Pouria presents with secondary lymphedema following breast cancer treatment. The patient reports heaviness in the arm and mild discomfort but denies significant pain. The affected arm shows a circumference 3 cm greater than the contralateral arm. She has no open wounds or signs of infection. Which compression and therapy strategy is MOST appropriate to manage this patient’s lymphedema?A) High-stretch bandages to provide consistent pressure during rest and activityB) Intermittent pneumatic compression at 60 mmHg pressure, followed by elastic sleeve applicationC) Short-stretch bandages with manual lymphatic drainage techniquesD) Compression garments with 40-50 mmHg pressure for daily useTEXT OUR TEAM: (727) 732-4573
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11:39
Atrial Fibrillation / PT Considerations
Jafar has a history of atrial fibrillation and reports occasional fatigue and palpitations. His resting heart rate is 96 bpm and irregular, and he takes a beta-blocker. During a six-minute walk test, he experiences mild shortness of breath but completes the test without difficulty. Which consideration is MOST important when developing this patient’s exercise program?A) Monitor for a target heart rate based on age-predicted max heart rateB) Use a perceived exertion scale to guide exercise intensityC) Avoid aerobic exercise due to the risk of arrhythmiasD) Encourage high-intensity intervals to improve cardiovascular functionDOWNLOAD THIS EPISODE'S CHEATSHEET:www.nptecheatsheet.com/atrial-fib
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8:15
Traumatic Brain Injury / Assessment & Treatment
Taylor presents with a TBI and is recently learning to transfer from a wheelchair to a bed independently. The therapist aims to facilitate the learning process while minimizing cognitive load. Which training strategy is MOST effective for this stage of motor learning?A) Massed practice; intrinsic feedbackB) Distributed practice; concurrent feedbackC) Blocked practice; knowledge of results feedbackD) Random practice; knowledge of performance feedbackJoin the FREE Facebook Group: www.nptegroup.com
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11:04
Ankle Pain - Clinical Patholophysiology
Kyle reports sudden posterior ankle pain after jumping, describing it as feeling “kicked.” Examination reveals mild swelling, a palpable gap above the calcaneus, limited active plantarflexion, and inability to perform a single-leg heel raise. Passive range of motion is full and pain-free. Which finding BEST explains the patient’s inability to perform a single-leg heel raise?A) Tear of the medial ankle stabilizer leading to decreased propulsion strengthB) Inflammation of the plantar aponeurosis causing mechanical restrictionC) Disruption of the calcaneal attachment of the posterior compartment tendonD) Strain of the posterior compartment musculature limiting force generationTEXT OUR TEAM:(727) 732-4573
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10:31
Lumbar Spine Pathologies / Red Flags
Martha presents with six weeks of dull, intermittent low back pain. The pain worsens with standing but improves slightly with rest. Examination reveals mild lumbar tenderness and restricted motion. Which line of questioning is MOST important to uncover a potential red flag?A) “Have you noticed changes in bowel or bladder habits?” B) “What activities seem to aggravate or relieve your pain?”C) “Have you experienced an increased heart rate and dizziness upon standing? "D) “Do you have electric-like shocks extending down part of one leg? DOWNLOAD THIS EPISODE'S CHEATSHEET:www.nptecheatsheet.com/lumbar-flags
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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