NPTE Clinical Files | Physical Therapy

Jeremy is performing a neurological evaluation. The therapist notes repeated falls in quiet standing with a suspected forward anticipatory balance impairment. Which of the following tests is MOST likely to reveal this specific impairment? A) Functional Reach Test B) Romberg Test C) Sensory Organization Test D) Standing in tandem with eyes closed LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Practice Question Club: www.npteclub.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

A 45-year-old female presents to physical therapy with complaints of persistent fatigue, and unexplained weight loss. Upon examination, the therapist notes tachycardia, low blood pressure episodes, and excessive sweating. Which of the following is the MOST likely diagnosis? A) Graves Disease B) Cor Pulmonale C) Hypoglycemia D) Adrenocortical hyperplasia Links Mentioned: NPTE Tips & Tricks: www.nptegroup.com Truelearn: USE CODE: PTH020 --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Are you a PT wondering where you'll find the money to pay off your student loan debt? In this exclusive episode, Coach K and his long-term mentor and best friend Greg Todd discuss what they'd do differently after Passing the NPTE to build financial freedom. Check out Greg's Exclusive Resources for Clinical Files Listeners Only! Side Hustle Checklist - https://smartsuccesshealthcare.com/sidehustlekr  How to Prep for Job Interviews - https://smartsuccesshealthcare.com/interviewkr  How to Build Your First Digital Product as a New Grad - https://smartsuccesshealthcare.com/digitalkr  --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Lina presents with a history of chronic heart failure, increased dyspnea and fatigue during daily activities. The physical therapist plans to implement an aerobic exercise program. Which of the following exercise protocols is MOST appropriate for this patient? A) 70-85% of HRmax, 5 times per week, for 45-60 minutes B) 50-60% of HRR, 3 times per week, for 20-40 minutes C) 30-40% of HRmax, daily, for 10-15 minutes D) 80-90% of HRR, 4 times per week, for 60 minutes LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Truelearn: USE CODE: PTH020 Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Bronny presents to the hospital with burns to the anterior neck, chest, axillas, and cubital fossa regions. Which of the following positions is the BEST for this patient? A. Cervical slight extension, arm abduction with elbow extension B. Neutral cervical spine, shoulder external rotation with wrist extension C. Cervical slight flexion, arm elevated and elbow extended D. Cervical extension with arm abduction and elbow flexion LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Cory is a 3 year old child presents with severe hypotonia. The child has difficulty maintaining an upright posture and frequently collapses when attempting to sit or stand. Which of the following interventions would be MOST appropriate? A. Sitting balance exercises on an unstable surface such as a wobble cushion B. Passive stretching of the hamstrings to improve flexibility C. Practicing squats with support to encourage leg strength D. Rhythmic stabilization exercises in a seated position on a therapy ball LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.co Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Everett presents with right groin pain. Which of the following conditions must be ruled out FIRST? A) Diverticulitis B) L2 nerve root compression C) Appendicitis D) Psoas abscess LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Calen presents to physical therapy with difficulty grasping a glass. Upon examination, the patient has diminished joint mobility at the 2nd MCP and difficulty performing abduction of the digit. Which of the following glides is the MOST effective? A. Volar glide B. Dorsal glide C. Radial glide D. Medial glide LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

During a clinical evaluation, Aiyinde notices that a patient exhibits pronounced anterior pelvic tilt while standing but this posture significantly improves when the patient engages in a squat. This observation is MOST likely due to tightness in which of the following muscles? A. Iliopsoas B. Gluteus maximus C. Rectus abdominis D. Biceps femoris (long head) LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Wajiha presents with a chief complaint of dizziness upon waking and difficulty washing hair secondary to the onset of dizziness. The patient is currently unable to reach down to pick up objects from the floor. The patient denies heart palpitations and states that she has frequent nausea but does not vomit. What condition is the MOST likely present? A. Meniere’s Disease B. Canalithiasis C. Optic neuritis D. Vestibulo-Ocular Reflex impairment LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com NPTE Cheat Sheets: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Kyle is treating a patient in stage 1 of complete decongestive therapy (CDT). Which of the following is NOT a primary focus in this phase: A. Manual lymphatic drainage and short stretch bandages B. Use of a customized compression garment C. Education on keeping the skin clean and dry D. Exercising the trunk before affected extremities LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Jared presents with a history of cataracts and has been experiencing repeated falls at home. Six months ago, his home was remodeled, and new carpets were installed, coinciding with the onset of the falls. Which sensory system is the patient MOST dependent on for balance? A. Vision, somatosensory, and vestibular B. Vision and somatosensory C. Somatosensory D. Vestibular LINKS MENTIONED: Practice Question Club: www.npteclub.com NPTE Tips & Tricks: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Kelly 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. Radiographs show no fractures but a slight increase in the space between the first and second metatarsal bones. What is the MOST likely diagnosis? A) Turf toe B) Sesamoiditis C) Hallux valgus D) Metatarsalgia LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Practice Question Club: www.npteclub.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Jane 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 B. Administer nitroglycerin and continue the exercise at a lower intensity C. Call emergency medical services (EMS) immediately D. Measure the patient's blood pressure and heart rate LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Practice Question Club: www.npteclub.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Matt, 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 is MOST likely present? A) Osteomyelitis B) Juvenile rheumatoid arthritis C) Sever's disease D) Hereditary Motor & Sensory Neuropathy (HMSN) LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com Truelearn: USE CODE: PTH020 Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Suely 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 exercises
B. Treadmill training with body-weight support
C. Functional electrical stimulation (FES) of the quadriceps
D. Static stretching of the lower extremities LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com PT Hustle Phone Number: (727) 732-4573 Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Blakely 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. Hydrotherapy with whirlpool B. Application of a moist wound dressing C. Daily debridement with a dry gauze D. Use of systemic antibiotics only LINKS MENTIONED: NPTE Tips & Tricks PT Hustle Phone Number: (727) 732-4573 PT Hustle Practice Question Bootcamp --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Raj 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 the saddle backward LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com PT Hustle Phone Number: (727) 732-4573 Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Caden 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 ignore the fear and push through discomfort. B. Implementing graded exposure therapy and psychological support to address fear-avoidance behaviors. C. Focusing exclusively on non-weight-bearing exercises until the fear subsides. D. Increasing the intensity of weight-bearing exercises to quickly regain strength. LINKS MENTIONED: NPTE Tips & Tricks: www.nptegroup.com PT Hustle Phone Number: (727) 732-4573 Free Cheatsheets: www.nptecheatsheets.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support

Xavier 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 assistive device would be MOST appropriate for this patient during the initial phase of recovery? A) Standard cane B) Quad cane C) Front-wheeled walker D) Rollator walker LINKS MENTIONED: Truelearn: USE CODE: PTH020 Get Your Episode Cheatsheet here: https://www.nptecheatsheet.com/assistive-ad NPTE Tips & Tricks: www.nptegroup.com --- Support this podcast: https://podcasters.spotify.com/pod/show/thepthustle/support