The NPTE Podcast

298. Gastrointestinal System

Wed, 12 Aug 2026 08:00:00 +0000

A physical therapist evaluates a client who reports midback pain that has persisted for several weeks. The pain is described as deep, aching, and poorly localized. The client denies numbness or tingling in the upper extremities and reports no bowel or bladder changes, and notes that the pain seems to fluctuate with meals. Which visceral structure is the MOST likely source of this client’s symptoms?

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297. Metabolic & Endocrine System

Wed, 05 Aug 2026 08:00:00 +0000

A physical therapist is evaluating a patient in the outpatient clinic who reports progressive fatigue, orthostatic dizziness, and generalized weakness. During the exam, the therapist observes darkened pigmentation over the patient's knuckles, elbows, and the lining of the mouth. Which of the following conditions is MOST consistent with these findings?

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296. Integumentary System

Wed, 29 Jul 2026 08:00:00 +0000

The therapist reviews the Braden Scale to identify key areas influencing pressure‑injury risk. Which of the following groups BEST includes what other categories are assessed with the Braden Scale?

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295. Special NPTE Edition

Wed, 22 Jul 2026 08:00:00 +0000

Do you know what the passing score is on the NPTE? Do you know how to increase it to get the required 600/800?

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294. CP System

Wed, 15 Jul 2026 08:00:00 +0000

A patient in phase II cardiac rehabilitation is performing steady‑state treadmill exercise. During the session, the patient’s systolic blood pressure rises to 220 mm Hg, with no angina or dyspnea reported. Which of the following actions is the MOST appropriate for the physical therapist to take next?

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293. NM System

Wed, 08 Jul 2026 08:00:00 +0000

A patient in a MVA sustained a high‑velocity cervical spine traction injury when the shoulder was violently depressed while the neck was forced into contralateral side‑bending. Examination reveals shoulder abduction weakness, weakened elbow flexion, and absent biceps reflex. Sensation is absent over the lateral shoulder and lateral forearm extending into the thumb. Which portion of the brachial plexus is MOST likely involved?

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292. MSK System

Wed, 01 Jul 2026 08:00:00 +0000

A 68‑year‑old patient reports chronic lateral hip pain that worsens with weight‑bearing. Examination reveals painful and limited active hip flexion, pain with active hip extension, passive hip medial rotation of 20°, and pain during squatting. The scour test with adduction reproduces lateral hip pain. Based on these findings, which diagnosis is MOST likely present?

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291. Nonsystems

Wed, 24 Jun 2026 08:00:00 +0000

A patient is receiving interferential current to the medial knee for pain control after a meniscal injury. Midway through treatment, the patient reports a sharp, localized burning sensation under one electrode. The therapist stops the session and notes that the electrode is older, slightly dry, and has been reused multiple times. Which of the following factors MOST likely caused the burning sensation?

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290. System Interactions

Wed, 17 Jun 2026 08:00:00 +0000

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 presentation?

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289. Lymphatic System

Wed, 10 Jun 2026 08:00:00 +0000

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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288. Genitourinary System

Wed, 03 Jun 2026 08:00:00 +0000

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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287. Gastrointestinal System

Wed, 27 May 2026 08:00:00 +0000

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?

Find it all out in the podcast! Be prepared for the NPTE so that you can pass with flying colors! Check out www.ptfinalexam.com/podcast for more information and to stay up-to-date with our latest courses and projects.

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286. Metabolic & Endocrine Systems

Wed, 20 May 2026 08:00:00 +0000

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?

285. Integumentary System

Wed, 13 May 2026 08:00:00 +0000

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?

284. CP System

Wed, 06 May 2026 08:00:00 +0000

A patient with chronic obstructive pulmonary disease demonstrates pursed-lip breathing during exercise. What is the PRIMARY purpose of this breathing technique?

283. NM System

Wed, 29 Apr 2026 08:00:00 +0000

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?

282. The NPTE Podcast Special Edition

Wed, 22 Apr 2026 08:00:00 +0000

Good luck on test day! Here are some tips to help you perform at your best on the NPTE!

281. MSK System

Wed, 15 Apr 2026 08:00:00 +0000

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?

280. Nonsystems

Wed, 08 Apr 2026 13:29:00 +0000

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?

Find it all out in the podcast! Be prepared for the NPTE so that you can pass with flying colors! Check out www.ptfinalexam.com/podcast for more information and to stay up-to-date with our latest courses and projects. #Npte #PT #ptboards #crushtheNPTE #study #studygram #spt #ptstudent #ptlife #sptprobs #physicaltherapystudent #physicaltherapy #physio #physiotherapist #ptlife #ptstudentstudy

279. System Interactions

Wed, 01 Apr 2026 14:00:00 +0000

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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278. Lymphatic System

Wed, 25 Mar 2026 14:00:00 +0000

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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277. Genitourinary System

Wed, 18 Mar 2026 14:00:00 +0000

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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276. Gastrointestinal System

Wed, 11 Mar 2026 17:57:00 +0000

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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275. Metabolic & Endocrine System

Wed, 04 Mar 2026 16:49:00 +0000

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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274. Integumentary System

Wed, 25 Feb 2026 15:00:00 +0000

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?

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273. CP System

Wed, 18 Feb 2026 16:46:00 +0000

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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272. NM System

Wed, 11 Feb 2026 15:00:00 +0000

Which group of symptoms is MOST characteristic of autonomic dysreflexia in a patient with a C6 complete spinal cord injury?

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271. MSK System

Wed, 04 Feb 2026 15:00:00 +0000

A physical therapist examines a 3‑week‑old infant and notes a firm, nontender mass in the inferior third of the right sternocleidomastoid muscle. The infant demonstrates a consistent right lateral cervical tilt. Which additional positional finding is MOST likely present?

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270. Special NPTE Edition

Wed, 28 Jan 2026 15:34:00 +0000

Are you taking the NPTE this week? How will the Snowpocalypse affect your exam schedule?

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269. Nonsystems

Wed, 21 Jan 2026 16:03:00 +0000

A physical therapist is reviewing a study that measured patient satisfaction with outpatient physical therapy services at a single point in time. Which type of research design does this study represent?

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268. System Interactions

Wed, 14 Jan 2026 12:56:00 +0000

A physical therapist evaluates a client presenting with bilateral carpal tunnel syndrome. Which of the following additional findings would most strongly suggest an underlying liver impairment as a contributing factor?

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267. Lymphatic System

Wed, 07 Jan 2026 13:00:00 +0000

A patient with lower extremity lymphedema is instructed in the use of a Velcro-assisted compression garment. Which of the following is an advantage of this device compared to standard compression stockings?

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266. The NPTE Podcast Special Edition

Wed, 31 Dec 2025 15:00:00 +0000

In this episode we rewind the clock to the most downloaded episode in our library with handy mnemonics of the NM system on the NPTE.

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265. The NPTE Podcast Special Edition

Wed, 24 Dec 2025 15:00:00 +0000

In this episode we rewind the clock and listen to an episode where we talk about how to navigate a failed NPTE attempt.

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264. Genitourinary System

Wed, 17 Dec 2025 14:36:00 +0000

A 52-year-old male presents with fever, chills, urinary frequency, urgency, and dysuria. On examination, costovertebral angle tenderness is noted. Which of the following conditions is MOST likely present?

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263. Gastrointestinal System

Wed, 10 Dec 2025 15:00:00 +0000

An adult male patient reports chronic back pain that has been episodic in nature and has worsened in the last two weeks. The patient reports that the pain is exacerbated by food and radiates to the right shoulder. The patient also reports dark tarry stools. Which of the following conditions is MOST likely present?

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262. Metabolic & Endocrine System

Wed, 03 Dec 2025 15:00:00 +0000

A 32-year-old woman with systemic lupus erythematosus (SLE) presents with a new onset proximal muscle weakness, facial rounding, and abdominal striae. The patient reports long-term use of oral prednisone for SLE management. Which of the following conditions is the most likely cause of her symptoms?

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261. Integumentary System

Wed, 26 Nov 2025 15:00:00 +0000

A patient with a transtibial amputation reports erythema and itching on the residual limb after using a silicone liner. Which of the following is the most appropriate recommendation to reduce skin irritation?

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260. CP System

Wed, 19 Nov 2025 13:18:00 +0000

Which of the following responses to endurance activity would be considered abnormal in a patient with a history of cardiovascular dysfunction?

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259. NM System

Wed, 12 Nov 2025 19:21:00 +0000

Which patient position is MOST likely to be problematic in a child with spinal muscular atrophy type I?

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258. MSK Interventions

Wed, 05 Nov 2025 16:52:00 +0000

A physical therapist is treating a patient 3 weeks postoperatively following a traumatic elbow injury complicated by early signs of heterotopic ossification (HO). The patient presents with mild pain, limited range of motion, and radiographic evidence of HO formation. Which of the following interventions is MOST appropriate at this stage of recovery?

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257. Navigating the NPTE Test-Day Experience

Wed, 29 Oct 2025 17:23:00 +0000

You know you need to bring your A-game for test day! Want the best tips for navigating the NPTE?

Find it all out in the podcast! Be prepared for the NPTE so that you can pass with flying colors! Check out www.ptfinalexam.com/podcast for more information and to stay up-to-date with our latest courses and projects. #Npte #PT #ptboards #crushtheNPTE #study #studygram #spt #ptstudent #ptlife #sptprobs #physicaltherapystudent #physicaltherapy #physio #physiotherapist #ptlife #ptstudentstudy

256. System Interactions

Wed, 22 Oct 2025 15:39:00 +0000

Which combination of impairments is MOST likely to be present in a 7-year-old patient with Duchenne muscular dystrophy?

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255. Lymphatic System

Wed, 15 Oct 2025 14:45:00 +0000

A physical therapist is treating a patient with chronic unilateral lower extremity lymphedema using manual lymphatic drainage (MLD). After several sessions, the patient develops new-onset genital and lower trunk edema. Which of the following is the MOST likely explanation for this clinical presentation?

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254. Genitourinary Examination

Wed, 08 Oct 2025 14:00:00 +0000

A physical therapist notes fever of 39.2°C (102.6°F), nausea, and new confusion in a patient recently diagnosed with a urinary tract infection. Which of the following actions is the MOST appropriate next step?

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253. Gastrointestinal Differential Diagnosis

Wed, 01 Oct 2025 20:38:00 +0000

A 52-year-old patient reports persistent midthoracic back pain that worsens at night and improves with antacid use. Which of the following actions is MOST appropriate?

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252. Metabolic & Endocrine Differential Diagnosis

Thu, 25 Sep 2025 18:22:00 +0000

An adult patient presents with chronic pain, redness, and swelling in the first metatarsophalangeal joint of the right foot. The clinician notes the joint is warm to the touch with multiple subcutaneous tophi present. Which of the following conditions is MOST likely present? Find it all out in the podcast! Be prepared for the NPTE so that you can pass with flying colors! Check out www.ptfinalexam.com/podcast for more information and to stay up-to-date with our latest courses and projects. #Npte #PT #ptboards #crushtheNPTE #study #studygram #spt #ptstudent #ptlife #sptprobs #physicaltherapystudent #physicaltherapy #physio #physiotherapist #ptlife #ptstudentstudy

251. Integumentary Interventions

Wed, 17 Sep 2025 19:31:00 +0000

When applying semi-permeable film dressing, how much intact skin should be used for attachment around the perimeter of the wound?