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
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Episodes
Adolescent Lower Extremity Pain
May 09, 2018 10:00 - 10 minutes - 10.1 MBAngela presents to physical therapy with a 5-year history of intermittent flare-ups of her hip and knee joints bilaterally. Angela has a history of joint stiffness and unexplained weight loss. The physical therapist is challenged with diagnosing the correct condition utilizing a subjective assessment. We will uncover the answer in this excellent episode about adolescent lower extremity pain. Are you in the free facebook group called, #smartnpteprep? Get access to test-taking strate...
Plantar Foot Pain
May 04, 2018 10:00 - 11 minutes - 10.7 MBDrew presents to physical therapy with complaints of plantar surface foot pain. The patient states the symptoms are progressive and have a burning and tingling type sensation. The physical therapist is challenged with identifying the correct condition based on the subjective assessment and confirming the condition with the correct examination tools. We will uncover the answer in this excellent episode about diagnosing plantar foot pain. Are you in the free facebook group called, #sma...
S01 Episode 16 - Plantar Foot Pain
May 04, 2018 10:00 - 11 minutes - 10.7 MBDrew presents to physical therapy with complaints of plantar surface foot pain. The patient states the symptoms are progressive and have a burning and tingling type sensation. The physical therapist is challenged with identifying the correct condition based on the subjective assessment and confirming the condition with the correct examination tools. We will uncover the answer in this excellent episode about diagnosing plantar foot pain. Are you in the free facebook group called, #sma...
Cystic Fibrosis
May 02, 2018 10:00 - 13 minutes - 11.4 MBShelley presents to physical therapy with complaints of deconditioning and shortness of breath. She has a history consistent with CF and the therapist would like to select the most appropriate interventions to treat her impairments. The physical therapist is challenged with selecting the correct interventions to mobilize the patient's secretions. We will uncover the answer in this excellent episode about Cystic Fibrosis Are you in the free facebook group called, #smartnpteprep? Get a...
S01 Episode 15 - Cystic Fibrosis
May 02, 2018 10:00 - 13 minutes - 11.4 MBShelley presents to physical therapy with complaints of deconditioning and shortness of breath. She has a history consistent with CF and the therapist would like to select the most appropriate interventions to treat her impairments. The physical therapist is challenged with selecting the correct interventions to mobilize the patient's secretions. We will uncover the answer in this excellent episode about Cystic Fibrosis Are you in the free facebook group called, #smartnpteprep? Get a...
S01 Episode 14 - Cerebral Palsy
April 27, 2018 15:17 - 10 minutes - 8.94 MBIsabelle presents to physical therapy with a history of cerebral palsy and a developmental age of 8 months. The physical therapist is challenged with determining which activity the child will not be able to perform given her developmental age. Do you know your developmental milestone? When should a child be able to sit independently and rotate their trunk? We will uncover the answer in this excellent episode about cerebral palsy and developmental milestones. Are you in the free fa...
Right Bicipital Tendinitis
April 25, 2018 10:00 - 14 minutes - 9.9 MBMichael presents to physical therapy with complaints of severe right shoulder pain. The treating therapist has diagnosed him with bicipital tendinitis. The physical therapist is challenged with utilizing the correct medication and setup for iontophoresis. Do you know the correct setup for iontophoresis? We will uncover the answer in this excellent episode about iontophoresis. Are you in the free facebook group called, #smartnpteprep? Get access to test-taking strategies, live discuss...
S01 Episode 13 - Right Bicipital Tendinitis
April 25, 2018 10:00 - 14 minutes - 9.9 MBMichael presents to physical therapy with complaints of severe right shoulder pain. The treating therapist has diagnosed him with bicipital tendinitis. The physical therapist is challenged with utilizing the correct medication and setup for iontophoresis. Do you know the correct setup for iontophoresis? We will uncover the answer in this excellent episode about iontophoresis. Are you in the free facebook group called, #smartnpteprep? Get access to test-taking strategies, live discuss...
S01 Episode 12 - Infection Control Guidelines
April 20, 2018 14:51 - 11 minutes - 9.27 MBCindy is seen in the acute care setting for bacterial meningitis. The treating therapist is concerned about the transmission of her illness to other patients. The physical therapist is challenged with selecting and adhering to the correct infection control guidelines. Do you know the difference between airborne, droplet, contact and standard infection control precautions? Which one would you use for bacterial meningitis? We will uncover the answer in this excellent episode about select...
Infection Control Guidelines
April 20, 2018 14:51 - 11 minutes - 9.27 MBCindy is seen in the acute care setting for bacterial meningitis. The treating therapist is concerned about the transmission of her illness to other patients. The physical therapist is challenged with selecting and adhering to the correct infection control guidelines. Do you know the difference between airborne, droplet, contact and standard infection control precautions? Which one would you use for bacterial meningitis? We will uncover the answer in this excellent episode about select...
Acute Myocardial Infarction
April 18, 2018 10:00 - 12 minutes - 10.7 MBRobert is 6 days status post-acute myocardial infarction and is currently being seen in cardiac rehabilitation phase 1. The physical therapist is challenged with prescribing the correct exercise intensity to ensure safety during this phase of rehabilitation. Do you know the exercise intensity recommendations for a patient post-acute myocardial infarction? We will uncover the answer in this excellent episode about exercise prescription for a patient status post acute MI. Are you in t...
S01 Episode 11 - Acute Myocardial Infarction
April 18, 2018 10:00 - 12 minutes - 10.7 MBRobert is 6 days status post-acute myocardial infarction and is currently being seen in cardiac rehabilitation phase 1. The physical therapist is challenged with prescribing the correct exercise intensity to ensure safety during this phase of rehabilitation. Do you know the exercise intensity recommendations for a patient post-acute myocardial infarction? We will uncover the answer in this excellent episode about exercise prescription for a patient status post acute MI. Are you in t...
S01 Episode 10 - Lateral Ankle Sprain
April 13, 2018 10:00 - 12 minutes - 11.2 MBJason has a recent onset of a lateral ankle sprain. He is being treated in the outpatient physical therapy clinic with therapeutic ultrasound. The physical therapist is challenged with determining the cause of the patient's pain underneath the sound head. Do you know what ultrasound parameters can lead to pain underneath the ultrasound head? We will uncover the answer in this excellent episode about treating an acute lateral ankle sprain. Are you in the free facebook group called, #s...
Lateral Ankle Sprain
April 13, 2018 10:00 - 12 minutes - 11.2 MBJason has a recent onset of a lateral ankle sprain. He is being treated in the outpatient physical therapy clinic with therapeutic ultrasound. The physical therapist is challenged with determining the cause of the patient's pain underneath the sound head. Do you know what ultrasound parameters can lead to pain underneath the ultrasound head? We will uncover the answer in this excellent episode about treating an acute lateral ankle sprain. Are you in the free facebook group called, #s...
Secondary Lymphedema
April 10, 2018 10:00 - 16 minutes - 16.2 MBAnnie has a history of a right radical mastectomy with axillary node dissection. She presents today with secondary lymphedema with a negative stemmer's sign, but her lymphedema no longer improves with elevation. The physical therapist is challenged with determining the current stage of the lymphedema and selecting the best combination of interventions to reduce Annie's edema. Do you know what research states about the best interventions to treat lymphedema? We will uncover the answer in...
S01 Episode 9 - Secondary Lymphedema
April 10, 2018 10:00 - 16 minutes - 16.2 MBAnnie has a history of a right radical mastectomy with axillary node dissection. She presents today with secondary lymphedema with a negative stemmer's sign, but her lymphedema no longer improves with elevation. The physical therapist is challenged with determining the current stage of the lymphedema and selecting the best combination of interventions to reduce Annie's edema. Do you know what research states about the best interventions to treat lymphedema? We will uncover the answer in...
S01 Episode 8 - Arterial Blood Gases
April 06, 2018 10:00 - 12 minutes - 11.2 MBMichael is treated in the acute care setting for confusion, restlessness, and blurred vision. The patient presents with impaired arterial blood gases. The physical therapist is challenged with recognizing signs and symptoms related to arterial blood gas dysfunction and determining the specific type of condition present. Do you know your arterial blood gas values? What is normal and what isn't? The answer is what we will uncover in this excellent episode based on examining arterial blood...
Arterial Blood Gases
April 06, 2018 10:00 - 12 minutes - 11.2 MBMichael is treated in the acute care setting for confusion, restlessness, and blurred vision. The patient presents with impaired arterial blood gases. The physical therapist is challenged with recognizing signs and symptoms related to arterial blood gas dysfunction and determining the specific type of condition present. Do you know your arterial blood gas values? What is normal and what isn't? The answer is what we will uncover in this excellent episode based on examining arterial blood...
Low Back Pain
April 04, 2018 10:00 - 15 minutes - 13.7 MBAmiee is a 35-year-old female who developed low back pain after The physical therapist is challenged with recognizing signs an symptoms related to a specific low back condition and determining the approach steps to treating the condition. Do you know the most effective interventions to resolve lower back pain? This is what we will uncover in this excellent episode based on treating a patient with low back pain. Are you in the free facebook group called, #smartnpteprep? Get access to te...
S01 Episode 7 - Low Back Pain
April 04, 2018 10:00 - 15 minutes - 13.7 MBAmiee is a 35-year-old female who developed low back pain after The physical therapist is challenged with recognizing signs an symptoms related to a specific low back condition and determining the approach steps to treating the condition. Do you know the most effective interventions to resolve lower back pain? This is what we will uncover in this excellent episode based on treating a patient with low back pain. Are you in the free facebook group called, #smartnpteprep? Get access to te...
S01 Episode 6 - Anterior Cerebral Artery Stroke
March 28, 2018 10:00 - 14 minutes - 11.6 MBJohn is a 56-year-old male who had an anterior cerebral artery stroke. The physical therapist is challenged with determining the specific Brunnstrom stage and the appropriate intervention to treat a patient in this stage. This is what we will uncover in this excellent episode based on treating a patient with an Anterior Cerebral Artery Stroke. Are you in the free facebook group called, #smartnpteprep? Get access to test-taking strategies, live discussions, question & answers, and the m...
Anterior Cerebral Artery Stroke
March 28, 2018 10:00 - 14 minutes - 12 MBJohn is a 56-year-old male who had an anterior cerebral artery stroke. The physical therapist is challenged with determining the specific Brunnstrom stage and the appropriate intervention to treat a patient in this stage. This is what we will uncover in this excellent episode based on treating a patient with an Anterior Cerebral Artery Stroke. Are you in the free facebook group called, #smartnpteprep? Get access to test-taking strategies, live discussions, question & answers, and the m...
S01 Episode 5 - Diastasis Recti
March 21, 2018 16:22 - 11 minutes - 11.2 MBMary is a 32-year-old female who is 2 weeks postpartum and presents with a 2.25cm diastasis recti. The physical therapist is challenged with recalling the proper treatment strategy for a patient with DR and avoiding exercises that can increase the severity of the separation. Which intervention is the best to treat a 2.25cm diastasis recti? This is what we will uncover in this excellent episode based on treating a patient with Diastasis Recti. Are you in the free facebook group calle...
Hypothyroidism
March 14, 2018 10:00 - 12 minutes - 10.9 MBShirley is a 48-year-old female who has a past medical history of hypothyroidism. She has non-pitting edema, dry skin, and poor peripheral circulation. The physical therapist is challenged with recalling the signs and symptoms consistent with hypothyroidism while using critical thinking to eliminate attractive answer choices. Which examination finding should we expect to find with our patient? This is what we will uncover in this excellent episode based on evaluating a patient with h...
S01 Episode 4 - Hypothyroidism
March 14, 2018 10:00 - 12 minutes - 10.9 MBShirley is a 48-year-old female who has a past medical history of hypothyroidism. She has non-pitting edema, dry skin, and poor peripheral circulation. The physical therapist is challenged with recalling the signs and symptoms consistent with hypothyroidism while using critical thinking to eliminate attractive answer choices. Which examination finding should we expect to find with our patient? This is what we will uncover in this excellent episode based on evaluating a patient with h...
Congestive Heart Failure
March 07, 2018 11:00 - 16 minutes - 19.1 MBDarryl is a 59-year-old male who presents the physical therapy with Class III Congestive Heart Failure. He has arrived from the inpatient unit after a severe exacerbation of his CHF but he is cleared by his M.D. for exercise. The physical therapist is challenged with understanding the pathophysiology related to congestive heart failure as well as the New York Heart Association stages. This knowledge is required in order to make sound and safe judgments regarding exercise prescription. ...
S01 Episode 3 - Congestive Heart Failure
March 07, 2018 11:00 - 16 minutes - 19.1 MBDarryl is a 59-year-old male who presents the physical therapy with Class III Congestive Heart Failure. He has arrived from the inpatient unit after a severe exacerbation of his CHF but he is cleared by his M.D. for exercise. The physical therapist is challenged with understanding the pathophysiology related to congestive heart failure as well as the New York Heart Association stages. This knowledge is required in order to make sound and safe judgments regarding exercise prescription. ...
Duchenne's Muscular Dystrophy
February 27, 2018 20:08 - 14 minutes - 15.5 MBDavid is an 11-year old male with a history of Duchene's Muscular Dystrophy (DMD). He is coming to physical therapy with complaints of difficulty with ADLs. The physical therapist is challenged with understanding the progression of this condition as well as the primary impairments in each stage. --- Support this podcast: https://anchor.fm/thepthustle/support
S01 Episode 2 - Duchenne's Muscular Dystrophy
February 27, 2018 20:08 - 14 minutes - 15.5 MBDavid is an 11-year old male with a history of Duchene's Muscular Dystrophy (DMD). He is coming to physical therapy with complaints of difficulty with ADLs. The physical therapist is challenged with understanding the progression of this condition as well as the primary impairments in each stage. The physical therapist in this clinical scenario is creating a sound POC and will need to know what to focus on to provide the most significant impact on the patient's condition. Is David's prim...
The Proximal Humeral Fracture
February 16, 2018 18:56 - 14 minutes - 17.6 MBThis first episode of The NPTE Clinical Files focuses on a patient named, Betty, who fell from her bed three weeks ago. Unfortunately, she sustained a closed proximal humeral fracture and is now presenting to physical therapy for rehabilitation. The physical therapist is challenged with determining the primary impairment in this stage of healing along with selecting a safe intervention to address this impairment. --- Support this podcast: https://anchor.fm/thepthustle/support