Domain V

(138) A recently certified athletic trainer is hired in the early summer by an outpatient sports medicine clinic to provide care for student athletes at a local junior college where football preseason begins the first week of August. On a hot and humid afternoon on the seventh day of preseason, when an athlete presents with symptoms consistent with heat illness, the athletic trainer fails to assess and treat the athlete in accordance with the profession ' s standard of care. Knowing the prognosis for the ill athlete is poor and he failed to provide proper medical care, the athletic trainer falsifies all medical documentation related to the incident. By which clause can the athletic trainer ' s employer, the sports medicine clinic, be held liable for the athletic trainer ' s actions? A. Contributory negligence B. Vicarious liability C. Governmental immunity D. Assumption of risk

A. Contributory negligence

(Alt 12) According to the Inter-Association consensus statement on best practices for sports medicine management for secondary schools and colleges, the team physician has the ultimate responsibility for the care provided by the sports medicine team. For which of the following duties does the team physician have the ultimate responsibility? Select all that apply. A. Developing a chain of command, the team physician at the top B. Coordinating rehabilitation and return to participation C. Ensuring proper documentation and medical record keeping D. Planning and training for emergencies during competition and practices E. Assessing environmental concerns and playing conditions F. Managing on-the-field injuries G. Coordinating preparticipation screenings, examinations, and evaluations

A. Developing a chain of command, the team physician at the top B. Coordinating rehabilitation and return to participation C. Ensuring proper documentation and medical record keeping D. Planning and training for emergencies during competition and practices E. Assessing environmental concerns and playing conditions F. Managing on-the-field injuries G. Coordinating preparticipation screenings, examinations, and evaluations

(Alt 13) A progress note is a daily note used to update the physician on the progress of the patient and communicate any other needs or concerns regarding the patient. What are some common errors made when writing a patient ' s progress note? Select all that apply. A. Failure to refer back to the previous month ' s treatments B. Not including new interventions to be added C. Failure to list each treatment time in minutes D. Not including a list of all therapeutic modalities and therapeutic exercises used E. Not showing objective comparisons reflecting patient ' s progress or lack of progress F. Failure to include a comment addressing discontinued interventions G. Failure to state changes in frequency of patient visits

A. Failure to refer back to the previous month ' s treatments B. Not including new interventions to be added E. Not showing objective comparisons reflecting patient ' s progress or lack of progress F. Failure to include a comment addressing discontinued interventions G. Failure to state changes in frequency of patient visits

(39) In the first 3 months as a graduate assistant, a newly certified athletic trainer received daily specific instructions from the head athletic trainer about the tasks to be completed as the head athletic trainer observed the graduate assistant ' s performance. At the start of his second year as a graduate assistant, the athletic trainer routinely independently and proficiently completes all of his tasks and responsibilities with little, if any, input from the head athletic trainer. From, and to, which situational leadership model did the head athletic trainer progress? A. From directing to delegating B. From coaching to supporting C. From supporting to delegating D. From directing to supporting

A. From directing to delegating

(112) What test is used to confirm the presence of drugs during a urinalysis if the initial test is positive? A. Gas chromatography-mass spectrometry (GC-MS) B. Enzyme multiplied immunoassay technique (EMIT) C. Liquid chromatography (LC) D. Mass spectrometry-mass spectrometry (MS-MS)

A. Gas chromatography-mass spectrometry (GC-MS)

(30) A university is in the design phase of a new athletics facility that will include a new sports medicine facility. Which of the following pieces of data would assist the design team in determining the size and layout needs for the new facility? A. Hourly client and services log B. Relationship chart C. Bubble diagram D. Schematic drawing

A. Hourly client and services log

(134) What medical coding system is the official system of assigning codes to diagnoses and procedures common to all hospitals and clinics in the United States? A. ICD-10 B. DD-10 C. CPT D. EDI

A. ICD-10

(40) A university athletic trainer is part of a committee that is reviewing and revising the university ' s emergency action plan (EAP). When revising the plan for the outdoor sports venues, what important pieces of information should be included? A. Identified safe shelters for spectators, posted evacuation routes, and a script for the public address announcer notifying spectators of directions for evacuation and moving to safe shelter B. Identified safe shelters for participants and game officials, directions for obtaining refunds for tickets, and posted notifications of length of delays C. Chart detailing weather-related emergency considerations, including temperature, humidity, wind chill, and method for calculating flash to bang time D. Emergency contact numbers and street address of the venue, policies for making weather-related emergency cancellations, and written plan for debriefing following an emergency

A. Identified safe shelters for spectators, posted evacuation routes, and a script for the public address announcer notifying spectators of directions for evacuation and moving to safe shelter

(Alt 14) There are a number of athletic injury surveillance systems available to athletic trainers for providing and gathering injury rate and risk data. When properly interpreted, how can data from these surveillance systems be effectively used by sports health-care professionals? Select all that apply. A. In efforts to modify sport rules to decrease severity or rate of injuries B. To assist parents in understanding sport risk so they can make decisions about their child ' s sport participation C. To develop sport-specific and injury-specific injury prevention training programs D. To help manufacturers of sports equipment evaluate their products and make effective changes E. To aid insurance companies in knowing the risks of sport participation

A. In efforts to modify sport rules to decrease severity or rate of injuries B. To assist parents in understanding sport risk so they can make decisions about their child ' s sport participation D. To help manufacturers of sports equipment evaluate their products and make effective changes E. To aid insurance companies in knowing the risks of sport participation

(132) What is the advantage of using a database instead of a spreadsheet for maintaining medical records? A. Information can be more easily retrieved. B. Data can be more easily sorted. C. Data can be downloaded into statistical software for analysis and report formation. D. Information can be searched for based on individual fields.

A. Information can be more easily retrieved.

(1) Which of the following methods would allow a sports medicine staff to evaluate the effectiveness of their anterior cruciate ligament (ACL) rehabilitation protocol over the past 5 years? A. Internal chart audit B. Statistical injury summary C. Client survey D. Critical incident report

A. Internal chart audit

(17) Development of a vision statement is the first step in planning and developing a new sports medicine program. Which of the following is an element of a vision statement? A. Services to be offered by program B. Short-term and long-term goals of the program C. Philosophy of the program D. Technology to be used in providing services

A. Services to be offered by program

(156) A discharge note, which is used when the patient is discharged from rehabilitation, is part of a patient ' s medical record. Under what circumstances is a discharge note completed and a patient discharged from rehabilitation? A. The patient has reached a plateau in progress despite the utilization of a variety of treatment approaches. B. The patient ' s individual preset healing time, in days, has been reached. C. The patient has reached his first short-term goal sooner than anticipated. D. The patient ' s effort falls below 50% for three consecutive rehabilitation sessions regardless of treatment approaches.

A. The patient has reached a plateau in progress despite the utilization of a variety of treatment approaches.

(91) When obtaining informed consent before rendering treatment, which of the following must exist for consent to be considered valid? A. The patient must consent voluntarily and be a competent adult. B. The patient must be at least 16 years old. C. The patient must understand and be able to clearly articulate the benefits and risks of the proposed treatment. D. The patient must be conscious and in full control of his or her faculties.

A. The patient must consent voluntarily and be a competent adult.

(120) Which of the following best describes what should be included in the plan of care portion of the initial assessment record? A. Total number of treatments required and goals by which progress will be measured B. Number of visits per week and treatment parameters for each therapeutic modality C. Exercises likely to be performed during rehabilitation and methods for encouraging compliance D. Date of expected follow-up visit to physician and modalities to be incorporated into the treatment plan E. Anticipated time required for each visit and ICD-10 code for patient ' s exact diagnosis

A. Total number of treatments required and goals by which progress will be measured

(Alt 9) In providing athletic training healthcare for participants in long distance events, such as marathons, triathlons, and ultramarathons, it is essential to identify an athlete suffering from hyponatremia compared with one suffering from hypohydration. There are, however, signs and symptoms that are common to both conditions, and a patient can be hypohydrated and hyponatremic at the same time. According to the National Athletic Trainers' Association (NATA) Position Statement on Fluid Replacement for the Physically Active, which of the following signs and symptoms are common to both conditions and when present necessitate blood sodium assessment before treatment? Select all that apply. A. Thirst B. Apathy C. Grand mal seizure or coma D. Headache E. Nausea or vomiting F. Acute body weight loss G. Dizziness H. Altered mental status

B. Apathy D. Headache E. Nausea or vomiting G. Dizziness

(77) You are creating an advertisement for an open staff athletic trainer position at your facility. Which of the following statements would be most appropriate to include as part of the job specification? A. Seeking male applicants; minorities are encouraged to apply B. Bachelor ' s degree and BOC certification required C. Coordinates and delivers athletic training services to members of the baseball team D. Benefits include state health plan, optional vision coverage, and choice of standard or flexible retirement plan E. Conducts research and prepares annual departmental injury data

B. Bachelor ' s degree and BOC certification required

(27) A high school tennis player sends her athletic trainer a text message on Saturday morning to update her on how her wrist is feeling following an injury the previous evening during a tennis match. How should the athletic trainer respond to the text message? A. Ask clear, pointed questions to clarify her status, as text messages can sometimes be misinterpreted. B. Call the athlete to discuss her condition, as text messages are not considered to be a secure form of communication. C. Complete the text conversation and then take screenshots of the conversation to add to the athlete ' s medical record. D. Respond by telling the athlete that all conversations must occur in person and schedule an appointment for Monday morning.

B. Call the athlete to discuss her condition, as text messages are not considered to be a secure form of communication.

(64) A sports medicine clinic is coordinating a conference to teach local high school coaches the basics of recognizing potential causes of and strategies for preventing sudden death. What should the conference organizers consider providing to all participants to enhance participant learning? A. Workshop evaluation B. Conference proceedings C. Opportunities for interactions with other attendees D. Follow-up survey 6 months after the conference to assess learning outcomes

B. Conference proceedings

(122) Which of the following is an impairment measure using the current unit of measurement? A. Muscle strength assessed with an isokinetic dynamometer recorded as 3/5 B. Edema assessed with a volumetric tank recorded in mL C. Range of motion assessed with a goniometer recorded in cm D. Joint mobility assessed with capsular end-feel recorded as a 2

B. Edema assessed with a volumetric tank recorded in mL

(76) In which of the following situations might leasing a large piece of capital equipment be more advantageous than purchasing the equipment? A. Lower total expense over time B. Equipment relies on technology that may change quickly C. Ownership carries tax-related penalties D. Increased legal liability associated with ownership

B. Equipment relies on technology that may change quickly

(2) Which type of program evaluation involves identifying possible problems, discussing areas of strengths and weaknesses, and evaluating progress toward meeting the objectives of the program? A. Summative evaluation B. Formative evaluation C. Criteria-oriented evaluation D. Outcome assessment evaluation

B. Formative evaluation

(58) An athletic trainer has recently been promoted to a managerial position within the department due to his tenure and outstanding clinical skills. Since being promoted, he has struggled with many of the administrative tasks as well as his interactions with colleagues whom he now supervises. He is considering stepping down from the position. Which business concept principle is demonstrated in this scenario? A. Counterpower B. Phenomenon referred to as the "Peter principle" C. Legitimacy D. Honeymoon effect

B. Phenomenon referred to as the "Peter principle"

(154) In the months between the fall and spring football season, while conducting a review of the medical records of the members of your school ' s football team you note a player sustained his second concussion of the season during the final postseason game. The medical documentation indicates appropriate follow-up care was provided before the player left campus for the holiday break. According to the National Athletic Trainers' Association (NATA) Position Statement on Management of Sport Concussions, what should you communicate to this player before the start of the spring season? A. Research suggests that persons with a history of two or more concussions in a football season must be disqualified from participation in contact sports. B. Research suggests that the relationship among concussions, subconcussive impacts, and longterm brain health is not clear. C. Research has demonstrated a strong link between number of concussions and declines in neurocognitive functioning, brain function, and motor control. D. Research has shown a link between sustaining two concussions in a season and the likelihood of being diagnosed with depression.

B. Research suggests that the relationship among concussions, subconcussive impacts, and longterm brain health is not clear.

(93) Before administering any type of modality treatment, what action should be taken and documented in the patient chart to protect the athletic trainer in a legal situation? A. Current literature is reviewed with the patient to demonstrate need B. Risks, benefits, possible adverse effects, and warning signs are explained and consent to treat obtained C. Outcomes are explained, assessed, and recorded D. Treatment goals, expected sensations, and treatment efficacy measures are outlined

B. Risks, benefits, possible adverse effects, and warning signs are explained and consent to treat obtained

(13) An employee is complaining of having to work back-to-back weekends and several long days and becomes angry on being scheduled to work an upcoming holiday. Which component of role strain is this employee demonstrating? A. Role conflict B. Role incongruity C. Role ambiguity D. Role overload E. Role incompetence

B. Role incongruity

(12) To gather research evidence to aid in answering your clinical question about the effectiveness of microcurrent in the treatment of chronic plantar fasciitis, you use the Physiotherapy Evidence Database (PEDro). What information does this database provide? A. Abstracts of systematic reviews that have been assessed for quality B. Systematic reviews and clinical trials in the field of physical therapy that are focused on rehabilitation C. Articles that are cited most frequently D. Only Cochrane Reviews related to physical therapy that are focused on rehabilitation

B. Systematic reviews and clinical trials in the field of physical therapy that are focused on rehabilitation

(128) According to the National Athletic Trainers' Association (NATA) Best Practice Guidelines for Athletic Training Documentation, athletic trainers should document any patient encounter. What defines a patient encounter? A. When an athlete is practicing and an athletic trainer is observing B. When an athlete e-mails an athletic trainer to say he has a cough and asks what over-the-counter medication he should purchase at the local drug store C. When an athlete stops by the athletic trainer ' s office to say he will not be at the team ' s strength training session today because he has to take a make-up test D. When an athletic trainer delivers a 45-minute talk to members of a basketball team on steps they can take to minimize their risk of acquiring a methicillin-resistant Staphylococcus aureus (MRSA) infection

B. When an athlete e-mails an athletic trainer to say he has a cough and asks what over-the-counter medication he should purchase at the local drug store

(15) What does AOASM stand for? A. American Orthopedic Academy of Sports Medicine B. Association of Organization and Administration in Sports Medicine C. American Osteopathic Academy of Sports Medicine D. Academy for Orthopedic Assistance in Sports Medicine E. Alliance for Outreach and Advancement of Sports Medicine

C. American Osteopathic Academy of Sports Medicine

(95) As part of the preparticipation examination an athletic trainer collects height, weight, and skinfolds to estimate body composition. What type of measurements are being collected? A. Volumetric B. Diagnostic C. Anthropometric D. Outcome

C. Anthropometric

(133) You are working as an athletic trainer in an outpatient physical therapy clinic. Following patient treatment, you must identify which procedures were completed for insurance billing purposes. Which coding system is used to identify these procedures? A. ICD-9 B. DD-10 C. CPT D. EDI

C. CPT

(3) Which of the following tools would provide practitioners with summary statements of evidencebased information to guide choices on appropriate care of specific conditions? A. Outcome assessment measures B. Summative evaluation statements C. Clinical practice guidelines D. Randomized clinical trials

C. Clinical practice guidelines

(36) An athletic trainer feels a strong desire to make sure that every high school in her state has a certified athletic trainer on staff. What action might she take that would most effectively work toward her goal of improving athletic training coverage in her state? A. Schedule meetings with local school boards to discuss the importance of athletic trainers. B. Start a statewide petition to present to the governor. C. Volunteer to cover events at schools without athletic trainers on her days off so more athletes are covered. D. Get involved in her state association to advance the profession.

D. Get involved in her state association to advance the profession.

(21) Which supervisory model emphasizes the use of formal authority to improve employee efficacy and efficiency? A. Clinical supervision B. Developmental supervision C. Performance evaluation supervision D. Inspection-production supervision E. Centralized leadership supervision

D. Inspection-production supervision

(80) What is the position of the National Collegiate Athletic Association (NCAA) and the U.S. Centers for Disease Control and Prevention (CDC) regarding mandatory HIV testing for athletes as a condition of participation? A. Mandatory testing would effectively prevent the spread of infection. B. Mandatory testing is easily done in athletic populations. C. Mandatory testing should be required only for contact sports. D. Mandatory testing is not justified. E. Mandatory testing is a cost-effective way of promoting health and safety.

D. Mandatory testing is not justified.

(88) A softball player is referred to an ear, nose, and throat physician after being struck in the nose by a ball. Which of the following is the most important document that should accompany the player to the off-campus health-care facility? A. Medical history and injury report B. List of contact numbers and medical referral paperwork C. Insurance information and list of athlete ' s allergies D. Medical referral paperwork and insurance information E. Injury report and parent contact information

D. Medical referral paperwork and insurance information

(74) After completing a strategic planning process, what should an athletic trainer create in order to put the strategic plan into practice? A. Organizational chart B. Long-term and short-term goals C. Clearly defined department practices D. Operational plan

D. Operational plan

(16) Which diagnostic assessment provided by the Board of Certification, Inc. (BOC) gives practicing athletic trainers an opportunity to evaluate their personal knowledge gaps based on the BOC Practice Analysis, Seventh Edition? A. Practice analysis comparison B. Self-assessment examination C. Individual activity review D. Professional development needs assessment

D. Professional development needs assessment

(109) Which of the following correctly describes the concept of professional ethos? A. Deliberation about specific cases during clinical practice B. Setting ethical expectations early in the work or educational process C. The process by which new members of a profession become integrated into the profession D. The characteristics of a profession that incorporate its values, beliefs and norms.

D. The characteristics of a profession that incorporate its values, beliefs and norms.

(55) According to the American Heart Association (AHA)/ American College of Sports Medicine (ACSM) Joint Position Statement: Recommendations for Cardiovascular Screening, Staffing, and Emergency Policies at Health/Fitness Facilities, what is the responsibility of any facility offering exercise equipment or services? A. The facility must provide a stress test for all new members or prospective users. B. The facility must require all new members to provide proof of a recent comprehensive physical examination. C. The facility must require all new members to provide proof of active health insurance. D. The facility ' s personnel should conduct cardiovascular screening of all new members or prospective users. E. The facility should deny membership to anyone identified as being at risk for a cardiovascular incident.

D. The facility ' s personnel should conduct cardiovascular screening of all new members or prospective users.

(11) When practicing evidence-based medicine, a clinician ' s expertise and experiences are important. The other important factor is the information provided in published research. Several databases are available to assist clinicians in identifying research related to their clinical questions. What search engine uses a strength of evidence sorting process to organize results so that stronger, more relevant, and more recent sources are presented nearer the top of the search results? A. Database of Abstracts of Reviews of Effects (DARE) B. PubMed C. Cochrane Library D. Turning Research Into Practice (TRIP)

D. Turning Research Into Practice (TRIP)

(23) A clinic administrator is attempting to improve the revenue stream and has implemented a clinic-wide policy that all treatment and rehabilitation protocols used in the clinic must be based on scholarly evidence. When questioned about this decision, what rationale might the administrator provide? A. Use of evidence-based medicine will improve patient care being provided in the clinic B. Use of evidence-based medicine will enhance the reputation of the clinicians C. Use of evidence-based medicine will allow continuous evaluation of treatment protocols D. Use of evidence-based medicine will improve third-party reimbursement potential

D. Use of evidence-based medicine will improve third-party reimbursement potential

(90) Which of the following forms should be signed to minimize potential legal ramifications of the preparticipation physical examination? A. Waiver of liability B. Health Insurance Portability and Accountability Act (HIPAA) disclosure form C. Permission to bill insurance form D. Drug testing consent form E. Consent to Treat form

E. Consent to Treat form

(79) An athletic trainer who uses a therapeutic modality in a contraindicated manner could be found guilty of which type of negligence? A. Malfeasance B. Nonfeasance C. Breach of duty D. Tort E. Misfeasance

E. Misfeasance

(Alt 3) In planning a sports medicine program, an institution or organization must initially develop a vision statement and a mission statement for the program. There are distinct elements of both vision statements and mission statements. Using the table provided, assign each element to either the vision statement or the mission statement of the sports medicine program. A. Philosophy of the program B. Service provider ' s name C. Quality declaration D. Goals of the program E. Identification of the target clients F. Technology to be used in delivering services G. Code of behavior of program personnel

Vision Statement: B. Service provider ' s name C. Quality declaration E. Identification of the target clients Mission Statement: A. Philosophy of the program D. Goals of the program F. Technology to be used in delivering services G. Code of behavior of program personnel

(Alt 2) A sports medicine budget is an effective way for athletic trainers to plan the financial activity of their program. There are six different budgeting models for developing a sports medicine budget, each with its own requirements, advantages, and limitations. Using the table provided, assign each statement to a budgeting method. A. When a monthly revenue is lower than anticipated, expenditures must be reduced for that month. B. Athletic trainer is provided a fixed sum of money and the authority to spend it as desired. C. Mini-budgets are developed for each program activity. D. Funds dedicated to one category are not permitted to be used for another. E. Every expense must be justified without reference to previous spending patterns. F. Projection of expenditures and program income is required on a month-by-month basis to determine total program costs for the fiscal year. G. Expenditure for any given time period must be adjusted according to revenues for the same period. H. An administrator must hold an athletic trainer accountable for all spending after the money has been spent. I. Model is useful for determining the likely cash flow at various times throughout the year. J. The athletic trainer lists anticipated expenditures in specific categories, so model is easy to prepare and understand. K. The functions of the sports medicine program are delineated into discrete activities with funds allocated to each activity as needed to accomplish the activity. L. Can be excellent tool for developing program priorities.

Zero Based Budgeting: E. Every expense must be justified without reference to previous spending patterns. L. Can be excellent tool for developing program priorities. Fixed Budgeting: F. Projection of expenditures and program income is required on a month-by-month basis to determine total program costs for the fiscal year. I. Model is useful for determining the likely cash flow at various times throughout the year. Variable Budgeting: A. When a monthly revenue is lower than anticipated, expenditures must be reduced for that month. G. Expenditure for any given time period must be adjusted according to revenues for the same period. Lump-sum Budgeting: B. Athletic trainer is provided a fixed sum of money and the authority to spend it as desired. H. An administrator must hold an athletic trainer accountable for all spending after the money has been spent. Line-item Budgeting: D. Funds dedicated to one category are not permitted to be used for another. J. The athletic trainer lists anticipated expenditures in specific categories, so model is easy to prepare and understand. Performance Budgeting: C. Mini-budgets are developed for each program activity. K. The functions of the sports medicine program are delineated into discrete activities with funds allocated to each activity as needed to accomplish the activity.

(116) You have been subpoenaed to provide testimony regarding a previous student athlete ' s medical condition. Which of the following guidelines should you observe to safeguard your credibility? A. Avoid memorizing the testimony, and never refer to medical records while on the stand. B. Avoid testifying beyond the boundaries of your experience and, if unsure, making an educated guess. C. Discuss your testimony with an attorney before giving it in the courtroom, and never guess. D. Testify only on issues about which you are an expert, and speak on behalf of the athlete ' s best interests. E. Be truthful when testifying about the athlete ' s feelings, and avoid overpreparing for your testimony because it will appear rehearsed.

C. Discuss your testimony with an attorney before giving it in the courtroom, and never guess.

(38) Some certified athletic trainers function more as leaders, whereas some function more as managers. Which of the following characterizes a head athletic trainer functioning as a leader? A. E-mails staff members asking for their individual clothing and equipment needs for the upcoming season B. Creates a strategic plan for the sports medicine division and distributes it to all staff members with a request for feedback C. Hosts a staff retreat the week after the end of spring sports to develop and create the direction and priorities for the upcoming year. D. Modifies roles and responsibilities of each staff member to meet the needs of the growing sports programs

C. Hosts a staff retreat the week after the end of spring sports to develop and create the direction and priorities for the upcoming year.

(52) How often should expendable supplies be inventoried to ensure that an adequate supply is available at all times? A. Daily B. Weekly C. Monthly D. Semiannually

C. Monthly

(53) What is the most important consideration when determining necessary square footage for a new athletic training room? A. Scope of the athletic training program and number of athletes B. Number of staff athletic trainers and existence of accredited undergraduate program C. Number of teams to be served and expected number of injuries for those sports D. Location and size of the current facility E. Construction budget and extent of administrative support

C. Number of teams to be served and expected number of injuries for those sports

(84) Based on the National Athletic Trainers' Association (NATA) Position Statement on Fluid Replacement, in what situation are IV fluids indicated? A. Moderate (2% to 5%) hypohydration B. Severe (>5%) hypohydration C. Ongoing vomiting and/or diarrhea D. Gain in body weight during the activity

C. Ongoing vomiting and/or diarrhea

(110) A member of your soccer team carries the sickle cell trait. What equipment should be on the sideline while this athlete is practicing to best manage a potential exertional sickling episode? A. Isotonic electrolyte beverages B. Liquid glucose C. Supplemental oxygen D. Ice immersion tub E. Rescue inhaler

C. Supplemental oxygen

(155) Two days ago you started a new job at an outpatient chronic pain rehabilitation center. While receiving training on the medical documentation used by this center, you learn that the International Classification of Functioning, Disability, and Health (ICF) system is used. When viewing the first patient ' s medical records you are shown the following documentation: d4500.2189. How should you interpret this documentation? A. The first number following the "." is the rating of the patient ' s capacity to complete the activity with assistance. B. The "d" is the domain code of environmental factors. C. The four numbers following the letter on the left side of the "." indicate the item code, such as "walking short distances." D. The four numbers following the "." are the ICD-10 code for the patient ' s condition.

C. The four numbers following the letter on the left side of the "." indicate the item code, such as "walking short distances."

(22) After her second year, the head athletic trainer for your school ' s football program recognizes the need to reduce the incidence of skin conditions among players and develops an educational and personal hygiene program that drastically minimizes the number of skin conditions over the next three seasons. What type of leadership has this athletic trainer exhibited? A. Transactional B. Experimental C. Transformational D. Informational

C. Transformational

(73) What type of analysis is considered a comprehensive tool to be used in the strategic planning and program review process for an existing athletic training program? A. HCFA analysis B. Strengths/weaknesses analysis C. WOTS-UP analysis D. Samson analysis E. Forecast analysis

C. WOTS-UP analysis

(141) Team physicians and certified athletic trainers should rely on the most current research and professional association position statements and practice standards when creating medical history questions for preparticipation physical examinations (PPEs). According to the National Athletic Trainers' Association (NATA) position statement on PPEs and disqualifying conditions, which of the following specific questions associated with risk for cardiovascular disease should be included in the medical history? A. Are you aware of any members of your family who have been diagnosed with a heart murmur? B. Do you ever experience an increased rate of breathing when exercising at a high intensity? C. When exercising have you experienced chest pain or discomfort? D. Have you ever been told your heart rate increases when exercising?

C. When exercising have you experienced chest pain or discomfort?

(4) When conducting a literature search for evidence related to anterior shoulder dislocations in the adolescent population, which of the following demonstrates the best use of Boolean operators to provide a comprehensive list of related articles? A. Anterior shoulder dislocation IN adolescent athletes B. Anterior shoulder dislocation NOT adults C. Anterior shoulder dislocation in adolescent OR pediatric athletes D. Anterior shoulder dislocation in adolescents AND youth AND children

D. Anterior shoulder dislocation in adolescents AND youth AND children

(34) A newly certified athletic trainer is completing his first year of employment. During the year, he was able to work closely with the head athletic trainer who met regularly with him to answer questions and to discuss difficult situations and options for managing those situations. How has the head athletic trainer assisted the young professional? A. Establishing cultural competence B. Learning professional boundaries C. Creating a fiduciary relationship D. Beginning his professional socialization

D. Beginning his professional socialization

(42) Which of the following components should be included in your facility exposure control plan? A. Action steps to take if exposure occurs and method of documenting HIV status of employees B. Method for recording every occupational exposure and cost list for personal protective equipment C. Annual employee training plan and criteria for identifying individuals most likely to carry bloodborne pathogens D. Bloodborne pathogens education and plans for exposure prevention E. List of signs and symptoms of bloodborne pathogens and criteria for determining an exposure incident

D. Bloodborne pathogens education and plans for exposure prevention

(101) Which professional entity produces and enforces the Standards of Professional Practice that certified athletic trainers are expected to meet? A. National Athletic Trainers' Association (NATA) B. Individual State Practice Acts C. American Medical Association-Allied Health Professional Council D. Board of Certification, Inc. (BOC)

D. Board of Certification, Inc. (BOC)

(20) Which type of organizational culture is characterized by a focus on teamwork, building consensus, and decision-making by all members of the staff? A. Collegial culture B. Personalistic culture C. Formalistic culture D. Focus-oriented culture

A. Collegial culture

(82) Based on the National Athletic Trainers' Association (NATA) Position Statement on Management of Sport Concussion, which of the following athletes should undergo a baseline concussion evaluation annually? A. Adolescent athletes B. Any athlete with a history of concussion more than 1 year ago C. An athlete with a history of more than three concussions D. Athletes older than 25 years of age

A. Adolescent athletes

(Alt 5) The most common organizational structure in sports medicine settings is a function-oriented organizational system. What are the advantages of employing a functional organizational structure? Select all that apply. A. Allows for specialization B. Promotes sharing of ideas and teamwork C. Requires fewer interpersonal skills D. Quicker response time in large programs E. Fosters development of expertise F. More innovative, allowing for inclusion of different perspectives G. Suited for stable environments

A. Allows for specialization C. Requires fewer interpersonal skills E. Fosters development of expertise G. Suited for stable environments

(Alt 16) Athletic trainers in various health-care settings are taking steps to ensure reimbursement for services being provided as certified and licensed athletic trainers. What are the requirements for athletic trainers to be reimbursed by insurance companies for athletic training services? Select all that apply. A. An insurance carrier must recognize athletic training services. B. Patient ' s treatment program and progress made must be appropriately documented. C. Medical necessity has to be established. D. Treatments must be overseen and signed off on by a licensed physical therapist. E. Facility and provider must be recognized by the insurance company as "capable" of providing services within their plan. F. Patients must obtain physician referral for "athletic training services." G. The correct CPT codes must be used. H. Clinicians must obtain a National Provider Identifier (NPI) number.

A. An insurance carrier must recognize athletic training services. B. Patient ' s treatment program and progress made must be appropriately documented. C. Medical necessity has to be established. E. Facility and provider must be recognized by the insurance company as "capable" of providing services within their plan. F. Patients must obtain physician referral for "athletic training services." G. The correct CPT codes must be used. H. Clinicians must obtain a National Provider Identifier (NPI) number.

(Alt 4) Despite the increased efforts of health-care professions such as athletic training to support and implement evidence-based medicine, not all practicing clinicians have been willing or able to make this change in their patient care. What are considered acceptable barriers to successful integration of evidence-based practice? Select all that apply. A. Limited access to evidence for some clinicians B. Insufficient time for reading research studies C. Amount and complexity of available research D. Large percentage of athletic trainers who work in clinical settings that do not require using evidencebased techniques E. Extensive history of successful clinical outcomes negating need for research to support clinical decision-making F. Lack of skill in translating published studies into clinical practice G. Limited number of systematic reviews H. Difficulty obtaining full-text versions of some published studies I. Lack of financial incentive from employers

A. Limited access to evidence for some clinicians C. Amount and complexity of available research D. Large percentage of athletic trainers who work in clinical settings that do not require using evidencebased techniques F. Lack of skill in translating published studies into clinical practice G. Limited number of systematic reviews H. Difficulty obtaining full-text versions of some published studies

(105) It is brought to your attention that an athletic trainer at a local high school is dispensing antibiotics and pain medications that the team physician keeps in the school ' s athletic training facility. If acting in compliance with the Board of Certification, Inc. (BOC) Standards of Professional Practice, what action should you take? A. Notify local authorities or local law enforcement agencies. B. Allow the school administrators to notify the professional organizations. C. Report the situation to the BOC as a violation of the Standards of Professional Practice. D. Notify local media sources so the situation can be addressed.

A. Notify local authorities or local law enforcement agencies.

(Alt 8) Due to the recent growth of your school ' s athletics program you have been given permission to hire an additional athletic trainer to join your sports medicine program. Before advertising for this new position, you need to create a position/job description. What should be included in this description? Select all that apply. A. Position title B. Necessary skills C. Job benefits D. Experience required E. Required dress code F. Necessary transportation G. Person to whom the position directly reports H. Job tasks I. Required credentials J. Job responsibilities

A. Position title B. Necessary skills D. Experience required G. Person to whom the position directly reports H. Job tasks I. Required credentials J. Job responsibilities

(Alt 6) When designing a drug testing program, the organization must determine how subjects will be "randomly selected," as this term can be defined in many ways. Which of the following are methods by which subjects are randomly selected for a drug test? Select all that apply. A. Subjects for testing are selected from the pool of scholarship athletes and nonscholarship athletes are eliminated. B. Subjects for testing are selected from the pool of players on a team who have the most playing time and contribute the most to the team. C. Subjects for testing are selected from the pool of subjects who placed high in individual sport championships. D. Subjects for testing are selected from the pool of subjects whose families live in low-income inner city neighborhoods. E. Subjects for testing are selected from the pool of players of a particular sport. F. Subjects for testing are selected from the pool of subjects with an overall grade point average that falls below a set point.

A. Subjects for testing are selected from the pool of scholarship athletes and nonscholarship athletes are eliminated. B. Subjects for testing are selected from the pool of players on a team who have the most playing time and contribute the most to the team. C. Subjects for testing are selected from the pool of subjects who placed high in individual sport championships. E. Subjects for testing are selected from the pool of players of a particular sport.

(Alt 15) To comply with the National Athletic Trainers' Association (NATA) Best Practices Guidelines for Athletic Training Documentation document, each sports medicine program should have in place policies and procedures regarding medical record storage and retention. What should be included in these policies and procedures? Select all that apply. A. System by which all medical records are secured B. Sign-in and sign-out sheet for all persons accessing medical records C. Confidentiality statement signed by all persons with access to medical records D. Name (or title) of person who is the custodian of the medical records E. Notification plan if medical record security is breached F. Statement of how long the medical records are retained

A. System by which all medical records are secured C. Confidentiality statement signed by all persons with access to medical records D. Name (or title) of person who is the custodian of the medical records E. Notification plan if medical record security is breached F. Statement of how long the medical records are retained

(98) You are working at a hospital-based sports medicine clinic. Which of the following organizations would be most likely to visit your clinic during an on-site accreditation visit? A. The Joint Commission B. American Medical Association C. Commission on Accreditation of Rehabilitation Facilities D. Occupational Safety and Health Administration E. Commission on Accreditation and Healthcare Safety

A. The Joint Commission

(108) Which of the following variables should be considered when determining whether an HIVpositive athlete should continue competition? A. The nature and intensity of training and potential contribution of stress from athletic competition B. Potential risk of HIV transmission to others and risk of direct tissue trauma C. Nature and intensity of training and the injury exposure rate of the sport D. The athlete ' s current state of health and his or her family history of autoimmune disease E. Status of HIV infection and ability of the facility to manage blood exposure

A. The nature and intensity of training and potential contribution of stress from athletic competition

(118) Which of the following information-gathering questions posed to your patient during an initial patient evaluation is most appropriately recorded in the "objective" section of your medical documentation? A. "What medications are you currently taking for this condition, and what medications have you taken since the injury occurred?" B. "On average, how many hours of sleep per night are lost due to the pain you are experiencing?" C. "In addition to pain, what other symptoms are you experiencing?" D. "Explain how the injury occurred, including the direction and speed of the impact."

B. "On average, how many hours of sleep per night are lost due to the pain you are experiencing?"

(50) Which of the following statements demonstrates appropriate drug testing specimen handling and chain of custody? A. The athlete should produce the specimen in a single toilet stall with the door closed to protect privacy. B. The athlete should be allowed to observe the handling of the specimen until it is transferred to a sealed bottle and packaged for shipment. C. The athlete must wash hands before and immediately after providing the specimen. D. The athlete must sign the bottle, indicating no one has tampered with the specimen. E. The athlete may not leave the testing area until an adequate specimen has been provided.

B. The athlete should be allowed to observe the handling of the specimen until it is transferred to a sealed bottle and packaged for shipment.

(136) A recently certified athletic trainer is hired in the early summer by an outpatient sports medicine clinic to provide care for student athletes at a local junior college where football preseason begins the first week of August. On a hot and humid afternoon on the seventh day of preseason, when an athlete presents with symptoms consistent with heat illness, the athletic trainer fails to assess and treat the athlete in accordance with the profession ' s standard of care. Knowing the prognosis for the ill athlete is poor and he failed to provide proper medical care, the athletic trainer falsifies all medical documentation related to the incident. By which clause can the athletic trainer ' s employer, the sports medicine clinic, be held liable for the athletic trainer ' s actions? A. Contributory negligence B. Vicarious liability C. Governmental immunity D. Assumption of risk

B. Vicarious liability

(96) An athlete returns from the physician ' s office with orders to obtain an EEG. How would you explain this test to the athlete? A. An electrocardiogram records the electrical activity in the heart. B. An electromyogram measures the electrical activity in a muscle. C. An echocardiogram visualizes the cardiac valves and chambers of the heart. D. An electroencephalogram detects abnormalities in brain wave patterns.

D. An electroencephalogram detects abnormalities in brain wave patterns.

(135) As part of his treatment visit, your patient was administered a 30-minute compression pump treatment. Which of the following accurately represents how this treatment should be documented using CPT codes? A. 97140 (therapeutic modality)—1 unit B. 97016 (compression pump)—1 unit C. 97140 (manual therapy)—2 units D. 97016 (compression pump)—2 units

D. 97016 (compression pump)—2 units

(56) A portion of educational competencies outlined to be taught in Commission on Accreditation of Athletic Training Education (CAATE)-accredited athletic training education programs focuses on foundational behaviors. Which of the following best characterizes foundational behaviors of professional practice? A. Cognitive knowledge that students must master B. Psychomotor skills that students must be able to demonstrate C. Clinical proficiencies that students must be able to apply D. Affective competencies that are infused in all aspects of the education program

D. Affective competencies that are infused in all aspects of the education program

(Alt 7) A sports medicine program has developed a strategic plan to translate its strategic vision into a useful operational plan. Three types of operational plans are policies, processes, and procedures. Place each of the items listed in the table provided according to whether the plan is a policy, a process, or a procedure. A. Distribution of medications B. Screening of athletes for contraindications to fluoroscope evaluation C. Injury recognition D. Organization and administration E. Outside services/second opinions F. Medical records archiving G. List of medical forms to be given to student athlete seeking a second opinion H. Education and counseling I. Method of scheduling an appointment for general medical clinic

Policy: A. Distribution of medications E. Outside services/second opinions F. Medical records archiving Process: C. Injury recognition D. Organization and administration H. Education and counseling Procedure: B. Screening of athletes for contraindications to fluoroscope evaluation G. List of medical forms to be given to student athlete seeking a second opinion I. Method of scheduling an appointment for general medical clinic

(Alt 10) Athletic trainers may become involved in ethical dilemmas either as the primary party or as the third party. Place each of the items listed in the table provided according to whether it is an example of an ethical issue where the athletic trainer is the primary party or an example of an ethical issue where the athletic trainer is the third party. A. Athletic trainer hears through locker room conversations about an athlete who is engaging in potentially harmful high-risk behaviors. B. Athletic trainer sees on social media that team members at her university are selling their university-provided clothing and shoes, which is illegal. C. Athletic trainer supervises an athletic training student who commits a breach of confidentiality. D. Athletic trainer asks athlete to sign a jersey for the athletic trainer ' s nephew to show appreciation for the athletic trainer helping him recover from his injury. E. High school athletic trainer works with a newly hired certified assistant athletic trainer who has started secretly dating a player on the boy ' s baseball team. F. Athletic trainer delays clearing a previously injured but now healthy starting quarterback for competition because the team is winning with the backup quarterback.

Primary Party: C. Athletic trainer supervises an athletic training student who commits a breach of confidentiality. D. Athletic trainer asks athlete to sign a jersey for the athletic trainer ' s nephew to show appreciation for the athletic trainer helping him recover from his injury. F. Athletic trainer delays clearing a previously injured but now healthy starting quarterback for competition because the team is winning with the backup quarterback. Third Party: A. Athletic trainer hears through locker room conversations about an athlete who is engaging in potentially harmful high-risk behaviors. B. Athletic trainer sees on social media that team members at her university are selling their university-provided clothing and shoes, which is illegal. E. High school athletic trainer works with a newly hired certified assistant athletic trainer who has started secretly dating a player on the boy ' s baseball team.