NPTE Clinical Files | Physical Therapy artwork

NPTE Clinical Files | Physical Therapy

430 episodes - English - Latest episode: 4 days ago - ★★★★★ - 232 ratings

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

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Episodes

Forefoot Pain Evaluation

July 10, 2024 09:00 - 13 minutes - 31.6 MB

Kelly a 30-year-old marathon runner presents with a gradual onset of persistent pain at the base of the first metatarsal, which intensifies during long runs and eases with rest. Examination reveals localized swelling, tenderness on palpation, and pain during passive extension of the big toe. Radiographs show no fractures but a slight increase in the space between the first and second metatarsal bones. What is the MOST likely diagnosis? A) Turf toe B) Sesamoiditis C) Hallux valgus D) Meta...

Cardiac Immediate Action

July 03, 2024 09:00 - 16 minutes - 36.8 MB

Jane has a history of coronary artery disease (CAD) and is performing marching and lunges during an in-home visit. The patient suddenly reports chest pain, shortness of breath, and dizziness. The physical therapist's IMMEDIATE action should be: A. Stop the exercise and have the patient sit down B. Administer nitroglycerin and continue the exercise at a lower intensity C. Call emergency medical services (EMS) immediately D. Measure the patient's blood pressure and heart rate LINKS MENTIO...

Pediatric Lower Extremity Evaluation

June 26, 2024 09:00 - 13 minutes - 31.8 MB

Matt, a 17-year-old athlete, experiences chronic muscle weakness, foot deformities (high arches and hammer toes), and sensory deficits in his legs and feet. These symptoms have been progressively worsening over the past few years, without any associated swelling or inflammation. Which condition is MOST likely present? A) Osteomyelitis B) Juvenile rheumatoid arthritis C) Sever's disease D) Hereditary Motor & Sensory Neuropathy (HMSN) LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.co...

Multiple Sclerosis Interventions

June 19, 2024 09:00 - 11 minutes - 26.6 MB

Suely a 40-year-old female with multiple sclerosis (MS) presents with ataxic gait, characterized by wide base of support, irregular steps, and difficulty maintaining balance. Which of the following interventions is MOST appropriate to address her gait abnormalities? A. High-intensity plyometric exercises
 B. Treadmill training with body-weight support
 C. Functional electrical stimulation (FES) of the quadriceps
 D. Static stretching of the lower extremities LINKS MENTIONED: NPTE Tips & Tr...

Diabetes & Wound Care

June 12, 2024 09:00 - 12 minutes - 29.2 MB

Blakely is a 65-year-old female with a history of type 2 diabetes mellitus presents with a non-healing wound on her left foot. The wound has been present for six weeks and shows no signs of improvement. Which of the following interventions is MOST appropriate to promote wound healing? A. Hydrotherapy with whirlpool B. Application of a moist wound dressing C. Daily debridement with a dry gauze D. Use of systemic antibiotics only LINKS MENTIONED: NPTE Tips & Tricks PT Hustle Phone Numbe...

Anterior Knee Pain & Cycling

June 05, 2024 09:00 - 12 minutes - 18 MB

Raj presents with anterior knee pain that worsens during prolonged cycling. Which of the following adjustments to the bike setup would be MOST beneficial in alleviating the cyclist's symptoms? A. Lowering the saddle height B. Raising the saddle height C. Moving the saddle forward D. Moving the saddle backward LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com PT Hustle Phone Number: (727) 732-4573 Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast: https://podc...

ACL Reconstruction Rehabilitation

May 29, 2024 09:00 - 13 minutes - 31.3 MB

Caden is a physical therapist who notes that a patient with a recent ACL reconstruction is reluctant to perform weight-bearing exercises. The patient expresses fear of re-injury. The MOST appropriate response to facilitate rehabilitation progress would involve: A. Encouraging the patient to ignore the fear and push through discomfort. B. Implementing graded exposure therapy and psychological support to address fear-avoidance behaviors. C. Focusing exclusively on non-weight-bearing exercis...

Assistive Device Prescription 2

May 22, 2024 09:00 - 12 minutes - 29.2 MB

Xavier is a patient who recently underwent hip replacement surgery and is now at a rehabilitation facility with a weight-bearing as tolerated (WBAT) status. The patient is 75 years old with mild Parkinson’s disease, affecting his balance and coordination. Given these considerations, which assistive device would be MOST appropriate for this patient during the initial phase of recovery? A) Standard cane B) Quad cane C) Front-wheeled walker D) Rollator walker LINKS MENTIONED: Truelearn: U...

Acute Low Back Pain

May 15, 2024 09:00 - 12 minutes - 28.2 MB

Gerard arrives at physical therapy reporting acute lower back pain following an attempt to lift a heavy box. The pain radiates into both lower extremities constantly. During examination, all lumbar motions exacerbate the pain, and the patient prefers to stand and sit with increased lumbar flexion. Which pathology is MOST likely present? A) Lumbar Herniated Disc B) Facet Joint Syndrome C) Sacroiliac Joint Dysfunction D) Ankylosing Spondylitis LINKS MENTIONED: NPTE Tips & Tricks: www.npt...

Lower Extremity Lymphedema

May 08, 2024 09:00 - 12 minutes - 29.6 MB

Margot, a 53-year-old woman, presents to physical therapy with bilateral, symmetrical enlargement of her legs extending from her hips to her ankles, sparing the feet. She reports the condition is painful and has worsened over several years. Skin texture is normal, and there is no pitting edema. Which condition is MOST consistent with these findings? A) Chronic venous insufficiency B) Obesity-related lymphedema C) Primary lymphedema D) Lipedema LINKS MENTIONED: PT Hustle Phone Number: (...

Drug Interactions

May 01, 2024 09:00 - 12 minutes - 27.7 MB

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://w...

Ulcer Examination

April 24, 2024 09:00 - 11 minutes - 27.3 MB

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 arte...

Respiratory Interventions

April 17, 2024 09:00 - 10 minutes - 24.6 MB

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 ...

Stroke & Motor Learning

April 10, 2024 09:00 - 13 minutes - 31 MB

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.nptecheatshe...

Right Congestive Heart Failure

April 03, 2024 09:00 - 12 minutes - 29.5 MB

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) Runnin...

Neurological Differential Diagnosis

March 27, 2024 09:00 - 12 minutes - 27.6 MB

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...

Ramp Specifications & ADA Requirements

March 20, 2024 09:00 - 10 minutes - 24.4 MB

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....

Pediatric Evaluation

March 13, 2024 09:00 - 12 minutes - 28.9 MB

Jessie is a 12-year-old male patient who presents with an onset of groin pain. The patient has a BMI of 28 and a recent growth spurt. The physical therapist notes the patient has a limp with external rotation of the affected leg during ambulation. Which of the following diagnoses is MOST likely? A) Legg-Calvé-Perthes Disease B) Slipped Capital Femoral Epiphysis C) Osgood-Schlatter Disease D) Septic Arthritis LINKS MENTIONED: Get Your Episode Cheatsheet here: https://www.nptecheatsheet....

Initial Course of Action

March 06, 2024 10:00 - 12 minutes - 29 MB

Joscelin receives a referral for a patient with a diagnosis that the therapist is unfamiliar with. What is the INITIAL course of action? A. Decline the referral, citing lack of expertise B. Accept the patient and start treatment C. Research the condition D. Refer the patient to another therapist 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 S...

HIPAA

February 28, 2024 11:00 - 10 minutes - 10.2 MB

Henry is treating a patient with severe complications after right total knee arthroplasty. The therapist is preparing a new total knee arthroplasty presentation for his healthcare team and wants to remain HIPAA compliant. Which of the following is NOT a form of protected health information covered under HIPAA?    A. Patient alias  B. Medical record number  C. Photograph of the right knee   D. Home address LINKS MENTIONED:      Did you get this question wrong?! If you were stuck between...

Upper Extremity Nerve Examination

February 21, 2024 10:00 - 14 minutes - 33.9 MB

Tamia presents with an unspecified work-related injury to her right upper extremity. Upon examination, the patient demonstrates weakness in wrist flexion and loss of forearm pronation. The patient also exhibits a diminished brachial reflex and a positive Froment's sign. Which nerve is LEAST likely to be affected? A. Median nerve B. Ulnar nerve C. Musculocutaneous nerve D. Posterior interosseous nerve LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answe...

Chronic Anemia

February 14, 2024 10:00 - 12 minutes - 27.8 MB

Charlie is a patient with chronic anemia who is participating in a physical therapy program. Which of the following signs should the physical therapist monitor for during exercise? A. Sudden increase in blood pressure B. Excessive sweating C. Tachycardia and dyspnea on exertion D. Hyperactivity 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 ST...

Post Surgical Ankle/Foot

February 07, 2024 10:00 - 14 minutes - 32.2 MB

Sahar is educating her student about surgical protocols of the foot and ankle. A patient who presents two weeks post-surgery for an Achilles tendon repair, should avoid which of the following? A. Passive dorsiflexion to mild discomfort B. Seated toe extensions C. Gentle isometric plantarflexion exercises D. Active ankle inversion and eversion LINKS MENTIONED: Text Us For NPTE Help: (727) 732-4573 PT Hustle: www.thepthustle.com --- Support this podcast: https://podcasters.spotify.c...

3 Secrets To Passing The NPTE in 2024

January 31, 2024 10:00 - 34 minutes - 79.4 MB

In this podcast episode, Dr. Kyle Rice, also known as Coach K, focuses on the mission of the PT Hustle and 3 tips for helping any physical therapist PASS the NPTE, who struggles with standardized tests. He uncovers the three major mistakes people make when preparing for the exam and how to resolve them. Join us on this enlightening podcast episode! LINKS MENTIONED: Text Us For NPTE Help: (727) 732-4573 PT Hustle: www.thepthustle.com --- Support this podcast: https://podcasters.spotify...

Upper Extremity Neurological Signs and Symptoms

January 24, 2024 10:00 - 14 minutes - 32.2 MB

Jeremy is a 55 year old male who presents with numbness and tingling in both hands, loss of pain and temperature sensation in a glove-like distribution, and decreased grip strength. This patient MOST likely suffers from: A. Cervical radiculopathy B. Thoracic outlet syndrome C. Peripheral neuropathy D. Carpal tunnel syndrome 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 lea...

Orthostatic Hypotension

January 17, 2024 10:00 - 14 minutes - 33.6 MB

Blake wants to reduce the risk of orthostatic hypotension in a patient with low blood pressure. The physical therapist should: A. Encourage slow transitions from sitting to standing B. Have the patient perform deep breathing exercises before standing C. Recommend wearing compression stockings during sessions D. Check the chart for blood pressure reducing medications LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then...

Vestibular Caloric Test

January 10, 2024 10:00 - 12 minutes - 29.3 MB

Copeland is evaluating a 55-year-old patient who presents with a mild case of unilateral vestibular hypofunction and associated hearing loss on the left side. The therapist performs the caloric test by instilling warm water into the affected ear. What is the MOST likely direction of the patient's nystagmus during this test? A. Towards the opposite side, but reduced in magnitude B. Absent or significantly reduced nystagmus C. Towards the same side, but reduced in magnitude D. Eye movement...

Down Syndrome Examination

January 03, 2024 10:00 - 13 minutes - 30.2 MB

Peter is a physical therapist who is working with a 3-year-old child who has Down syndrome. The therapist observes increased flexibility and hypermobility. These findings is primarily due to: A. Poor muscle tone B. Ligamentous laxity C. Delayed bone age D. Spastic muscle contractions 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 get...

Shoulder Pain Telehealth Visit

December 27, 2023 10:00 - 12 minutes - 29.1 MB

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...

Home Modifications

December 20, 2023 09:00 - 16 minutes - 37.2 MB

Frankie is a physical therapist who, during a home health visit, notices that the patient's home has several potential safety hazards. What is the FIRST step the therapist should take? A. Ignore the hazards as addressing them is not within the therapist’s scope of practice. B. Report the hazards to the patient’s primary care physician. C. Discuss and educate the patient and family about the hazards and suggest modifications. D. Contact a social worker to assess the home environment. LIN...

Lateral Epicondylitis

December 13, 2023 10:00 - 27 minutes - 62.9 MB

Setting: Sports Clinic Gender: Female Age: 28 years Presenting Problem/Current Condition: Pain in the right elbow after increasing the frequency of her tennis games. Medical History: No significant medical issues Other Information: Recreational tennis player, recently started competing Physical Therapy Examination(s): Tenderness over the lateral epicondyle. Pain on resisted wrist extension Physical Therapy Plan of Care: None, this is the first visit 1. What is the MOST likely diagnos...

Addison's Examination

December 06, 2023 10:00 - 16 minutes - 38.6 MB

Wendy presents with a recent diagnosis of Addison's disease and has. been referred to physical therapy. During exercise, the therapist should expectant of which of the following symptoms? A. Hypertension and tachycardia B. Hyperglycemia and diaphoresis C. Hypotension and fatigue D. Hypoglycemia and hyperreflexia 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...

Hypothyroidism & Interventions

November 29, 2023 10:00 - 19 minutes - 44.3 MB

Burton is a 45-year-old male patient with a long-standing history of hypothyroidism who presents with complaints of increasing fatigue, cold intolerance, and muscle stiffness. Physical therapy examination reveals slowed reflexes and generalized muscle weakness. Which intervention should be prioritized in this patient's treatment plan? A. High-intensity resistance training B. Aerobic exercise for endurance training C. Gentle stretching and range of motion exercises D. Balance and proprioc...

NPTE Clinical Scenario Acute Care

November 22, 2023 10:00 - 22 minutes - 50.4 MB

Question 1: Given the patient's medication and medical history, which complication is he at an increased risk for during mobility training A) Orthostatic hypotension B) Fractures C) Respiratory distress D) Hyperkalemia Question 2: The patient is exhibiting difficulty following multi-step commands. Which approach would be MOST appropriate when giving instructions for exercises? A) Provide written instructions with diagrams. B) Give complex, multi-step verbal commands rapidly. C) Dem...

Lower Extremity Muscle Actions

November 15, 2023 10:00 - 12 minutes - 28.7 MB

June presents with complaints of pain during the midstance to terminal stance phase of gait. Upon examination, there's excessive pronation of the subtalar joint and pes planus deformity. What muscle is MOST likely weakened? A) Flexor digitorum brevis B) Tibialis posterior C) Abductor hallucis D) Extensor digitorum longus 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 le...

Foot Ulcer

November 08, 2023 10:00 - 11 minutes - 26.8 MB

Belinda is a 46-year-old patient with a history of diabetes presents with a non-healing ulcer on the plantar surface of the foot. Upon examination, the therapist notes a well-defined ulcer with a punched-out appearance surrounded by callused skin. Which type of ulcer is this most indicative of? A) Venous stasis ulcer B) Arterial insufficiency ulcer C) Neuropathic ulcer D) Pressure ulcer LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selecte...

NPTE Stroke Question

November 01, 2023 09:00 - 11 minutes - 26 MB

Kelly is a 60-year-old patient who is post-stroke and exhibits a steppage gait pattern. What is the MOST likely underlying neuromuscular deficit contributing to this gait deviation? A) Weak hip flexors B) Weak ankle dorsiflexors C) Spastic quadriceps D) Spastic hip adductors 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. A...

Research Correlation

October 25, 2023 09:00 - 14 minutes - 33.5 MB

Janie is a physical therapist who is conducting research to determine the relationship between hours of standing per day and the severity of lower back pain in factory workers. After analyzing the data, the therapist finds a positive, strong correlation (r = 0.85) between the two variables. What does this correlation coefficient indicate? A) An 85% chance that standing longer hours directly causes increased back pain severity. B) A strong relationship between hours of standing and back pai...

Knee Pain

October 18, 2023 09:00 - 12 minutes - 27.6 MB

Roger is a 45-year-old is an avid cyclist who presents with anterior knee pain, especially after long rides. The pain is localized near the patellar tendon's inferior pole. What condition best describes these symptoms? A) Patellofemoral pain syndrome B) Osgood-Schlatter disease C) Patellar tendinitis D) Chondromalacia patellae 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 ...

ACL Reconstruction Protocol

October 04, 2023 09:00 - 11 minutes - 26.6 MB

Jason is a 25-year-old soccer player who sustained an anterior cruciate ligament (ACL) injury 8 weeks ago and underwent surgical repair. Current therapy goals are to restore neuromuscular control and proprioception. Which exercise will BEST address these goals? A) Open-chain knee extension exercises in sitting B) Balance exercises on a wobble board C) Prone hamstring curls D) Passive range of motion of the knee LINKS MENTIONED: Did you get this question wrong?! If you were stuck betwee...

Examination Findings & Congestive Heart Failure

September 27, 2023 09:00 - 14 minutes - 33.1 MB

Betty is 55-year-old female with a history of congestive heart failure who presents with complaints of dyspnea during moderate activities. She mentions that she has been sleeping with three pillows at night for comfort. Given this information, which clinical term best describes her sleeping condition? A) Eupnea B) Hyperpnea C) Orthopnea D) Apnea 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 ww...

Cardiopulmonary Findings

September 20, 2023 09:00 - 11 minutes - 26.2 MB

Charese presents a history of chronic obstructive pulmonary disease (COPD) performs a six-minute walk test. Which outcome, if observed during the test, would indicate an exacerbation or worsening of the patient's COPD? A. Increased stride length B. Decreased use of accessory muscles for breathing C. A decrease in SpO2 below 90% D. A decrease in respiratory rate LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you ...

Total Hip Arthoplasty Posterior Approach

September 13, 2023 09:00 - 10 minutes - 25.1 MB

Vicky is 67-year-old female with advanced osteoarthritis is scheduled for a total hip arthroplasty. The orthopedic surgeon decides on a posterior approach. Which of the following is the PRIMARY reason for utilizing a posterior approach during the procedure? A. Minimize disruption to hip flexors B. Provide better access to the acetabulum C. Avoid risk to the sciatic nerve D. Reduce surgical time LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers ...

Low Energy Hip Fracture

September 06, 2023 09:00 - 11 minutes - 25.8 MB

Jess is working with a patient who has sustained a low-energy hip fracture. These types of fractures are MOST common in which population? A. High-performance athletes during intense training. B. Postmenopausal women with osteoporosis. C. Children between the ages of 5-10 years. D. Middle-aged men during heavy weightlifting sessions. 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...

Motor Vehicle Accident

August 30, 2023 09:00 - 9 minutes - 21.2 MB

Kemmie is a 48-year-old female patient, who was recently involved in a motor vehicle accident and presents with a T10 level spinal cord injury. In addition to bladder dysfunction and decreased sensation below the level of injury, she is MOST likely to exhibit which of the following? A. Quadriplegia B. Absent lower extremity reflexes C. Absent sensation in C7 dermatome D. Normal upper extremity strength LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two ...

Myocardial Infarction 2

August 23, 2023 09:00 - 10 minutes - 24.4 MB

Jerry presents with a history of myocardial infarction and reports experiencing chest pain during exercise. Which of the following interventions would be MOST appropriate? A. Discontinue exercise immediately and refer the patient to a physician B. Continue exercise at a reduced intensity level C. Increase the duration of exercise to build endurance D. Use resistance training to improve cardiac function LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two ...

Frequent Falls & Romberg

August 16, 2023 09:00 - 14 minutes - 34 MB

Heather is a 65-year-old patient being evaluated for balance issues and frequent falls. She exhibits a wide-based, unsteady gait and a positive Romberg test but shows no muscle weakness. What system impairment is most likely contributing to her balance problem? A. Musculoskeletal System B. Vestibular System C. Visual System D. Somatosensory System 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 ...

Shoulder Limitations NPTE Favorite

August 09, 2023 09:00 - 14 minutes - 34 MB

Jimare presents with a rotator cuff injury with limitations into internal rotation passively but has full active external range of motion. Which of the following interventions is the MOST likely to be effective: A. Stretching of internal rotators B. Strengthening of internal rotators C. Stretching of the external rotators D. Anterior capsule stretching LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need ...

O2 Saturation

August 02, 2023 09:00 - 13 minutes - 29.8 MB

Jaquay is treating a patient with chronic obstructive pulmonary disease (COPD) who complains of dyspnea during daily activities. The patient's SpO2 levels tend to drop below 88% with mild exertion. In addition to continuing with a general exercise program, which of the following interventions would be the MOST beneficial for this patient? A. Instructing the patient in diaphragmatic breathing and pursed-lip breathing. B. Encouraging the patient to hold their breath during activities to con...

Medications - Baclofen

July 26, 2023 09:00 - 10 minutes - 23.8 MB

Blane is reviewing a patient's electronic health record and notes that the patient has been prescribed baclofen. The therapist should understand that baclofen is primarily used for which of the following purposes? A. Relief of skeletal muscle spasms B. Increasing heart rate and blood pressure C. Managing symptoms of Parkinson's disease D. Lowering blood sugar levels LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, th...