A Must Know Neurologic Examination Concept
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 18 March 2026
⏱️ 11 minutes
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Summary
Elena presents with significant muscle atrophy in the lower extremities, fasciculations of the gastrocnemius, and a 1+ Achilles tendon reflex. During gait, the patient demonstrates a "slapping" foot strike. These signs are MOST indicative of:
A) A lesion in the corticospinal tract
B) An injury to the cerebellum
C) Compression of the posterior columns
D) A lesion in the anterior horn cells
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Transcript
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| 0:00.0 | I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide. |
| 0:08.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:15.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I |
| 0:22.5 | have today, a life filled with love, financial freedom, and a dream job that allows me to |
| 0:27.7 | change lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.3 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.2 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.4 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life you |
| 0:50.9 | love, you're in the right place. |
| 0:53.0 | Enjoy the show. |
| 0:56.5 | For this week's clinical file, we have Elena and Aletta presents with a significant muscle atrophy in the lower extremities, |
| 1:02.2 | fasciculation of the gastrochemiaeus, and a one plus Achilles tendon reflex. During gait, the patient |
| 1:09.2 | demonstrates a slapping footstrike. These signs are most indicative of. |
| 1:14.6 | So we have A, a lesion in the cortical spinal track, B, an injury to the cerebellum, C, compression of the posterior columns, and D is a lesion in the anterior horn cells. All right, let's go to the top of this |
| 1:30.2 | question. I'm super excited to knock this one out because this is a must-know neurologic concept for the |
| 1:35.3 | NPTE. It's a hot target, my friends. And so what I want you to do with this one, if you have |
| 1:41.8 | an opportunity, take notes, make sure you're retaining this stuff. |
| 1:44.8 | Because like I said, it comes up a lot. |
| 1:46.8 | Now, before we jump into this question, I think it's important to know that my wife and I have did a thing. |
| 1:53.6 | Yeah, we did a thing this past week where we created something for our PTA. |
| 1:58.7 | So if you have been listening to this podcast, you're a PTA, my wife and I |
| 2:03.0 | created now the PTA clinical files where we're going to be going over practice questions just |
... |
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