NPTE Clinical Files | Physical Therapy

Julian, 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 medical history includes poorly controlled hypertension and intermittent claudication. What is the most likely classification of this ulcer? A) Venous ulcer B) Mixed arterial-venous ulcer C) Pure arterial ulcer D) Neuropathic ulcer LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/ulcerclass --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Richard 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 2 hours while awake. B. Maintenance of a high-protein, low-carbohydrate diet. C. Participation in daily, moderate-intensity aerobic exercise. D. Keeping the home environment well-ventilated and free of irritants. LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/pulmonaryinterventions --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Vivek 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. Stepping over obstacles at 6 inch heights
 D. Reciprocal pedaling on a stationary bike LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/motor --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Henry 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 patient MOST likely able to do without exacerbating their symptoms? A) Climbing two flights of stairs without stopping B) Walking 3mph on a treadmill C) Laying flat in Trendelenburg position D) Running a short distance LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. NPTE Tips & Tricks: www.nptegroup.com Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/CHF --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Andrea 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 conditions is MOST likely? A) Multiple Sclerosis (MS) B) Amyotrophic Lateral Sclerosis (ALS) C) Guillain-Barré Syndrome (GBS) D) Myasthenia Gravis (MG) LINKS MENTIONED: Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/mg Check out our Instagram account: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

A 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 inchesB) 48 inches by 48 inchesC) 60 inches by 60 inchesD) 72 inches by 72 inches LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/wheelchairs Check out our Instagram account: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Jessie 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? A) Legg-Calvé-Perthes Disease B) Slipped Capital Femoral Epiphysis C) Osgood-Schlatter Disease D) Septic Arthritis LINKS MENTIONED: Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/pediatriceval Check out our Instagram account: www.instagram.com/thepthustle --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Joscelin 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 therapist LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Join the group specifically built to help PT Students DOMINATE the NPTE: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Henry 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 covered under HIPAA?   A. Patient alias  B. Medical record number  C. Photograph of the right knee   D. Home address LINKS MENTIONED:      Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.      Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Tamia 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 likely to be affected? A. Median nerve B. Ulnar nerve C. Musculocutaneous nerve D. Posterior interosseous nerve LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Join the group specifically built to help PT Students DOMINATE the NPTE: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Charlie 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. Hyperactivity LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Join the group specifically built to help PT Students DOMINATE the NPTE: www.nptegroup.com Want the NPTE cheatsheet that goes with this episode? Download it here: https://www.nptecheatsheet.com/chronic-anemia1 --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Sahar 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 plantarflexion exercises D. Active ankle inversion and eversion LINKS MENTIONED: Text Us For NPTE Help: (727) 732-4573 PT Hustle: www.thepthustle.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

In 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 resolve them. Join us on this enlightening podcast episode! LINKS MENTIONED: Text Us For NPTE Help: (727) 732-4573 PT Hustle: www.thepthustle.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Jeremy 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 neuropathy D. Carpal tunnel syndrome LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Blake 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 during sessions D. Check the chart for blood pressure reducing medications LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Copeland 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's nystagmus during this test? A. Towards the opposite side, but reduced in magnitude B. Absent or significantly reduced nystagmus C. Towards the same side, but reduced in magnitude D. Eye movement is unaffected LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Peter 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 LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Kayla 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 of motion exercises to identify the painful location B. Instruct the patient to use a foam roller to identify the tender area. C. Ask the patient to describe the quality of pain in different shoulder positions. D. Postpone the assessment until an in-person visit can be arranged. LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Frankie 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 hazards to the patient’s primary care physician. C. Discuss and educate the patient and family about the hazards and suggest modifications. D. Contact a social worker to assess the home environment. LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Setting: Sports Clinic Gender: Female Age: 28 years Presenting Problem/Current Condition: Pain in the right elbow after increasing the frequency of her tennis games. Medical History: No significant medical issues Other Information: Recreational tennis player, recently started competing Physical Therapy Examination(s): Tenderness over the lateral epicondyle. Pain on resisted wrist extension Physical Therapy Plan of Care: None, this is the first visit 1. What is the MOST likely diagnosis for the patient's presentation? A) Golfer’s elbow B) Tennis elbow C) Olecranon bursitis D) Cubital tunnel syndrome Answer: B) Tennis elbow Rationale: Tennis elbow, or lateral epicondylitis, is characterized by pain over the lateral epicondyle and is often exacerbated by resisted wrist extension. The patient's symptoms, along with her recent increase in tennis games, align with this condition. Tennis elbow is caused by repetitive stress on the tendons of the forearm, especially those that straighten the wrist. Given the physical examination findings and the patient's history, tennis elbow is the most appropriate diagnosis. 2. What is the INITIAL recommended management for this condition? A) Complete rest and avoidance of all physical activity B) Activity modification and pain management C) Immediate surgical intervention D) High-intensity resistance training Answer: B) Activity modification and pain management Rationale: For tennis elbow (lateral epicondylitis), the initial treatment approach typically involves conservative measures. Activity modification means adjusting or reducing activities that aggravate the condition, like certain tennis strokes. Pain management can include methods like ice, non-steroidal anti-inflammatory drugs (NSAIDs), and sometimes physical therapy techniques. Surgery is usually considered only after conservative treatments have been exhausted, and high-intensity resistance training would not be appropriate during the acute phase of the condition. 3. Which of the following therapeutic modalities might be beneficial in the early stages of the condition? A) Continuous Ultrasound B) Hot pack C) Cryotherapy D) Neuromuscular Electrical Stimulation Answer: C) Cryotherapy Rationale: Cryotherapy, which involves the application of cold, can help reduce inflammation and alleviate pain in the acute stages of an injury. Continuous ultrasound and hot packs which heat the tissue may aggravate this acute condition and prolong inflammation. Neuromuscular electrical stimulation (NMES), has the purpose of increasing strength and endurance in muscular tissue. Strength and endurance are not the primary impairments at this time. LINKS MENTIONED: Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck. Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support