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NPTE Clinical Files | Physical Therapy

Skin Condition Differential

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

4.9631 Ratings

🗓️ 29 April 2026

⏱️ 9 minutes

🧾️ Download transcript

Summary

Alynne is a woman who reports fatigue, intermittent joint pain, and a recurrent facial rash that becomes worse after spending time in the sun. Examination reveals a rash over the bridge of the nose and cheeks that spares the nasolabial folds. Which of the following conditions is MOST likely?

A) Psoriasis

B) Systemic lupus erythematosus

C) Eczema

D) Rosacea

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Transcript

Click on a timestamp to play from that location

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

0:50.7

you love, you're in the right place.

0:53.0

Enjoy the show.

0:56.6

For this week's clinical file, we have Alin, and Alin is a woman who reports fatigue, intermittent joint pain, and a

1:02.4

recurrent facial rash that becomes worse after spending time in the sun. Examination reveals a rash

1:08.9

over the bridge of the nose and cheeks that spares the nasal labial folds.

1:14.3

Which of the following conditions is most likely? So we have A, psoriasis, B, systemic lupus arithmatosis, C, axioma, and D is rosatia.

1:25.5

All right, let's go to the top of this question. This is a good one.

1:28.4

It's all about skin condition differential.

1:31.5

This does pop up on the exam and get you kind of down to the final two sometimes, really stuck.

1:37.3

And I know I've struggled with this in the past.

1:39.9

So let's go ahead and break down this question so you're ready for it on the NPTE.

1:45.2

So it starts off.

1:46.8

It says, Alin is a woman who reports fatigue, intermittent joint pain, and recurrent facial rash

1:54.0

that becomes worse while spending time in the sun.

...

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