Athletic Training: Quiz/Exam 3

Which THREE are necessary prior to concussion return to play? A. Athlete must be cleared by a physician. B. Athlete must have symptoms that have resolved back to baseline. C. Athlete must complete a 7-step return to play protocol. D. Athlete must have less than three past concussions

A. Athlete must be cleared by a physician. B. Athlete must have symptoms that have resolved back to baseline. C. Athlete must complete a 7-step return to play protocol.

The cervical position which results in the most severe cervical spine injuries is... A. Axial load B. Cervical hyperextension C. Cervical hyperflexion D. Cervical hyperextension combined with rotation

A. Axial load

Ulnar collateral ligament elbow injury is most common in: A. Baseball pitchers B. Softball pitchers C. Baseball catchers D. Softball catchers

A. Baseball pitchers

An athlete returns for pre-season in August and reports that he has to have surgery on his finger. He ruptured his extensor digitorum tendon over the middle phalanx during the final spring practice and did not report the injury. He now has a rigidly flexed proximal interphalangeal joint and an extended distal interphalangeal joint. What is this injury/deformity referred to as? A. Boutonneire deformity B. Mallet finger C. Jersey finger D. Gamekeeper's thumb

A. Boutonneire deformity

An athlete punched the bench in frustration after yesterday's game. Twenty-four hours later, she presents with pain, significant swelling and discoloration on the ulnar side of the hand as well as a depressed knuckle of the 5th metacarpal. This injury is commonly referred to as what? A. Boxer's fracture B. Colles' fracture C. Smith's fracture D. Jones fracture

A. Boxer's fracture

A figure 8 brace is utilized to immobilize which shoulder injury? A. Clavicle fracture B. Humerus fracture C. Sternoclavicular joint sprain D. Acromioclavicular joint sprain

A. Clavicle fracture

A student reports to you that another student has fallen during physical education class. He fell directly on his shoulder/acromion process and reported feeling a crack. He reports severe shoulder pain. You see evidence of a deformity at the diaphysis of the clavicle when comparing the right side to the left side. What condition to you suspect? A. Clavicle fracture B. Humerus fracture C. Sternoclavicular joint sprain D. Acromioclavicular joint sprain

A. Clavicle fracture

The olecranon bursa is the most commonly injured bursa in the: A. Elbow B. Forearm C. Wrist D. Hand

A. Elbow

The injury caused by bleeding from meningeal artery damage secondary to head injury; causing rapid bleeding, rapid worsening of concussion symptoms and deterioration of consciousness; a life threatening injury that requires emergency care and surgery is referred to as: A. Epidural hematoma B. Subdural hematoma C. Cerebral contusion D. Concussion

A. Epidural hematoma

A softball catcher is struck in the thumb by a pitch, forcing the thumb into valgus position. Upon evaluation the next morning, she is swollen and the thumb is discolored. You find laxity in the ulnar collateral ligament of the thumb and pain with pinch grip. This injury is commonly referred to as: A. Gamekeeper's thumb B. Mallet finger C. Jersey finger D. Boutonneire deformity

A. Gamekeeper's thumb

The best means of preventing permanent deformity of the ear, "cauliflower ear" include which THREE of the following: A. Immediate referral for aspiration/packing B. Immediately stop activity when "hot spot" occurs C. Wear appropriate head gear/ear protection to prevent D. Stop activity temporarily and ice 20' three times per day

A. Immediate referral for aspiration/packing B. Immediately stop activity when "hot spot" occurs C. Wear appropriate head gear/ear protection to prevent

A brachial plexus causes each of the following statements to be true EXCEPT FOR ONE, which of the following is not true of a brachial plexus injury? A. Limited cervical motion B. "Dead arm" sensation occurs C. Sensory and motor symptoms return to normal within several minutes to hours/days. D. Athlete is capable of returning to participation once motion and strength return to normal, MD exam necessary if injury occurs again.

A. Limited cervical motion

Medial epicondylitis is commonly referred to which of the following (choose three): A. Little league elbow B. Racquetball elbow C. Golfer's elbow D. Tennis elbow

A. Little league elbow B. Racquetball elbow C. Golfer's elbow

A student-athlete reports with lower back pain after lifting a mini-refrigerator. He states that he lifted with straight legs and rotated to put it onto a table. He has localized lower back pain, pain when extending, and has pain standing straight without pain. He has no pain, numbness or tingling in his legs or feet. He is most likely describing which injury? A. Lumbar muscle strain B. Lumbar ligament sprain C. Lumbar herniated disk D. Sciatica

A. Lumbar muscle strain

An athlete is struck in the tip of the finger by a ball which ruptures the extensor tendon. This injury needs to be splinted 24 hours per day for 6-8 weeks. This injury is referred to as: A. Mallet finger B. Jersey finger C. Boutonneire deformity D. Gamekeeper's thumb

A. Mallet finger

Ulnar nerve injuries cause numbness and tingling in which of the following areas? A. Numbness and tingling in the 4th and 5th digits. B. Numbness and tingling in the lateral wrist and thumb. C. Numbness and tingling in digits 2 through 4. D. Numbness and tingling in the distal forearm.

A. Numbness and tingling in the 4th and 5th digits.

This injury is from direct trauma to the eye, often from a ball. The patient cannot look down and the eye appears to be lower than the uninjured side. Swelling, hemorrhage, numbness, pain and diploplia are experienced. This injury is referred to as: A. Orbital fracture B. Zygomatic bone fracture C. Nasal bone fracture D. Skull fracture

A. Orbital fracture

Elbow ulnar collateral ligament injury includes which of the following signs/symptoms (select three): A. Pain and difficulty gripping the ball/throwing B. Loss of velocity when throwing C. Loss of location when throwing D. Pain in the lateral aspect of the elbow.

A. Pain and difficulty gripping the ball/throwing B. Loss of velocity when throwing C. Loss of location when throwing

Which THREE are true of a rib fracture? A. Pain occurs with laughing, coughing, sneezing or movement. B. Fracture is most common in ribs 5-9. C. Suspected fracture should always be referred to an MD by evaluation. D. It is safe to participate in collision sports with a diagnosed rib fracture.

A. Pain occurs with laughing, coughing, sneezing or movement. B. Fracture is most common in ribs 5-9. C. Suspected fracture should always be referred to an MD by evaluation.

The pleural cavity fills with air secondary to a thorax injury. This causes the lung on the injury side to collapse. This is referred to as a: A. Pneumothorax B. Spontaneous pneumothorax C. Hemopneumothorax D. Tension pneumothorax

A. Pneumothorax

Which shoulder articulation is not a true joint? A. Scapulothoracic B. Sternoclavicular C. Glenohumeral D. Acromioclavicular

A. Scapulothoracic

A gymnast complains of lower back pain that started a month ago. She reports pain and stiffness during practice, particularly when doing a lot of extension exercises. She states that her pain is dull, achy and throbbing at rest, including at night. She has tried to "pop" her back but it does not relieve her pain. She reports pain when she extends her spine, but has no pain with rotation or flexion. What do you suspect as her injury? A. Spondylolysis/stress fracture of the pars interarticularis/lumbar stress fracture B. Lumbar strain C. Lumbar herniated disk D. Sciatica

A. Spondylolysis/stress fracture of the pars interarticularis/lumbar stress fracture

Lateral epicondylitis is commonly referred to as: A. Tennis elbow B. Little League elbow C. Racquetball elbow D. Golfer's elbow

A. Tennis elbow

Post-concussion syndrome is defined as a continuation of concussion symptoms that lasts longer than ______________________. A. Three weeks B. Three months C. One week D. 24 hours

A. Three weeks

Prevention of injury to hollow abdominal organs includes which THREE of the following: A. Wearing properly fitted and maintained protective equipment B. Avoid unsuspected abdominal trauma, or brace prior to abdominal trauma C. Eat four or more hours prior to activity and void bladder prior to activity D. Maintain proper hydration

A. Wearing properly fitted and maintained protective equipment B. Avoid unsuspected abdominal trauma, or brace prior to abdominal trauma C. Eat four or more hours prior to activity and void bladder prior to activity

An athlete grabbed an opponent's jersey during play and ruptured the flexor digitorum profundus tendon in his finger. Surgery is indicated for repair. This is commonly referred to as: A. Mallet finger B. Jersey finger C. Boutonneire deformity D. Gamekeeper's thumb

B. Jersey finger

A bleb of lung tissue ruptures spontaneously causing air to fill the pleural cavity, resulting in collapse of the lung. This is referred to as: A. Pneumothorax B. Spontaneous pneumothorax C. Hemopneumothorax D. Tension pneumothorax

B. Spontaneous pneumothorax

Which shoulder articulation is the only one that connects the upper extremity directly to the trunk? A. Scapulothoracic B. Sternoclavicular C. Glenohumeral D. Acromioclavicular

B. Sternoclavicular

A head injury that causes damage to venous blood vessels that bridge the dura mater and the brain. This bleeding is relatively slow and causes increase in symptoms and deterioration hours after the injury has occurred. This is a life-threatening injury and requires emergent care and surgery. This is referred to as: A. Epidural hematoma B. Subdural hematoma C. Cerebral contusion D. Concussion

B. Subdural hematoma

Rotator cuff musculature aid in strengthening and stabilizing which shoulder articulation? A. Scapulothoracic B. Sternoclavicular C. Glenohumeral D. Acromioclavicular

C. Glenohumeral

A combination of air and blood in the pleural cavity, secondary to trauma, is called a: A. Pneumothorax B. Spontaneous pneumothorax C. Hemopneumothorax D. Tension pneumothorax

C. Hemopneumothorax

This injury is from direct trauma to the nose, either anteriorly or laterally. Immediate swelling and discoloration occur, epistaxis is often profuse. Lateral trauma creates more deformity. This injury is most likely a: A. Orbital fracture B. Zygomatic bone fracture C. Nasal bone fracture D. Skull fracture

C. Nasal bone fracture

A rugby player complains of anterior chest pain after falling on an outstretched hand the week prior. She said there was some pain the day that the fall happened, but is concerned about the swelling that has developed. The swelling is in a synovial pattern, like a small balloon under the skin and is where the sternum and clavicle articulate. She's had to modify her activity and has had to modify contact during practice, she has not played in a game. What condition do you suspect. A. Clavicle fracture B. Humerus fracture C. Sternoclavicular joint sprain D. Acromioclavicular joint sprain

C. Sternoclavicular joint sprain

Which injury can be life threatening if the joint is dislocated posteriorly? A. Clavicle fracture B. Humerus fracture C. Sternoclavicular joint sprain D. Acromioclavicular joint sprain

C. Sternoclavicular joint sprain

A lacrosse player complains of shoulder pain. He fell and landed on his shoulder during practice yesterday. He complains of anterolateral left shoulder pain. He states that he could not lie on that side when trying to sleep last night. He cannot lift his arm above 90 degrees of abduction. Observation reveals diffuse swelling at the AC joint but no deformity. He cannot reach across his body to scratch his opposite shoulder. He is holding his thumb in his belt loop to rest his arm. What condition do you suspect? A. Clavicle fracture B. Humerus fracture C. Sternoclavicular joint sprain D. Acromioclavicular joint sprain

D. Acromioclavicular joint sprain

If a pneumothorax is not corrected, the pleural cavity continues to fill with air and displaces the heart and lungs toward the opposite side. This is referred to as a: A. Pneumothorax B. Spontaneous pneumothorax C. Hemopneumothorax D. Tension pneumothorax

D. Tension pneumothorax

A Smith's Fracture is a fracture of the distal radius which visually forms a "dinner fork deformity". True or False?

False

Biceps tendonitis is most common at the distal insertion of the biceps tendon. True or False?

False

Deformity always occurs immediately after an acromioclavicular joint sprain. True or False?

False

It is safe to travel by airplane if you have a tympanic membrane rupture. True or False?

False

The main stabilizers of the scapulothoracic articulation are ligament and tendon. True or False?

False

There is one widely accepted definition of concussion which is defined and recognized by all medical professions. True or False?

False

A hyphema is defined as blood in the anterior chamber of the eye, secondary to eye trauma. True or False?

True

A patient reports to you with shoulder pain after a fall. She reports aching and throbbing in the posterior aspect of her shoulder, she has a painful arc of motion in abduction and an inability to hold her arm at 90 degrees of abduction. She reports aching and throbbing at rest as well as at night when sleeping. She has pain with activity as well. She thinks that she may have strained a rotator cuff muscle. Do you agree? True or False?

True

A serious consequence of olecranon bursitis is infection of the bursa. True or False?

True

Anterior shoulder dislocations are the most common type of shoulder dislocation. True or False?

True

Boardlike abdominal rigidity is a sign of severe visceral internal abdominal injury. True or False?

True

Cervical fracture dislocation injuries are a cause of quadriplegic neurological paralysis. True or False?

True

Epistaxis can be spontaneously stopped by striking the heel of the foot on the same side as the bleed, but evidence states that direct pressure, forward lean and packing are most efficient ways to stop bleeding. True or False?

True

Grade 3 rupture of the acromioclavicular joint ligaments causes deformity that indicates that the clavicle has elevated away from the acromion process. True or False?

True

Rotator cuff strains are most common in athletes over 40 years of age. They are uncommon in high school and college aged student-athletes. True or False?

True

Scapular dyskinesis and a winging scapula are two examples of conditions that negatively impact proper scapular motion. True or False?

True

Second impact syndrome is defined as head trauma occurring prior to recovery from prior concussion. The brain is unable to continue to regulate pressures which results in cerebral edema and death. This is not reversible and is fatal. True or False?

True

Shoulder abduction and external rotation (i.e. the position of risk) is the most common mechanism of injury for an anterior shoulder dislocation. True or False?

True

The liver is the visceral organ that is enlarged and vulnerable to injury during mononeucleosis infection. True or False?

True