The NPTE Podcast
The NPTE Podcast is hosted by Dr. Will Crane, a physical therapist and NPTE expert. Each episode offers tips, strategies, and motivation to help aspiring physical therapists pass the National Physical Therapy Examination. The show provides up-to-date information and study guidance for students preparing for this important career milestone.
Episodes
307. Metabolic & Endocrine System
During examination of a 45-year-old patient with hyperthyroidism, which of the following findings would the physical therapist MOST expect?
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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306. Integumentary System
A physical therapist is treating a bedbound patient in acute care who has a history of a healed sacral pressure injury and is incontinent of urine. Which intervention is MOST appropriate to include in this patient’s wound prevention plan?
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 informat
305. CP System
A 72‑year‑old patient with COPD becomes increasingly confused, diaphoretic, and cyanotic during a seated therapeutic exercise session. The PT notes shallow, rapid breathing and new PVCs on telemetry. Which underlying mechanism BEST explains this patient’s clinical deterioration?
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304. NM System
A 62‑year‑old patient with ALS presents with tongue fasciculations and atrophy, a hoarse, whispering voice, and difficulty manipulating food. The patient also reports drooling and reflex coughing when swallowing. Which additional finding is MOST consistent with LMN bulbar involvement?
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303. MSK System
A patient has marked weakness of the right hip abductors. Which movement pattern is MOST likely to occur during the right midstance phase of gait?
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302. Nonsystems
A physical therapist is using a special test to identify rotator cuff tears. In a recent diagnostic study, the test demonstrated a positive predictive value (PPV) of 85%. What does this value indicate?
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
301. System Interactions
A 55-year-old patient with chronic liver disease and a history of heavy alcohol use reports new diffuse muscle soreness and cramps. The PT notes no recent changes in activity level. Which finding would MOST strongly support a diagnosis of rhabdomyolysis?
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300. Lymphatic System
Which cluster of integumentary signs and symptoms is MOST likely to be present in a patient with progressive lymphedema?
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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299. Genitourinary System
A 28-year-old woman reports sudden onset low back pain that has been inconsistent and unrelated to movement. She notes recent abnormal vaginal spotting and describes new, sharp pain at the tip of her shoulder. Which condition 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 infor
298. Gastrointestinal System
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
297. Metabolic & Endocrine System
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
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
Do you know what the passing score is on the NPTE? Do you know how to increase it to get the required 600/800?
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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294. CP System
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?
Find it all out in the podcast! Be prepared for the NPTE so that you can pass with flying color
293. NM System
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 pl
292. MSK System
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
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 sensat
290. System Interactions
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 pa
289. Lymphatic System
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
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
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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286. Metabolic & Endocrine Systems
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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285. Integumentary System
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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284. CP System
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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283. NM System
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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282. The NPTE Podcast Special Edition
Good luck on test day! Here are some tips to help you perform at your best on 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.
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281. MSK System
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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280. Nonsystems
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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279. System Interactions
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
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
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
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?
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 t
275. Metabolic & Endocrine System
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
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
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?
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 projec
272. NM System
Which group of symptoms is MOST characteristic of autonomic dysreflexia in a patient with a C6 complete spinal cord injury?
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
271. MSK System
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? 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/
270. Special NPTE Edition
Are you taking the NPTE this week? How will the Snowpocalypse affect your exam schedule? 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 #physic
269. Nonsystems
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?
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
268. System Interactions
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
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?
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 lat
266. The NPTE Podcast Special Edition
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.
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 #studyg
265. The NPTE Podcast Special Edition
In this episode we rewind the clock and listen to an episode where we talk about how to navigate a failed NPTE attempt.
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 #pts
264. Genitourinary System
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?
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 lates
263. Gastrointestinal System
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
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
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
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
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
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
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 #sptprob
256. System Interactions
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
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
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?
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
253. Gastrointestinal Differential Diagnosis
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
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.
251. Integumentary Interventions
When applying semi-permeable film dressing, how much intact skin should be used for attachment around the perimeter of the wound?
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250. Cardipulmonary Interventions
A physical therapist is treating a patient following a thoracic surgery that occurred 1 week ago. The patient requires airway clearance, but reports that coughing is too painful. Which of the following techniques would be MOST appropriate for the therapist to implement?
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249. NM Differential Diagnosis
A patient with central cord syndrome will MOST likely have difficulty with which of the following activities?
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248. MSK Examination
A patient with lateral elbow tendinopathy will MOST likely present with which of the following findings?
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247. The NPTE Content Outline
Interested to know what's on the NPTE and how the questions are developed?
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246. Test-Taking Tips for the NPTE
Want the best test-taking tips for the NPTE?
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245. Nonsystems Modalities
A physical therapist is preparing to administer electrical stimulation to a patient's knee as part of their rehabilitation program. Which of the following conditions if present would be considered an absolute contraindication to the use of electrical currents in this patient?
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244. System Interactions Differential Diagnosis
A 72-year-old individual presents to outpatient physical therapy with complaints of bilateral shoulder and hip stiffness, difficulty rising from a chair, and diffuse aching that is most severe in the morning and lasts throughout the day. Laboratory results reveal an elevated erythrocyte sedimentation rate (ESR). Which of the following is the MOST likely diagnosis?
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243. Lymphatic Interventions
In which stage of lymphedema will elevation of an extremity MOST particularly help reduce swelling?
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242. ”Help!! I Failed the NPTE!”
"Help!! I failed the NPTE!! What do I do 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.
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241. Effective Study Strategies for the NPTE
Do you want to have the most effective strategies for the NPTE?
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240. Genitourinary Examination BPH
A 65-year-old male with benign prostatic hyperplasia (BPH) reports frequent urination, urgency, and nocturia. Which of the following mechanisms BEST explains these symptoms?
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239. Gastrointestinal Interventions Ascites
A patient with ascites is most likely to develop which of the following complications?
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238. Metabolic & Endocrine DDx Metabolic Alkalosis
Which of the following disorders is MOST likely to be the cause of metabolic alkalosis?
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237. Integumentary Interventions Wound Dressings
For which of the following integumentary impairments will a transparent film dressing be MOST appropriate?
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236. CP Examination Pharmacology
During examination, a patient's chart indicates that they have been prescribed lisinopril (Prinivil). Which of the following primary effects is this medication MOST likely to elicit?
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235. NM Differential Diagnosis Cutaneous Reflexes
Which of the following conditions is MOST likely present in a patient with exaggerated cutaneous reflexes?
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234. NPTE Myths
In this episode, we talk about some of the common myths surrounding the NPTE to make sure you are prepared to dominate the exam!
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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233. MSK Interventions Shoulder
Which of the following mobilizations is MOST appropriate for a patient with limited shoulder external rotation while in 90° abduction?
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232. System Interactions CD4
A patient with a CD4 count 3 is MOST likely to be diagnosed with which condition?
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231. Integumentary Interventions Pressure Injuries
When managing a high-risk patient for pressure injuries, which of the following guidelines will be MOST appropriate?
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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230. FSPBT Pass Rates: Silver Linings and Dark Clouds
The FSBPT pass rates have been dropping over the last 5 years. Why is that? How can you be sure to not be a part of that drop?
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
229. Integumentary Examination Wounds
What pressure injury grading is most appropriate for a wound with undermining or tunneling at its base with no muscle or bone visible?
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 #
228. NM Interventions TBI
If a patient with a traumatic brain injury is exhibiting aggressive behavior, which of the following intervention strategies will be MOST appropriate?
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 #crush
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