• NPTE Clinical Files | Physical Therapy

  • Written by: Kyle Rice
  • Podcast

NPTE Clinical Files | Physical Therapy

Written by: Kyle Rice
  • Summary

  • 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.
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Episodes
  • Medical Team Communication
    Feb 19 2025

    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 immediate communication with the medical team?

    A) Decreased breath sounds in the right lower lobe

    B) Blood pressure of 142/86 mmHg

    C) Resting respiratory rate of 22 breaths per minute

    D) Oxygen desaturation to 88% with exertion

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    10 mins
  • Parkinson’s Disease: Stages & Treatments
    Feb 12 2025

    Jamie 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) Rhythmic auditory cueing

    C) External visual cues

    D) Strengthening postural muscles

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    11 mins
  • Rotator Cuff Tear Rehab Protocols
    Feb 5 2025

    Travasia is 4 weeks post-supraspinatus repair. She reports mild soreness but no significant pain. Examination reveals limited passive shoulder elevation beyond 90° due to stiffness and marked restriction in active range of motion. Which intervention is MOST appropriate at this stage?

    A) Resisted external rotation with a resistance band

    B) Active-assisted range of motion for shoulder flexion

    C) Pendulum exercises for shoulder mobility

    D) Isometric strengthening of the supraspinatus

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    11 mins

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