Marco presents to physical therapy complaining of diminished grip strength and neck discomfort at rest. Upon examination, the patient has weakened finger DIP flexion and wrist extension compared to the right. The patient also has diminished sensation along the hypothenar eminence. Which of the following conditions is MOST likely present?   
A. C6 nerve root impingement  
B. C7 nerve root impingement  
C. C8 nerve root impingement  
D. T1 nerve root impingement
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


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

Nerve Impingement

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

Health & Fitness

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


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

Respiratory Interventions

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


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

Stroke & Motor Learning

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


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

Right Congestive Heart Failure

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


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

Neurological Differential Diagnosis

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:

 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


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

Nerve Impingement

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