NPTE Clinical Files | Physical Therapy

NPTE Clinical Files | Physical Therapy

By Kyle Rice

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.
Available on
Apple Podcasts Logo
Overcast Logo
Pocket Casts Logo
RadioPublic Logo
Spotify Logo
Currently playing episode

Multiple Sclerosis Interventions

NPTE Clinical Files | Physical TherapyJun 19, 2024
00:00
11:38
Multiple Sclerosis - Symptoms & Interventions

Multiple Sclerosis - Symptoms & Interventions

Liara presents with relapsing-remitting multiple sclerosis with complaints of fatigue and difficulty walking. She reports worsening symptoms in the afternoon but denies any new relapses. Examination reveals mild spasticity in the lower limbs, decreased endurance, and poor postural control. The patient works as a teacher and finds it challenging to maintain energy throughout the day. Which intervention is MOST appropriate to improve the patient’s functional mobility and address her symptoms?A) Aerobic training at moderate intensity with frequent rest breaksB) Strength training with resistance bands targeting lower extremity musclesC) Cooling strategies during physical activity to improve enduranceD) Balance training on a foam surface to reduce fall riskJoin the FREE Facebook Group: www.nptegroup.com
Apr 30, 202511:10
Knee OA Examination

Knee OA Examination

Rachel presents with knee pain that worsens with activity and improves with rest. She describes stiffness lasting about 30 minutes in the morning and difficulty with stairs. On examination, there is mild joint swelling and crepitus with knee flexion and extension. Which examination finding is MOST indicative of knee osteoarthritis?A) Positive McMurray testB) Reduced knee flexion range of motionC) Medial joint line tendernessD) Presence of effusionTEXT OUR TEAM:(727) 732-4573
Apr 23, 202509:30
Burns - Classification & PT Interventions

Burns - Classification & PT Interventions

Lorren sustained burns to his right forearm and hand while working with hot oil. The burn area is red with blistering, and the patient reports significant pain. On examination, capillary refill is intact, and the wound blanches with pressure. The patient is referred to physical therapy to prevent complications during the early phase of healing. Which intervention is MOST appropriate during the initial phase of rehabilitation?A) Daily aggressive stretching to maintain range of motionB) Moisturizing and scar massage to prevent contracture formationC) Gentle range of motion exercises to prevent joint stiffnessD) Compression wrapping to reduce hypertrophic scarringDOWNLOAD THIS EPISODES CHEATSHEET:www.nptecheatsheet.com/burns25
Apr 16, 202510:11
Exercise Physiology

Exercise Physiology

Nivayah presents with a history of myocardial infarction and type 2 diabetes. The patient reports limited endurance and shortness of breath when walking up a flight of stairs. The physical therapist wants to assess her aerobic capacity and guide the exercise prescription while considering safety due to her cardiovascular history. Which outcome measure is MOST appropriate to assess this patient’s aerobic capacity?A) VO2 max test using a treadmill protocolB) 6-minute walk testC) Borg Rating of Perceived Exertion (RPE)D) Step testJoin the FREE Facebook Group: www.nptegroup.com
Apr 09, 202509:24
Cardiac Rehab Phases

Cardiac Rehab Phases

Jamie is a 62-year-old female who is referred to outpatient cardiac rehabilitation 3 weeks after a myocardial infarction. She reports feeling fatigued with moderate exertion but denies chest pain. Her resting vitals are HR 80 bpm, BP 128/82 mmHg, and SpO₂ 98%. She completed Phase I rehabilitation without complications and is eager to begin exercising to improve her endurance. Which activity is MOST appropriate to initiate during Phase II of cardiac rehabilitation?A) Jogging on a treadmill at 70% maximum heart ratB) Cycling on a stationary bike at 3-5 METsC) Strength training at 50% of 1-rep maxD) Stretching and light walking onlyDOWNLOAD THIS EPISODES CHEATSHEET:www.nptecheatsheet.com/cardiac-rehab1
Apr 02, 202509:45
Spinal Cord Injuries / ASIA Scale

Spinal Cord Injuries / ASIA Scale

Teddy sustained a spinal cord injury at the C7 level after a motor vehicle accident. During the ASIA examination, the patient has preserved sensation at S4-S5 but no voluntary anal contraction. Motor function is absent below C7. Reflex activity is present. How should this patient’s spinal cord injury be classified on the ASIA Impairment Scale?A) ASIA A (Complete)B) ASIA B (Sensory Incomplete)C) ASIA C (Motor Incomplete)D) ASIA D (Motor Incomplete)TEXT OUR TEAM: (727) 732-4573
Mar 26, 202507:46
Hip Special Tests / Key Signs

Hip Special Tests / Key Signs

Carlos is a long-distance runner who presents with deep groin pain that worsens with running and prolonged sitting. He also reports occasional clicking and a sensation of instability in the left hip. Examination reveals full strength and range of motion, but pain is elicited during specific hip movements that compress the joint. Which clinical test is MOST appropriate to confirm the suspected diagnosis?A) FABER testB) Thomas testC) Scour testD) FADIR testJoin the FREE Facebook Group: www.nptegroup.com
Mar 19, 202510:13
Knee Special Tests

Knee Special Tests

Beniah is a 21-year-old female soccer player who presents with right knee pain and instability after pivoting during a game. She reports hearing a “pop” at the time of injury and is now hesitant to bear weight. Examination reveals mild swelling, limited range of motion, and hamstring guarding. Which special test is MOST sensitive for detecting an ACL tear in this patient?A) Lachman testB) Anterior drawer testC) Pivot shift testD) Valgus stress testDOWNLOAD THIS EPISODES CHEATSHEET: www.nptecheatsheet.com/knee-specials
Mar 12, 202508:46
Wound Healing Stages

Wound Healing Stages

Heather is a female with diabetes who is referred to physical therapy for evaluation of a right heel wound. The wound measures 4 cm in diameter, shows a dry black eschar covering the entire wound bed, and has no surrounding erythema or drainage. The patient denies pain at the wound site. Which wound stage is MOST consistent with the described findings?A) Stage IIB) Stage IIIC) Stage IVD) UnstageableTEXT OUR TEAM: (727) 732-4573
Mar 05, 202508:36
Wheelchair Prescription & Positioning

Wheelchair Prescription & Positioning

Jessica presents with a C6 spinal cord injury and is being fitted for a wheelchair. She has full innervation of the deltoids, biceps, and wrist extensors but lacks active triceps function. The patient requires independence in propulsion and activities of daily living. During assessment, she demonstrates forward shoulder positioning and mild scapular instability. Which wheelchair feature is MOST appropriate to optimize the patient’s function and minimize shoulder strain?A) Reclining backrest to improve postural supportB) Lightweight frame with adjustable axle positionC) High backrest to improve scapular stabilityD) Elevating leg rests to reduce shoulder loadingDOWNLOAD THIS EPISODE'S CHEATSHEET: www.nptecheatsheet.com/wheelchair-prescription
Feb 26, 202510:04
Medical Team Communication

Medical Team Communication

Teniah was admitted to the acute care hospital with community-acquired pneumonia. She reports shortness of breath and fatigue. Auscultation reveals decreased breath sounds in the right lower lobe, and SpO₂ drops from 95% to 88% with exertion. Resting vital signs: HR 92 bpm, BP 142/86 mmHg, RR 22 breaths per minute. Which finding requires the MOST immediate communication with the medical team?A) Decreased breath sounds in the right lower lobeB) Blood pressure of 142/86 mmHgC) Resting respiratory rate of 22 breaths per minuteD) Oxygen desaturation to 88% with exertionJoin the FREE Facebook Group: www.nptegroup.com
Feb 19, 202509:45
Parkinson’s Disease: Stages & Treatments

Parkinson’s Disease: Stages & Treatments

Jamie presents with stage 3 Parkinson’s disease and marked presbycusis and reports frequent freezing episodes during ambulation. She demonstrates a reduced step length and minimal arm swing. Her goal is to improve safety and mobility. Which intervention is MOST appropriate to address the patient’s freezing episodes? A) Dynamic balance training B) Rhythmic auditory cueing C) External visual cues D) Strengthening postural muscles DOWNLOAD THIS EPISODES CHEATSHEET: www.nptecheatsheet.com/parkinsons-overview
Feb 12, 202510:58
Rotator Cuff Tear Rehab Protocols

Rotator Cuff Tear Rehab Protocols

Travasia is 4 weeks post-supraspinatus repair. She reports mild soreness but no significant pain. Examination reveals limited passive shoulder elevation beyond 90° due to stiffness and marked restriction in active range of motion. Which intervention is MOST appropriate at this stage? A) Resisted external rotation with a resistance band B) Active-assisted range of motion for shoulder flexion C) Pendulum exercises for shoulder mobility D) Isometric strengthening of the supraspinatus TEXT OUR TEAM: (727) 732-4573
Feb 05, 202511:17
Gait Dysfunction Assessment

Gait Dysfunction Assessment

Narek reports progressive gait difficulties, including frequent tripping and reduced foot clearance during swing phase. Which examination is MOST appropriate to evaluate the primary cause of his impairments? A) Neurological assessment of the deep common peroneal nerve B) Assessment of proprioception in the lower extremities C) Passive motion of the ankle into plantarflexion D) Skin assessment on the bottom of the heel Join the FREE Facebook Group: www.nptegroup.com
Jan 29, 202508:41
Pressure Ulcer Examination

Pressure Ulcer Examination

Talar is a diabetic patient that presents with a chronic foot ulcer that has not healed despite standard care. The ulcer is clean, but the tissue around the wound is swollen and warm, and there is noticeable erythema. What is the MOST likely underlying cause of this condition? A) Poor wound dressing technique B) Venous insufficiency Infection C) Necrotic tissue D) Infection DOWNLOAD THIS EPISODES CHEATSHEET: www.nptecheatsheet.com/pressure-ulcer-staging
Jan 22, 202508:51
ECG Evaluation

ECG Evaluation

Jamie is a 68 year old male with a history of hypertension presents with dizziness, palpitations, and shortness of breath. An ECG reveals a regular rhythm at 110 bpm with narrow QRS complexes and absent P waves. What is the MOST likely diagnosis? A) Atrial fibrillation B) Paroxysmal supraventricular tachycardia (PSVT) C) Ventricular tachycardia D) Sinus tachycardia TEXT OUR TEAM: (727) 732-4573
Jan 15, 202511:14
Stroke Rehabilitation Strategies

Stroke Rehabilitation Strategies

Hamza is 3 weeks post-stroke and presents with right-sided hemiparesis. He is able to sit unsupported but struggles to stand and has difficulty walking without assistance. His Brunnstrom stage is III for the right upper extremity and II for the right lower extremity. Which of the following interventions would be most appropriate for this patient to improve his functional mobility and independence? A) Facilitate weight-bearing on the right lower extremity using assistive devices B) Move the patient's right lower extremity through PNF patterns C) Use body-weight-supported treadmill training (BWSTT) D) Initiate fine motor activities for the right hand to improve hand dexterity Join the FREE Facebook Group: www.nptegroup.com
Jan 08, 202510:47
Shoulder Differential Diagnosis

Shoulder Differential Diagnosis

Milani presents with anterior shoulder pain and reports difficulty with overhead activities. The patient describes intermittent clicking and discomfort with forward reaching. On examination, the therapist observes a positive Speed’s test, normal strength in external rotation, and no pain with passive shoulder elevation. Which of the following is the MOST likely diagnosis? A. Bankart lesion B. Subacromial bursitis C. Biceps tendinopathy D. Rotator cuff tendinopathy DOWNLOAD THIS EPISODES CHEATSHEET: www.nptecheatsheet.com/differential-shoulder
Jan 01, 202510:17
Neurological Outcome Measures

Neurological Outcome Measures

Jeremy is performing a neurological evaluation. The therapist notes repeated falls in quiet standing with a suspected forward anticipatory balance impairment. Which of the following tests is MOST likely to reveal this specific impairment? A) Functional Reach Test B) Romberg Test C) Sensory Organization Test D) Standing in tandem with eyes closed LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Practice Question Club: www.npteclub.com
Sep 25, 202411:31
Other Systems Differential Diagnosis

Other Systems Differential Diagnosis

A 45-year-old female presents to physical therapy with complaints of persistent fatigue, and unexplained weight loss. Upon examination, the therapist notes tachycardia, low blood pressure episodes, and excessive sweating. Which of the following is the MOST likely diagnosis? A) Graves Disease B) Cor Pulmonale C) Hypoglycemia D) Adrenocortical hyperplasia Links Mentioned: NPTE Tips & Tricks: www.nptegroup.com Truelearn: USE CODE: PTH020
Sep 18, 202411:25
What Would I Do Different After Passing The NPTE W/ Greg Todd

What Would I Do Different After Passing The NPTE W/ Greg Todd

Are you a PT wondering where you'll find the money to pay off your student loan debt? In this exclusive episode, Coach K and his long-term mentor and best friend Greg Todd discuss what they'd do differently after Passing the NPTE to build financial freedom. Check out Greg's Exclusive Resources for Clinical Files Listeners Only! Side Hustle Checklist - https://smartsuccesshealthcare.com/sidehustlekr  How to Prep for Job Interviews - https://smartsuccesshealthcare.com/interviewkr  How to Build Your First Digital Product as a New Grad - https://smartsuccesshealthcare.com/digitalkr 
Sep 12, 202448:18
Cardio Exercise Prescription

Cardio Exercise Prescription

Lina presents with a history of chronic heart failure, increased dyspnea and fatigue during daily activities. The physical therapist plans to implement an aerobic exercise program. Which of the following exercise protocols is MOST appropriate for this patient? A) 70-85% of HRmax, 5 times per week, for 45-60 minutes B) 50-60% of HRR, 3 times per week, for 20-40 minutes C) 30-40% of HRmax, daily, for 10-15 minutes D) 80-90% of HRR, 4 times per week, for 60 minutes LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Truelearn: USE CODE: PTH020 Free Cheatsheets: www.nptecheatsheets.com
Sep 11, 202413:10
Burn Interventions 2

Burn Interventions 2

Bronny presents to the hospital with burns to the anterior neck, chest, axillas, and cubital fossa regions. Which of the following positions is the BEST for this patient? A. Cervical slight extension, arm abduction with elbow extension B. Neutral cervical spine, shoulder external rotation with wrist extension C. Cervical slight flexion, arm elevated and elbow extended D. Cervical extension with arm abduction and elbow flexion LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com
Sep 04, 202410:52
Pediatric Hypotonia

Pediatric Hypotonia

Cory is a 3 year old child presents with severe hypotonia. The child has difficulty maintaining an upright posture and frequently collapses when attempting to sit or stand. Which of the following interventions would be MOST appropriate? A. Sitting balance exercises on an unstable surface such as a wobble cushion B. Passive stretching of the hamstrings to improve flexibility C. Practicing squats with support to encourage leg strength D. Rhythmic stabilization exercises in a seated position on a therapy ball LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.co Free Cheatsheets: www.nptecheatsheets.com
Aug 28, 202411:44
Groin Pain Differential

Groin Pain Differential

Everett presents with right groin pain. Which of the following conditions must be ruled out FIRST? A) Diverticulitis B) L2 nerve root compression C) Appendicitis D) Psoas abscess LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com
Aug 21, 202410:37
MSK Joint Mobility Intervention

MSK Joint Mobility Intervention

Calen presents to physical therapy with difficulty grasping a glass. Upon examination, the patient has diminished joint mobility at the 2nd MCP and difficulty performing abduction of the digit. Which of the following glides is the MOST effective? A. Volar glide B. Dorsal glide C. Radial glide D. Medial glide LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Free Cheatsheets: www.nptecheatsheets.com
Aug 14, 202411:38
MSK Postural Examination

MSK Postural Examination

During a clinical evaluation, Aiyinde notices that a patient exhibits pronounced anterior pelvic tilt while standing but this posture significantly improves when the patient engages in a squat. This observation is MOST likely due to tightness in which of the following muscles? A. Iliopsoas B. Gluteus maximus C. Rectus abdominis D. Biceps femoris (long head) LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com
Aug 07, 202412:58
Dizziness Evaluation

Dizziness Evaluation

Wajiha presents with a chief complaint of dizziness upon waking and difficulty washing hair secondary to the onset of dizziness. The patient is currently unable to reach down to pick up objects from the floor. The patient denies heart palpitations and states that she has frequent nausea but does not vomit. What condition is the MOST likely present? A. Meniere’s Disease B. Canalithiasis C. Optic neuritis D. Vestibulo-Ocular Reflex impairment LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com NPTE Cheat Sheets: www.nptecheatsheets.com
Jul 31, 202414:14
Complete Decongestive Therapy

Complete Decongestive Therapy

Kyle is treating a patient in stage 1 of complete decongestive therapy (CDT). Which of the following is NOT a primary focus in this phase: A. Manual lymphatic drainage and short stretch bandages B. Use of a customized compression garment C. Education on keeping the skin clean and dry D. Exercising the trunk before affected extremities LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Free Cheatsheets: www.nptecheatsheets.com
Jul 24, 202410:34
Balance & Falls

Balance & Falls

Jared presents with a history of cataracts and has been experiencing repeated falls at home. Six months ago, his home was remodeled, and new carpets were installed, coinciding with the onset of the falls. Which sensory system is the patient MOST dependent on for balance? A. Vision, somatosensory, and vestibular B. Vision and somatosensory C. Somatosensory D. Vestibular LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com
Jul 17, 202410:10
Forefoot Pain Evaluation

Forefoot Pain Evaluation

Kelly a 30-year-old marathon runner presents with a gradual onset of persistent pain at the base of the first metatarsal, which intensifies during long runs and eases with rest. Examination reveals localized swelling, tenderness on palpation, and pain during passive extension of the big toe. Radiographs show no fractures but a slight increase in the space between the first and second metatarsal bones. What is the MOST likely diagnosis? A) Turf toe B) Sesamoiditis C) Hallux valgus D) Metatarsalgia LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Practice Question Club: www.npteclub.com
Jul 10, 202413:48
Cardiac Immediate Action

Cardiac Immediate Action

Jane has a history of coronary artery disease (CAD) and is performing marching and lunges during an in-home visit. The patient suddenly reports chest pain, shortness of breath, and dizziness. The physical therapist's IMMEDIATE action should be: A. Stop the exercise and have the patient sit down B. Administer nitroglycerin and continue the exercise at a lower intensity C. Call emergency medical services (EMS) immediately D. Measure the patient's blood pressure and heart rate LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Practice Question Club: www.npteclub.com
Jul 03, 202416:04
Pediatric Lower Extremity Evaluation

Pediatric Lower Extremity Evaluation

Matt, a 17-year-old athlete, experiences chronic muscle weakness, foot deformities (high arches and hammer toes), and sensory deficits in his legs and feet. These symptoms have been progressively worsening over the past few years, without any associated swelling or inflammation. Which condition is MOST likely present? A) Osteomyelitis B) Juvenile rheumatoid arthritis C) Sever's disease D) Hereditary Motor & Sensory Neuropathy (HMSN) LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Truelearn: USE CODE: PTH020 Free Cheatsheets: www.nptecheatsheets.com
Jun 26, 202413:54
Multiple Sclerosis Interventions

Multiple Sclerosis Interventions

Suely a 40-year-old female with multiple sclerosis (MS) presents with ataxic gait, characterized by wide base of support, irregular steps, and difficulty maintaining balance. Which of the following interventions is MOST appropriate to address her gait abnormalities?A. High-intensity plyometric exercises
B. Treadmill training with body-weight support
C. Functional electrical stimulation (FES) of the quadriceps
D. Static stretching of the lower extremities LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com PT Hustle Phone Number: (727) 732-4573 Free Cheatsheets: www.nptecheatsheets.com
Jun 19, 202411:38
Diabetes & Wound Care

Diabetes & Wound Care

Blakely is a 65-year-old female with a history of type 2 diabetes mellitus presents with a non-healing wound on her left foot. The wound has been present for six weeks and shows no signs of improvement. Which of the following interventions is MOST appropriate to promote wound healing? A. Hydrotherapy with whirlpool B. Application of a moist wound dressing C. Daily debridement with a dry gauze D. Use of systemic antibiotics only LINKS MENTIONED: NPTE Tips & Tricks PT Hustle Phone Number: (727) 732-4573 PT Hustle Practice Question Bootcamp
Jun 12, 202412:45
Anterior Knee Pain & Cycling

Anterior Knee Pain & Cycling

Raj presents with anterior knee pain that worsens during prolonged cycling. Which of the following adjustments to the bike setup would be MOST beneficial in alleviating the cyclist's symptoms? A. Lowering the saddle height B. Raising the saddle height C. Moving the saddle forward D. Moving the saddle backward LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com PT Hustle Phone Number: (727) 732-4573 Free Cheatsheets: www.nptecheatsheets.com
Jun 05, 202412:24
ACL Reconstruction Rehabilitation

ACL Reconstruction Rehabilitation

Caden is a physical therapist who notes that a patient with a recent ACL reconstruction is reluctant to perform weight-bearing exercises. The patient expresses fear of re-injury. The MOST appropriate response to facilitate rehabilitation progress would involve: A. Encouraging the patient to ignore the fear and push through discomfort. B. Implementing graded exposure therapy and psychological support to address fear-avoidance behaviors. C. Focusing exclusively on non-weight-bearing exercises until the fear subsides. D. Increasing the intensity of weight-bearing exercises to quickly regain strength. LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com PT Hustle Phone Number: (727) 732-4573 Free Cheatsheets: www.nptecheatsheets.com
May 29, 202413:42
Assistive Device Prescription 2

Assistive Device Prescription 2

Xavier is a patient who recently underwent hip replacement surgery and is now at a rehabilitation facility with a weight-bearing as tolerated (WBAT) status. The patient is 75 years old with mild Parkinson’s disease, affecting his balance and coordination. Given these considerations, which assistive device would be MOST appropriate for this patient during the initial phase of recovery? A) Standard cane B) Quad cane C) Front-wheeled walker D) Rollator walker LINKS MENTIONED: Truelearn: USE CODE: PTH020 Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/assistive-ad NPTE Tips & Tricks: www.nptegroup.com
May 22, 202412:46
Acute Low Back Pain

Acute Low Back Pain

Gerard arrives at physical therapy reporting acute lower back pain following an attempt to lift a heavy box. The pain radiates into both lower extremities constantly. During examination, all lumbar motions exacerbate the pain, and the patient prefers to stand and sit with increased lumbar flexion. Which pathology is MOST likely present? A) Lumbar Herniated Disc B) Facet Joint Syndrome C) Sacroiliac Joint Dysfunction D) Ankylosing Spondylitis LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Truelearn: USE CODE: PTH020 PT Hustle Phone Number: (727) 732-4573
May 15, 202412:20
Lower Extremity Lymphedema

Lower Extremity Lymphedema

Margot, a 53-year-old woman, presents to physical therapy with bilateral, symmetrical enlargement of her legs extending from her hips to her ankles, sparing the feet. She reports the condition is painful and has worsened over several years. Skin texture is normal, and there is no pitting edema. Which condition is MOST consistent with these findings? A) Chronic venous insufficiency B) Obesity-related lymphedema C) Primary lymphedema D) Lipedema LINKS MENTIONED: PT Hustle Phone Number: (727) 732-4573 Get Your Episode Cheatsheet HERE NPTE Tips & Tricks: www.nptegroup.com Truelearn: USE CODE: PTH020
May 08, 202412:56
Drug Interactions

Drug Interactions

Jerry, a patient with type 2 diabetes, has been prescribed metformin to manage his blood glucose levels. The physical therapist understands that metformin’s primary function is to: A) Stimulate the pancreas to produce more insulin. B) Decrease the liver's production of glucose. C) Increase the sensitivity of insulin receptors on cells. D) Slow the absorption of sugar from the intestines. LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/meds Truelearn: USE CODE: PTH020 PT Hustle Phone Number: (727) 732-4573
May 01, 202412:06
Ulcer Examination

Ulcer Examination

Julian, a 59-year-old patient with a longstanding history of type 2 diabetes, presents with a chronic, non-healing wound on his foot. The wound is located on the lateral aspect of the foot, characterized by a sharply demarcated, circular margin, and a pale, dry base with minimal exudate. His medical history includes poorly controlled hypertension and intermittent claudication. What is the most likely classification of this ulcer? A) Venous ulcer B) Mixed arterial-venous ulcer C) Pure arterial ulcer D) Neuropathic ulcer LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/ulcerclass
Apr 24, 202411:57
Respiratory Interventions

Respiratory Interventions

Richard is a 75-year-old male patient being treated by physical therapy. In educating a patient with chronic obstructive pulmonary disease (COPD) about managing exacerbations at home, what advice should the physical therapist emphasize as MOST important? A. Use of an incentive spirometer every 2 hours while awake. B. Maintenance of a high-protein, low-carbohydrate diet. C. Participation in daily, moderate-intensity aerobic exercise. D. Keeping the home environment well-ventilated and free of irritants. LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/pulmonaryinterventions
Apr 17, 202410:44
Stroke & Motor Learning

Stroke & Motor Learning

Vivek is being seen by physical therapy after recovering well from a stroke. The patient is refining gait during the autonomous stage of motor learning. Which activity is BEST to challenge their gait adaptability? A. Walking backwards on a treadmill
 B. Navigating a cluttered hallway
 C. Stepping over obstacles at 6 inch heights
 D. Reciprocal pedaling on a stationary bike LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/motor
Apr 10, 202413:33
Right Congestive Heart Failure

Right Congestive Heart Failure

Henry presents with right-sided congestive heart failure and reports slight limitations in physical activity. The patient is comfortable at rest; however, ordinary physical activity results in fatigue, palpitation, or dyspnea. Based on this description, which of the following activities is the patient MOST likely able to do without exacerbating their symptoms? A) Climbing two flights of stairs without stopping B) Walking 3mph on a treadmill C) Laying flat in Trendelenburg position D) Running a short distance 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. NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/CHF
Apr 03, 202412:53
Neurological Differential Diagnosis

Neurological Differential Diagnosis

Andrea is a 45-year-old patient presents to physical therapy with complaints of fluctuating muscle weakness, notably worsening toward the evening. The patient reports difficulty maintaining upward gaze and a history of transient diplopia. No sensory deficits were reported. Which of the following conditions is MOST likely? A) Multiple Sclerosis (MS) B) Amyotrophic Lateral Sclerosis (ALS) C) Guillain-Barré Syndrome (GBS) D) Myasthenia Gravis (MG) LINKS MENTIONED: Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/mg Check out our Instagram account: www.nptegroup.com
Mar 27, 202412:03
Ramp Specifications & ADA Requirements

Ramp Specifications & ADA Requirements

A physical therapy clinic is planning to install a new wheelchair ramp that incorporates a switchback for space efficiency. According to ADA guidelines, what is the MINIMUM required landing size at the switchback to ensure compliance and safety?A) 36 inches by 36 inchesB) 48 inches by 48 inchesC) 60 inches by 60 inchesD) 72 inches by 72 inches 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. Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/wheelchairs Check out our Instagram account: www.nptegroup.com
Mar 20, 202410:38
Pediatric Evaluation

Pediatric Evaluation

Jessie is a 12-year-old male patient who presents with an onset of groin pain. The patient has a BMI of 28 and a recent growth spurt. The physical therapist notes the patient has a limp with external rotation of the affected leg during ambulation. Which of the following diagnoses is MOST likely? A) Legg-Calvé-Perthes Disease B) Slipped Capital Femoral Epiphysis C) Osgood-Schlatter Disease D) Septic Arthritis LINKS MENTIONED: Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/pediatriceval Check out our Instagram account: www.instagram.com/thepthustle
Mar 13, 202412:38
Initial Course of Action

Initial Course of Action

Joscelin receives a referral for a patient with a diagnosis that the therapist is unfamiliar with. What is the INITIAL course of action? A. Decline the referral, citing lack of expertise B. Accept the patient and start treatment C. Research the condition D. Refer the patient to another therapist 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. Join the group specifically built to help PT Students DOMINATE the NPTE: www.nptegroup.com
Mar 06, 202412:39
HIPAA

HIPAA

Henry is treating a patient with severe complications after right total knee arthroplasty. The therapist is preparing a new total knee arthroplasty presentation for his healthcare team and wants to remain HIPAA compliant. Which of the following is NOT a form of protected health information covered under HIPAA?    A. Patient alias  B. Medical record number  C. Photograph of the right knee   D. Home address 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
Feb 28, 202410:58