Yari was recently given authorization by her insurance company for an acute ankle sprain. After the authorization period, the therapist determines that the patient is no longer in need of therapy services; however, the patient requests to continue treatment. Which of the following is the MOST appropriate action? A. Allow the patient to pay out of pocket for additional therapy visits B. Discharge the patient to a home exercise program C. Write a letter to the insurance company requesting more visits D. Treat the patient as a pro bono client 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.

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NPTE Core Values

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

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:

 NPTE Tips & Tricks: www.nptegroup.com
 Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/ulcerclass


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

Ulcer Examination

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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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

NPTE Core Values

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