ECG Evaluation

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4 • 608 Ratings

🗓️ 15 January 2025

⏱️ 11 minutes

🔗️ Recording | iTunes | RSS

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Summary

Jamie is a 68 year old male with a history of hypertension presents with dizziness, palpitations, and shortness of breath. An ECG reveals a regular rhythm at 110 bpm with narrow QRS complexes and absent P waves. What is the MOST likely diagnosis?

A) Atrial fibrillation

B) Paroxysmal supraventricular tachycardia (PSVT)

C) Ventricular tachycardia

D) Sinus tachycardia

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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 the
0:22.2	life I have today, a life filled with love, financial freedom, and a dream job that allows me to
0:27.9	change lives every single day. I created the NPTE Clinical Files podcast to give you simple,
0:34.5	actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.
0:40.4	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.
0:55.4	For this week's clinical file, we have Jamie, and Jamie is a 68-year-old male with a history
1:00.3	of hypertension who presents with dizziness, palpitations, and shortness of breath.
1:05.5	An ECG reveals a regular rhythm at 110 beats per minute with narrowed QRS complexes and absent
1:14.3	P waves. What is the most likely diagnosis? So we have A, atrial fibrillation, B, proximal
1:21.9	superventricular tachycardia, C, ventricular tachycardia, and D is sinus tachycardia. All right, let's go up to the top of this question.
1:31.6	This one is all about evaluation, finding out the specific diagnosis. Now, what I will say is for the
1:38.5	MPTE, we need to know how to pull out key characteristic findings. You may want to write that down. It is a skill that we
1:46.8	need to have if we want to crush questions like this. And so when we look at this question,
1:52.9	I'm going to help you pull those out so that you can use this for the future. Sounds good? All right.
1:58.2	Let's go ahead and jump into it. It says Jamie is a 68 year old male with a
2:02.9	history of hypertension. I'm not really getting hung up there too much. Not a lot of juicy detail.
2:08.6	It says, who presents with dizziness, palpitations, and shortness of breath. So these are some
	...

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