Hosted by NPTE expert Dr. Will Crane PT, DPT, OCS, this is The NPTE Podcast, here to make sure you have the best and most up-to-date information to crush the NPTE! We all know that the NPTE is one of the biggest hurdles you'll face as you start your PT career, and we're here to help you get the tips, strategies, motivation, and knowledge you need to study like a boss and start your awesome career as a physical therapist.
A 68-year-old patient with a history of hyperlipidemia reports new bilateral thigh soreness and weakness that began gradually over the past month. She denies any recent increase in activity, and the pain is present at rest and unchanged by stretching or light movement. On examination, the clinician notes mild proximal muscle weakness without swelling or warmth. Which of the following sources of pain is MOST consistent with this pre...
A physical therapist is treating a patient with chronic swelling of the right upper extremity after removal of axillary lymph nodes. After several treatments, the therapist notices new swelling along the right side of the trunk. To prevent this secondary trunk swelling from worsening, which of the following actions is MOST appropriate?
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A 58-year-old woman reports a sudden, intense need to urinate that she finds difficult to suppress. She also reports waking twice per night to void and leaking urine before she can reach the bathroom. Urinalysis is negative for infection. Which of the following best describes the underlying mechanism MOST likely responsible for her symptoms?
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A 52-year-old male with a history of alcohol use disorder is admitted to the ICU with acute pancreatitis. On day 3, the physical therapist is asked to perform a bedside evaluation. Which of the following findings would be the most appropriate indication to defer physical therapy intervention at this time?
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A 63‑year‑old patient reports progressive fatigue, muscle weakness, and darkened skin creases. Vital signs show low blood pressure, and labs reveal hyponatremia, hyperkalemia, and low cortisol levels. Which of the following diagnoses is MOST likely present?
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During the integumentary assessment, the therapist notes that the skin is cool to the touch, shiny, and hairless with diminished dorsalis pedis pulse. The therapist also observes a small ulcer on the distal lateral ankle. Which additional finding would MOST likely be present?
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A patient with chronic obstructive pulmonary disease demonstrates pursed-lip breathing during exercise. What is the PRIMARY purpose of this breathing technique?
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A patient presents with numbness in the 4th and 5th fingers and weakness of finger abduction. The patient is a cyclist who reports the symptoms are worse after long cycling training sessions. Which additional muscle is MOST likely to demonstrate weakness?
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Good luck on test day! Here are some tips to help you perform at your best on the NPTE!
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A patient’s serratus anterior strength is measured to be 4-/5. When creating an intervention plan, which of the following activities will be best to implement FIRST?
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A patient with acute low back pain and signs of nerve root compression is being evaluated for lumbar traction. The patient's recent MRI shows a medial lumbar disc protrusion. Which of the following actions is MOST appropriate for the therapist to perform next?
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A 28-year-old male patient presents with acute right knee and heel pain two weeks after a gastrointestinal illness. Which of the following findings will MOST strongly support a diagnosis of reactive arthritis?
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A patient presents with bilateral, symmetrical leg enlargement that is painful to palpation, shows easy bruising, and spares the feet. Stemmer sign is negative. Which of the following conditions is MOST likely present?
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A patient with an indwelling Foley catheter reports new lower‑abdominal discomfort during gait training. The therapist observes the collection bag positioned at the level of the umbilicus. Which of the following actions would be MOST appropriate for the clinician to perform first?
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A patient reports constant right‑sided upper abdominal pain that began shortly after eating a high‑fat meal. The pain radiates to the right shoulder and is accompanied by nausea. Which of the following conditions is MOST likely present?
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A patient with metabolic disease develops progressive shoulder pain with loss of motion, proximal thigh weakness, and has a history of low‑trauma fractures. The physical exam shows periarticular tenderness and visible muscle atrophy. The patient also reports the muscular weakness is worsened at the end of each day. Which of the following conditions is MOST likely present?
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A patient presents with acute onset of lower‑leg redness, warmth, and tenderness. The involved area has poorly defined borders and has expanded over the past 24 hours. The patient reports low‑grade fever, fatigue, and increasing tightness in the leg. Pitting edema is present, and Homan's sign is negative. Which of the following conditions is MOST consistent with this presentation?
A patient with chronic obstructive lung disease frequently assumes a tripod position during seated rest. Which of the following explanations BEST describes why this posture is adopted?
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Which group of symptoms is MOST characteristic of autonomic dysreflexia in a patient with a C6 complete spinal cord injury?
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