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NPTE Clinical Files | Physical Therapy

Monofilaments

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

4.9631 Ratings

🗓️ 19 September 2018

⏱️ 10 minutes

🧾️ Download transcript

Summary

Tim presents to physical therapy for functional decline and poor blood sugar control. The patient has multiple pressure ulcers but is unable to sense their presence.

The physical therapist is challenged with determining which type of monofilament would confirm the patient's sensory impairment.

How well do you know your monofilaments? Let's test your knowledge in this excellent episode about diminished sensation.

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Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.DestroytheNPTE.com, to learn about the #1 solution to STOP getting stuck.

Transcript

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0:00.0

This episode of the NPTE Clinical Files is brought to you by the NPTE test strategy playbook.

0:06.1

Hey, PTs, is your repeat score less than 75%? And if it is, when you review your practice exams,

0:12.6

do you find several questions that you had the knowledge to, but you still got the question wrong?

0:18.2

Listen, you're not alone and you might have a test taking strategy

0:21.8

problem. You need to visit Destroy the NPTE.com to find out how you can stop getting questions wrong

0:29.1

about the topics that you know. Visit destroy the NPTE.com. You are now tuning in to the MPTE clinical Files, two mock NPTE-based questions told and solved

0:41.7

week by week.

0:42.7

Thank you for tuning in to the MPT clinical files.

0:45.4

My name is Kyle Rice, the NPT Prep coach, the founder of the PT Hustle and the creator

0:49.9

of the NPT Prep Success Course 2.0. And for this week's NPTE clinical file, we have our patient Tim,

0:57.8

and Tim is being evaluated by physical therapy for functional decline and poor blood sugar control.

1:04.2

Now, upon examination, the therapist finds multiple pressure ulcers on the patient's planter surfaces,

1:10.0

however, the patient seems

1:11.6

unaware. Which of the following monofilaments would best confirm the reasoning for the observed

1:18.2

wound? So we have A, 5.07 or the 10 gram monofilament. B is 4.17 or the one gram monofilament.

1:26.2

C is 1.17 or the one gram monofilament. C is 1.17 or the 1 gram monofilament. And D is 8.07 or the 10 gram

1:35.0

monofilament. All right. So for this case, we have our patient Tims coming into physical therapy

1:40.3

for the functional decline and then the poor blood sugar control now it's important that we

1:45.4

slow up for a moment because you should be having some bells going off on your head right now all right

1:50.7

that poor blood sugar control is important and it should be ringing bells off as far as like

1:56.4

well what health condition is this associated with and we know, poor blood sugar control is really consistent with someone who has diabetes

2:05.9

malitis.

...

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