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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 218 NPTEFF SIJ Special Test ClusterVon NPTE FINAL FRONTIER
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Foot Ulcers / Key Assessments
10:31
10:31
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10:31Betty 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
10:25
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
19:22
19:22
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19:22Episode 217 NPTEFF Interview with Joseph Reinke from FitBuxVon NPTE FINAL FRONTIER
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Multiple Sclerosis - Symptoms & Interventions
11:10
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
23:12
23:12
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23:12Episode 216 NPTEFF Interview with Dr. Ellen HillegassVon NPTE FINAL FRONTIER
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Burns - Classification & PT Interventions
10:11
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 TestsVon 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 TreatmentsVon NPTE FINAL FRONTIER
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Hip Special Tests / Key Signs
10:12
10:12
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10:12Carlos 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
44:09
44:09
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44:09Episode 213 NPTEFF Interview with Margie Nguyen of Not Just a PTAVon NPTE FINAL FRONTIER
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Heather is a female with diabetes who is referred to physical therapy for evaluation of a right heel wound. The wound measures 4 cm in diameter, shows a dry black eschar covering the entire wound bed, and has no surrounding erythema or drainage. The patient denies pain at the wound site. Which wound stage is MOST consistent with the described findi…
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Wheelchair Prescription & Positioning
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10:03
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10:03Jessica presents with a C6 spinal cord injury and is being fitted for a wheelchair. She has full innervation of the deltoids, biceps, and wrist extensors but lacks active triceps function. The patient requires independence in propulsion and activities of daily living. During assessment, she demonstrates forward shoulder positioning and mild scapula…
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Episode 212 CSM Recap - CSM Houston - Final Frontier Podcast
12:10
12:10
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12:10Episode 212 CSM Recap - CSM Houston - Final Frontier PodcastVon NPTE FINAL FRONTIER
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Teniah was admitted to the acute care hospital with community-acquired pneumonia. She reports shortness of breath and fatigue. Auscultation reveals decreased breath sounds in the right lower lobe, and SpO₂ drops from 95% to 88% with exertion. Resting vital signs: HR 92 bpm, BP 142/86 mmHg, RR 22 breaths per minute. Which finding requires the MOST i…
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Parkinson’s Disease: Stages & Treatments
10:57
10:57
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10:57Jamie presents with stage 3 Parkinson’s disease and marked presbycusis and reports frequent freezing episodes during ambulation. She demonstrates a reduced step length and minimal arm swing. Her goal is to improve safety and mobility. Which intervention is MOST appropriate to address the patient’s freezing episodes? A) Dynamic balance training B) R…
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Episode 211 NPTEFF Gait Step Length AlterationsVon NPTE FINAL FRONTIER
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