BOC Domain III Task 2
Which of the following best describes a catastrophic injury or illness? a.) A sudden death or injury ism which there is life-altering physical/or mental impairment. b.) A sudden death or injury that results in paralysis. c.) An injury that terminates and athlete's sports participation. d.) An injury that results in criminal and/or civil legal actions. e.) An injury that permanently disables an aspect of the CNS.
a.) A sudden death or injury ism which there is life-altering physical/or mental impairment.
While conducting a secondary survey, an athletic trainer assesses the pupils of the patient. The patient is asked to follow the examiner's finger as it moves in different directions using just his eyes. What should be assessed in this portion of the evaluation? a.) Ability of the eyes to accommodate by pupils moving simultaneously and smoothly. b.) Ability of the pupil to react to the changes in light it is taking in as it moves. c.) Ability of the pupil to constrict as the finger moves in different directions. d.) Ability of the pupils to remain an equal size as they move in different directions.
a.) Ability of the eyes to accommodate by pupils moving simultaneously and smoothly.
Which of the following recommendations is in alignment with the Inter-Association Task Force for Preventing Sudden Death in Secondary School Athletes? a.) An AED should be on-site and accessible within 1 to 3 minutes for all organized athletic activities. b.) A resting ECG should be obtained for all secondary school athletes to make clearance decisions. c.) Sports drinks should be available for all practices in hot environments to reduce the risk of exertional heat illness. d.) Athletes with suspected concussion can return to activity the same day if cleared through objective concussion testing and reviewed by the school nurse and/or physician.
a.) An AED should be on-site and accessible within 1 to 3 minutes for all organized athletic activities.
Following a yelling and screaming episode, a basketball coach appears confused. He drops the pen from his clipboard, begins to slur his speech, and complains of numbness and weakness on the right side of his face. What condition should be suspected, and how is this condition best treated? a.) Cerebrovascular accident; activate EMS; and encourage the coach to remain calm. b.) Myocardial infarction; activate EMS, and provide a low-dose aspirin to the coach c.) Transient ischemic attack; provide a low-dose aspirin, and instruct him to call his physician d.) Supraventricular tachycardia; instruct the coach to lie supine and monitor him for shock e.) Deep vein thrombosis; provide a glucose beverage, and reassess vital signs every 10 minutes
a.) Cerebrovascular accident; activate EMS; and encourage the coach to remain calm.
A football player sustains an acute cervical spine injury during a game. The EAP is activated, and the athlete is spine boarded for transport to an emergency medial facility for evaluation and treatment. On arrival the EMS provider asks which local hospital you would like to use. Which of the following facilities would provide the medical professionals that are best equipped to manage this injury from evaluation through the treatment and rehabilitation process? a.) Level I trauma center b.) Level II trauma center c.) Level III trauma center d.) Level IV trauma center e.) Level V trauma center
a.) Level I trauma center
Which EMS provider has training and authority to provide advanced airway support, perform invasive procedures such as IV placement, and administrator medication under the supervision of a physician as part of his or her scope of practice? a.) Paramedic b.) Emergency medical technician c.) Basic life support provider d.) Emergency medical responder
a.) Paramedic
A wrestler is visibly uncomfortable and complains of scrotal swelling, abdominal pain, nausea, and unilateral testicular tenderness. He reports no trauma, tells you he woke up with the symptoms this morning, and says it feels like his left testicle is not in the right place. You ask him to elevate the involved testicle, but no relief is noted. What condition should you suspect, and what is the most appropriate immediate care? a.) Testicular torsion; refer immediately to the team physician or emergency department b.) Testicular torsion; apply ice and attempt manual reduction after area is numb c.) Epididymitis; refer to the team physician for antibiotic prescription d.) Epididymitis; apply ice and notify the coach that he will be unable to practice today e.) Hydrocele; the athlete should be scheduled to see the team physician later in the day
a.) Testicular torsion; refer immediately to the team physician or emergency department
An athlete sustains a head injury. During the evaluation of the athlete, the halo test is positive. What does this indicate, and what steps should be taken to manage this injury. a.) The athlete is leaking cerebrospinal fluid and should be referred immediately for evaluation of possible skull fracture. b.) The athlete is bleeding from a skull fracture and should be referred immediately. c.) The athlete has an epidural hematoma, and EMS should be called for immediate transport. d.) The athlete has a concussion and should be monitored and reassessed every 20 minutes. e.) The athlete has sustained a nasal fracture that involves the sinuses and should be referred to an ear, nose, and throat specialist.
a.) The athlete is leaking cerebrospinal fluid and should be referred immediately for evaluation of possible skull fracture.
A football player conditioning during a summer workout collapses. Which of the following factors suggest the athlete is suffering from an exertional sickling crisis? a.) The collapse occurs early in the workout, and the athlete's core temperature is not greatly elevated. b.) The collapse is associated with visible, rock-hard muscle contractions. c.) The athlete's rectally assess core temperature is above 106 F at collapse. d.) The collapse is associated with excruciating pain and occurs late in the conditioning session.
a.) The collapse occurs early in the workout, and the athlete's core temperature is not greatly elevated.
A spectator collapses during a college basketball game. The EAP is activated, and EMS is en route. Which staff member would be in the best position to meet and direct EMS personnel to the location of the emergency? a.) The facility manager b.) The athletics director c.) One of the coaches d.) An athletic training student
a.) The facility manager
Which type of splint is indicated for stabilization of long-bone fractures because it limits spasm of surrounding musculature that might negatively impact fracture alignment? a.) Traction splint b.) Dynamic splint c.) Vacuum splint d.) Air splint
a.) Traction splint
Which of the following best characterizes a simple partial epileptic seizure? a.) Impairment of consciousness alone or in association with purposeful movements such as automatism. b.) A brief bout of uncontrolled shaking of the limbs on one side of the body and no loss of consciousness. c.) A brief bout of uncontrolled shaking of the limbs bilaterally and no loss of consciousness. d.) A brief bout of uncontrolled shaking of the limbs with a loss of consciousness. e.) Total body convulsions with a loss of consciousness.
b.) A brief bout of uncontrolled shaking of the limbs on one side of the body and no loss of consciousness.
An athlete who has just completed running a marathon on a hot and humid late summer day is demonstrating signs and symptoms of exertional hyponatremia. What is the physiological cause of this condition and its associated clinical presentation? a.) A decrease in serum or plasma chloride concentration b.) A decrease in serum of plasma sodium concentration c.) An increase in serum of plasma potassium concentration d.) An overall increase in serum or plasma volume
b.) A decrease in serum of plasma sodium concentration
In accordance with the NCAA Inter-Association Consensus Statement on management of concussion, what is the standard procedure for management of a student athlete diagnosed with concussion? a.) An athlete should be screened and, if assessments are within 10% of baseline measures, they can return to competition. b.) An athlete may not return to the practice or competition and should be withheld from all activity for the remainder of the day. c.) An athlete should be removed from activity and referred to a physician for evaluation and management. d.) An athlete can return to activity later in the same day if cognition and balance have returned to normal limits and only a headache remains.
b.) An athlete may not return to the practice or competition and should be withheld from all activity for the remainder of the day.
In order to protect health-care professionals providing care in a life-threatening emergency, how often does the Occupational Safety and Health Administration require mandatory training for managing bloodborne pathogens? a.) Every 6 months b.) Annually c.) Every other year d.) Every 5 years
b.) Annually
A cross country runner tripped running through a wooded trail and sustained a severe laceration of her lower leg that is bleeding. What is the best way to distinguish arterial from venous bleeding? a.) Arterial blood produces a more steady flow of blood b.) Arterial blood spurts from the wound c.) Arterial blood produces a flow of dark red blood d.) Arterial blood slowing oozes from the tissues e.) Arterial blood clots rapidly
b.) Arterial blood spurts from the wound
Why are antipyretic medications not indicated for the treatment of athletes with exertional heatstroke? a.) Antipyretic medications may promote dehydration by delaying return to normal body temperature in a person with exertional heatstroke b.) Because the increase in body temperature during exercise is not a chemical response, antipyretic medications are ineffective in treating exertional heatstroke. c.) Antipyretic medications cannot penetrate to the active muscles and so are ineffective in treating exertional heatstroke. d.) Because exertional heatstroke affects the preoptic area of the anterior hypothalamus (POAH), antipyretic medications are ineffective in treating exertional heatstroke.
b.) Because the increase in body temperature during exercise is not a chemical response, antipyretic medications are ineffective in treating exertional heatstroke.
A freshmen women's basketball player who is struggling with balancing schoolwork, roommate issues, and the demands of the team arrives at practice in tears. Midway through practice, she walks off the court. When you approach her in the hallway, she is visibly upset and she tells you she just wants to put an end to all the pain and hurting. You are concerned that she may attempt suicide. What is the most appropriate immediate management for this situation? a.) Notify your campus security or public safety office and request they transport her to the hospital's emergency department for a psychiatric evaluation. b.) Comfort the athlete, and then escort her to the campus counseling center. c.) Ask the coach to get her involved in practice to get her mind off her worries and make an appointment at the campus counseling center for the next morning. d.) Ask the coach to assign a teammate to stay with her at all times until you can arrange an appointment with your team physician the next day.
b.) Comfort the athlete, and then escort her to the campus counseling center.
A middle-aged coach falls unconscious on the sideline. Her skin is cool and dry, and her breathing is labored. Her face is flushed, and there is a sweet odor on her breath. What do you suspect? a.) Stroke b.) Diabetic coma c.) Insulin shock d.) Anaphylactic shock
b.) Diabetic coma
What action is recommended to protect health-care provider against exposure to bloodborne pathogens when there is heavy bleeding present? a.) Double hand washing following glove removal b.) Double gloving c.) Changing gloves when they become saturated d.) Using alcohol-based hand sanitizer following love removal and hand washing
b.) Double gloving
While covering a middle school softball game, one of the players suffers an acute asthma attack. You assist the athlete in using her short-acting beta-2 agonist rescue inhaler. The athlete's symptoms do not diminish after a second administration of the medication. What are the recommended next steps? a.) Assist the athlete in using her long-acting beta-2-agonist inhaler. b.) Provide a third administration of the rescue inhaler and if symptoms do not subside refer promptly to a health-care facility. c.) Assist the athlete in using her corticosteroid inhaler d.) Refer the athlete immediately to a health-care facility
b.) Provide a third administration of the rescue inhaler and if symptoms do not subside refer promptly to a health-care facility.
Which of the following mechanisms would most likely cause a spontaneous pneumothorax? a.) Acute bacterial pneumonia b.) Rupture of a bleb c.) Costochondral separation d.) Posterior displaced sternoclavicular joint separation e.) Hyperventilation
b.) Rupture of a bleb
You are assessing an injured athlete's level of consciousness. The athlete responds to your voice but is not fully orientated to person, time, or place. How would this be categorized when employing the AVPO scale? a.) A b.) V c.) P d.) U
b.) V
While covering a youth soccer game, you are called to the field to evaluate an athlete who was injured after an opponent completed a slide tackle directly into his lower leg. Your evaluation reveals a possible tibia fracture and you elect to splint the athlete before transport to a local hospital for evaluation. When applying a splint, which area should be stabilized by the splint? a.) Ankle and lower leg b.) Lower leg and knee c.) Ankle, lower leg, and knee d.) Entire leg from foot to hip
c.) Ankle, lower leg, and knee
A decreased triceps reflex is indicative of a lower motor neuron lesion at which level? a.) C5 b.) C6 c.) C7 d.) C8 e.) T1
c.) C7
The number of recorded direct fatalities resulting from participation in the fundamental skills of football at the high school, collegiate, and professional level have declined dramatically since the late 1970s as a result of major rule changes, helmet standards, better coaching, and improved medical care of athletes. However, indirect fatalities have remained high and have even increased during some decades. Which of the following is the leading cause of football indirect fatalities? a.) Asthma b.) Internal trauma c.) Exertional heatstroke d.) Concussion
c.) Exertional heatstroke
An athlete with sickle cell trait collapses during a training session and exertional sickling is suspected. In addition to removal from activity, monitoring vital signs, and activating the EAP, what other therapeutic interventions are indicated for this athlete? a.) Urinalysis to assess for possible rhabdomyolysis b.) Peak flow measurements to assess lung function c.) High-flow oxygen administration with a nonrebreather mask d.) Elevation of the extremities to prevent shock.
c.) High-flow oxygen administration with a nonrebreather mask
What highly vascularized, loose connective tissue membrane adheres closely to the surface of the brain? a.) Dura mater b.) Nuchal ligament c.) Pia mater d.) Scalp
c.) Pia mater
In an on-field emergency situation, which member of the emergency team should direct the immediate care of the injured athlete? a.) Athletic trainer b.) Athletic training student c.) Team physician d.) Local EMS personnel covering the game
c.) Team physician
A member of your field hockey team calls you in a highly emotional state to report that she cam back to her residence hall room to find her roommate, who is also her teammate, unconscious on the floor with an empty bottle of pills beside her. Which of the following would be appropriate next steps? a.) Tell the athlete to hang up and call 911 and then report back to you on the status after they arrive. b.) Tell the athlete that you will call 911 and the athlete should call her teammate's parents. c.) Tell the athlete to hang up and call 911 and you will contact the poison control center and meet her at her room. d.) Tell the athlete to have her resident advisor call 911 and then she should attempt to provide CPR.
c.) Tell the athlete to hang up and call 911 and you will contact the poison control center and meet her at her room.
During assessment of the vital signs of an 8 year old baseball player, you note the following: respiration rate of 25 breaths/min, pulse of 108 beats/min, temperature of 98 F and pink skin. What should you conclude? a.) The athlete is hyperventilating. b.) The athlete is bradycardiac. c.) The athlete is exhibiting normal vital signs. d.) The athlete is hyperventilating and tachycardiac. e.) The athlete is erythema and bradycardic.
c.) The athlete is exhibiting normal vital signs.
In which of the following situations would it be appropriate for the AT to progress from the primary survey to the secondary survey when managing a patient with an on-field injury? a.) Airway, breathing, and circulation have been established, and the athlete is bleeding profusely from an open leg wound. b.) The athlete is conscious, stable, and being treated for shock. c.) The athlete is unconscious, supine, and breathing, and vital signs are stable. d.) The athlete is conscious with an obvious closed tibia-fibula fracture; is exhibiting nervousness, nausea, and chills; and appears pale.
c.) The athlete is unconscious, supine, and breathing, and vital signs are stable.
While assessing an athlete's blood pressure, you initially inflate the cuff to 150 mm Hg. When you release the pressure, the first sound you hear is a swooshing sound or soft murmur. What does this sound indicate? a.) The cuff was inflated too high initially, and you are hearing the brachial artery blood flow occlusion. b.) The cuff was inflated to a correct pressure, and you are hearing the first Korotkoff sound, which should be recorded as systolic pressure. c.) The cuff was not inflated to a high enough initial pressure, and you are hearing the second Korotkoff sound instead of the first. d.) The cuddle was inflated to a correct pressure, and you are hearing the fifth Korotkoff sound, which should be recorded as diastolic pressure. e.) The cuff was inflated to a correct pressure, and you are hearing the first Korotkoff sound, which should be recorded as diastolic pressure.
c.) The cuff was not inflated to a high enough initial pressure, and you are hearing the second Korotkoff sound instead of the first.
Where is cyanosis best observed in a dark-skinned person? a.) Eyes b.) Lips and abdomen c.) Tongue and nailbeds d.) Earlobes e.) Pupils
c.) Tongue and nailbeds
A pitcher is struck in the head by a batted ball. Palpation of the injured area reveals what may be a small depressed skull fracture. The athletic trainer elects to perform the halo test to confirm the suspected diagnosis. Why is it important to wear gloves while performing this special test? a.) It prevents the introduction of infection into the fracture site. b.) It protects the athletic trainer from exposure to bleeding, as a laceration often accompanies an injury of this nature. c.) Universal precautions are required, as cerbralspinal fluid may carry bloodborne pathogens. d.) Insertion of the gauze into the external auditory canal may introduce bacteria to the ear canal
c.) Universal precautions are required, as cerbralspinal fluid may carry bloodborne pathogens.
While attending a local theater performance, you observe a man collapse in the aisle of the theater, and bystanders begin compressions-only CPR. According to the American Heart Association Guidelines, how would you characterize the response to this emergency situation? a.) Bystanders regardless of level of training should provide breaths in addition to compressions in case the cause of arrest is related to asphyxial causes. b.) CPR performed in any way is ineffective without use of an AED.] c.) Untrained bystanders are more likely to perform compression-only CPR and can be more easily guided by dispatchers. In addition, the survival rates between compression-only and conventional CPR are not significantly different. d.) Bystanders could provide the most effective assistance by foregoing compressions and instead calling 911 and administering an AED if available.
c.) Untrained bystanders are more likely to perform compression-only CPR and can be more easily guided by dispatchers. In addition, the survival rates between compression-only and conventional CPR are not significantly different.
Which of the following signs and symptoms best characterize hypovolemic shock? a.) Slow, deep breathing; agitation; and cold, pale clammy skin b.) Dilated pupils, excessive urine output, and bluish lips and fingernails c.) Very low blood pressure; rapid, weak pulse; and cold, pale clammy skin d.) Profuse sweating; hot, dry skin; and rapid, shallow breathing e.) Hyperventilation; lightheadedness; and slow thready pulse
c.) Very low blood pressure; rapid, weak pulse; and cold, pale clammy skin
When managing an athlete with an acute airway obstruction, when should EMS be activated? a.) If the athlete complains of throat irritation. b.) On initiation of CPR. c.) When the athlete cannot cough, speak, or breathe. d.) If the athlete cannot be stopped from coughing forcefully and continually.
c.) When the athlete cannot cough, speak, or breathe.
While leaving the office one evening, you notice the custodian collapse at the end of hallway. You determine that the custodian is unresponsive. As you are the only person in the building at the time, what action should you take? a.) Assess airway, breathing, and circulation and call loudly in the hope that someone will come and help. b.) Complete one cycle of CPR, activate EMS, and then get the AED. c.) Activate EMS while starting CPR and then obtain the AED after completing one cycle of CPR. d.) Activate EMS, obtain an AED, and return immediately to assist the victim.
d.) Activate EMS, obtain an AED, and return immediately to assist the victim.
A diabetic athlete comes to the sideline during practice complaining of dizziness, fatigue, trembling, heart racing, and headache. The athlete also has a fruity odor on his breath. As the athletic trainer begins the evaluation, the athlete becomes more and more confused. What action should the athletic trainer take? a.) Provide an insulin injection and based on the athlete's response activate the EAP. b.) Activate the EAP and monitor vital signs until EMS personnel arrive. c.) Move the athlete to a cool location, monitor core body temperature, and provide oral fluids. d.) Activate the EAP, and attempt to provide carbohydrates orally or through glucagon injection if the athlete is unable to swallow.
d.) Activate the EAP, and attempt to provide carbohydrates orally or through glucagon injection if the athlete is unable to swallow.
A beach volleyball player comes to the sidelines at practice with symptoms of wheezing, difficulty breathing, dizziness, feeling of throat tightening, and extreme anxiety. The athlete tells you that she thinks she was just stung by a bee. You are able to quickly identify a red mark on her lower leg that appears to be a sting. The athlete has an EpiPen in her bag but does not feel comfortable using it. What are your next steps? a.) Demonstrate to the athlete how to use the EpiPen and help her self-administer the injection and then monitor vital signs to determine the need for referral. b.) Ask coach to call 911 and monitor the athlete vital signs while you wait for help to arrive. c.) Provide a single dose of diphenhydramine (Benadryl) to minimize the reaction, monitor vital signs, and call her parents to ask if she should be transported. d.) Administer the epinephrine injection, holding the injector in place for 10 seconds, and stay with the athlete while a coach calls 911.
d.) Administer the epinephrine injection, holding the injector in place for 10 seconds, and stay with the athlete while a coach calls 911.
What is the best location to determine the pulse rate of a patient who has a weak radial pulse? a.) Doral pedal b.) Popliteal c.) Brachial d.) Carotid e.) Femoral
d.) Carotid
The components of a primary survey can be designated by the mnemonic ABDCE. Which component of the primary survey includes a brief neurological examination or, in the case of cardiac arrest, application of an AED? a.) A b.) B c.) C d.) D e.) E
d.) D
When completing a primary survey, what is the first component that should be assessed? a.) Airway, breathing, and circulation b.) Presence of spinal cord involvement c.) Patient's position and presence of deformities d.) Level of consciousness
d.) Level of consciousness
An athletic trainer is assessing vital signs as part of a primary survey. The athlete's pulse oximetry value is less than 90%. What is the appropriate interpretation and recommended intervention for this patient? a.) Value is normal; no intervention is required at this time. b.) Value is very high; encourage patient to slow down rate of respiration. c.) Value is on the low end of normal; encourage patient to take one or two deep breaths to see if value increases. d.) Value is low; supplemental oxygen is indicated.
d.) Value is low; supplemental oxygen is indicated.
When assessed by an AED, which of the following is the most commonly occurring initial cardiac rhythm in a patient with sudden cardiac arrest? a.) Pulseless electrical activity b.) Asystole c.) Atrial fibrillation d.) Ventricular fibrillation
d.) Ventricular fibrillation
While evaluating a football player for a brachial plexus injury on the sideline, the athletic trainer determines that the athlete is unable to extend his elbow against resistance. A deficit in which nerve root is most associated with this impairment? a.) C3 b.) C4 c.) C5 d.) C6 e.) C7
e.) C7
When auscultating the lungs as part of assessment of a thoracic injury, which of the following sounds would be indicative of a collapsed lung? a.) Stridor b.) Wheezing c.) Rhonchi d.) Crackles e.) No sounds
e.) No sounds
