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NPTE Clinical Files | Physical Therapy

Pediatric Clinical Decision Making

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

4.9631 Ratings

🗓️ 25 February 2026

⏱️ 11 minutes

🧾️ Download transcript

Summary

Victor is a 12-year-old male who presents with a limp and groin pain. The hip rests in external rotation, and hip flexion produces obligatory external rotation. Which of the following should the physical therapist initiate FIRST?

A) Begin hip strengthening and gait training

B) Stretch hip internal rotators and adductors

C) Make the patient non–weight bearing and refer urgently

D) Initiate aquatic therapy for pain-free ROM

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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.

0:40.4

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.

0:53.0

Enjoy the show.

0:55.2

For this week's clinical file, we have Victor, and Victor is a 12-year-old male who presents

1:00.0

with a limp and groin pain. The hip rests in external rotation and hip flexion produces

1:06.3

obligatory external rotation. Which are the following should the physical therapist initiate first?

1:11.6

So we have A, begin hip strengthening and gate training. B, stretch hip internal rotators and adductors.

1:19.3

C, make the patient non-weight bearing and refer urgently. And D is to initiate aquatic therapy

1:27.2

for pain-free range of motion.

1:30.2

All right.

1:30.7

Let's go up to the top of this question.

1:32.7

This is a good one that shows up on the NPTE.

1:35.6

So let's pay attention to this.

1:37.4

So we got Victor is a 12-year-old male who presents with a limp and groin pain.

1:47.2

Now, first thing to keep in mind is the demographics here. This is a pediatric case. It is a male, 12 years old. So already thinking about that and the

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