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 the MPT Clinical Files. My name is Kyle Rice, the MPT

PrEPP Coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching

Program. And if you would like a free cheat sheet that goes along with this specific

question, tune in to the end of this episode. And I'm going to give you more information on how to

get that. All right. So for our next MPT clinical file, we have our physical therapist, Harold.

And Harold is examining a patient who sustained a right trimaleolar fracture 10 weeks ago.

During the joint mobility assessment, the patient lacks posterior talichoral capsular mobility.

Which of the following compensations is the most likely to be observed during the right stance phase?

So we have A, vaulting, B, excessive posterior tilting, C, circumduction, and D, increased backward

rotation of the pelvis on the right.

All right.

So this is this gate type of question. You know, there's a lot of gate we're involved in here. So we really have to slow it up a little bit. Get our system together of how we're going to break this down and answer it. I'm going to give you my strategy that I use right now, exactly how I process through it. Okay. So Harold is examining a patient who sustained a right trimaleola fracture 10 weeks ago.

Now, it's at least good for you to understand what the trimaleolar fracture is.

If you've never seen it before, I heard of it before, that's where a patient has a fracture at the ankle and they fracture the lateral

maliolis, the medial malleolus, and what is known as the posterior maliolis as well. And if you're

not familiar with the posterior maliolis, that is the most distal part of the tibia on the posterior

aspect of that bone.

All right?

So that is a tri-maleolar fracture, fracture of those three malleoli.

Now, that happened 10 weeks ago.

Pretty straightforward.

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