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 que... more

· Health & Fitness

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The podcast currently has 436 episodes available.

Best of NPTE Clinical Files | Physical Therapy

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Number 1: NMES Parameter Adjustment
Stassi is administering neuromuscular electrical stimulation (NMES) to improve quadriceps strength following knee surgery. The patient reports that the stimulation feels uncomfortable as the current is delivered. Stassi would like to maintain a strong therapeutic muscle contraction while making the treatment more comfortable for the patient. Which of the following stimulation parameters should be adjusted? A) Amplitude B) Pulse rate (frequency) C) Pulse duration D) Ramp down time Text our team the word COACH for a free diagnostic: (727) 732-4573
August 19, 202613min
Number 2: Wound Assessment & Documentation
Getsemani examines a patient with a Stage 4 pressure injury over the sacrum. The therapist inserts a sterile cotton-tipped applicator beneath the intact wound edge. The applicator advances 2.4 cm toward the patient’s head while remaining immediately beneath the skin. Which of the following is the MOST appropriate documentation of this finding? A) Tunneling of 2.4 cm at 12 o’clock B) Undermining of 2.4 cm at 12 o’clock C) Maceration extending 2.4 cm at 12 o’clock D) Induration extending 2.4 cm at 12 o’clock Text our team the word COACH for a free diagnostic: (727) 732-4573
August 26, 202613min
Number 3: Radial Head Displaced Fracture - LEAST LIKELY
Stephanie is evaluating a patient 8 weeks after sustaining a displaced radial head fracture following a fall onto an outstretched hand. The patient reports persistent lateral elbow pain, difficulty actively extending the wrist and fingers, and weakness when gripping objects. Which of the following examination findings is LEAST likely? A) 5/5 elbow extension manual muscle test B) Limited forearm supination range of motion C) Diminished finger extension passive range of motion D) Decreased power grip strength Join the FREE NPTE Facebook Group: www.nptegroup.com Text our team the word COACH for a free diagnostic: (727) 732-4573
July 22, 202612min
Number 4: Genu Valgum Examination - Must Know NPTE Concept
Tasnuva is referred to physical therapy for progressively worsening right knee pain. The patient reports symptoms that have gradually increased over the past year and are aggravated by prolonged walking. Observation reveals right coxa vara and significant genu valgum during standing. Which of the following structures is MOST likely contributing to the patient’s symptoms? A) Anterior cruciate ligament B) Gluteus medius tendon C) Medial meniscus D) Lateral meniscus Text our team the word COACH for a free diagnostic: (727) 732-4573
July 29, 202613min
Number 5: Diabetes Examination
Chimezie is performing an initial examination of a patient with type 2 diabetes mellitus. The patient’s most recent hemoglobin A1C is 6.7%. During inspection of the right foot, the therapist observes a small ulcer on the plantar surface beneath the fifth metatarsal head. The patient reports progressively limiting walking activities because of discomfort in the involved foot. Which of the following examination procedures is MOST important for the therapist to perform? A) Measure the patient’s maximum ambulation distance B) Inspect the medial ankle for additional ulceration C) Test protective sensation using a 10-g monofilament D) Measure capillary blood glucose before continuing the examination Text our team the word COACH for a free diagnostic: (727) 732-4573
July 08, 202616min