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NPTE Clinical Files | Physical Therapy

Cardiac Rehab Phases

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 2 April 2025

⏱️ 10 minutes

🧾️ Download transcript

Summary

Jamie is a 62-year-old female who is referred to outpatient cardiac rehabilitation 3 weeks after a myocardial infarction. She reports feeling fatigued with moderate exertion but denies chest pain. Her resting vitals are HR 80 bpm, BP 128/82 mmHg, and SpO₂ 98%. She completed Phase I rehabilitation without complications and is eager to begin exercising to improve her endurance. Which activity is MOST appropriate to initiate during Phase II of cardiac rehabilitation?

A) Jogging on a treadmill at 70% maximum heart rat

B) Cycling on a stationary bike at 3-5 METs

C) Strength training at 50% of 1-rep max

D) Stretching and light walking only

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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.

0:09.0

It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.

0:16.0

Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see

0:22.0

the life I have today, a life filled with love, financial freedom, and a dream job that

0:27.2

allows me to change lives every single day. I created the NPTE Clinical Files podcast to

0:33.4

give you simple, actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.

0:40.6

All of this so that you can dominate your exam like I did and achieve your dream.

0:45.6

So if you're a driven PT student who's looking to pass the NPTE and start creating a life you love,

0:51.7

you're in the right place.

0:53.3

Enjoy the show.

0:56.4

For this week's clinical file, we have Jamie, and Jamie is referred to outpatient cardiac rehab three weeks after a

1:01.9

myocardia infarction. She is feeling fatigued with moderate exertion, but denies chest pain.

1:09.6

Her resting vitals are a heart rate of 80 beats per minute,

1:13.4

blood pressure 128 over 82 millimeters of mercury, and an SPO2 of 98%. She completed phase one cardiac rehab

1:23.7

without complications and is eager to begin exercising to improve her endurance.

1:29.5

Which activity is the most appropriate to initiate during phase two of cardiac rehab?

1:35.4

So we have A, jogging on a treadmill at 70% max heart rate.

1:40.3

B, cycling on a stationary bike at three to five Mets.

1:45.5

C, strength training at 50% of one rep max.

1:50.4

And D is stretching and light walking only.

1:54.1

All right, let's go up to the top of this question.

1:56.0

You know, cardiac rehab phases were always a major challenge for me,

...

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