This episode of the NPTE Clinical Files is brought to you by the NPTE test strategy playbook.

Hey, PTs, is your repeat score less than 75%? And if it is, when you review your practice exams,

do you find several questions that you had the knowledge to, but you still got the question wrong?

Listen, you're not alone and you might have a test taking strategy

problem. You need to visit Destroy the NPTE.com to find out how you can stop getting questions wrong

about the topics that you know. Visit destroy the NPTE.com. You are now tuning in to the MPTE clinical Files, two mock MPTE-based questions told and

solved week by week.

Thank you for tuning in to this episode of the MPT Clinical Files.

My name is Kyle Rice, the MPT Prep Coach, the founder of the PT Hustle, and the creator of

the NPT Prep Success Coaching Program.

And this week's NPT Clinical File is about our physical therapist named Nate.

And Nate is evaluating a patient in the acute care setting.

Now, the patient has a history of congestive heart failure, COPD, atrial fibrillation,

hypertension, and fibromyalgia.

Upon entering the room, the following image is displayed on the ECG monitor.

So what is the best course of action?

Now, since this is a podcast and you all obviously can't see this visually, I'm going to

explain exactly what is on the ECG monitor and allow

time for you to interpret what it is that we are seeing. All right? And so we have an ECG strip right here.

As we start to the left side of the ECG strip, we see that there are several P waves before the QRS complex.

Now, these P waves are different. They're abnormal because there's several of them, and they look

very ununiform. They look erratic. They just do not look like the typical P wave. And when we

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