NPTE Clinical Files | Physical Therapy
Education Podcasts
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. Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Location:
United States
Genres:
Education Podcasts
Description:
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. Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Language:
English
Episodes
Drug Interactions
5/1/2024
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:
www.nptegroup.comhttps://www.nptecheatsheet.com/medsTruelearn --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:12:05
Ulcer Examination
4/24/2024
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:
www.nptegroup.comhttps://www.nptecheatsheet.com/ulcerclass --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:11:56
Respiratory Interventions
4/17/2024
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:
www.nptegroup.comhttps://www.nptecheatsheet.com/pulmonaryinterventions --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:10:43
Stroke & Motor Learning
4/10/2024
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:
www.nptegroup.comhttps://www.nptecheatsheet.com/motor --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:13:33
Right Congestive Heart Failure
4/3/2024
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:
www.NPTEPASS.comwww.nptegroup.comhttps://www.nptecheatsheet.com/CHF --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:12:52
Neurological Differential Diagnosis
3/27/2024
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:
https://www.nptecheatsheet.com/mgwww.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:12:03
Ramp Specifications & ADA Requirements
3/20/2024
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 inches
B) 48 inches by 48 inches
C) 60 inches by 60 inches
D) 72 inches by 72 inches
LINKS MENTIONED:
www.NPTEPASS.comhttps://www.nptecheatsheet.com/wheelchairswww.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:10:38
Pediatric Evaluation
3/13/2024
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:
https://www.nptecheatsheet.com/pediatricevalwww.instagram.com/thepthustle --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:12:38
Initial Course of Action
3/6/2024
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:
www.NPTEPASS.comwww.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:12:39
HIPAA
2/28/2024
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:
www.NPTEPASS.comwww.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Upper Extremity Nerve Examination
2/21/2024
Tamia presents with an unspecified work-related injury to her right upper extremity. Upon examination, the patient demonstrates weakness in wrist flexion and loss of forearm pronation. The patient also exhibits a diminished brachial reflex and a positive Froment's sign. Which nerve is LEAST likely to be affected?
A. Median nerve
B. Ulnar nerve
C. Musculocutaneous nerve
D. Posterior interosseous nerve
LINKS MENTIONED:
www.NPTEPASS.comwww.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:14:48
Chronic Anemia
2/14/2024
Charlie is a patient with chronic anemia who is participating in a physical therapy program. Which of the following signs should the physical therapist monitor for during exercise?
A. Sudden increase in blood pressure
B. Excessive sweating
C. Tachycardia and dyspnea on exertion
D. Hyperactivity
LINKS MENTIONED:
www.NPTEPASS.comwww.nptegroup.com https://www.nptecheatsheet.com/chronic-anemia1 --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:12:07
Post Surgical Ankle/Foot
2/7/2024
Sahar is educating her student about surgical protocols of the foot and ankle. A patient who presents two weeks post-surgery for an Achilles tendon repair, should avoid which of the following?
A. Passive dorsiflexion to mild discomfort
B. Seated toe extensions
C. Gentle isometric plantarflexion exercises
D. Active ankle inversion and eversion
LINKS MENTIONED:
www.thepthustle.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:14:03
3 Secrets To Passing The NPTE in 2024
1/31/2024
In this podcast episode, Dr. Kyle Rice, also known as Coach K, focuses on the mission of the PT Hustle and 3 tips for helping any physical therapist PASS the NPTE, who struggles with standardized tests. He uncovers the three major mistakes people make when preparing for the exam and how to resolve them. Join us on this enlightening podcast episode!
LINKS MENTIONED:
www.thepthustle.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:34:41
Upper Extremity Neurological Signs and Symptoms
1/24/2024
Jeremy is a 55 year old male who presents with numbness and tingling in both hands, loss of pain and temperature sensation in a glove-like distribution, and decreased grip strength. This patient MOST likely suffers from:
A. Cervical radiculopathy
B. Thoracic outlet syndrome
C. Peripheral neuropathy
D. Carpal tunnel syndrome
LINKS MENTIONED:
www.NPTEPASS.comwww.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:14:04
Orthostatic Hypotension
1/17/2024
Blake wants to reduce the risk of orthostatic hypotension in a patient with low blood pressure. The physical therapist should:
A. Encourage slow transitions from sitting to standing
B. Have the patient perform deep breathing exercises before standing
C. Recommend wearing compression stockings during sessions
D. Check the chart for blood pressure reducing medications
LINKS MENTIONED:
www.NPTEPASS.comwww.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:14:41
Vestibular Caloric Test
1/10/2024
Copeland is evaluating a 55-year-old patient who presents with a mild case of unilateral vestibular hypofunction and associated hearing loss on the left side. The therapist performs the caloric test by instilling warm water into the affected ear. What is the MOST likely direction of the patient's nystagmus during this test?
A. Towards the opposite side, but reduced in magnitude
B. Absent or significantly reduced nystagmus
C. Towards the same side, but reduced in magnitude
D. Eye movement is unaffected
LINKS MENTIONED:
www.NPTEPASS.comwww.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:12:48
Down Syndrome Examination
1/3/2024
Peter is a physical therapist who is working with a 3-year-old child who has Down syndrome. The therapist observes increased flexibility and hypermobility. These findings is primarily due to:
A. Poor muscle tone
B. Ligamentous laxity
C. Delayed bone age
D. Spastic muscle contractions
LINKS MENTIONED:
www.NPTEPASS.comwww.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:13:12
Shoulder Pain Telehealth Visit
12/27/2023
Kayla is a physical therapist who is evaluating a patient with shoulder pain via telehealth. The patient is unable to accurately palpate the area of maximal tenderness. What alternative method should the therapist use to localize the pain?
A. Guide the patient through a series of active range of motion exercises to identify the painful location
B. Instruct the patient to use a foam roller to identify the tender area.
C. Ask the patient to describe the quality of pain in different shoulder positions.
D. Postpone the assessment until an in-person visit can be arranged.
LINKS MENTIONED:
www.NPTEPASS.comwww.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:12:41
Home Modifications
12/20/2023
Frankie is a physical therapist who, during a home health visit, notices that the patient's home has several potential safety hazards. What is the FIRST step the therapist should take?
A. Ignore the hazards as addressing them is not within the therapist’s scope of practice.
B. Report the hazards to the patient’s primary care physician.
C. Discuss and educate the patient and family about the hazards and suggest modifications.
D. Contact a social worker to assess the home environment.
LINKS MENTIONED:
www.NPTEPASS.comwww.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support
Duration:00:16:15