and ergonomics LINKS MENTIONED: 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. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://anchor.fm/th