NPTE Clinical Files | Physical Therapy
430 episodes - English - Latest episode: 4 days ago - ★★★★★ - 232 ratingsNPTE 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
Homepage Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed
Episodes
Patient Compliance
January 30, 2019 11:00 - 10 minutes - 9.21 MBHeather has a past medical history of hypothyroidism and is being treated for deconditioning. The patient reports that she is not taking her medications and would like to stop exercising. The physical therapist is challenged with determining the correct and the best course of action to remedy this situation. How well can you handle difficulty patient compliance situations? Let's test your ability in this excellent episode about patient compliance. Are you looking for an awesome cheats...
PTA Professional Responsibilities
January 23, 2019 11:00 - 11 minutes - 10.2 MBTaylor is attending her first follow-up appointment for right calcific tendinitis. A PTA is treating the patient and needs to make an appropriate decision about following an unspecified directive in the plan of care. The physical therapist is challenged with determining what is the responsibility and appropriate decision making of a PTA under general supervision. How well do you know what is in the PTA's scope of practice? Let's test your understanding in this excellent episode about ...
S02 Episode 28 - PTA Professional Responsibilities
January 23, 2019 11:00 - 11 minutes - 10.2 MBTaylor is attending her first follow-up appointment for right calcific tendinitis. A PTA is treating the patient and needs to make an appropriate decision about following an unspecified directive in the plan of care. The physical therapist is challenged with determining what is the responsibility and appropriate decision making of a PTA under general supervision. How well do you know what is in the PTA's scope of practice? Let's test your understanding in this excellent episode about ...
Outcome Measures
January 16, 2019 11:00 - 9 minutes - 8.29 MBBrenda is a physical therapist looking to utilize the correct outcome measure to assess a patient's improvements and current ability related to ADL's. The physical therapist is challenged with determining the correct and MOST appropriate outcome measure to utilize with a patient who has a CVA. How well do you know your outcome measures? Let's test your understanding in this excellent episode about outcome measures. Are you looking for an awesome cheatsheet with the top 10 outcome meas...
S02 Episode 27 - Outcome Measures
January 16, 2019 11:00 - 9 minutes - 8.29 MBBrenda is a physical therapist looking to utilize the correct outcome measure to assess a patient's improvements and current ability related to ADL's. The physical therapist is challenged with determining the correct and MOST appropriate outcome measure to utilize with a patient who has a CVA. How well do you know your outcome measures? Let's test your understanding in this excellent episode about outcome measures. Are you looking for an awesome cheatsheet with the top 10 outcome meas...
S02 Episode 26 - AFO Prescription
January 09, 2019 11:00 - 12 minutes - 11.4 MBKelli presents with spastic cerebral palsy and plantarflexor spasticity. The physical therapist is challenged with determining the correct AFO to utilize with the current patient. How well do you know your AFO's and their uses? Let's test your understanding in this excellent episode about ankle-foot orthotics Are you looking for an awesome cheatsheet to help you with AFO's and their functions? Look no further https://www.kylericeprep.com/p/AFO Click to listen now: iTunes:http://...
AFO Prescription
January 09, 2019 11:00 - 12 minutes - 11.4 MBKelli presents with spastic cerebral palsy and plantarflexor spasticity. The physical therapist is challenged with determining the correct AFO to utilize with the current patient. How well do you know your AFO's and their uses? Let's test your understanding in this excellent episode about ankle-foot orthotics Are you looking for an awesome cheatsheet to help you with AFO's and their functions? Look no further https://www.kylericeprep.com/p/AFO Click to listen now: iTunes:http://...
Acute Care Lines
January 02, 2019 11:00 - 10 minutes - 9.82 MBCamron presents with pulmonary hypertension and suspected Cor Pulmonale The physical therapist is challenged with determining which acute care lines will MOST be present and used to monitor the patient's condition How well do you know your acute care lines? Let's test your understanding in this excellent episode about acute care lines Are you looking for an awesome cheatsheet to help you with acute care lines, their functions, and conditions they are used for? Look no further https://...
S02 Episode 25 - Acute Care Lines
January 02, 2019 11:00 - 10 minutes - 9.82 MBCamron presents with pulmonary hypertension and suspected Cor Pulmonale The physical therapist is challenged with determining which acute care lines will MOST be present and used to monitor the patient's condition How well do you know your acute care lines? Let's test your understanding in this excellent episode about acute care lines Are you looking for an awesome cheatsheet to help you with acute care lines, their functions, and conditions they are used for? Look no further https://...
S02 Episode 24 - Testing Sensation
December 26, 2018 11:00 - 9 minutes - 9.01 MBCollin presents difficulty grasping objects and impaired sensation in his hands. The physical therapist is challenged with determining which sensations will be impaired if the patient is unable to detect light (fine) touch. How well do you know your sensations and spinal tracts? Let's test your understanding in this excellent episode about testing sensation. Are you looking for an awesome cheatsheet to help you with sensory tracts, testing, and functions? Look no further https://www....
Testing Sensation
December 26, 2018 11:00 - 11 minutes - 9.96 MBCollin presents difficulty grasping objects and impaired sensation in his hands. The physical therapist is challenged with determining which sensations will be impaired if the patient is unable to detect light (fine) touch. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit.ly/LIBSYNFILES Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.DestroytheNPTE.com, to learn about the #...
Mechanical Traction
December 19, 2018 11:00 - 7 minutes - 7.07 MBMaurice presents with non-specific lower back pain that has been responding favorably to mechanical traction. The physical therapist is challenged with determining the appropriate response to lumbar traction and determining the proper traction parameters to support a safe resolution of the patient's symptoms. How well do you know mechanical traction and the associated parameters? Let's test your understanding in this excellent episode about lumbar mechanical traction. If you would li...
S02 Episode 23 - Mechanical Traction
December 19, 2018 11:00 - 7 minutes - 7.07 MBMaurice presents with non-specific lower back pain that has been responding favorably to mechanical traction. The physical therapist is challenged with determining the appropriate response to lumbar traction and determining the proper traction parameters to support a safe resolution of the patient's symptoms. How well do you know mechanical traction and the associated parameters? Let's test your understanding in this excellent episode about lumbar mechanical traction. If you would li...
S02 Episode 22 - Falls & Meds
December 12, 2018 11:00 - 8 minutes - 7.47 MBFrancine presents with a history of falls and suspected blurred vision. The patient's past medical history is remarkable for several other significant conditions. The physical therapist is challenged with determining which medication is the most likely contributor to the patient's falls and symptomology. How well do you know your NPTE medications and their side effects? Let's test your understanding in this excellent episode about falls and medications. To get your free TOP 10 NPTE M...
PNF Patterns
December 05, 2018 11:00 - 14 minutes - 12.7 MBMonte presents with a recent MCA stroke and upper extremity spasticity. The patient demonstrates movement out of synergy, however, is having difficulty completing functional patterns. The physical therapist is challenged with determining which intervention (PNF) is the MOST effective to treat the patient's condition. How well do you know PNF patterns and interventions to support out of synergy goals? Let's test your understanding in this excellent episode about PNF patterns and interven...
S02 Episode 21 - PNF Patterns
December 05, 2018 11:00 - 14 minutes - 12.7 MBMonte presents with a recent MCA stroke and upper extremity spasticity. The patient demonstrates movement out of synergy, however, is having difficulty completing functional patterns. The physical therapist is challenged with determining which intervention (PNF) is the MOST effective to treat the patient's condition. How well do you know PNF patterns and interventions to support out of synergy goals? Let's test your understanding in this excellent episode about PNF patterns and interven...
Spine Observation
November 28, 2018 11:00 - 10 minutes - 9.11 MBHaddie is a child who would like to try out for gymnastics. During her physical screening, she is found to have some spinal/trunk abnormalities. The physical therapist is challenged with determining what is the MOST likely cause of the patient's observed spinal abnormality. How well can you pick out specific postural/spinal related dysfunctions in the pediatric population? Let's test your understanding in this excellent episode about spinal observation. Click to listen now: iTunes:...
S02 Episode 20 - Spine Observation
November 28, 2018 11:00 - 10 minutes - 9.11 MBHaddie is a child who would like to try out for gymnastics. During her physical screening, she is found to have some spinal/trunk abnormalities. The physical therapist is challenged with determining what is the MOST likely cause of the patient's observed spinal abnormality. How well can you pick out specific postural/spinal related dysfunctions in the pediatric population? Let's test your understanding in this excellent episode about spinal observation. Click to listen now: iTunes:...
EKG Reading
November 21, 2018 11:00 - 12 minutes - 10.8 MBNate is a physical therapist evaluating a patient in the acute care setting. The patient is found to have some cardiac arrhythmias on their EKG prior to exercise. The physical therapist is challenged with determining the importance of the several accompanying co-morbidities while interpreting the available EKG strip. How well can you read an EKG strip? Let's test your ability to read, interpret, and make a sound decision in this excellent episode about EKG reading. Click to listen n...
S02 Episode 19 - EKG Reading
November 21, 2018 11:00 - 12 minutes - 10.8 MBNate is a physical therapist evaluating a patient in the acute care setting. The patient is found to have some cardiac arrhythmias on their EKG prior to exercise. The physical therapist is challenged with determining the importance of the several accompanying co-morbidities while interpreting the available EKG strip. How well can you read an EKG strip? Let's test your ability to read, interpret, and make a sound decision in this excellent episode about EKG reading. Click to listen n...
S02 Episode 18 - Primary Hyperparathyroidism
November 14, 2018 11:00 - 9 minutes - 8.46 MBSaphie is being seen post-MVA for neck and mid-thoracic pain. The patient has a history of primary hyperparathyroidism. The physical therapist is challenged with determining what precautions are the MOST important when treating this patient. How well do you understand the proper treatment of patients with musculoskeletal conditions and co-morbidities? Let's test your understanding in this excellent episode about primary hyperparathyroidism. Click to listen now: iTunes:http://bit.l...
Primary Hyperparathyroidism
November 14, 2018 11:00 - 9 minutes - 8.46 MBSaphie is being seen post-MVA for neck and mid-thoracic pain. The patient has a history of primary hyperparathyroidism. The physical therapist is challenged with determining what precautions are the MOST important when treating this patient. How well do you understand the proper treatment of patients with musculoskeletal conditions and co-morbidities? Let's test your understanding in this excellent episode about primary hyperparathyroidism. Click to listen now: iTunes:http://bit.l...
Postural Dysfunction
November 07, 2018 11:00 - 11 minutes - 9.89 MBBobby is a carpenter who presents with paresthesias into his right hand and forearm. The physical therapist is challenged with determining the condition that is present and the interventions required to treat the condition. How well do you understand neuromusculoskeletal disorders? Let's test your understanding in this excellent episode about postural dysfunction. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit.ly/LIBSYNFILES Did you get this ques...
S02 Episode 17 - Postural Dysfunction
November 07, 2018 11:00 - 11 minutes - 9.89 MBBobby is a carpenter who presents with paresthesias into his right hand and forearm. The physical therapist is challenged with determining the condition that is present and the interventions required to treat the condition. How well do you understand neuromusculoskeletal disorders? Let's test your understanding in this excellent episode about postural dysfunction. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit.ly/LIBSYNFILES Did you get this ques...
SCI Functional Outcomes
October 31, 2018 10:00 - 10 minutes - 10.3 MBJax is being seen for a C7 ASIA B SCI. The patient has been participating in physical therapy for 2 months but continues to have functional limitations. The physical therapist is challenged with determining the highest level of function the patient MOST expected to achieve. How well do you understand SCI functional outcomes? Let's test your understanding in this excellent episode about SCI functional outcomes. If you need the reference text (Neurologic Interventions For Physical Therap...
S02 Episode 16 - SCI Functional Outcomes
October 31, 2018 10:00 - 10 minutes - 10.3 MBJax is being seen for a C7 ASIA B SCI. The patient has been participating in physical therapy for 2 months but continues to have functional limitations. The physical therapist is challenged with determining the highest level of function the patient MOST expected to achieve. How well do you understand SCI functional outcomes? Let's test your understanding in this excellent episode about SCI functional outcomes. If you need the reference text (Neurologic Interventions For Physical Therap...
Active Vs. Passive Insufficiency
October 24, 2018 08:00 - 12 minutes - 11.1 MBNadine assesses her patient's knee flexion strength in both the sitting and standing positions. The therapist finds that the patient has diminished end range knee flexion strength in standing. The physical therapist is challenged with determining which is most likely reason for the diminished knee flexion strength. How well do you understand the concept of active and passive insufficiency? Let's test your understanding in this excellent episode about active and passive insufficiency. ...
S02 Episode 15 - Active Vs. Passive Insufficiency
October 24, 2018 08:00 - 12 minutes - 11.1 MBNadine assesses her patient's knee flexion strength in both the sitting and standing positions. The therapist finds that the patient has diminished end range knee flexion strength in standing. The physical therapist is challenged with determining which is most likely reason for the diminished knee flexion strength. How well do you understand the concept of active and passive insufficiency? Let's test your understanding in this excellent episode about active and passive insufficiency. ...
Lung Volumes & PFT's
October 17, 2018 08:00 - 14 minutes - 11.7 MBGary presents with acute inflammatory demyelinating polyneuropathy (AIDP) that is affecting his trunk and extremities. The physical therapist is challenged with determining which pulmonary examination findings are consistent with AIDP. How well do you understand pulmonary function tests? Let's test your knowledge in this excellent episode about Lung Volumes & PFT's. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit.ly/LIBSYNFILES Did you get this qu...
S02 Episode 14 - Lung Volumes & PFT's
October 17, 2018 08:00 - 14 minutes - 11.7 MBGary presents with acute inflammatory demyelinating polyneuropathy (AIDP) that is affecting his trunk and extremities. The physical therapist is challenged with determining which pulmonary examination findings are consistent with AIDP. How well do you understand pulmonary function tests? Let's test your knowledge in this excellent episode about Lung Volumes & PFT's. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit.ly/LIBSYNFILES Did you get this qu...
Electrolyte Dysfunction
October 10, 2018 08:00 - 14 minutes - 12.7 MBBernard presents to the hospital with an acute exacerbation of his congestive heart failure. The patient presents with several CNS-based signs and symptoms. The physical therapist is challenged with determining the cause of the clinical presentation. How well do you understand how electrolytes influence body physiology? Let's test your knowledge in this excellent episode about electrolyte dysfunction. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit.l...
S02 Episode 13 - Electrolyte Dysfunction
October 10, 2018 08:00 - 14 minutes - 12.7 MBBernard presents to the hospital with an acute exacerbation of his congestive heart failure. The patient presents with several CNS-based signs and symptoms. The physical therapist is challenged with determining the cause of the clinical presentation. How well do you understand how electrolytes influence body physiology? Let's test your knowledge in this excellent episode about electrolyte dysfunction. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit.l...
S02 Episode 12 - CTSIB
October 04, 2018 03:36 - 14 minutes - 13.6 MBCurtis presents to a balance center for balance testing using the CTSIB protocol. The patient is found to become unstable during multiple conditions. The physical therapist is challenged with determining which of the patient's sensory system's are intact and used for balance. How well do you understand the CTSIB protocol? Let's test your knowledge and deduction skills in this excellent episode about CTSIB. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://...
CTSIB
October 04, 2018 03:36 - 14 minutes - 13.6 MBCurtis presents to a balance center for balance testing using the CTSIB protocol. The patient is found to become unstable during multiple conditions. The physical therapist is challenged with determining which of the patient's sensory system's are intact and used for balance. How well do you understand the CTSIB protocol? Let's test your knowledge and deduction skills in this excellent episode about CTSIB. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://...
Gait Dysfunction
September 26, 2018 08:00 - 12 minutes - 11.2 MBYael presents to physical therapy for a right femoral neck fracture. During gait, the patient demonstrates a diminished right backward rotation of the pelvis. The physical therapist is challenged with determining which additional examination findings will be expected given this impairment. How good are you at tough gait questions? Let's test your ability in this excellent episode about gait dysfunction. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit....
S02 Episode 11 - Gait Dysfunction
September 26, 2018 08:00 - 12 minutes - 11.2 MBYael presents to physical therapy for a right femoral neck fracture. During gait, the patient demonstrates a diminished right backward rotation of the pelvis. The physical therapist is challenged with determining which additional examination findings will be expected given this impairment. How good are you at tough gait questions? Let's test your ability in this excellent episode about gait dysfunction. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit....
S02 Episode 10 - Monofilaments
September 19, 2018 10:00 - 10 minutes - 8.22 MBTim presents to physical therapy for functional decline and poor blood sugar control. The patient has multiple pressure ulcers but is unable to sense their presence. The physical therapist is challenged with determining which type of monofilament would confirm the patient's sensory impairment. How well do you know your monofilaments? Let's test your knowledge in this excellent episode about diminished sensation. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: htt...
Monofilaments
September 19, 2018 10:00 - 10 minutes - 8.22 MBTim presents to physical therapy for functional decline and poor blood sugar control. The patient has multiple pressure ulcers but is unable to sense their presence. The physical therapist is challenged with determining which type of monofilament would confirm the patient's sensory impairment. How well do you know your monofilaments? Let's test your knowledge in this excellent episode about diminished sensation. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: htt...
Cardiac Physiology
September 12, 2018 10:00 - 17 minutes - 13.6 MBJullian presents to cardiac rehabilitation phase II with a positive symptom-limited test. The physical therapist wants to initiate aerobic exercise training without overstressing the heart. The physical therapist is challenged with determining which form of exercise places the greatest stress on the heart. How well do you know your cardiac physiology? Let's test your knowledge in this excellent episode about cardiac & exercise physiology. Click to listen now: iTunes:http://bit.ly/...
S02 Episode 9 - Cardiac Physiology
September 12, 2018 10:00 - 17 minutes - 13.6 MBJullian presents to cardiac rehabilitation phase II with a positive symptom-limited test. The physical therapist wants to initiate aerobic exercise training without overstressing the heart. The physical therapist is challenged with determining which form of exercise places the greatest stress on the heart. How well do you know your cardiac physiology? Let's test your knowledge in this excellent episode about cardiac & exercise physiology. Click to listen now: iTunes:http://bit.ly/...
S02 Episode 8 - Extensor Tone
September 05, 2018 08:00 - 13 minutes - 11.9 MBErica presents with significant lower extremity extensor tone and a history of frequent and characteristic bouts of fatigue, paresthesias, and dysarthria. The physical therapist is challenged with determining the diagnosis present and the appropriate intervention to treat the patient's primary impairment. How good are you at the differential diagnosis of neurological conditions? Let's test your ability in this excellent episode about lower extremity extensor tone. Click to listen now: ...
Extensor Tone
September 05, 2018 08:00 - 13 minutes - 11.9 MBErica presents with significant lower extremity extensor tone and a history of frequent and characteristic bouts of fatigue, paresthesias, and dysarthria. The physical therapist is challenged with determining the diagnosis present and the appropriate intervention to treat the patient's primary impairment. How good are you at the differential diagnosis of neurological conditions? Let's test your ability in this excellent episode about lower extremity extensor tone. Click to listen now: ...
S02 Episode 7 - Bariatric Wheelchair Prescription
August 29, 2018 10:00 - 11 minutes - 9.46 MBAnnie is being treated in the inpatient setting status post a right pelvic fracture. The patient is severely obese and is currently having difficulty propelling herself in her wheelchair. The physical therapist is challenged with determining which wheelchair modifications are required to help the patient improve her propulsion and energy conservation. Do you know the difference between the standard and bariatric wheelchair? Let's test your knowledge in this excellent episode about Bari...
Bariatric Wheelchair Prescription
August 29, 2018 10:00 - 11 minutes - 9.46 MBAnnie is being treated in the inpatient setting status post a right pelvic fracture. The patient is severely obese and is currently having difficulty propelling herself in her wheelchair. The physical therapist is challenged with determining which wheelchair modifications are required to help the patient improve her propulsion and energy conservation. Do you know the difference between the standard and bariatric wheelchair? Let's test your knowledge in this excellent episode about Bari...
Bladder Management
August 22, 2018 08:00 - 10 minutes - 9.53 MBGeraldo presents to physical therapy with an ASIA A L3 SCI. The patient is being discharged and needs education about effective bladder management. The physical therapist is challenged with determining the type of bladder impairment present and which technique would best help the patient void. Do you know effective bladder management techniques? Let's test your knowledge in this excellent episode about bladder management. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILE...
S02 Episode 6 - Bladder Management
August 22, 2018 08:00 - 10 minutes - 9.53 MBGeraldo presents to physical therapy with an ASIA A L3 SCI. The patient is being discharged and needs education about effective bladder management. The physical therapist is challenged with determining the type of bladder impairment present and which technique would best help the patient void. Do you know effective bladder management techniques? Let's test your knowledge in this excellent episode about bladder management. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILE...
Biofeedback
August 15, 2018 10:00 - 9 minutes - 8.27 MBLincoln presents to physical therapy with ASIA C L2 SCI. The patient has poor quad contraction. The physical therapist is challenged with the appropriate biofeedback set-up to help facilitate quad contraction. Do you know how to use a biofeedback unit? Let's test your knowledge in this excellent episode about biofeedback. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit.ly/LIBSYNFILES Did you get this question wrong?! If you were stuck between two ans...
S02 Episode 5 - Biofeedback
August 15, 2018 10:00 - 9 minutes - 8.27 MBLincoln presents to physical therapy with ASIA C L2 SCI. The patient has poor quad contraction. The physical therapist is challenged with the appropriate biofeedback set-up to help facilitate quad contraction. Do you know how to use a biofeedback unit? Let's test your knowledge in this excellent episode about biofeedback. Click to listen now: iTunes:http://bit.ly/NPTECLINICALFILES Libsyn: http://bit.ly/LIBSYNFILES Did you get this question wrong?! If you were stuck between two ans...
Transverse Humeral Fracture
August 10, 2018 19:39 - 10 minutes - 9.04 MBCarly is being evaluated by physical therapy post transverse humeral mid-shaft fracture. The patient does present with possible neurological compromise. The physical therapist is challenged with determining the presence of neurological compromise and associated musculoskeletal findings. How well do you know your origins, insertions, actions, and innervations? Let's test your knowledge in this excellent episode about a transverse humeral mid-shaft fracture. Click to listen now: iTun...
S02 Episode 4 - Transverse Humeral Fracture
August 10, 2018 19:39 - 10 minutes - 9.04 MBCarly is being evaluated by physical therapy post transverse humeral mid-shaft fracture. The patient does present with possible neurological compromise. The physical therapist is challenged with determining the presence of neurological compromise and associated musculoskeletal findings. How well do you know your origins, insertions, actions, and innervations? Let's test your knowledge in this excellent episode about a transverse humeral mid-shaft fracture. Click to listen now: iTun...