Athletic training test 2

An athlete has fallen on an outstretched arm with wrist extended causing a fracture of the distal radius that is displaced dorsally, then this athlete has sustained a a) smith's fracture b) boxer's fracture c) bennett's fracture d) colles' fracture

d) colles' fracture

All of the following are signs or symptoms of arterial inhibition of thoracic outlet syndrome except a) cyanosis in the fingers b) muscle weakness c) coldness of the skin d) edema

d) edema

What test are you performing if you have the athlete laying in a supine position and you ask them to perform a straight leg test on one leg while you cup the uninvolved heel with your hand to feel a downward pressure, also known as the "cheat test"? a) well straight leg test b) kernig's test c) milgram's test d) hoover's test

d) hoover's test

A condition that involves the avulsion of the flexor digitorum profundus tendon and the inability to actively flex the DIP joint is referred as a) boutonniere deformity b) mallet finger c) hammer finger d) jersey finger

d) jersey finger

The most commonly dislocated carpal in the wrist is the a) capitate b) scaphoid c) hamate d) lunate

d) lunate

A patient describes increased low back pain with standing. Which of the following activities should be avoided to reduce similar symptoms? a) forward bending b) sitting c) lying supine on a hard surface d) lying prone

d) lying prone

With C8 nerve root compression, sensory testing may indicate paresthesia at the a) lateral upper arm b) middle finger c) lateral forearm d) medial forearm

d) medial forearm

What are you at risk of after a quadriceps contusion if not treated early and placing the athlete in a constant hip and knee flexion to lengthen the muscle? a) Subungal hematoma b) jumpers knee c) osteochondritis dissecans d) myositis ossificans

d) myositis ossificans

The first cervical vertebra a) has an articulation with the occupy where the primary movement is rotation b) has a true spinous process c) A and B d) none of the above

d) none of the above **

The athlete is supine. The examiner passively extends and laterally flexes the cervical spine. The head is then rotated towards the laterally flexed side. With this test, ____ is a positive finding because the _____ a) diplopia; optic nerve is compressed b) dizziness; vesibulocochlear nerve is compressed c) confusion; bran stem is compressed d) nystagmus; vertebral artery is occluded

d) nystagmus; vertebral artery is occluded

A boutonniere deformity (flexion of the PIP and extension at the DIP) can result from an untreated rupture of the extensor tendon at the DIP joint T or F

True

In the angle of inclination, coxa vara is described as a decrease in the angle of the femoral head in relation to the femoral shaft T or F

True

Narrowing of the spinal or intervertebral foramen is known as stenosis T or F

True

Rupture of the biceps tendon is debilitating because of the loss of strength during elbow flexion and supination T or F

True

The lunate is the most commonly dislocated carpal bone in the wrist while the scaphoid is the most commonly fractured carpal bone T or F

True

The shoulder joint complex is made up by the sternum, clavicle, scapula, and humerus T or F

True

There are five motions of the Apley's scratch test T or F

True

Throwing with a chronic instability of the ulnar collateral ligament of the elbow causes traction of the ulnar nerve T or F

True

How many vertebras make up the following three distinct portions of the spinal column: ____ cervical; _____ thoracic; and _____ lumbar a) 7,12,5 b) 5,12,7 c) 7,15,5 d) 5,10,7

a) 7,12,5

Each of the following tests is used to determine the presence of nerve root compression except a) babinski test b) cervical compression test c) cervical distraction test d) spurlings test

a) babinski test

With C6 nerve root compression, relfex testing might be diminished for the a) brachioradialis b) biceps brachii c) triceps brachii d) palmaris longus

a) brachioradialis

What structure is found between the sternocleidomastoid muscle and the thyroid cartilage? a) carotid artery b) C7 vertebra c) Erb's point d) cervical lymph nodes

a) carotid artery

____ is a tenosynovitis of the extensor policies braves and abductor policies longus tendons which will show pain and discomfort during a finkelsteins test a) dequervian's syndrome b) carpal tunnel syndrome c) Preiser's disease d) kienbock's disease

a) dequervian's syndrome

Tine's sign for the ulnar nerve would be paresthesia present at the a) little finger and ring finger b) radial aspect of the thumb c) point tenderness at the origin of the wrist flexors d) both a and b

a) little finger and ring finger

Which carpal bone is located in the floor of the "anatomical snuffbox" making it easily identifiable and a good starting point for palpating the carpals? a) scaphoid b) trapezium c) pisiform d) lunate

a) scaphoid

To test for scapular winging in the presence of a weak ___ or ____ have the athlete perform a "push up" against the wall causing the vertebral border of the scapula to lift off the thorax a) serratus anterior muscle; thoracic nerve injury b) rhomboids muscle; thoracic nerve injury c) trapezius muscle; brachial plexus injury d) latissimus dorsi muscle; cervical nerve root injury

a) serratus anterior muscle; thoracic nerve injury

With C5 nerve root compression, weakness might be noted with which of the following resisted tests? a) shoulder abduction b) shoulder adduction c) elbow flexion d) elbow extension

a) shoulder abduction

The empty can test is used to evaluate the presence of pathology to which of the following muscles a) supraspinatus b) subscapularis c) teres major d) pectoralis major

a) supraspinatus

A positive Yerganson's test indicates what pathology? a) tendonitis of the short head of the biceps brachii b) subluxing long head of the biceps brachii c) inlfamed subacromial bursa d) ruptured supraspinatus tendon

a) tendonitis of the short head of the biceps brachii

What is considered a significant leg length discrepancy when measuring? a) 1/2 inch b) 1/4 inch c) 1 inch d) 3/4 inch

b) 1/4 inch

In order, metacarpals I, II and III articulate with which carpals? a) MC I with trapezoid, MC II with capitate, MC III with lunate b) MC I with trapezium, MC II with trapezoid, MC III with capitate c) MC I with scaphoid, MC II with lunate, MC III with triquetrum d) MC I with triquetrum, MC II with trapezium, MC III with capitate

b) MC I with trapezium, MC II with trapezoid, MC III with capitate

A sprain or dislocation at this joint site could result in respiratory or vascular impairment that should be immediately transported to hospital or physician a) AC joint b) SC joint c) GH joint d) ST joint

b) SC joint

This test is performed by palpating the radial pulse while externally rotating and extending the athlete's shoulder with their head rotated toward the involved side while extending their neck a) roo's test b) adson's test c) allen test d) spurling's test

b) adsons test

All of the following muscles are considered prime flexors of the elbow joint except a) biceps brachii b) anconeous c) brachialis d) brachioradialis

b) anconeous

Spondylolisthesis is characterized by a) a defect in the lamina of the vertebrae b) increased pain with movements that increase lumbar flexion c) anterior slippage of the vertebrae superior to the pathological site d) A and B

c) anterior slippage of the vertebrae superior to the pathological site

Ath athlete that has sustained an injury causing a depressed shoulder and with the neck laterally flexing to the uninvolved shoulder causing a burning, tingling sensation, and temporary paresthesia to the involved arm is called a) thoracic outlet syndrome b) cervical nerve root compression c) brachial plexus syndrome d) carpal tunnel syndrome

c) brachial plexus syndrome

Lateral epicondylitis is characterized by a) increased pain with resisted wrist extension b) increased pain with passive wrist flexion with the elbow extended c) point tenderness at the origin of the wrist flexors d) both a and b

d) both a and b (increased pain with resisted wrist extension and increased pain with passive wrist flexion with elbow extended)

The distal 2/3's of this bone is the most common fracture site and when it is fractured this structure will rise vertically and when depressed it will spring back up like a "piano key" a) superior spine of scapula b) humerus c) sternum d) clavicle

d) clavicle

Inactivity of the long thoracic nerve can result in a) scapular depression b) scapular winging c) inability to protract d) b and c

d) b and c

A third-degree sprain of the acromioclavicular joint requires rupture of both the acromioclavicular and costoclavicular ligaments T or F

False

A weakness in elbow extension coupled with paresthesia in the middle finger characterizes impingement of the T1 nerve root T or F

False

Colles' fracture is a palmarly displaced fracture of the olecranon process T or F

False

The construction of the intervertebral disks makes them better able to withstand shear forces than with compressive forces T or F

False

There are only seven range of motions involved with the shoulder girdle T or F

False

With the proximal interphalangeal joint held in extension, flexion of the distal interphalangeal joint occurs through the flexor policies longus muscle T or F

False

Hill-sachs lesion is a defect in the anterior humeral head caused by the impact of the humeral head on the gleaned fossa as the humerus attempts to relocate T or F

False (it's the posterior humeral head)

Which test is being performed when the athlete is laying supine with the shoulder at 90/90 and you externally rotate the shoulder until pain or discomfort is felt, then you push the humeral head posteriorly until the pain and discomfort resides, which shows anterior instability and possible labrum a) relocation test b) apprehension test c) yergason's test d) fabere's test

b) apprehension test (specifically posterior apprehension test)

A positive finding from speeds test is pain at the a) supraspinatus tendon b) biceps tendon c) subacromial bursa d) AC joint

b) biceps tendon

Which of the following tests has a reduction of symptoms as a positive finding? a) spurlings test b) cervical distraction test c) cervical compression test d) vertebral artery test

b) cervical distraction test

Which of the following ligaments originates from the anterior inferior iliac spine and is commonly called the "Y ligament of bigelow" and is one of the strongest ligaments in the body a) ischiofemoral ligament b) iliofemoral ligament c) pubufemoral ligament d) inguinal ligament

b) iliofemoral ligament

When palpating the lunate carpal bone what raised structure is located just proximal and is a unique landmark for the wrist? a) ulnar styloid process b) lister's tubercle c) radial styloid process d) hypothenar eminence

b) listers tubercle

Carpal tunnel syndrome refers to the signs and symptoms caused by the compression of the ____ as it passes through the carpal tunnel a) radial nerve b) median nerve c) ulnar nerve d) brachial nerve

b) median nerve

This test is performed by having the athlete apply overpressure during passive wrist flexion and holding the position for one minute to check for median nerve compression resulting in tingling along the median nerve distal to the carpal tunnel a) allen's test b) phalen's test c) adson's test d) finkelstein's test

b) phalen's test

On X-ray an athlete is diagnosed with a "collared scotty dog" deformity which indicates a non displaced stress fracture on the pars interarticularis. This condition is called a a) spondylolisthesis b) spondylolysis c) spndylosis d) spondylalgia

b) spondylolysis

The test for hip flexor tightness is a) faber's test b) Thomas test c) Gaenslen' test d) Ober's test

b) thomas test

What reflex would you find at the location of the C7 nerve root? a) biceps brachii b) triceps brachii c) brachioradialis d) achilles reflez

b) triceps brachii

Tingling at the dorsum of the wrist indicates involvement of which peripheral nerve? a) radial b) ulnar c) axillary d) median

b) ulnar

Lateral epicondylitis is more commonly known as a) "little leaguer's elbow" b) "golfer's elbow" c) "tennis elbow" d) "wrestling elbow"

c) "tennis elbow"

The total amount of range of motion for hip internal/external rotation is approximately ____ degrees a) 35 b) 65 c) 95 d) 150

c) 95

A mallet finger is characterized by a) an inability to actively flex the proximal interphalangeal joint b) a rupture of the flexor digitorium longus c) a rupture of the extensor tendon d) a and c

c) a rupture of the extensor tendon

A rupture of the flexor digitorum proudness would cause which of the following a) boutonniere deformity b) an inability to actively flex the proximal interphalangeal joint of the involved finger c) an inability to actively flex the distal interphalangeal joint of the involved finger d) mallet finger

c) an inability to actively flex the distal interphalangeal joint of the involved finger

The most common direction for the glenohumeral joint to dislocate is a) posterior b) inferior c) anterior d) superior

c) anterior

A lineman has dislocated his 2nd metacarpophangeal joint during the third quarter of a football game, which of the following illustrates the best course of action by the athletic trainer? a) ask the athlete to reduce the dislocation himself, buddy tape the index and middle fingers, return to play b) immediate reduction, splint the hand/finger, refer to physician for follow-up c) splint the hand/finger as is, refer to physician for reduction d) ask the athlete to reduce the dislocation himself, splint the hand/finger, refer to physician for follow-up

c) c) splint the hand/finger as is, refer to physician for reduction

The presence of a "step deformity" in the shoulder is a condition that involves the ___ riding above the ____ a) clavicle; sternum b) scapula; acromion process c) clavicle; acromion process d) humeral head; glenoid

c) clavicle; acromion process

A bankart lesion is characterized by a a) bony defect in the posterior humeral head b) a bony defect in the anterior humeral head c) defect in the glenoid labrum d) tear in the supraspinatus tendon

c) defect in the glenoid labrum (specifically anterior)

What type of head trauma is a result of arterial bleeding versus venous bleeding that can lead to severe problems if not death with in a timely manner? a) subdural hematoma b) intracranial hematoma c) epidural hematoma d) knockahoma hematoma

c) epidural hematoma

What three structures border what is commonly called the "femoral triangle" which incases the femoral artery, femoral vein, and the femoral nerve? a) piriformis-superior aspect; vastus lateralis-lateral aspect; adductor magnus-medial aspect b) internal obliques-superior aspect; IT band-lateral aspect; vests medals-medial aspect c) inguinal ligament-superior aspect; sartorius-lateral aspect; adductor longus-medial aspect d) pubic symphysis-superior aspect; rectus femoris-lateral aspect; gracilis-medial aspect

c) inguinal ligament-superior aspect; sartorius-lateral aspect; adductor longus-medial aspect

which of the following signs is not a associated with a skull fracture? a) raccoon eyes b) battle's sign c) presence of burning, tingling sensation to the lower extremity d) presences of cerebrospinal fluid leaking from the ears

c) presence of burning, tingling sensation to the lower extremity

"gamekeeper's thumb" is known as stretching or tearing the ____ by hyperabduction or hyperextension of the MCP joint a) radial collateral ligament b) extensor pollicis brevis c) ulnar collateral ligament d) extensor pollicis longus

c) ulnar collateral ligament

What is the amount of shoulder complex abduction available if the glenohumeral joint were fused? a) 0 degrees b) 30 degrees c) 60 degrees d) 120 degrees

d) 0 degrees

From the list below, choose all those actions that are appropriate for assessment and management of a posterior elbow dislocation 1) immediate reduction 2) referral to a physician 3) monitoring of distal pulse 4) immobilization with elbow splinted 5) assess AROM for elbow flexion/extension 6) assess PROM for elbow flexion/extension a) 1,2,3,4,5,6 b) 2,3,4,5 c) 1,2,3,4 d) 2,3,4

d) 2,3,4

Evaluation of a patient with adhesive capsulitis will reveal a) restricted inferior glide at the glenohumeral joint with early firm end feel b) presence of sulcus sign c) equal limitations in active and passive shoulder ROM d) A and C

d) A and C

The muscle that contributes little to elbow extension but stabilizes the ulna during pronation and supination is the a) pronator quadratus b) pronator teres c) supinator d) anconeous

d) anconeous

The elbow's primary restraint against a valgus force is the a) radial collateral ligament b) annular ligament c) posterior oblique band of the ulnar collateral ligament d) anterior oblique band of the ulnar collateral ligament

d) anterior oblique band of the ulnar collateral ligament

Kienbock's disease describes which of the following conditions a) myositis ossific of the brachioradialis b) instability of the scaphoid-triquetrum articulation c) fracture of the hook of the hamate d) avascular necrosis of the lunate

d) avascular necrosis of the lunate

Which of the following signs and symptoms best describes the findings associated with a moderate acromioclavicular joint sprain? a) localized swelling, increased pain without laxity during stress test to joint, palpable step-off at joint b) localized swelling, inability to actively elevate arm, obvious dislocation of distal clavicle from acromion c) positive relocation test, negative sulcus sign, increased pain and laxity when stressing the joint d) palpable step-off deformity, sulcus sign increases pain and deformity, slight laxity when stressing the joint

d) palpable step-off deformity, sulcus sign increases pain and deformity, slight laxity when stressing the joint **

What condition commonly called "snapping hip" syndrome syndrome is caused by chronic inflammation in which an audible snap occurs as the IT band passes over the greater trochanter a) ischial bursitis b) iliopsoas bursitis c) IT band tendonitis d) trochanteric bursitis

d) trochanteric bursitis

Which structure does not function as a protective barrier for the brain during a head impact injury? a) dura mater b) pia mater c) arachnoid mater d) cerebrospinal fluid e) all are protective barriers

e) all are protective barriers

You have an athlete who has suffered an acute concussion during football practice. Which one of the following tests would not be appropriate to perform on the athlete? a) romberg's b) tandem walking c) checking vital signs d) memory testing e) valsalva's maneuver

e) valsalva's maneuver