Non-System Ultrasound Safety
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 27 May 2026
⏱️ 10 minutes
🧾️ Download transcript
Summary
A physical therapist is mentoring a student physical therapist during an outpatient orthopedic clinical rotation. The therapist plans to administer therapeutic ultrasound using the following parameters:
* 3 MHz frequency
* 20% pulsed duty cycle
* 0.5 W/cm² intensity
* 6-minute treatment duration
Which of the following patients should NOT receive this treatment?
A) A 14-year-old basketball player with Osgood-Schlatter disease over an open tibial epiphyseal plate
B) A 72-year-old patient status post cemented total knee arthroplasty 8 months ago
C) A 68-year-old male with benign prostatic hyperplasia receiving treatment to the lumbar paraspinals
D) A 59-year-old patient with diabetic neuropathy and absent protective sensation over the treatment region
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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 |
| 0:22.4 | 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. |
| 0:40.1 | 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 |
| 0:50.7 | you love, you're in the right place. Enjoy the show. |
| 0:55.0 | For this week's clinical file, we have a physical therapist who is mentoring a student |
| 1:00.1 | PT during an outpatient orthopedic clinical rotation. The therapist plans to administer |
| 1:06.5 | therapeutic ultrasound using the following parameters. Three megahertz frequency, 20% pulse duty cycle, 0.5 watts per centimeter squared intensity, |
| 1:19.7 | and 6 minute treatment duration. |
| 1:23.2 | Which of the following patients should not receive this treatment? |
| 1:27.6 | So we have a 14 a 14-year-old basketball player with Oshgood Slaughter's disease |
| 1:33.2 | over an open tibial epiphysial plate. |
| 1:37.7 | B, a 72-year-old patient, status post, cemented total knee arthroplasty eight months ago. |
| 1:45.8 | C, a 68-year-old male with benign prostate hyperplasia receiving treatment to the lumbar |
| 1:53.3 | parispinals. And D is a 59-year-old patient with diabetic neuropathy and absent protective sensation over the treatment |
| 2:02.6 | region. All right. Let's go up to the top of this long question. Long question alert. I know |
| 2:08.6 | there's a lot. And actually what I'm going to do is slow up to make sure that we're paying |
| 2:13.3 | attention to the specific details because let me tell you, the answer is in the detail. |
... |
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