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NPTE Clinical Files | Physical Therapy

Total Knee Arthroplasty & Biomechanics

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

4.9631 Ratings

🗓️ 13 October 2021

⏱️ 16 minutes

🧾️ Download transcript

Summary

Are you looking for a bundle of Coach K’s Top MSK Cheatsheets?

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Livia is two weeks status post right total knee arthroplasty. During a supine active straight leg raise, the patient is unable to extend the knee fully. Upon examination, the patient can achieve full knee extension passively. Which of the following is the MOST likely cause of the patient's deficit?  

A. Tightness of the posterior capsule of the knee  

B. Femoral nerve impairment  

C. Popliteus muscle spasm 

D. Restricted inferior patellofemoral mobility

Did you get this question wrong?! If you were stuck between two answers and selected the wrong one, then you need to visit www.NPTEPASS.com, to learn about the #1 solution to STOP getting stuck.

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.

0:09.0

It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.

0:16.0

Fast forward through the challenges, the 13 standardized test failures, and many lessons learn, and you'll see the life

0:22.4

I have today, a life filled with love, financial freedom, and a dream job that allows me to

0:27.8

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.

0:40.5

All of this so that you can dominate your exam like I did and achieve your dream.

0:45.5

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.

0:55.8

For this week's clinical file, we have Livya, and Livya is two-week status-post right total knee arthroplasty.

1:02.3

During a supine, active straight-leg raise, the patient is unable to extend the knee fully.

1:09.4

Upon examination, the patient can achieve full knee extension

1:12.7

passively. Which of the following is the most likely cause of the patient's deficit? So we have A,

1:18.7

tightness of the posterior capsule of the knee. B, femoral nerve impairment. C, poplidious muscle

1:27.3

spasm. And D is restricted inferior patelefamoral

1:32.1

mobility. All right. Let's go up to the top of this question. As you see, we got a little bit of

1:37.0

musculoskeletal action here. Actually, last week, we went over TMJ and we had to figure out the correct

1:42.8

pathology.

1:47.1

Still had to understand the biomechanics with that one as well.

1:49.1

So I'm going to test you all today.

1:50.2

I hope that you're ready.

...

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