NPTE Clinical Files | Physical Therapy

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. Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

  • 10 minutes 47 seconds
    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


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    8 January 2025, 11:00 am
  • 10 minutes 17 seconds
    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


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    1 January 2025, 11:00 am
  • 11 minutes 30 seconds
    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:

    25 September 2024, 4:34 pm
  • 11 minutes 25 seconds
    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:

    18 September 2024, 9:00 am
  • 48 minutes 17 seconds
    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!


    1. Side Hustle Checklist - https://smartsuccesshealthcare.com/sidehustlekr 
    2. How to Prep for Job Interviews - https://smartsuccesshealthcare.com/interviewkr 
    3. How to Build Your First Digital Product as a New Grad - https://smartsuccesshealthcare.com/digitalkr 
    12 September 2024, 10:00 am
  • 13 minutes 10 seconds
    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:

    11 September 2024, 9:00 am
  • 10 minutes 51 seconds
    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:

    4 September 2024, 9:00 am
  • 11 minutes 43 seconds
    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:

    28 August 2024, 9:00 am
  • 10 minutes 37 seconds
    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:

    21 August 2024, 9:00 am
  • 11 minutes 37 seconds
    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:

    14 August 2024, 9:00 am
  • 12 minutes 58 seconds
    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:

    7 August 2024, 9:00 am
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