Exercise Physiology

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4 • 608 Ratings

🗓️ 9 April 2025

⏱️ 9 minutes

🔗️ Recording | iTunes | RSS

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Summary

Nivayah presents with a history of myocardial infarction and type 2 diabetes. The patient reports limited endurance and shortness of breath when walking up a flight of stairs. The physical therapist wants to assess her aerobic capacity and guide the exercise prescription while considering safety due to her cardiovascular history. Which outcome measure is MOST appropriate to assess this patient’s aerobic capacity?

A) VO2 max test using a treadmill protocol

B) 6-minute walk test

C) Borg Rating of Perceived Exertion (RPE)

D) Step test

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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.
0:40.4	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, you're in the right place.
0:53.3	Enjoy the show.
0:56.7	For this week's clinical file, we have Nevea. Nevea presents with a history of myocardia infarction and type 2 diabetes. The patient
1:03.1	reports limited endurance and shortness of breath when walking up a flight of stairs. The physical
1:09.7	therapist wants to assess her aerobic capacity
1:13.3	and guide the exercise prescription while considering safety due to her cardiovascular history.
1:19.8	Which outcome measure is most appropriate to assess this patient's aerobic capacity?
1:25.8	So we have A, V-OOT2 Max test using a treadmill protocol.
1:30.8	B is six minute walk test. C is Borg rating of perceived exertion, also known as RPE, and D is the
1:39.9	step test. All right. Let's go up to the top of this question. You know, one type of NPTE examination
1:45.4	question that shows up is outcome measures and knowing which one is best for the patient's
1:51.9	conditions and their impairments. Now, the challenge is to really understand the specific
1:58.2	outcome measure and what it tests for. So let's check this question out about
2:03.0	outcome measure selection. Let's freaking get it. So we have Nevea presents with a history of
2:09.5	myocardia infarction and type 2 diabetes. So they're giving me multiple conditions. You got to be
	...

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