KINE EXAM 4 w 12 use this
Which of the following is a serious concern associated with allergies especially food and insect stings
Anaphylactic shock
Which of the following bacterial infection can lead to amputation, shock, and even death if it is not treated properly and allowed to progress
Cellulitis
Which of the following conditions would you suspect if an athlete reported to the athletic training facility with a slight fever and a hot, painful, swollen hand that appears a glossy and tight
Cellulitis
Match the skin infection with its likely cause
Cellulitis - bacterial Molluscum contagiosum - fungal Herpes simplex - viral Warts - viral Furuncle - fungal Scabies - parasite Tinea cruris - fungal Folliculitis - bacterial Tinea pedis - fungal MRSA - bacterial
Which of the following can you assess to help you determine the severity of the injury if you palpate an athletes hand after an injury
Edema Fracture deformity Changes in skin temperature Lack of bone continuity Crepitus
Which of the following will help prevent further aggravation of an acute case of olecranon bursitis
Elbow padding
If a youth football player exhibits a severe loss of function in both active and resistive motion, which of the following should be ruled out via a referral to a medical clinic
Epiphyseal fracture
A boxers fracture is typically unstable and needs to be referred to an orthopedic surgeon for pinning and the athlete will not return for 4-6 months
FALSE
Acute bronchitis, acute bronchiolitis, sinusitis, and pharyngitis are all typically caused by bacterial infection and will respond with a prescription of antibiotics
FALSE
After a forearm fracture, youth athletes may experience greater soft - tissue damage and greater chance of paralysis due to Volkmanns contracture
FALSE
Diabetic coma can present with rapid breathing and numbness and is best treated with fast acting carbohydrates
FALSE
Furuncles and carbuncles (boils) should be squeezed and popped to aid in healing
FALSE
Golfers elbow is the common name for lateral epicondylitis
FALSE
If an athlete has ringworm infection on their scalp, they should begin medication, but can return to play within 3 - 4 days
FALSE
Insulin shock can be caused by hypoglycemia and often presents with labored breathing and fruity smelling breath
FALSE
It is best to just treat the injury and not the person or athlete as a whole
FALSE
Little League elbow is typically caused by repetitive microtraumas that occur from the type of pitch A youth baseball player is throwing and not the throwing amount.
FALSE
Males typically have a larger carrying angle at the elbow
FALSE
Most of the wrist flexors are innervated by the radial nerve and most of the wrist extensors are innervated by the ulnar nerve
FALSE
Panners disease is the occurrence of osteochondritis dissecans in older adults over 50 years of age
FALSE
Salmeterol is used as a rescue inhaler for an asthma attacked and is used immediately to reduce symptoms
FALSE
Staphylococcus, streptococcus, bacillus, vercuna, and dermatophytes are all types of bacteria that can cause skin infections
FALSE
The best way to clean an abrasion is to use hydrogen peroxide and scrub the tissue
FALSE
The radial side of the forearm receives the majority of blows and contusion due to arm blocks in tackling
FALSE
Tinea is a type of viral infection that can occur on different parts of the body
FALSE
Type one diabetes is insulin - dependent diabetes and typically occurs in individuals over 50 years old
FALSE
Which of the following motions causes the most pain in patients experiencing medial epicondylitis
Forceful, wrist/elbow flexion, forceful gripping
Which of the following is the term for a fracture to the forearm that typically happens to young immature bone?
Greenstick
Which of these sports is most likely to cause forearm splints due to overuse
Gymnastics
Categorize the signs and symptoms of hypoglycemia and hyperglycemia
HYPOGLYCEMIA: - sleepiness - sweating - irritability - lack of coordination -Hunger - pallor HYPERGLYCEMIA -Dry mouth -Increased thirst -Weakness -Frequent urination -Headache -Blurred vision
Which area of the body is most typically infected with the parasite pediculosis
Hair and scalp
Which of the following is infected with a staphylocci infection when a boil develops
Hair follicle
Which of the following landmarks align in a straight line with the elbow extended and form a isosceles triangle when the elbow is flexed to around 45-90 degrees
Olecranon process Medial epicondyle of humerus Lateral epicondyle of humerus
What is the other name for tinea unguium
Onychomycosis
Which of the following is a distinguishing characteristic of wrist tendinitis and tenosynovitis
Pain and weakness with active muscle contraction and isometric resistance as well as pain with passive stretching
Which of the following tendons is used as an autograph to repair a torn ulnar collateral ligament
Palmaris longus
Which of the following is one of the ways to avoid infection and spreading viruses?
Practice social distance of 1.5 meter in crowded areas
Which of the following conditions has symptoms that are reproduced with tight gripping and resisted pronation and also result in numbness in the palm of the hand and digits 1-5
Pronator Teres syndrome
Viral skin infections can often remain dormant for months or years but they can appear because of physical trauma, emotional disturbances, or fatigue
TRUE
When the elbow seems to "catch" and "lock" during motion, the patient might have osteochondritis dissecans or an epiphyseal fracture
TRUE
Wrist exercises that are high repetition and low resistance are the best exercise therapy to address wrist tendinitis or tenosynovitis
TRUE
Wrist sprains are typically minor and resolve easily, but repeated incident may disrupt blood supply to carpals, radius, or ulna and cause fluid accumulation in wrist area especially when arms are held at sides for long periods of time (like hiking)
TRUE
Which of the following is the common name for myositis ossificans that can develop after an improperly treated bicep Brachii contusion
Tacklers exostosis
Which of the following are true about cubital tunnel syndrome?
Tenderness on medial side of elbow with palpation and with hyperflexion of elbow Positive Tinels sign Intermittent paresthesia in 4th and 5th fingers
Match the phases an athlete will often progress through after a season ending injury according to the order they typically occur in.
The athlete adapts to activity restriction and situation - phase 1 The athlete appraises short and long term significance of the injury - phase 2 The athlete experiences emotional - phase 3 The athletes of long-term consequences - phase 4
Why is it wise to avoid anesthetic sprays (pain relievers) on a sunburn if the person has never used these products before
They might be allergic
Match the type of fungal infections with the body part they typically create an infection in
Tinea cruris - groin region Tinea faciei - face Tinea manuum - hands Tinea corporis - anywhere on body Tinea capitis - scalp Tinea pedis - foot Tinea unguium - fingernails or toenails Tinea barbae - beard area or face
Which fungal infection forms multiple, small, circular macules that are pink, brown or white and it commonly occurs on chest, abdomen, and neck
Tinea versicolor
Which of the following is an early symptom of herpes infection or flare up that occurs before skin lesions develop
Tingling or hypersensitivity to the area
What is the surgery commonly called that is used to repair a torn ulnar collateral ligament
Tommy John
Which of the following is a flexion and contracture at wrist where there is general extension of metacarpophalangeal joints, but there is flexion of interphalangeal joints
Volkmanns contracture
Which of the following is an accurate guidelines for return to training for an athlete that has experienced infectious mononucleosis
Wait at least 3 weeks after onset and return if spleen is not enlarged and there is no fever
Which of the following treatment is recommended for Furnuncles, carbuncles and folliculitis and why?
Warm moist compress; increases circulation to area to clear infection
Which of the following techniques can you use to ensure that scabies infection will not reoccur
Wash clothing or bedding and hot water and dry on high heat
Which of the following are techniques to help prevent the occurrence and spread of infection diseases on the skin of athletes
Wash hands frequently Clean surfaces with 1:10 (bleach:water) solution and let it sit on surface prior to wiping off table Shower after working out Do not share towels, athletic gear, or disposable razors Have athletes perform a self skin surveillance check and report any suspicious lesions
Where is the triangular fibrocartilage complex (TFCC) located in the wrist
Within the ulnocarpal joint
Which motions when combined will produce pain and discomfort if an athlete has a triangular fibrocartilage injury
Wrist extension and pronation
there are ____ carpal bones that form ____ rows in your wrist
there are 8 carpal bones that form 2 rows in your wrist
Urticaria in hives are common symptoms when an athlete has been exposed to a substance they are allergic to
TRUE
If an athlete has MRSA on his arm, when can he return to play if the lesion is not draining anymore and if it is covered
72 hours
What is the national suicide in crisis lifeline number?
988
What is a fracture to the carpometacarpal joint of the 1st digit often called
Bennets fracture
Which muscle is the most commonly ruptured muscle in the upper extremity
Biceps brachii
What is a fracture to the 5th metatarsal often called
Boxers fracture
Which of the following anatomical areas often account for the injury, caled little league elbow
Lateral epicondyle Medial epicondyle Radial head
Which of the following are common symptoms and athlete might experience during an asthma attack
Coughing Tight chest Shortness of breath Fatigue Wheezing
Which of the following is the medical term for the carrying angle and what is the average degree for females?
Cubitum valgum, 10-15 degrees
There is a risk for the development of fibrotic tissue and bony calluses if a hematoma is untreated or treated incorrectly in a forearm
TRUE
Which of the following are true about turf burn and other abrasions
Hydrogel dressings work the best to heal Skin appears raw Infections are likely if it is not cleaned and covered Painful
When should you refer an athlete to a physician so they can be assessed for the need for stitches
If they have a laceration that is greater than 1 cm deep
Which of the following is an accurate description of the likely treatment for a triangular fibrocartilage complex (TFCC) injury
Immobilization for at least 4 weeks and surgery if conservative treatment fails to work
Which of the following skin conditions is caused by bacteria and often presents with mild itching but has small vesicles that rupture and form yellowish crust
Impetigo contagiosum
Which of the following are true about DeQuervains disease
Involves the abductor pollicis longus and extensor pollicis brevis It is described as stenosing tenosynovitis Finkelsteins test is used to diagnose
Match the following conditions/diseases with the injury, or the situation that can create it
Kienbock's disease - Avascular necrosis after a lunate dislocation Panners disease - osteochondritis of elbow joint Hoffmanns disease - stenosing tenosynovitis of abductor pollicis longus and extensor pollicis brevis Pressers disease - Avascular necrosis after a scaphoid fracture Dupuytrens contracture - nodules in flexors tendons of 4th and 5th finger Volkmanns contracture - forearm fracture with neurovascular compromise
Which of the following are strategies that can be used to prevent elbow injuries in athletes
Limit the number of repetitions in throwing a baseball or in hitting a tennis ball Ensure that the mechanics of the throwing or hitting techniques are being used correct Select and use equipment that is appropriate for specific skill level Engage in routine, stretching of the muscles in the elbow, forearm, and wrist to maintain flexibility/range of motion
Which of the following carpals is most commonly dislocated
Lunate
There are two very common fractures to the wrist. Match the mechanism of injury and the deformity with the name of the fracture.
MOI is a FOOSH with the wrist in hyper extension - COLLES MOI is a FOOSH with the wrist in hyperflexion - SMITH Dinner (silver) form deformity - COLLES Garden spade deformity - SMITH Distal radius and ulna move to dorsal surface - COLLES Distal radius and ulna move to volar surface - SMITH
Match the following names of finger injuries with the injured tissue
Mallet finger - torn extensor digitorum longus at distal phalanx Boutonnière deformity - rupture of extensor expansion on the dorsal side of the middle phalanx Swan neck deformity - tear of the Volver plate at the proximal interphalangeal joint Jersey finger - rupture of flexor digitorum profundus tendon from distal phalanx
Which of the following nerves is compresses and inflamed in carpal tunnel syndrome
Median
Which of the following structures are you concerned have been harmed in an elbow dislocation and you need to monitor neurovascular status
Median nerve and blood vessels
Which of the following is a poxvirus infection that presents with small flesh or red colored domed papules with central divot and it requires intense cleansing or surgical procedure
Molluscum contagiosum
Which elbow or forearm injury will exhibit more pain with active or resistive motion rather than pain with passive motion
Muscle strain
What areas to onychia and paronychia infect, respectively
Nail bed; lateral nail fold
Which of the following criteria must be met by an athlete with a herpes infection that has been treated with oral antivirals for 14 days
No new vesicles within the last 72 hours No swollen lymph nodes Healed lesions with scabs
What are the nerves that all pass through the elbow area as they innervate the forearm, wrist and hand muscle?
Radial Ulnar Median
Which of the following ligaments stabilize, the proximal radioulnar joint?
Radial collateral
Which of the following are joints that compromise the elbow?
Radiohumeral Ulnohumeral Proximal radioulnar
What are the skins functions?
Regulates body temperature Protection from environment Maintenance of body's fluid balance Production of vitamin D Protection against disease organisms
Which of the following injuries can have a full recovery of 18 to 24 months before return to play
Repaired ulnar collateral ligament
Which of the following is likely to cause osteochondritis dissecans in the elbow
Repetitive motion that creates compression of the radial head and shearing of the radiocapitellar joint
Which of the following injuries would you suspect if an athlete fell on an outstretched hand and has pain and swelling in the anatomical snuff box?
Scaphoid fracture
Trigger finger is caused by repeated flexion motion of fingers which causes irritation, inflammation, and thickening of the tendon sheath so the tendon doesn't slide easily and it catches in pops
TRUE
What are the common mechanism that caused turf, road rash, and ice burn
Scraping Shearing Friction
Where is the viral infection called verruca plantaris often located and what is a common treatment
Sole of foot; frozen with liquid nitrogen
Which organ experiences enlargement due to infectious mononucleosis
Spleen
Which of the following describes the injury called gamekeepers thumb
Sprain of the Ulnar collateral ligament of the 1st metacarpophalangeal joint
Categorize the listed actions as either recommended or not recommended by psychologist for youth sports athletes
THINGS ADULTS SHOULD DO: - allow children to be interested and want to play whatever sport he or she choose - be willing to let children make his/her own mistakes and learn from them - model flexibility of your own opinions THINGS ADULTS SHOULD NOT DO: - expect perfection or tie your ego or image to the children's performance - Try to relieve your youth through children - blame the equipment, coach, other players, referees or even the weather if the team does not do well or win
A colles or smith fracture to the wrist will likely result in 3-4 month recovery
TRUE
A gunstock deformity is the common name for cubitum Varum
TRUE
An athlete can exercise as tolerated if they suffer from pollinosis
TRUE
Athletes can experience psychological stress which can lead to injuries
TRUE
Athletes with skin infections should not return to competition if a skin lesion is still draining and it is not feasible to cover it with pre-wrap and tape
TRUE
Blood glucose level is higher than 200 mg/ml that are sustained for longer periods of time can damage the heart, kidneys, eyes and blood vessels
TRUE
College athletes have unique psychological pressures as they have academics, time constraints, living arrangements, life stress, and economic hardships, including interactions with parents, coaches, and teammates
TRUE
Community acquired methicillin-resistant staphylococcus aureus (CA-MRSA) become a rapidly emerging, problematic infection
TRUE
Dupuytren's contracture happens with nodules develop palmar aponeurosis, limiting finger extension: ultimately causing flexión deformity
TRUE
Facial lacerations are concerned because of infection and potential for scarring
TRUE
Folliculitis tends to occur in areas of the body that remain warm and moist and may be compressed by clothing or other athletic equipment
TRUE
Forearm splints can develop into compartment syndrome and treatment should avoid compression
TRUE
Fungal infections can be treated with ointment, powders or oral anti-fungals
TRUE
If a 16 year old is pitching in a youth baseball game and throws 90 pitches then they should rest at least three days before pitching again
TRUE
If an athlete has a Lunate dislocation and you have her make a fist, her third knuckle will likely appear "sunken" down and level with the 2nd and 4th knuckle
TRUE
If chronic overuse problems seem to be developing in the elbow, the athlete should take some time off and give the injury a chance to heal
TRUE
If you suspect an athlete has a bacterial skin infection, they can take leftover antibiotics prescribed when they had a sinus infection
TRUE
Impetigo contagiosa is very contagious and an athlete should not return to sport until they have started the antibiotic treatment and the wound is covered
TRUE
Infectious mononucleosis is called the "kissing disease" and is caused by the Epstein-Barr virus and transmitted through saliva
TRUE
It is recommended to wait 10 - 14 days prior to returning to sport after developing a herpes infection even though you're taking oral antivirals
TRUE
It takes around 20 minutes after an exercise bout finishes for the signs and symptoms of exercise - induced asthma or exercise - induced broncospasm to be triggered
TRUE
Lateral epicondylitis is often caused by athletes using too large of grip on racket or club or using a grip that is too small
TRUE
Mallet finger and boutonniere deformities are splinted in extension for 5-8 weeks in order to correct deformity
TRUE
Many athletes experience depressive symptoms as a result of competitions or injuries but not as many are able to access treatment at their university
TRUE
Pneumonia can develop after acute bronchitis and can be caused by viral, bacterial, or fungal infection
TRUE
Posterior dislocation of the elbow is the most common direction in injury because of the FOOSH mechanism with the elbow in slight flexion
TRUE
Pseudofolliculitis barbae is caused when a hair grows from a follicle but curves back into the skin to cause a reaction so there's no infectious agent
TRUE
Scabies presents as papules on skin and produces extreme nocturnal itching
TRUE
Soaking your finger or toe in a hot water solution with betadine or boric acid are effective treatments for onychia and paronychia
TRUE
Stable fractures of the elbow typically do not require surgery
TRUE
Sunburn has one clinical phase as it reddens immediately and doesn't get any worse over the next 24 hours
TRUE
The hand has a very unique pulley system associated with the muscular tendons and this is why your hand has both strength and fine motor coordination
TRUE
The skin is the largest organ of the body
TRUE
The transverse carpal ligament is often decompressed or removed during carpal tunnel surgery
TRUE
The triangular fibrocartilage complex (TFCC) is comparable to a labrum or a meniscus but it is in your wrist
TRUE
The wrist has radial and ulnar collateral ligaments to stabilize as well as Palmer and dorsal ligaments.
TRUE
Which of the following increases peripheral insulin absorption and enhances glucose tolerance so blood sugar will remain low
Vigorous exercise
Which of the following conditions can be confused with asthma symptoms?
Vocal cord dysfunction and exercise induced laryngeal obstruction
