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 measure is MOST appropriate to assess this patient’s aerobic capacity?A) VO2 max test using a treadmill protocolB) 6-minute walk testC) Borg Rating of Perceived Exertion (RPE)D) Step testJoin the FREE Facebook Group: www.nptegroup.com
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9:23
Cardiac Rehab Phases
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 exercising to improve her endurance. Which activity is MOST appropriate to initiate during Phase II of cardiac rehabilitation?A) Jogging on a treadmill at 70% maximum heart ratB) Cycling on a stationary bike at 3-5 METsC) Strength training at 50% of 1-rep maxD) Stretching and light walking onlyDOWNLOAD THIS EPISODES CHEATSHEET:www.nptecheatsheet.com/cardiac-rehab1
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9:45
Spinal Cord Injuries / ASIA Scale
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) ASIA A (Complete)B) ASIA B (Sensory Incomplete)C) ASIA C (Motor Incomplete)D) ASIA D (Motor Incomplete)TEXT OUR TEAM: (727) 732-4573
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7:45
Hip Special Tests / Key Signs
Carlos 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 is MOST appropriate to confirm the suspected diagnosis?A) FABER testB) Thomas testC) Scour testD) FADIR testJoin the FREE Facebook Group: www.nptegroup.com
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10:12
Knee Special Tests
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 ACL tear in this patient?A) Lachman testB) Anterior drawer testC) Pivot shift testD) Valgus stress testDOWNLOAD THIS EPISODES CHEATSHEET: www.nptecheatsheet.com/knee-specials
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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