Latest Nptepodcast Podcast Episodes
Forefoot Pain Evaluation
NPTE Clinical Files | Physical Therapy - July 10, 2024 09:00 - 13 minutes ★★★★★ - 232 ratingsKelly 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. Rad...
Cardiac Immediate Action
NPTE Clinical Files | Physical Therapy - July 03, 2024 09:00 - 16 minutes ★★★★★ - 232 ratingsJane 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...
Pediatric Lower Extremity Evaluation
NPTE Clinical Files | Physical Therapy - June 26, 2024 09:00 - 13 minutes ★★★★★ - 232 ratingsMatt, 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 ...
Multiple Sclerosis Interventions
NPTE Clinical Files | Physical Therapy - June 19, 2024 09:00 - 11 minutes ★★★★★ - 232 ratingsSuely 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 ...
Diabetes & Wound Care
NPTE Clinical Files | Physical Therapy - June 12, 2024 09:00 - 12 minutes ★★★★★ - 232 ratingsBlakely 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. Hydrot...
Anterior Knee Pain & Cycling
NPTE Clinical Files | Physical Therapy - June 05, 2024 09:00 - 12 minutes ★★★★★ - 232 ratingsRaj 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 t...
ACL Reconstruction Rehabilitation
NPTE Clinical Files | Physical Therapy - May 29, 2024 09:00 - 13 minutes ★★★★★ - 232 ratingsCaden 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 ign...
Assistive Device Prescription 2
NPTE Clinical Files | Physical Therapy - May 22, 2024 09:00 - 12 minutes ★★★★★ - 232 ratingsXavier 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 assist...
Acute Low Back Pain
NPTE Clinical Files | Physical Therapy - May 15, 2024 09:00 - 12 minutes ★★★★★ - 232 ratingsGerard 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 flexio...
Lower Extremity Lymphedema
NPTE Clinical Files | Physical Therapy - May 08, 2024 09:00 - 12 minutes ★★★★★ - 232 ratingsMargot, 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. ...
Drug Interactions
NPTE Clinical Files | Physical Therapy - May 01, 2024 09:00 - 12 minutes ★★★★★ - 232 ratingsJerry, 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 th...
Ulcer Examination
NPTE Clinical Files | Physical Therapy - April 24, 2024 09:00 - 11 minutes ★★★★★ - 232 ratingsJulian, 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 med...
Respiratory Interventions
NPTE Clinical Files | Physical Therapy - April 17, 2024 09:00 - 10 minutes ★★★★★ - 232 ratingsRichard 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 ...
Stroke & Motor Learning
NPTE Clinical Files | Physical Therapy - April 10, 2024 09:00 - 13 minutes ★★★★★ - 232 ratingsVivek 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. Step...
Right Congestive Heart Failure
NPTE Clinical Files | Physical Therapy - April 03, 2024 09:00 - 12 minutes ★★★★★ - 232 ratingsHenry 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 p...
Neurological Differential Diagnosis
NPTE Clinical Files | Physical Therapy - March 27, 2024 09:00 - 12 minutes ★★★★★ - 232 ratingsAndrea 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...
Ramp Specifications & ADA Requirements
NPTE Clinical Files | Physical Therapy - March 20, 2024 09:00 - 10 minutes ★★★★★ - 232 ratingsA 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 inche...
Pediatric Evaluation
NPTE Clinical Files | Physical Therapy - March 13, 2024 09:00 - 12 minutes ★★★★★ - 232 ratingsJessie 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?...
Initial Course of Action
NPTE Clinical Files | Physical Therapy - March 06, 2024 10:00 - 12 minutes ★★★★★ - 232 ratingsJoscelin 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 thera...
HIPAA
NPTE Clinical Files | Physical Therapy - February 28, 2024 11:00 - 10 minutes ★★★★★ - 232 ratingsHenry 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 cover...
Upper Extremity Nerve Examination
NPTE Clinical Files | Physical Therapy - February 21, 2024 10:00 - 14 minutes ★★★★★ - 232 ratingsTamia 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 like...
Chronic Anemia
NPTE Clinical Files | Physical Therapy - February 14, 2024 10:00 - 12 minutes ★★★★★ - 232 ratingsCharlie 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. Hyperactiv...
Post Surgical Ankle/Foot
NPTE Clinical Files | Physical Therapy - February 07, 2024 10:00 - 14 minutes ★★★★★ - 232 ratingsSahar 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 plantarflex...
3 Secrets To Passing The NPTE in 2024
NPTE Clinical Files | Physical Therapy - January 31, 2024 10:00 - 34 minutes ★★★★★ - 232 ratingsIn 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 resol...
Upper Extremity Neurological Signs and Symptoms
NPTE Clinical Files | Physical Therapy - January 24, 2024 10:00 - 14 minutes ★★★★★ - 232 ratingsJeremy 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 neur...
Orthostatic Hypotension
NPTE Clinical Files | Physical Therapy - January 17, 2024 10:00 - 14 minutes ★★★★★ - 232 ratingsBlake 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...
Vestibular Caloric Test
NPTE Clinical Files | Physical Therapy - January 10, 2024 10:00 - 12 minutes ★★★★★ - 232 ratingsCopeland 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'...
Down Syndrome Examination
NPTE Clinical Files | Physical Therapy - January 03, 2024 10:00 - 13 minutes ★★★★★ - 232 ratingsPeter 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 L...
Shoulder Pain Telehealth Visit
NPTE Clinical Files | Physical Therapy - December 27, 2023 10:00 - 12 minutes ★★★★★ - 232 ratingsKayla 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 o...
Home Modifications
NPTE Clinical Files | Physical Therapy - December 20, 2023 09:00 - 16 minutes ★★★★★ - 232 ratingsFrankie 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 hazar...
Related Nptepodcast Topics