Health & Fitness

NPTE Clinical Files | Physical Therapy

by Kyle Rice

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Latest episodes

Ankle Special Tests

October 21, 2026 · 12 min

Jermaine is a 22-year-old collegiate soccer player who injured his ankle when another player landed on his leg while his foot was planted. The ankle was forced into dorsiflexion and external rotation. Three days later, he has pain and…
Joint Mobilization Technique - Must Know for the NPTE

October 14, 2026 · 11 min

Yessica has a history of thumb carpometacarpal osteoarthritis and recently wore a functional hand splint for several weeks following a burn to the hand. After the burn has healed, she demonstrates limited thumb CMC adduction. Which joint…
One Symptom Is NOT Enough: An NPTE Test-Taking Lesson

October 7, 2026 · 12 min

Olivia reports progressive lower-extremity weakness and decreased exercise tolerance. Examination reveals a resting heart rate of 104 bpm, a fine hand tremor, brisk deep tendon reflexes, and mild proximal muscle weakness. She also reports…
Hand & Digit Deformities

September 30, 2026 · 13 min

Jason is referred to physical therapy for gradually progressive bilateral hand pain and stiffness. The patient reports that the hands feel stiff for approximately 15 minutes after waking and becomes increasingly painful after prolonged…
Cardiac Meds & Mechanisms

September 23, 2026 · 13 min

Brian presents with chronic heart failure and is referred to physical therapy for aerobic conditioning. The patient has a history of hypertension and has a resting heart rate of 102 bpm. The medical record indicates that the patient takes…

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Gait Assessment & Intervention

September 16, 2026 · 13 min

Priyanshi is a 68-year-old female referred to physical therapy for gradually increasing right forefoot pain and difficulty walking longer distances. During gait assessment, the physical therapist observes decreased push-off on the right…
Symptom-Limited Exercise Tolerance Testing

September 9, 2026 · 12 min

Ashley is preparing to perform a symptom-limited graded exercise test to determine functional exercise capacity and help develop an aerobic exercise prescription. Which of the following patients is the MOST appropriate candidate for this…
Infection Control - PPE

September 2, 2026 · 14 min

Zoe is preparing to ambulate a patient hospitalized with hepatitis B. The patient is medically stable and has no open wounds, active bleeding, or uncontrolled drainage. Which of the following precautions is MOST appropriate during gait…
Wound Assessment & Documentation

August 26, 2026 · 12 min

Getsemani examines a patient with a Stage 4 pressure injury over the sacrum. The therapist inserts a sterile cotton-tipped applicator beneath the intact wound edge. The applicator advances 2.4 cm toward the patient’s head while remaining…
NMES Parameter Adjustment

August 19, 2026 · 12 min

Stassi is administering neuromuscular electrical stimulation (NMES) to improve quadriceps strength following knee surgery. The patient reports that the stimulation feels uncomfortable as the current is delivered. Stassi would like to…
NPTE EKG Reading & Response

August 12, 2026 · 13 min

Inez is receiving physical therapy in the acute cardiac unit following an acute coronary event. During treatment, the physical therapist observes a new telemetry change characterized by progressive PR interval lengthening followed by a…
Retention vs Acquisition: A High-Yield NPTE Motor Learning Question

August 5, 2026 · 13 min

Anisa is being treated in an inpatient rehabilitation facility following a traumatic brain injury (TBI). The physical therapist has been training the patient to ambulate using a two-point gait pattern with a single-point cane. Anisa…

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About the show

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.