Kyle Rice
NPTE Clinical Files | Physical Therapy
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 opportunity to solve clinical puzzles while learning the latest research related to the topic.
Where to listen?
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Episodes
TBI & Motor Learning 03.11.2021 15:10
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Jason is being treated in inpatient physical therapy for a traumatic brain injury (TBI). The therapist has been training the patient on using a 2-point gait pattern using a single-point cane. The patient demonstrates a clear understanding of the proper method and is able to perform the task free...
Autonomic Dysreflexia 27.10.2021 14:51
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Helen presents with a T4 SCI and exhibits signs of autonomic dysreflexia. The therapist should anticipate which cardiovascular response: A. Hyperemia in the lower legs and feet B. Decreased blood pressure C. Vasodilation in the head, neck, and arms D. Increased heart rat...
Ankle/Foot Fracture 20.10.2021 14:16
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Seina presents to physical therapy with lateral foot pain that began suddenly 2 days ago. The patient reports running and accidently stepping onto uneven pavement. The patient’s medical record includes multiple radiographs which show a noticeable fracture of the proximal fifth metatarsal. Which...
Total Knee Arthroplasty & Biomechanics 13.10.2021 15:39
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Livia is two weeks status post right total knee arthroplasty. During a supine active straight leg raise, the patient is unable to extend the knee fully. Upon examination, the patient can achieve full knee extension passively. Which of the following is the MOST likely cause of the patient's defic...
TMJ Differential 06.10.2021 19:29
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Jesse presents to physical therapy with complaints of mild right-sided jaw discomfort. She reports a two-year history of right-sided jaw clicking that accompanied a loss of mouth opening. Upon examination, the patient has no clicking and her mouth opening ROM is 41mm actively and 47mm passively....
Baseball Pitcher Injury 29.09.2021 15:42
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Rick is a baseball pitcher that was injured while throwing five days ago. The patient describes a sharp shoulder pain felt during the deceleration phase of the pitch. Which of the following muscle groups is the MOST likely to be injured? A. Subscapularis, teres major, latissim...
Quadrant Pain 22.09.2021 17:10
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Laika is a 30-year-old female who presents with intermittent lower right quadrant pain. In addition to lower back pain, the patient has been experiencing polyarthralgia that has progressed slowly over time. The patient reports that only passing stool or gas seems to relieve the symptoms. Which o...
SOAP Note 15.09.2021 16:28
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Koorin is an 18-month-old child with a history of significant developmental delay. The parents report that the child is unable to sit unsupported for self-feeding. Which of the following sections should this information be documented? A. Objective section B. Assessment section...
Memory Loss 08.09.2021 19:52
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Gurdy is an 80-year-old female who presents with confusion and a progressive loss of memory that has been present for months. In addition, the patient has a shortened attention span and episodes of hallucinations and paranoia, especially in the late afternoons. Which of the following pathologies...
Lower Extremity MSK Differential 01.09.2021 15:16
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Jason is an 11-year-old male with a nagging pain on the posterior aspect of both heels. The child is involved in multiple sports that involve frequent running and jumping. The patient has limited dorsiflexion along with pain that is elicited with mediolateral compression of lower 1/3 of the post...
ACA Stroke 18.08.2021 17:05
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Gary presents status post anterior cerebral artery stroke. Which of the following is the LEAST likely to be a clinical manifestation of anterior cerebral artery syndrome? A. Homonymous hemianopsia B. Contralateral hemiparesis involving...
Clinical Test Of Sensory Interaction On Balance 11.08.2021 13:01
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Curtis is being seen in a center for low vision and balance for an evaluation using the CTSIB protocol. The patient is found to become increasingly unstable when the eyes are blindfolded on level ground and when the dome is placed over the head while the foam is used. Given the prior information...
Cranial Nerve Examination 04.08.2021 15:58
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Caihong is treating a patient with a suspected CN XI injury. Which of the following would be the LEAST likely found during a routine examination? A. Atrophy, fasciculations, ipsilateral weakness B. Inability to shrug ipsilateral shoulder C. Inability to turn head contralaterall...
Headaches 28.07.2021 20:16
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Ryllis is a 21-year-old male who presents to physical therapy complaining of severe headaches that typically occur only on the left side. The patient describes the pain as “throbbing or pulsating” and concentrated around and behind the left eye. Which of the following types of headache is the pa...
Modalities Education Workshop 21.07.2021 17:38
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Sam is performing an educational workshop for other therapists about the proper utilization of low-dose ultrasound in clinical practice. Which of the following conditions is low-dose ultrasound considered CONTRAINDICATED: A. Over the distal femur in a 16-year-old with quadriceps ten...
Determining Neurological Level Of Injury 14.07.2021 24:57
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Elsa is evaluating a patient with a recent spinal cord injury. The patient presents with intact sensation along the lateral shoulders, lateral forearms, and thumbs. Myotomal testing reveals 5/5 elbow flexors, 3+/5 wrist extensors, and 1/5 elbow extensors and finger flexors, bilaterally. A...
Bariatric Wheelchair 07.07.2021 21:27
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Annie is being discharged home from the inpatient setting following a fracture of her right pelvis. She is having difficulty propelling her new wheelchair and cannot travel more than 30 feet before becoming fatigued. The therapist realizes that the patient's severe obesity is impacting her wheel...
The Man Behind The Mission 30.06.2021 1:05:07
I am switching it up this week to let you in on my story so that you can see what YOU are capable of. I faced intense challenges like test anxiety, low self-esteem and even lower self-worth. In this episode I laid it all out there to help you better understand the specialized theory behind The PT Hustle and why I developed a system that will make you dominate the NPTE! If you feel that you’ve been...
Medial Heel Pain 23.06.2021 16:16
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Zamara is treating a patient with recurrent medial heel pain with long-distance walking and running. During quiet standing, the patient has a flat medial longitudinal arch and overpronation of the rearfoot. Which of the following muscles is MOST likely weak: A. Fibularis longus B. E...
Congenital Hip Dysplasia 16.06.2021 13:14
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Ehsan is treating a 5-month-old child with congenital hip dysplasia. The therapist is considering the use of a Pavlik harness. Which of the following motions is the MOST recommended with the use of this device: A. Hip flexion and abduction B. Hip extension, abduction, and internal...
Forefoot Varus 09.06.2021 18:52
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Shaniqua presents with left foot pain along lateral side of the 5th metatarsal. Upon examination, the patient has a 14 degree fixed forefoot varus. During quiet standing, the patient’s rearfoot is noticeably everted. Which of the following interventions is the MOST recommended: A. M...
Medication & PT Treatment 02.06.2021 15:37
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Fran is three days status post open reduction internal fixation (ORIF) after a femoral fracture. The patient is currently taking morphine, lisinopril, and hydrochlorothiazide. Before performing out of bed activities, the therapist should be MOST concerned about: A. Blood pressure B...
Lymphedema 2 26.05.2021 20:22
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Annie presents with a recent onset of right upper extremity lymphedema after a right radical mastectomy with lymph node dissection. The patient's lymphedema no longer improves with elevation. Which of the following is MOST recommended: A. Manual lymph drainage, long stretch bandages...
Individuals with Disabilities Education Act (IDEA) 19.05.2021 16:24
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Adisa is working with a child with cerebral palsy in the school system. The therapist would like to ensure that the child is being provided all necessary care according to the Individuals with Disabilities Education Act. Which of the following is NOT covered under IDEA? A. Therapist...
Pregnancy & Exercise 12.05.2021 15:52
Are you looking for a bundle of Coach K’s Top MSK Cheatsheets? Look no further: www.nptecheatsheets.com Milana is five months pregnant and is requesting wellness advice from a physical therapist on living a more active lifestyle. Considering this patient's condition, which of the following is an absolute contraindication for aerobic exercise? A. History of pulmonary fibrosis B....
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