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 Dr. Rice, and Dr. Rice evaluates a patient with a chief complaint of mid-thoracic pain

radiating around the left lateral rip cage. The patient reports symptoms worsen with deep breathing and coughing, but are not reproduced

with spinal movement, rib mobilization, or palpation. Neurological screening is unremarkable.

Which of the following structures is the most likely referring pain to this region? So we have

A, thoracic facet joint dysfunction, B, intercoastal muscle

strain, C, the plura, and D is the pancreas. All right, let's go up to the top of this question.

This is a juicy one because it is real. I'm not giving any patient names. I'm actually using my name, all right?

So for those of you who have not caught on to my name yet, is Dr. Kyle Rice. And inside of residency,

I actually had a patient that presented with some signs and symptoms that I was just really

unsure about initially. And it ended up being something

that we're going to go over today. So let's go ahead and break this one down as a real case.

And you can walk alongside the previous version of me. Okay. So let's go ahead and knock this one out.

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