I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.

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

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

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

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

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

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

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.

Enjoy the show.

For this week's clinical file, we have Kelly, and Kelly is a 30-year-old marathon runner

who presents with a gradual onset of persistent pain at the base of the first metatarsal,

which intensifies during long runs and eases with rest.

Examination reveals localized swelling, tenderness on

palpation, and pain during passive extension of the big toe. Radiographs show no fractures

but a slight increase in space between the first and second metatarsal bones, what is the most likely diagnosis?

Woo!

That was a lot.

All right.

Let's go down to the answer choices.

We have A, turftoe, B, sesmoiditis, C, halix valgus, and D is metatarsalgia.

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

...