Latest Dptschool Podcast Episodes

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Visceral Evaluation

NPTE Clinical Files | Physical Therapy - May 10, 2023 09:00 - 14 minutes ★★★★★ - 232 ratings
Kaida patient presents with severe epigastric pain that radiates to her back, accompanied by nausea and vomiting. She reports a history of heavy alcohol use and a recent episode of gallbladder stones. Upon examination, there is tenderness in the upper abdomen and elevated serum lipase levels. Wh...

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Bone Mineral Density & Exercise

NPTE Clinical Files | Physical Therapy - May 03, 2023 09:00 - 10 minutes ★★★★★ - 232 ratings
Hadiya is a 60-year-old female who presents to physical therapy with a diagnosis of generalized weakness and a bone Mineral Density T-Score of -1.5. Which of the following interventions is the MOST recommended: A. Marching in 5ft of water B. Supine abdominal crunches C. Endurance training on a...

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Exercise Response

NPTE Clinical Files | Physical Therapy - April 26, 2023 09:00 - 10 minutes ★★★★★ - 232 ratings
Freyja 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 lev...

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Thomas Test

NPTE Clinical Files | Physical Therapy - April 19, 2023 09:00 - 9 minutes ★★★★★ - 232 ratings
Efe presents to physical therapy with hip pain. During a routine examination, the patient lacks hip extension, has a positive Thomas test, and has excessive anterior pelvic tilt. Which of the following tissues is the MOST likely shortened? A. Rectus femoris B. Iliopsoas C. Hamstrings D. Tensor...

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Cardiovascular Interventions

NPTE Clinical Files | Physical Therapy - April 12, 2023 09:00 - 10 minutes ★★★★★ - 232 ratings
Dariana is a 70-year-old patient who presents to physical therapy with a history of congestive heart failure. Upon examination, the patient has significant edema in the lower extremities. Which of the following is the MOST appropriate intervention for this patient? A. Lower extremity strengthe...

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Physical Therapy Ethics 2

NPTE Clinical Files | Physical Therapy - April 05, 2023 09:00 - 13 minutes ★★★★★ - 232 ratings
Aiko is treating an uninsured patient who cannot afford the cost of treatment. The patient's condition is chronic and requires specialized ongoing care to manage symptoms and prevent complications. What is the MOST appropriate action for the physical therapist to take in this situation? A. Cont...

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THR Complications

NPTE Clinical Files | Physical Therapy - March 29, 2023 09:00 - 10 minutes ★★★★★ - 232 ratings
Laird is treating a patient who has recently undergone a posterolateral total hip replacement surgery. Which of the following postoperative complications should the therapist be MOST concerned about observing during the examination? A. Hematoma B. Neuroborreliosis C. Infection D. Anterior dis...

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Pediatric Musculoskeletal Examination

NPTE Clinical Files | Physical Therapy - March 22, 2023 09:00 - 9 minutes ★★★★★ - 232 ratings
Janese is a young child who presents to physical therapy with a medical diagnosis of clubfoot. Which of the following is the correct description:   A. Plantarflexion, eversion, adduction  B. Dorsiflexion, inversion, adduction  C. Plantarflexion, inversion, adduction  D. Dorsiflexion, eversio...

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Subacromial Impingement

NPTE Clinical Files | Physical Therapy - March 15, 2023 09:00 - 8 minutes ★★★★★ - 232 ratings
Lizzie is performing a routine examination on a patient with a suspected subacromial impingement. Which of the following should be assessed FIRST?   A. Shoulder abduction active range of motion  B. External rotation manual muscle testing   C. Gross shoulder joint mobility   D. Lateral should...

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Patient Tardiness

NPTE Clinical Files | Physical Therapy - March 08, 2023 10:00 - 11 minutes ★★★★★ - 232 ratings
India is treating a patient who is frequently late or misses appointments. The patient has a history of poor time management and has apologized for their behavior. What is the MOST appropriate action for the physical therapist to take in this situation?   A. Ignore the patient's tardiness or mi...

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Physical Therapy Ethics

NPTE Clinical Files | Physical Therapy - March 01, 2023 10:00 - 10 minutes ★★★★★ - 232 ratings
Hannah is treating a patient who discloses that they are currently experiencing depression and anxiety. The patient expresses concern that these conditions may interfere with their ability to adhere to their rehabilitation program. What is the MOST appropriate action for the physical therapist t...

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Chronic Low Back Pain

NPTE Clinical Files | Physical Therapy - February 22, 2023 10:00 - 11 minutes ★★★★★ - 232 ratings
Janie is a 50-year-old female who presents with a complaint of chronic low back pain. On examination, the patient reports that she spends most of her day sitting at a desk for work and has limited physical activity. Which of the following is the most appropriate INITIAL recommendation:   A. Ref...

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Referred Pain

NPTE Clinical Files | Physical Therapy - February 15, 2023 10:00 - 7 minutes ★★★★★ - 232 ratings
Hal is researching common referral sites for pathologies and conditions that affect his patient population. Which of the following is MOST likely associated with substernal chest pain that does not have a referral pain pattern?   A. Neurological  B. Gastrointestinal  C. Breast pain  D. Anxie...

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Cardiorespiratory Conditions

NPTE Clinical Files | Physical Therapy - February 08, 2023 10:00 - 9 minutes ★★★★★ - 232 ratings
April is examining a patient with cardiorespiratory dysfunction. The patient denies any co-existing respiratory disorder however reports a recent trauma to chest. Upon examination, the patient has chest pain that is intensified with inspiration and a non-productive cough. Which of the following ...

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Types of Pain

NPTE Clinical Files | Physical Therapy - February 01, 2023 10:00 - 8 minutes ★★★★★ - 232 ratings
Jessica, 15-year-old female patient sustained an injury while rollerblading, landing on her right arm. She describes the pain as “deep, nagging, & dull.” Based on the pain description, which of the following structures is MOST likely affected?   A. Muscle  B. Bone  C. Fracture  D. Vasculatur...

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Cardiac Conditions

NPTE Clinical Files | Physical Therapy - January 25, 2023 10:00 - 11 minutes ★★★★★ - 232 ratings
Blake is a 45-year-old male patient with chest pain at rest, pallor, palpitations, hypertension, and an elevated blood serum cholesterol level of 242 mg/dL. All of these clinical signs and symptoms are MOST likely red flags indicative of which of the following conditions?   A. Stable angina pec...

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Lower Leg Differential Diagnosis

NPTE Clinical Files | Physical Therapy - January 18, 2023 10:00 - 18 minutes ★★★★★ - 232 ratings
Ryan presents with anterolateral leg pain and reports progressive worsening since an increase in his training regimen over the past two weeks. Symptoms appear in the later stages of running and last 2-3 hours after the run. The anterior tibialis muscle is tender and taut on palpation. Resisted d...

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Wound Classification

NPTE Clinical Files | Physical Therapy - January 11, 2023 10:00 - 11 minutes ★★★★★ - 232 ratings
Kemp is treating a patient with lymphedema who presents to physical therapy with a script for wound care. The patient’s chart describes the wound bed as shallow and irregular on the anteromedial lower leg. In addition, the peri-wound area is described as scaly, weepy, and warm with hemosiderin s...

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Pulse Assessment

NPTE Clinical Files | Physical Therapy - January 04, 2023 10:00 - 10 minutes ★★★★★ - 232 ratings
Rosa presents with a history of CAD and has complaints of pale cool skin on the right lower extremity. The therapist suspects a femoral artery dysfunction. Which of the following pulses is BEST to indicate an impaired flow or blockage in femoral artery?  A. Carotid  B. Femoral  C. Popliteal  ...

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Gait Interventions

NPTE Clinical Files | Physical Therapy - December 28, 2022 10:00 - 10 minutes ★★★★★ - 232 ratings
Estephania is treating a patient with a transfemoral amputation who presents with excessive right hip flexion during routine gait analysis. Upon examination, the patient has 4/5 gross MMT and decreased right hip extension range of motion. Which of the following interventions is the MOST appropri...

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Cardiac Rehabilitation

NPTE Clinical Files | Physical Therapy - December 21, 2022 10:00 - 13 minutes ★★★★★ - 232 ratings
Bhava is a physical therapist who is educating a group of practitioners on indications for cardiac rehabilitation. Which of the following diagnoses is the LEAST appropriate for a formal cardiac rehabilitation program?   A. Coronary artery bypass graft (CABG)  B. Acute myocardial infarction   ...

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Diastasis Recti

NPTE Clinical Files | Physical Therapy - December 14, 2022 10:00 - 12 minutes ★★★★★ - 232 ratings
Heather is a 32-year-old who presents two weeks postpartum with low back pain. She has a referral to evaluate and treat her 2.25cm diastasis recti. Which of the following interventions would be the MOST appropriate to treat this condition?    A. Hooklying abdominal crunches  B. Hooklying head ...

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Neurological Assessement & Sensory Function

NPTE Clinical Files | Physical Therapy - December 07, 2022 10:00 - 15 minutes ★★★★★ - 232 ratings
Blherim performs a routine examination of a patient's neurological function of their hand. Using calipers with a fine tip, the patient can perceive two points when the distance between the points is 11mm or greater. This finding is MOST consistent with which of the following:    A. Dorsal colum...

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Musculoskeletal Origin

NPTE Clinical Files | Physical Therapy - November 23, 2022 10:00 - 12 minutes ★★★★★ - 232 ratings
Jenny presents with an idiopathic onset of anterior shoulder pain. Which of the following is NOT consistent with a musculoskeletal origin:   A. Night pain while lying on the affected side  B. Intractable pain   C. Positive Hornblower's sign  D. No change in symptoms with bowel movements LIN...

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Overpronation

NPTE Clinical Files | Physical Therapy - November 16, 2022 10:00 - 12 minutes ★★★★★ - 232 ratings
Jesse presents with complaints of right lateral knee pain. Upon gait assessment, the patient has significant overpronation on the right. Which of the following examination findings would BEST explain the observed overpronation?   A. Forefoot valgus  B. Femoral anteversion  C. Genu varum  D. ...

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Cryotherapy

NPTE Clinical Files | Physical Therapy - November 09, 2022 10:00 - 12 minutes ★★★★★ - 232 ratings
Sohaila is a clinical instructor testing her student on the physiological effects of cryotherapy. Which of the following is NOT an effect of cryotherapy?   A. Pain reduction  B. Decrease in spasticity  C. Reduction in joint stiffness  D. Decrease in nerve conduction velocity LINKS MENTIONED...

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Pusher's Syndrome

NPTE Clinical Files | Physical Therapy - November 02, 2022 09:00 - 10 minutes ★★★★★ - 232 ratings
Roger is status post cerebrovascular accident and is being evaluated by physical therapy. The patient seems to disregard safety and repeatedly falls onto their weak side. Which of the following is a diagnostic factor of Pusher Syndrome:    A. Contralateral loss of pain and temperature sensation...

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Wound Functional Outcomes

NPTE Clinical Files | Physical Therapy - October 26, 2022 09:00 - 10 minutes ★★★★★ - 232 ratings
Jenny is assessing an immobilized patient with a sacral pressure wound. During the assessment, the therapist examines the change in wound and surrounding skin attributes, reduction in wound depth, change in exudate characteristics, and wound closure. These performance indicators are all associat...

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Diabetes Symptoms

NPTE Clinical Files | Physical Therapy - October 19, 2022 09:00 - 10 minutes ★★★★★ - 232 ratings
Hasim is educating a patient on the negative effects of diabetes on the body. Which of the following is NOT a sign or symptom of untreated or uncontrolled diabetes mellitus?  A. Polyuria  B. Polydipsia  C. Polyphagia  D. Weight gain LINKS MENTIONED:      Did you get this question wrong?! I...

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Manual Muscle Testing

NPTE Clinical Files | Physical Therapy - October 12, 2022 09:00 - 8 minutes ★★★★★ - 232 ratings
Juri is performing elbow flexion manual muscle testing on a 16-year-old male athlete. Elbow flexion was graded a 4 out of 5, and the motion was strong but painful. Based on the findings, the therapist should reasonably conclude which of the following?   A. No lesion or neurological deficit invo...

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