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NPTE Clinical Files | Physical Therapy

Testing Sensation

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

4.9631 Ratings

🗓️ 26 December 2018

⏱️ 11 minutes

🧾️ Download transcript

Summary

Collin presents difficulty grasping objects and impaired sensation in his hands. 

The physical therapist is challenged with determining which sensations will be impaired if the patient is unable to detect light (fine) touch. 

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Transcript

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0:00.0

You are now tuning in to the MPTE Clinical Files, two mock MPTE-based questions told and solved

0:07.0

week by week. Thank you for tuning in to the MPT clinical files. My name is Kyle Rice, the MPT

0:12.2

prep coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching Program.

0:18.4

And if you would like a free cheat sheet that goes along with this specific

0:22.4

question, tune in to the end of this episode. And I'm going to give you more information on how to

0:27.7

get that. All right. So for our next MPT clinical file, we have our patient Colin. And Colin

0:32.6

has a past medical history of a spinal cord injury and complains of frequently dropping small objects.

0:39.1

During an examination, the patient is unable to detect several monofilaments of differing grades

0:45.6

bilaterally. Which of the following associated sensations is the most likely impaired?

0:51.8

So we have A, ability to detect the pen prick sensation, B, ability

0:57.1

to identify a paper clip, C, ability to detect hot and cold, and D is the ability to detect

1:05.4

non-discriminatory touch. All right. So this is one of the questions right here that comes up on the exam,

1:12.5

and you really have to just have a good understanding of this. Because again, it's really consistent

1:19.9

across a lot of different types of practice exams, where they're asking you, you know, the sensations.

1:26.7

Like, do you understand the difference between what the

1:30.2

sensations are that go through the dorsal column media limniscus, DCML, and then those that are

1:36.3

going through something like the anterior spontothalamic, lateral spinoleum, you get the point there,

1:41.7

all right? So just make sure that you're very familiar with those

1:44.5

before going into the NPTE. Now, let's start at the top of the question. It says Colin has a

1:51.6

past medical history of a spinal cord injury and complains of frequently dropping small objects. So

1:59.6

the first part of this question is pretty straightforward.

2:03.8

All right, spinal cord injury.

...

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