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NPTE Clinical Files | Physical Therapy

Medical Imaging Interpretation

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 13 August 2025

⏱️ 11 minutes

🧾️ Download transcript

Summary

Before an evaluation, Arial is reviewing the patient's MRI report that describes sequestration at the L4 – L5 level. The intake form reveals sensory changes along the lateral calf, and dorsum of the foot. Which clinical finding is the most consistent with the medical record?

A) Impaired heel walking

B) Gastrocnemius and soleus atrophy

C) Extensor hallicus longus weakness

D) Saddle paraesthesia

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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

0:50.8

you love, you're in the right place.

0:53.1

Enjoy the show.

0:56.6

For this week's clinical file, we have Ariel. And before an evaluation, Ariel is reviewing the patient's MRI report

1:03.5

that describes sequestration at the level of L4L5. The intake form reveals sensory changes along the lateral calf and dorsum of the

1:15.1

foot. Which clinical finding is the most consistent with the medical record? So we have A,

1:21.9

impaired heel walking, B, gastrocnemius and soleus atrophy. C. Extensor, halicus, longest weakness. And D. is saddle

1:33.5

paristhesia. All right. Let's go up to the top of this question. This is a good one. Medical

1:38.2

interpretation. I love it. And you know what? The Lord's got me in my bag right now. I love going through questions

1:46.5

just like this. So walk through this with me because there's some major stuff I want you to be

1:52.6

able to apply on the MPTE. So it says here, before an evaluation, Ariel is reviewing the patient's

2:00.3

MRI report that describes sequestration

2:03.4

at the level of L4L5. Let me time out here. Some people may start to a little get off because

2:11.7

of the terminology that's being used, but this is stuff that we got. All right? We're very

2:16.8

familiar with the MRI. We use that

...

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