NPTE Clinical Files | Physical Therapy
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NPTE Clinical Files | Physical Therapy
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 d...
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COPD: Exercise Testing & Prescription
Luca is a 68 year old male with moderate COPD who is referred for physical therapy to improve exercise tolerance. He reports dyspnea with minimal exer...
Alzheimer’s Disease: PT Treatment
Amara presents with mild to moderate Alzheimer’s disease and has impaired gait and balance. She becomes disoriented in new environments and struggles...
Post-Op Total Knee Arthroplasty
Helga is two days post-total knee arthroplasty (TKA) and reports moderate knee pain and stiffness. Her knee range of motion is 0–45 degrees, and her i...
Electrotherapy- Indications & Contraindications New
Freda presents with persistent shoulder pain following rotator cuff repair surgery. The therapist considers using electrical stimulation for pain mana...
Integumentary Outcome Measures
Mohammad is documenting outcomes for a patient who has been treated for a venous ulcer. Which of the following improvements is the MOST significant to...
Surgical Pain Examination
Sweeney recently underwent a hysterectomy and requests to sit after ambulating a few feet. The patient reports dizziness and right lower extremity pai...
Shoulder Instability- Recognizing & Testing
Azaria is a 22-year-old swimmer with intermittent right shoulder pain who complains of a slipping sensation during overhead activities. Which of the f...
Vestibular Assessment
John reports dizziness and unsteadiness when walking, especially in busy environments or when turning his head quickly. He denies positional dizziness...
Medical Imaging Interpretation
Before an evaluation, Arial is reviewing the patient's MRI report that describes sequestration at the L4 – L5 level. The intake form reveals sensory c...
Hand & Wrist Pathologies
Samantha is an office worker who presents with pain and numbness in the right hand, particularly at night. On examination, there is decreased sensatio...
Post-Surgical Incision Care
Denise is six days post-abdominal surgery with a midline incision. The incision is well-approximated with slight redness but no drainage or dehiscence...
CABG / Post-Op PT Guidelines
Kelly is referred to physical therapy six days after coronary artery bypass graft (CABG) surgery. She reports mild fatigue but denies chest pain or sh...
Mystery Pathology Examination Findings
Ollie reports progressive weakness in his legs and tingling sensations in his hands and feet after a recent upper respiratory infection. On examinatio...
Frozen Shoulder Rehab Protocols
Rella presents with a diagnosis of adhesive capsulitis in the freezing phase. She reports persistent, deep shoulder pain at rest and significant disco...
Pharmacology for PTs
Bailey presents with a history of osteoarthritis and hypertension and is referred to physical therapy for knee pain management. She reports taking ove...
Lymphedema Management - Compression & Therapy
Pouria presents with secondary lymphedema following breast cancer treatment. The patient reports heaviness in the arm and mild discomfort but denies s...
Atrial Fibrillation / PT Considerations
Jafar has a history of atrial fibrillation and reports occasional fatigue and palpitations. His resting heart rate is 96 bpm and irregular, and he tak...
Traumatic Brain Injury / Assessment & Treatment
Taylor presents with a TBI and is recently learning to transfer from a wheelchair to a bed independently. The therapist aims to facilitate the learnin...
Ankle Pain - Clinical Patholophysiology
Kyle reports sudden posterior ankle pain after jumping, describing it as feeling “kicked.” Examination reveals mild swelling, a palpable gap above the...
Lumbar Spine Pathologies / Red Flags
Martha presents with six weeks of dull, intermittent low back pain. The pain worsens with standing but improves slightly with rest. Examination reveal...
Assistive Device Training
Gertrude presents with right knee osteoarthritis and is being trained to use a cane. She demonstrates unsteady steps when initiating gait and turning,...
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 posterio...
Peripheral Artery Disease & Walking Programs
Cobert presents with a history of peripheral artery disease and was referred to physical therapy for walking endurance. He reports intermittent claudi...
Multiple Sclerosis - Symptoms & Interventions
Liara presents with relapsing-remitting multiple sclerosis with complaints of fatigue and difficulty walking. She reports worsening symptoms in the af...
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...
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 signifi...
Exercise Physiology
Nivayah presents with a history of myocardial infarction and type 2 diabetes. The patient reports limited endurance and shortness of breath when walki...
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...
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...
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 clickin...
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 “po...
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...
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 extens...
Medical Team Communication
Teniah was admitted to the acute care hospital with community-acquired pneumonia. She reports shortness of breath and fatigue. Auscultation reveals de...
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 re...
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 elevati...
Gait Dysfunction Assessment
Narek reports progressive gait difficulties, including frequent tripping and reduced foot clearance during swing phase. Which examination is MOST appr...
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 arou...
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 rh...
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 walkin...