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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 opp ...
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An NPTE podcast for Physical Therapy students looking to get some extra time with test prep on the go. From the brewers of the PT Pintcast.
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Episode 220 NPTEFF Radiography for Pediatric Hip Pain
6:37
6:37
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6:37Episode 220 NPTEFF Radiography for Pediatric Hip Painبقلم NPTE FINAL FRONTIER
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Traumatic Brain Injury / Assessment & Treatment
11:04
11:04
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11:04Taylor presents with a TBI and is recently learning to transfer from a wheelchair to a bed independently. The therapist aims to facilitate the learning process while minimizing cognitive load. Which training strategy is MOST effective for this stage of motor learning? A) Massed practice; intrinsic feedback B) Distributed practice; concurrent feedba…
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Ankle Pain - Clinical Patholophysiology
10:31
10:31
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10:31Kyle reports sudden posterior ankle pain after jumping, describing it as feeling “kicked.” Examination reveals mild swelling, a palpable gap above the calcaneus, limited active plantarflexion, and inability to perform a single-leg heel raise. Passive range of motion is full and pain-free. Which finding BEST explains the patient’s inability to perfo…
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Episode 219 NPTEFF Overcoming Defeatبقلم NPTE FINAL FRONTIER
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Lumbar Spine Pathologies / Red Flags
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10:36
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10:36Martha presents with six weeks of dull, intermittent low back pain. The pain worsens with standing but improves slightly with rest. Examination reveals mild lumbar tenderness and restricted motion. Which line of questioning is MOST important to uncover a potential red flag? A) “Have you noticed changes in bowel or bladder habits?” B) “What activiti…
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Gertrude presents with right knee osteoarthritis and is being trained to use a cane. She demonstrates unsteady steps when initiating gait and turning, occasionally placing the cane too far ahead of her. She reports feeling unsure about how to use the cane properly in crowded environments. Which intervention is MOST important to improve the patient’…
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Episode 218 NPTEFF SIJ Special Test Cluster
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5:17Episode 218 NPTEFF SIJ Special Test Clusterبقلم NPTE FINAL FRONTIER
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Betty presents with type 2 diabetes and a non-healing ulcer on the lateral ankle. The ulcer is dry, and the patient reports discomfort in her posterior lower leg with walking. On examination, the affected foot has a capillary refill that is prolonged. Which assessment is MOST important to include during the initial evaluation? A) Monofilament testi…
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Peripheral Artery Disease & Walking Programs
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10:25
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10:25Cobert presents with a history of peripheral artery disease and was referred to physical therapy for walking endurance. He reports intermittent claudication in his calves after walking 100 meters and frequently stops to rest. His resting ABI is 0.7 in both legs. The goal is to enhance his functional capacity and quality of life. Which walking progr…
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Episode 217 NPTEFF Interview with Joseph Reinke from FitBux
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19:22
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19:22Episode 217 NPTEFF Interview with Joseph Reinke from FitBuxبقلم NPTE FINAL FRONTIER
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Multiple Sclerosis - Symptoms & Interventions
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11:10
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11:10Liara presents with relapsing-remitting multiple sclerosis with complaints of fatigue and difficulty walking. She reports worsening symptoms in the afternoon but denies any new relapses. Examination reveals mild spasticity in the lower limbs, decreased endurance, and poor postural control. The patient works as a teacher and finds it challenging to …
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Rachel presents with knee pain that worsens with activity and improves with rest. She describes stiffness lasting about 30 minutes in the morning and difficulty with stairs. On examination, there is mild joint swelling and crepitus with knee flexion and extension. Which examination finding is MOST indicative of knee osteoarthritis? A) Positive McMu…
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Episode 216 NPTEFF Interview with Dr. Ellen Hillegass
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23:12
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23:12Episode 216 NPTEFF Interview with Dr. Ellen Hillegassبقلم NPTE FINAL FRONTIER
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Burns - Classification & PT Interventions
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10:11
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10:11Lorren sustained burns to his right forearm and hand while working with hot oil. The burn area is red with blistering, and the patient reports significant pain. On examination, capillary refill is intact, and the wound blanches with pressure. The patient is referred to physical therapy to prevent complications during the early phase of healing. Whi…
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Nivayah presents with a history of myocardial infarction and type 2 diabetes. The patient reports limited endurance and shortness of breath when walking up a flight of stairs. The physical therapist wants to assess her aerobic capacity and guide the exercise prescription while considering safety due to her cardiovascular history. Which outcome meas…
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Episode 215 NPTEFF Shoulder Special Tests
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5:51
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5:51Episode 215 NPTEFF Shoulder Special Testsبقلم NPTE FINAL FRONTIER
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Jamie is a 62-year-old female who is referred to outpatient cardiac rehabilitation 3 weeks after a myocardial infarction. She reports feeling fatigued with moderate exertion but denies chest pain. Her resting vitals are HR 80 bpm, BP 128/82 mmHg, and SpO₂ 98%. She completed Phase I rehabilitation without complications and is eager to begin exercisi…
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Teddy sustained a spinal cord injury at the C7 level after a motor vehicle accident. During the ASIA examination, the patient has preserved sensation at S4-S5 but no voluntary anal contraction. Motor function is absent below C7. Reflex activity is present. How should this patient’s spinal cord injury be classified on the ASIA Impairment Scale? A) A…
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Episode 214 NPTEFF Low Back Pain Treatments
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7:39
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7:39Episode 214 NPTEFF Low Back Pain Treatmentsبقلم NPTE FINAL FRONTIER
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Carlos is a long-distance runner who presents with deep groin pain that worsens with running and prolonged sitting. He also reports occasional clicking and a sensation of instability in the left hip. Examination reveals full strength and range of motion, but pain is elicited during specific hip movements that compress the joint. Which clinical test…
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Beniah is a 21-year-old female soccer player who presents with right knee pain and instability after pivoting during a game. She reports hearing a “pop” at the time of injury and is now hesitant to bear weight. Examination reveals mild swelling, limited range of motion, and hamstring guarding. Which special test is MOST sensitive for detecting an A…
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Episode 213 NPTEFF Interview with Margie Nguyen of Not Just a PTA
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44:09Episode 213 NPTEFF Interview with Margie Nguyen of Not Just a PTAبقلم NPTE FINAL FRONTIER
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