Genitourinary Interventions (Incontinence)
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 22 April 2026
⏱️ 11 minutes
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Summary
Mila reports a sudden, intense urge to urinate followed by leakage before reaching the bathroom. The patient voids frequently throughout the day and wakes multiple times at night to urinate. Pelvic floor strength is 4/5, and there is no leakage with coughing or sneezing. Which of the following interventions is MOST appropriate for the treatment of this patient?
A) Pelvic floor strengthening with maximal sustained holds
B) Bladder retraining with scheduled voiding intervals
C) Abdominal strengthening to increase intra-abdominal support
D) Fluid restriction throughout the day to reduce urgency
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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. |
| 0:08.0 | It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE. |
| 0:15.0 | Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I |
| 0:22.5 | have today, a life filled with love, financial freedom, and a dream job that allows me to |
| 0:27.7 | change lives every single day. I created the NPTE Clinical Files podcast to give you simple, |
| 0:34.3 | actionable strategies, along with a step-by-step walkthrough of NPTE-based questions. |
| 0:40.2 | All of this so that you can dominate your exam like I did and achieve your dream. |
| 0:45.4 | So if you're a driven PT student who's looking to pass the NPTE and start creating a life you |
| 0:50.9 | love, you're in the right place. |
| 0:53.0 | Enjoy the show. |
| 0:56.7 | For this week's clinical file, we have Mila. Emila reports a sudden intense urge to urinate, followed by leakage before |
| 1:03.4 | reaching the bathroom. The patient voids frequently throughout the day and wakes up multiple |
| 1:09.3 | times at night to urinate. Pelvic floor strength is |
| 1:13.3 | four out of five and there is no leakage with coughing or sneezing. Which of the following |
| 1:19.0 | interventions is most appropriate for the treatment of this patient? So we have A, pelvic floor |
| 1:24.7 | strengthening with maximum sustained holds. holds b bladder retraining with scheduled |
| 1:30.2 | voiding intervals c abdominal strengthening to increase intra-abdominal support and d is fluid restriction |
| 1:37.6 | throughout the day to reduce urgency all right let's go up to the top of this question this is a good |
| 1:43.1 | one as the mpTE likes to hit on your pelvic health, women's health, men's health, likes to hit in this area, especially when it comes down to things like incontinence. |
| 1:54.4 | All right? So there are multiple types of incontinence and we treat them all a bit different. So it's important for us to be able to determine the type |
| 2:03.1 | of incontinence, but then the correct intervention. This question is a prime example. You ready to |
| 2:09.9 | knock this down? All right, all right, all right. And first of all, before we jump into this question, |
... |
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