meta_pixel
Tapesearch Logo
Log in
NPTE Clinical Files | Physical Therapy

Surgical Pain Examination

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

4.9631 Ratings

🗓️ 3 September 2025

⏱️ 9 minutes

🧾️ Download transcript

Summary

Sweeney recently underwent a hysterectomy and requests to sit after ambulating a few feet. The patient reports dizziness and right lower extremity pain. On examination, her resting heart rate is 102 bpm, and she has significant swelling in her right lower leg. Which of the following should be assessed FIRST:

A) Walking distance before stopping

B) Pulse pressure

C) Deep calf tenderness

D) Dorsal pedal integrity

DOWNLOAD THIS EPISODE'S CHEATSHEET:

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

0:50.8

you love, you're in the right place.

0:53.1

Enjoy the show.

0:56.5

For this week's clinical file, we have Sweeney, and Sweeney recently underwent a hysterectomy and requests to sit after

1:02.6

ambulating a few feet. The patient reports dizziness and right lower extremity pain. On examination,

1:09.1

her resting heart rate is 102 beats per minute, and she has significant swelling in her right lower extremity. Which of the following should be assessed first? So we have A, walking distance before stopping, B, pulse pressure, C, deep calf tenderness, D, dorsal-pedal integrity. All right, let's go up to the top of this

1:32.3

question. You know, we just did a question recently that had this word first in it. I thought I

1:38.2

throw this back in there again because it's very common to get questions wrong on the MPTE because we are not focused on that word or we didn't truly interpret what they wanted from us.

1:50.8

So let's get some additional practice here and absolutely crush it.

1:54.8

All right, hustle nation, let's get after it.

1:57.2

It says, Sweeney recently underwent a hysterectomy and request to sit after ambulating a few feet.

2:05.3

Pretty straightforward first sentence. You may or may not be familiar with a hysterectomy.

2:10.6

I wouldn't dive too much into that. Just know that we've had a surgery and the patient is now

2:16.6

post-surgical and having difficulty ambulating more than just

2:20.2

a few feet. Now it says the patient reports dizziness after right lower extremity pain. Not very common,

...

Please login to see the full transcript.

Disclaimer: The podcast and artwork embedded on this page are from Kyle Rice, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Kyle Rice and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.

Copyright © Tapesearch 2026.