Kayla is a physical therapist who is evaluating a patient with shoulder pain via telehealth. The patient is unable to accurately palpate the area of maximal tenderness. What alternative method should the therapist use to localize the pain?

A. Guide the patient through a series of active range of motion exercises to identify the painful location
B. Instruct the patient to use a foam roller to identify the tender area.
C. Ask the patient to describe the quality of pain in different shoulder positions.
D. Postpone the assessment until an in-person visit can be arranged.
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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Shoulder Pain Telehealth Visit

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

Jerry, a patient with type 2 diabetes, has been prescribed metformin to manage his blood glucose levels. The physical therapist understands that metformin’s primary function is to:
A) Stimulate the pancreas to produce more insulin.
B) Decrease the liver's production of glucose.
C) Increase the sensitivity of insulin receptors on cells.
D) Slow the absorption of sugar from the intestines.
LINKS MENTIONED:

 NPTE Tips & Tricks: www.nptegroup.com
 Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/meds
  Truelearn: USE CODE: PTH020
  PT Hustle Phone Number: (727) 732-4573


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

Drug Interactions

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

Shoulder Pain Telehealth Visit

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