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NPTE Clinical Files | Physical Therapy

Wound Healing Stages

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4608 Ratings

🗓️ 5 March 2025

⏱️ 9 minutes

🧾️ Download transcript

Summary

Heather is a female with diabetes who is referred to physical therapy for evaluation of a right heel wound. The wound measures 4 cm in diameter, shows a dry black eschar covering the entire wound bed, and has no surrounding erythema or drainage. The patient denies pain at the wound site. Which wound stage is MOST consistent with the described findings?

A) Stage II

B) Stage III

C) Stage IV

D) Unstageable

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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.

0:09.0

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

0:22.0

the life I have today, a life filled with love, financial freedom, and a dream job that

0:27.2

allows me to change lives every single day. I created the NPTE Clinical Files podcast to

0:33.4

give you simple, actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.

0:40.6

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

0:45.6

So if you're a driven PT student who's looking to pass the NPTE and start creating a life

0:51.0

you love, you're in the right place.

0:53.3

Enjoy the show.

0:56.4

For this week's clinical file, we have Heather, and Heather is a female with diabetes who is referred to physical

1:00.6

therapy for evaluation of her right heel wound. The wound measures four centimeters in

1:06.6

diameter, shows a dry black Scar covering the entire wound bed and has no surrounding erythema

1:13.8

or drainage. The patient denies pain at the wound site. Which wound stage is most consistent

1:20.1

with the described findings? So we have A, stage two, B, stage three, C, stage four, and D is unstageable. All right, let's go up to the top of this

1:31.5

question. Before I do, one of the concepts I teach my MPTE students is concept recognition.

1:38.2

It's training yourself to be able to pick out specific keywords and phrases that automatically trigger your memory. This is a fast way

1:48.1

to improve your evaluation scores. So let's tackle this question where recognition is actually

1:53.7

being tested. So we have Heather is a female with diabetes who is referred to physical

1:59.3

therapy for evaluation of her right heel wound.

2:02.4

Pretty straightforward first sentence. We know the patient's got diabetes. We're not going to dive

2:06.0

too much into that right now. We know where the wound is. It says right heel wound. Doesn't say

...

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