Sports Medicine Semester 1 Final

Steps for helmet fitting

1. Labels on outside of the helmet (issued date, warning, recertification) 2. Wet hair and same style as it will be during the season 3. Measure circumference of head above ears 4. Once helmet is on check if you can poke their ears directly through the holes 5. 1-2 fingers above the eyebrows 6. 2-4 from nose to face was, 7. 4 point chinstrap is centered and tight 8. Covers base of skull, doesn't run into cervical spine when athlete bends head back 9. Helmet doesn't shift when you push down, athlete doesn't collapse in upper body when you push down

When applying an elestic wrap to manage a quadriceps contusion, a ______ should be placed over the injured site.

1/2 inch felt pad, 1/2 inch foam pad, doughnut pad, NOT orthoplast

Notre dame high school address

13645 riverside drive Sherman oaks ca 91423

Maximal loss in taping restrictions for both inversion and eversion has been found to occur after how many minutes of exersize

20 minutes

Range of motion is measured quantitively with

A gonimeter

The use of ________ prior to tape application will permit nonelastic tape to stick better to the skin.

Adherent

Lace up ankle braces are designed to limit which motions

All ankle motions

In an athletic program, what is not a role of the team physician?

Apply therapeutic modalities

During initial evaluation of an athlete who complains of breathlessness you find the athlete to have wheezing- like breathing. What might this indicate?

Asthma

Failure to receive informed comment from an athlete could result in a

Battery

Softball and baseball helmets must:

Be a double ear flap design

Which of the following terms refers to a structure on both sides of the body or the body

Bilateral

BOC

Board of certification

Shoulder pad fitting steps

Cantilever system, laces tightened to point where athlete can tolerate it (front and back), cover sternum, cover spine and upper back muscles / bones, when athlete lifts up arms it should not choke, 2 fingers allowed underneath straps (very tight), don't overlap front and back pads

Individuals diagnosed with lateral epicondylitis often use this type of brace to protect the elbow

Counterforce brace

In fitting shoulder pads, it is important to make certain that the shoulder cups

Cover the entire deltoid

Chichester of the following professionals should be available to provide immediate support to the primary sports team?

Dentist

The sensory component of a nerve root is tested using a

Dermatome

Certification

Differs from within a state than from an athletic trainer

When taping for a hyperflexion injury to the metatarsalphalangeal joint, support tape strips are applied to the _____ aspect of the toe.

Dorsum

What best illustrates a diagnostic sign

Edema

The purpose of the Achilles tendon taping is to limit

Excessive plantar flexion, excessive dorsiflexion

True or false- dense foam over a bruised area will not absorb high levelcimpact forces as effectively as softer foam

False

True or false- high velocity low impact forces occur when a football running back is tackled to the ground by a defensive player

False

True or false- hypothesis is characterized by a loss of sensation

False

True or false- if an athlete provides their own protective equipment, the athletic trainer is not responsible for ensuring that it fits correctly and maintained properly

False

True or false- nonelastic wraps are equally as effective as nonelastic tape in providing support for an individual returning to play after a mild ankle sprain.

False

True or false- normal respiration for a child is 10-25 respirations per minute

False

True or false- systolic pressure is the residual pressure that exists in the arteries when the heart is at rest

False

True or false- when applying tape, areas sensitive to friction should be covered with additional tape adherent.

False

Team physician

Have an unrestricted medical license, be an MD or DO, general knowledge about sports medicine and injuries

Explain the steps you would take to tape someone complaining of shin pain

Have the student stand up Medial or lateral pain? From where to where is the pain, proximal to distal length If lateral- begin taping upside down starting on medial side and wrap around to lateral side and pull up before put the tape down Vice versa for medial Gradually change angle from mountain, to straight line, to V No shadows!!

The leading cause of loss of counciousness in a sports activity is

Head injuries

A bluish cast seen in the mucous membranes of a dark skinned person might indicate

Heart failure or respiratory disorder

Materials that absorb energy from high-impact intensity levels through deformation called

High density materials

What does the acronym hops stand for? Describe what the athletic trainer does for each part of this evaluation format.

History- ask about previous injures, what happened, hear a hop?, symptoms and signs? Observation- evaluate situation and determine injury based on symptoms Palpation- check for circulation, point tenderness Special testing- MRI, CT scans, other special tests to determine injury

Misfeasance

If an athletic trainer suspects a neck injury and improperly secures the head and neck region spine board, the athletic trainer could be liable

Malfeasance

If an athletic trainer suspects a neck injury and removes the helmet, the trainer could be held liable

Explain the preparation of a body prior to the application of tape.

If the student is hairy, shave the area you'll be taping or use prewrap Check for wounds and cover them if needed Clean the are, dry skin If the area is sensitive to friction, spray tough skin to make the tale stick better Student and trainer must be in proper positions to tape

Informed consent

Implies that injured party has been reasonably informed of the needed treatment

Registration

In some states athletes intending to practice athletic training must register with the governmental agency

When applying a groin wrap for an adductor strain, the heel is elevate on a taping block and the hip is

Internally rotated

Hypermobile individuals tend to be more susceptible to

Ligament sprains

When asking about the characteristics of symptoms, the athletic trainer should determine

Location, onset, severity, frequency, duration

An excellent tool for visualizing the CNS, musculoskeletal system and cardiovascular system is an

MRI

Scrict liability

Makes manufactures liable for anything that goes wrong with a piece of equipment

The most important tool of the PPE is the

Medical history

NATA

National athletic trainers association

Questions concerning head injury, unconsciousness, repeated hapeadaches, seizures, and unexplained muscle weakness are a part of

Neurological examination

An athletic trainer suspects that a football player has a neck injury but does not use a rigid backboard to stabilize the individual. What type of legal liability could result from the athletic trainers actions?

Nonfeasance

Visual analysis of overall appearance, symmetry, general motor function, posture, and gait is called

Observation

Gross negligence

Occurs when an individual has total disregard for the safety of others

When applying a taping technique for a wrist hyperextension injury, the supportive strips are placed over the _______ of the hand.

Palmer aspect

An abnormal sensation characterized by numbness, tingling, or a burning sensation is called

Parasthesia

Movement of an affected part by another person or device without effort by the athlete is _____ execise

Passive

Good Samaritan laws

Person providing emergency care acts during an emergency, acts in good faith to help the victim, acts without expected compensation, does not deviate from first aid protocol

The substance used to construct clear face guards and protective eye wear is

Polycarbonate

The immediate assessment occurring on the field when a life threatening injury is present is called

Primary survey

Knee braces designed to protect the medial collateral ligament are called

Prophylactic

The open basket weaving taping is used to

Provide compression

What does the BOC do?

Provides exceptional credential along programs for health care professionals

PERL

Pupillary equalamd reaction to lights, tests pupillary responses

Which of the following Is NOT considered a vital sign

Pupillary response to light

Hyperventilation is characterized by

Rapid and deep breathing

Decreased skin temperature on palpationcof an injury site could indicate

Reduced circulation

Which of the following would require an immediate summons of EMS

Severe heat illness

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

Sit ups

When applying a taping technique for arch support, the patients foot should be placed on a position of

Slight dorsiflexion

When removing tape...

Special scissors, pull tape in direction of natural hair growth, use lubricant on scissors to make this process easier, cut away from skin and do not put pressure on injured area, CLEAN CUT, slowly and carefully

Work settings for athletic trainers

Sports med clinics, secondary schools, colleges and universities, professional sports, physician practices, industrial and occupational settings, endless possibilities

Liscensure

Strictest form of state regulation and therefore is the most effective means of protecting the public

What does the acronym SOAP stand for? Describe the information that would go in each section of this documentation.

Subjective- headaches?, history Objective- inspection, observation,cpalpation, testing Assessment- determine what the athlete can and cannot do with the injury Plan- plan for rehabilitation, ex- single leg raises BID

Which of the following is true concerning contact lens use while swimming?

Swimmers should wear goggles with or without contacts while swimming

A football athlete has sustained a fracture to his lower arm. 2 weeks postinjiry the athlete is allowed to prarticipate. Which of the following must be done for this athlete to participate.

The cast must be covered by at least 1/2 inch closed cell foam

The advantages of having an individuals primary care physician administer a PPE include all the following except

The cost of the exam

Which of the following best illustrates a symptom

Tinnitus

What does an epi-pen do?

Treats people with deathly allergies

True or false- a myotome is a group of muscles primarily innervated by a single nerve root

True

True or false- a potential advantage of neoprene is its ability to provide therapeutic heat

True

True or false- an emergency action plan for any facility should be development cooperatively by the facility manager, athletic trainer, sports supervisor, and physician working together with the local emergency medical service

True

True or false- clinicians have an ethical responsibility to keep accurate and factual records

True

True or false- examples of high density material include orthoplast, thermoplastic, fiberglsss, and plaster

True

True or false- ideally the PPE should be done 6 weeks before the start of any practice session.

True

True or false- if prevention of hyperflexion of the great toe is desired, support talenstrips are applied to the dorsum part of the foot.

True

True or false- in most taping techniques, each subsequent strip of tape should overlap the previous strip by 1/2 to 1/3 the width of the tape.

True

True or false- prior to fitting a helmet, the hair should be styled in the manner worn during the athletic season and should be wet to simulate game conditions

True

True or false- the preparticipation exam should,determine the general health,maturity, and fitness level of an individual and detect those at risk for injury or those who may have conditions that may limit participation.

True

True or false- the primary complaint is what the injured individual believes may be the current problem

True

True or false- the pupils are extremely sensitive to conditions that affect the CNS

True

True or false- visual acuity is best tested using a snellen chart

True

True or false- when measuring blood pressure the bladder on the cuff should encircle and cover 2/3 of the length of the arm

True

The face mask on a football helmet should extend _______ finger widths away from the foregead and nose

Two three or four

Procedure for taking a pulse

Use 2 fingers (index and middle) to locate pulse, NOT thumb because your thumb has a pulse, count how many beats the person has in 15 seconds and multiply that by 4 (per 60 seconds)

Malpractice

When an individual commits a negligent act while providing care

Forseeability of harm

When danger is apparent or should have been apparent resulting in a unreasonably unsafe condition

Explain the steps to properly find a persons blood pressure using a sphygmomanometer

Wrap bladder around 2/3 of patients arm (not too tight), find pulse and put the stethoscope where the pulse was located, make sure sure pump is twisted all the way to the right and then pump it until you reach abput 200, slowly Eat the air out and listen for the first and last beats (systolic first beat/ diastolic last beat)

Expressed warranty

Written agreement that equipment is safe to use

Implied warranty

manufactures build things based in if they can be used for athletes and be safe for them