ATR4132 Final Exam

If lightning is observed, outdoor play cannot resume until ____ after last lightning or thunder.

30 minutes

The ideal completion time for the PPE is...

6 weeks prior to the start of practice sessions

Sciatica issues with soft signs may involve removing an athlete from sport participation for ___________ weeks.

6-12

After receiving a blow to the anterior lower leg, an athlete has a diminished dorsals pedis pulse and paresthesia between the great and second toes. What conditions might the athlete be experiencing?

Acute compartment syndrome

Plantar fasciitis signs and symptoms include:

All of these increased pain w/ weight bearing activity, point tenderness at medial calcaneal tubercle, and pain with first steps in the morning

Which of the following professional organizations is responsible for awarding the ATC credential?

Board of Certification

What type of injury is likely to result from a low-velocity, high-mass force?

Diffuse

Which of the following structures would present the symptom of tinnitus?

Ears

T/F: According to the 2014 NATA Position Stand on Management of Sport Concussion, grading scales for concussion should be used no matter how an individual presents.

False

T/F: Following a hit in the face, an individual's cheek appears flat and depressed with swelling about the eye. A mandibular fracture should be suspected.

False

T/F: If an athlete provides their own protective equipment, the AT is not responsible for ensuring it fits correctly and is maintained properly.

False

T/F: In order for an athlete to return to play, they need to be able to participate in a variety of different sports beyond their own sport.

False

T/F: It would be appropriate for a parent to recognize their high school child's group PPE for football as the equivalent of an annual check up with a family physician.

False

T/F: Knee dislocations only occur in the anterior direction.

False

T/F: The OPQRST acronym is used when determining level of consciousness of an injured player.

False

T/F: The completion of a dental exam as part of the PPE is considered optional.

False

T/F: The head of the humerus is forced out of the articular capsule in an inferior direction below the glenoid labrum during a POSTERIOR glenohumeral dislocation.

False

T/F: The primary reason, which has the most evidence in the literature, for using ice is to reduce inflammation.

False

T/F: The purpose of an assumption of risk form is to warn athletes and their parents of the dangers inherent in participating in a sport. By having this form completed, the coach is no longer liable for any injuries that may occur.

False

T/F: There is one single posture associated with low back pain.

False

This exam is used if there is NO significant MOI that would indicate potential for a head, neck, or spinal injury.

Focused physical exam

Which of the following is not transmitted thru airborne droplets?

Impetigo

Which of the following is an open kinetic exercise?

Leg Extension

What is the first phase of a therapeutic exercise program?

Managing inflammation

_____________________ refers to the method by which damage (trauma) to skin, muscle, organs, and bones happens.

Mechanism of injury (MOI)

Which of the following joints forms the "knuckles" of the hand?

Metacarpophalangeal (MCP)

A wrestler has fallen on the tip of a flexed elbow. There is immediate isolated swelling over the apex of the elbow. What injury should be considered?

Olecranon bursitis

Clinicians commonly use one of three scales to efficiently communicate the impact or strength of individual pieces of evidence and overall clinical recommendation. Those scales include all except...

PICO they do use: SORT, GRADE, & CEBM

Managing inflammation with minimal edema, swelling, muscle spasm, and pain is one of the things clinicians need to accomplish before progression to which phase?

Phase 2

Correcting any biomechanical inefficiencies in motion is addressed during which phase of the therapeutic exercise program?

Phase 4

Which of the following grips best describes a baseball bat grip?

Power grip

This exam is used if there is a significant MOI that would indicate potential for a head, neck, or spinal injury.

Rapid physical exam

The acronym used to obtain a patient history is:

SAMPLE

________________ is the first step of patient assessment.

Scene size up

A wrist (forearm) fracture in which the radius and ulna are forced in a volar direction is called a ________________.

Smith fracture

T/F: A great danger with ruptured spleen is its ability to splint itself and then produce delayed hemorrhage.

True

T/F: Exercising moderately during repeated heat exposure can result in physiological adaptation to a hot environment, which can improve performance and heat tolerance.

True

T/F: Falling on an outstretched hand (FOOSH) is a common mechanism of injury for upper extremity injury.

True

T/F: Fractures of the lumbar vertebrae below L2 do not pose a serious threat to paralysis.

True

T/F: If MOI suggests potential head, neck, or spinal injury: 911 should be activated FIRST, then the injured player should have their C-spine immobilized properly.

True

T/F: If a fracture is suspected, the clinician should immobilize the joints above and below the fracture site.

True

T/F: If prevention of hyperflexion of the great toe is desired, support tape strips are applied on the dorsal of the foot.

True

T/F: If someone has signs or symptoms of a head injury, they should not be returned to sport too soon, especially a contact sport, because of the risks associated with second impact syndrome.

True

T/F: Restricted circulation and reduced function of the body part can result from tape that is applied too tightly.

True

T/F: Skin temperature should be assessed by touching the forehead with the back of your hand.

True

T/F: Standards of professional practice are ethical responsibilities that guide one's actions and promote a high standard of conduct and integrity to ensure high quality health care.

True

T/F: The Hoffa technique is commonly used in massage. The order of the strokes is: effleurage, petrissage, tapotement, effleurage.

True

T/F: The common mechanism of injury for Achilles tendon rupture is push-off of the forefoot with the knee extended.

True

T/F: The inability of the pupils to accommodate to light is a possible indication of head trauma.

True

T/F: The layman's term commonly used for Medial Tibial Stress Syndrome (MTSS) is shin splints.

True

T/F: The type of sport played and specific movements required within the sport impact risk of anterior cruciate ligament injury (e.g. cutting in soccer).

True

T/F: Visceral pain results from an injury to an organ in the thoracic cavity.

True

T/F: When air temperature is greater than skin temperature, body relies primarily on sweating for heat loss thru evaporation.

True

T/F: When asking the characteristics of symptoms, it is important to determine the location, onset, severity, frequency, and duration.

True

Which of the following activities can be used to measure power?

Vertical jump

Who has a greater chance for lateral patellar dislocation due to their Q-angle and why?

Women; Q-angle is greater

When assessing level of responsiveness, the acronym AVPU stands for...

alert, voice, pain, unresponsiveness

All of the following are signs or symptoms of hypohydration (decreased total body water) except

altered mental status

What is the term to described unequal pupils?

anisocoria

The EAP should be practiced...

annually

In designing an individualized therapeutic exercise program, the first step is to...

assess the present level of function and dysfunction

The emergency action plan should...

be comprehensive and flexible

Which of the following should you explain to a patient they should feel during the application of an ice pack?

cold, burning, aching, numbness

After impact, the brain continues to accelerate and rotate, causing tearing of the veins away from the actual injury site, which can lead to a _______ injury.

countercoup

The air bladder in a football helmet should be inspected...

daily

In severe brain injuries, posturing characterized by extension of all four extremities is...

decerebrate rigidity

In the absence of an athletic trainer, which of the following is not a responsibility of the coach?

design a rehabilitation program

Physiological information such as blood pressure would be _________-oriented evidence.

disease

Collectively, the primary movers for back extension are called the ______________.

erector spinae

An athlete is disoriented, confused, very unsteady when trying to walk, and their core body temp is 105.2degF measured with a rectal thermometer. What condition might the athlete be experiencing?

exertion heat stroke

A written guarantee that a product is safe for use is called a(n)...

expressed warranty

Individuals who have a positive diagnosis test but really do not have the injury according to the reference standard are...

false positives

Clinical practice guidelines, CATs, Cochrane reviews, and meta-analysis are all examples of...

filtered information

Sagittal plane movements of the humerus at the shoulder include:

flexion and extension

Knee braces designed to provide proprioceptive feedback and protect unstable anterior cruciate ligament injuries are...

functional

Auricular hematoma are preventable usually by this method:

headgear

Headache, rapid and shallow respirations, a rapid/weak pulse, and ashen skin are signs of

heat exhaustion

Subjective information is gained thru the _________ of the HOPS process.

history

Transmission of tetanus bacillus can occur thru

lacerations

radial deviation of wrist

lateral movement of the hand towards the radius (thumb)

The primary survey determines...

level of responsiveness and assesses airway, breathing, and circulation

Medial epicondylitis can be called this when the growth plate may not be fully closed at the elbow.

little leaguer's elbow

Critical information that should be obtained during the on-site history includes...

mechanism of injury (MOI)

The majority of the flexors of the wrist and hand are innervated by the __________ nerve.

median

The functional unit of the spine is called the...

motion segment

Primary deficits associated with prolonged immobilization include:

muscle weakness

During the primary survey if the patient is not breathing, the pulse should first be checked at the _____________.

neck (carotid)

When taping a wrist hyperflexion injury, support strips are placed...

on the dorsal of the hand

In most taping techniques, each subsequent strip of tape should overlap the previous strip by...

one-half to one-third the width of tape

Movement of an injured body part thru the range of motion with NO assistance from the injured individual is termed...

passive movement

Air trapped in pleural space, causing portion of lung to collapse; lung cannot fully expand.

pneumothorax

Which of the following is NOT a function of a neoprene sleeve?

provides protection from external forces

Dislocations at the _______ are the most common hand joint dislocations.

proximal interphalangeal joint

In assessing an eye injury, floaters and flashers suggest a(n)

retinal injury

Following head trauma, inability to recall events that took place earlier in the day is an example of

retrograde amnesia

HIV is transmitted through all of the following except...

saliva

A slow, bounding pulse could be indicative of...

skull fracture

An increase in systolic blood pressure and decrease in diastolic blood pressure may be indicative of rising intracranial pressure potentially from a ________________.

skull fracture

Nursemaid's elbow, dislocation of the proximal radial head, commonly occurs in young children due to this MOI:

someone pulling up or swinging the child by their outstretched arms

Flexion of the neck, producing a straightened cervical spine that acts like a segmental column, predisposing the spine to permanent neurological injury with further axial loading

spear tackler's spine

A loss of cerebrospinal fluid around the spinal cord because of deformation of the spinal cord or a narrowing of the neural canal is called

spinal stenosis

Return to contact sport can be dangerous following infectious mononucleosis due to the potential rupture of which enlarged organ?

spleen

A bilateral fracture of pars interarticularis accompanied by anterior slippage of involved vertebra

spondylolisthesis

The ________ bursa may become irritated when repeatedly compressed during the overhand arm action.

subacromial

Which of the following best illustrates a diagnostic sign?

swelling

The _________ joint is considered the true ankle joint.

talocrural

All of the following are part of the rotator cuff muscle group EXCEPT:

teres major

The advantages of having an individual's primary care physician administer a PPE include all of the following except...

the cost of the exam

The screw-home mechanism occurs when the...

tibia rotates laterally on the femur during the last degrees of knee extension

Which of the following structures is injured with gamekeeper's thumb (also can be referred to as ________ _________)?

ulnar collateral ligament; skier's thumb

When applying a wrap for a quadricep strain, the wrap is directed in a(n)...

upward and lateral manner

The assurance that measurements represent what we think they represent is...

validity