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.
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Multiple Sclerosis Interventions

NPTE Clinical Files | Physical TherapyJun 19, 2024
00:00
11:38
Foot Ulcers / Key Assessments

Foot Ulcers / Key Assessments

Betty presents with type 2 diabetes and a non-healing ulcer on the lateral ankle. The ulcer is dry, and the patient reports discomfort in her posterior lower leg with walking. On examination, the affected foot has a capillary refill that is prolonged. Which assessment is MOST important to include during the initial evaluation?

A) Monofilament testing for protective sensation

B) Visual inspection for signs of infection

C) ABI to evaluate vascular supply

D) Toe pressure measurement for microvascular assessment

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May 14, 202510:31
Peripheral Artery Disease & Walking Programs
May 07, 202510:25
Multiple Sclerosis - Symptoms & Interventions
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 test

B) Reduced knee flexion range of motion

C) Medial joint line tenderness

D) Presence of effusion

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Apr 23, 202509:30
Burns - Classification & PT Interventions
Apr 16, 202510:11
Exercise Physiology
Apr 09, 202509:24
Cardiac Rehab Phases
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)

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Mar 26, 202507:46
Hip Special Tests / Key Signs
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 test

B) Anterior drawer test

C) Pivot shift test

D) Valgus stress test

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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 II

B) Stage III

C) Stage IV

D) Unstageable

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Mar 05, 202508:36
Wheelchair Prescription & Positioning
Feb 26, 202510:04
Medical Team Communication
Feb 19, 202509:45
Parkinson’s Disease: Stages & Treatments
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

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Feb 05, 202511:17
Gait Dysfunction Assessment
Jan 29, 202508:41
Pressure Ulcer Examination
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

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Jan 15, 202511:14
Stroke Rehabilitation Strategies
Jan 08, 202510:47
Shoulder Differential Diagnosis
Jan 01, 202510:17
Neurological Outcome Measures
Sep 25, 202411:31
Other Systems Differential Diagnosis
Sep 18, 202411:25
What Would I Do Different After Passing The NPTE W/ Greg Todd
Sep 12, 202448:18
Cardio Exercise Prescription
Sep 11, 202413:10
Burn Interventions 2
Sep 04, 202410:52
Pediatric Hypotonia
Aug 28, 202411:44
Groin Pain Differential
Aug 21, 202410:37
MSK Joint Mobility Intervention
Aug 14, 202411:38
MSK Postural Examination
Aug 07, 202412:58
Dizziness Evaluation
Jul 31, 202414:14
Complete Decongestive Therapy
Jul 24, 202410:34
Balance & Falls
Jul 17, 202410:10
Forefoot Pain Evaluation
Jul 10, 202413:48
Cardiac Immediate Action
Jul 03, 202416:04
Pediatric Lower Extremity Evaluation
Jun 26, 202413:54
Multiple Sclerosis Interventions
Jun 19, 202411:38
Diabetes & Wound Care
Jun 12, 202412:45
Anterior Knee Pain & Cycling
Jun 05, 202412:24
ACL Reconstruction Rehabilitation
May 29, 202413:42
Assistive Device Prescription 2
May 22, 202412:46
Acute Low Back Pain
May 15, 202412:20
Lower Extremity Lymphedema
May 08, 202412:56
Drug Interactions
May 01, 202412:06
Ulcer Examination
Apr 24, 202411:57
Respiratory Interventions
Apr 17, 202410:44
Stroke & Motor Learning
Apr 10, 202413:33
Right Congestive Heart Failure
Apr 03, 202412:53
Neurological Differential Diagnosis
Mar 27, 202412:03
Ramp Specifications & ADA Requirements
Mar 20, 202410:38
Pediatric Evaluation
Mar 13, 202412:38