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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Referred Pain
15/02/2023 Duración: 07minHal is researching common referral sites for pathologies and conditions that affect his patient population. Which of the following is MOST likely associated with substernal chest pain that does not have a referral pain pattern? A. Neurological B. Gastrointestinal C. Breast pain D. Anxiety 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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Cardiorespiratory Conditions
08/02/2023 Duración: 09minApril is examining a patient with cardiorespiratory dysfunction. The patient denies any co-existing respiratory disorder however reports a recent trauma to chest. Upon examination, the patient has chest pain that is intensified with inspiration and a non-productive cough. Which of the following pathologies is the MOST likely present? A. Pulmonary embolism B. Pleurisy C. Pneumothorax D. Pneumonia 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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Types of Pain
01/02/2023 Duración: 08minJessica, 15-year-old female patient sustained an injury while rollerblading, landing on her right arm. She describes the pain as “deep, nagging, & dull.” Based on the pain description, which of the following structures is MOST likely affected? A. Muscle B. Bone C. Fracture D. Vasculature 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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Cardiac Conditions
25/01/2023 Duración: 11minBlake is a 45-year-old male patient with chest pain at rest, pallor, palpitations, hypertension, and an elevated blood serum cholesterol level of 242 mg/dL. All of these clinical signs and symptoms are MOST likely red flags indicative of which of the following conditions? A. Stable angina pectoris B. Unstable angina pectoris C. Pericarditis D. Peptic ulcer 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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Lower Leg Differential Diagnosis
18/01/2023 Duración: 18minRyan presents with anterolateral leg pain and reports progressive worsening since an increase in his training regimen over the past two weeks. Symptoms appear in the later stages of running and last 2-3 hours after the run. The anterior tibialis muscle is tender and taut on palpation. Resisted dorsiflexion is strong but reproduces the patient's pain. Which of the following is the MOST likely diagnosis? A. Medial Tibial Stress Syndrome B. Stress fracture C. Acute compartment syndrome D. Chronic exertional compartment syndrome 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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Wound Classification
11/01/2023 Duración: 11minKemp is treating a patient with lymphedema who presents to physical therapy with a script for wound care. The patient’s chart describes the wound bed as shallow and irregular on the anteromedial lower leg. In addition, the peri-wound area is described as scaly, weepy, and warm with hemosiderin staining. Which wound type does the patient MOST likely have based on this clinical presentation? A. Vascular venous B. Arterial C. Mixed D. Inflammatory vasculitis 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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Pulse Assessment
04/01/2023 Duración: 10minRosa presents with a history of CAD and has complaints of pale cool skin on the right lower extremity. The therapist suspects a femoral artery dysfunction. Which of the following pulses is BEST to indicate an impaired flow or blockage in femoral artery? A. Carotid B. Femoral C. Popliteal D. Pedal 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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Gait Interventions
28/12/2022 Duración: 10minEstephania is treating a patient with a transfemoral amputation who presents with excessive right hip flexion during routine gait analysis. Upon examination, the patient has 4/5 gross MMT and decreased right hip extension range of motion. Which of the following interventions is the MOST appropriate? A. Single leg bridging B. Prone lying positioning C. 6’’ step downs D. Anterior stump desensitization 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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Cardiac Rehabilitation
21/12/2022 Duración: 13minBhava is a physical therapist who is educating a group of practitioners on indications for cardiac rehabilitation. Which of the following diagnoses is the LEAST appropriate for a formal cardiac rehabilitation program? A. Coronary artery bypass graft (CABG) B. Acute myocardial infarction C. Chronic heart failure with unstable angina D. Percutaneous transluminal coronary angioplasty 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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Diastasis Recti
14/12/2022 Duración: 12minHeather is a 32-year-old who presents two weeks postpartum with low back pain. She has a referral to evaluate and treat her 2.25cm diastasis recti. Which of the following interventions would be the MOST appropriate to treat this condition? A. Hooklying abdominal crunches B. Hooklying head lifts while hands crossed over midline C. Hooklying diagonal trunk curls D. Supine pelvic floor repeated contraction 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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Neurological Assessement & Sensory Function
07/12/2022 Duración: 15minBlherim performs a routine examination of a patient's neurological function of their hand. Using calipers with a fine tip, the patient can perceive two points when the distance between the points is 11mm or greater. This finding is MOST consistent with which of the following: A. Dorsal column injury B. Anterior horn cell lesion C. Spinocerebellar tract lesion D. Damage to the precentral gyrus 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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Musculoskeletal Origin
23/11/2022 Duración: 12minJenny presents with an idiopathic onset of anterior shoulder pain. Which of the following is NOT consistent with a musculoskeletal origin: A. Night pain while lying on the affected side B. Intractable pain C. Positive Hornblower's sign D. No change in symptoms with bowel movements 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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Overpronation
16/11/2022 Duración: 12minJesse presents with complaints of right lateral knee pain. Upon gait assessment, the patient has significant overpronation on the right. Which of the following examination findings would BEST explain the observed overpronation? A. Forefoot valgus B. Femoral anteversion C. Genu varum D. Hip flexor weakness 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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Cryotherapy
09/11/2022 Duración: 12minSohaila is a clinical instructor testing her student on the physiological effects of cryotherapy. Which of the following is NOT an effect of cryotherapy? A. Pain reduction B. Decrease in spasticity C. Reduction in joint stiffness D. Decrease in nerve conduction velocity 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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Pusher's Syndrome
02/11/2022 Duración: 10minRoger is status post cerebrovascular accident and is being evaluated by physical therapy. The patient seems to disregard safety and repeatedly falls onto their weak side. Which of the following is a diagnostic factor of Pusher Syndrome: A. Contralateral loss of pain and temperature sensation B. Trunk lean towards the uninvolved side C. Abduction of the uninvolved extremities D. Inability to push through involved upper extremity 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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Wound Functional Outcomes
26/10/2022 Duración: 10minJenny is assessing an immobilized patient with a sacral pressure wound. During the assessment, the therapist examines the change in wound and surrounding skin attributes, reduction in wound depth, change in exudate characteristics, and wound closure. These performance indicators are all associated with which of the following outcomes? A. Progression through the phases of wound healing B. Oxygenation or perfusion of tissue C. Reduced or controlled edema D. Infection control 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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Diabetes Symptoms
19/10/2022 Duración: 10minHasim is educating a patient on the negative effects of diabetes on the body. Which of the following is NOT a sign or symptom of untreated or uncontrolled diabetes mellitus? A. Polyuria B. Polydipsia C. Polyphagia D. Weight gain 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 Apply for our coaching program: Prep you can ace - at your pace! --- Support this podcast: https://anchor.fm/thepthustle/support
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Manual Muscle Testing
12/10/2022 Duración: 08minJuri is performing elbow flexion manual muscle testing on a 16-year-old male athlete. Elbow flexion was graded a 4 out of 5, and the motion was strong but painful. Based on the findings, the therapist should reasonably conclude which of the following? A. No lesion or neurological deficit involving the tested muscle and tendon B. Minor lesion of the tested muscle or tendon C. Disorder of the neuromuscular junction D. Complete rupture of the tested muscle or tendon 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 Apply for our coaching program: Prep you can ace - at your pace! --- Support this podcast: https://anchor.fm/thepthustle/support
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Sensitivity & Specificity
28/09/2022 Duración: 10minMariah finds in the literature that the Homans’ sign to screen for DVT is no longer advocated because the test lacks sensitivity and specificity. Which of the following is a consequence of a false-negative test? A. Receiving treatment when it is indicated B. Not receiving treatment when it is indicated C. Unnecessary treatment or further diagnostic testing D. Positive test result but the characteristic was absent 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 If you liked these tips, follow us on TikTok! --- Support this podcast: https://anchor.fm/thepthustle/support
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Hypovolemia
21/09/2022 Duración: 08minJeroomie presents with suspected hypovolemia after a long outing in the sun. Which of the following is the MOST anticipated finding: A. Arterial dilation B. Elevated heart rate with standing C. Bounding pulse D. Elevated central venous pressure 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 If you liked these tips, follow us on TikTok! --- Support this podcast: https://anchor.fm/thepthustle/support