Review Chapter 13 Prentice book- off the field injury evaluation

All components of the evaluation should be performed bilaterally. A) True B) False

A) True

Anthropometric measurement is truly a science of body measures. A) True B) False

A) True

Progress notes must be routinely written after each progress evaluation in order to track and monitor an athlete's progress. A) True B) False

A) True

Special tests are utilized to detect specific pathologies that are associated with both inert and contractile tissue. A) True B) False

A) True

The observation portion of an evaluation is utilized to determine how the athlete carries him/herself, view asymmetries, swelling, heat and/or redness. A) True B) False

A) True

The plan associated with an injury report should identify the immediate treatment and also outline both short and long term treatment goals for the injury. A) True B) False

A) True

Through ultrasonography only 2 dimensional images can be produced which enable the clinician to view location of organs and particular structures. A) True B) False

A) True

An objective, definitive and obvious indicator for a specific condition is A) a sign B) a sequela C) a syndrome D) a degree

A) a sign

Etiology is ___________. A) the cause of the injury or disease B) the structural changes associated with the injury C) the mechanical description of the cause D) the name of the specific condition

A) the cause of the injury or disease

Which of the following visually studies a joint through the use of an injected opaque dye? A. Arthrography B. Roentgenogram C. Arthroscopy D. Tomography

A. Arthrography

Pain that subsides during activity usually indicates a(n): A. Chronic Inflammation B. Acute muscular spasm C. Stress fracture D. Appendicitis attack

A. Chronic Inflammation

Which of the following tests is used to detect blood clots? A. Doppler Ultrasonography C. Computed Tomography B. Arthrography C. Computed Tomography D. Myelography

A. Doppler Ultrasonography

When doing passive range-of-motion to an injured athlete's knee, the athletic trainer feels a springy block at the end of knee extension. This may indicate: A. Meniscus tear B. Torn ligament C. Hamstring spasm D. Fractured patella

A. Meniscus tear

Sharp or burning pain is characteristic of what type of injury? A. Nerve injury B. Muscular problems C. Bone fractures D. Joint injury

A. Nerve injury

The plane that separates the body into right and left halves is: A. Sagittal B. Transverse C. Coronal D. Frontal

A. Sagittal

Which of the following is an abnormal end feel? A. Springy block B. Capsular feel C. Bone-to-bone D. Soft tissue approximation

A. Springy block

What term denotes drawing a body part away from the midline of the body? Toward the midline?

Abduction; Adduction

Visual study of a joint with x-rays

Arthrography

Uses fiberoptic scope into joint

Arthroscopy

Electromyography is the study of electrical potentials produced in the brain. A) True B) False

B) False

Magnetic resonance imaging utilizes acoustic energy to impact hydrogen atoms within water molecules of body tissues. A) True B) False

B) False

TC's have the ability to recognize injury and diagnose them as well. A) True B) False

B) False

This type of imaging involves an fan-shaped x-ray beam that produces a series of cross-sectional views of tissue. A) myelography B) computed tomography scan C) bone scan D) magnetic resonance imaging

B) computed tomography scan

By assessing smell, eye tracking, facial expressions and balance, _______________ was assessed. A) cerebral function B) cranial nerve function C) cerebellar function D) sensory testing

B) cranial nerve function

The application of mechanical forces, which may stem from within or outside of the body, to living organisms is called: A. Anatomy B. Biomechanics C. Kinesiology D. Etiology

B. Biomechanics

When an athletic trainer or other health care professional is denoting what disease, injury or syndrome a person has or is believed to have, he/she is making a(n): A. Medical Diagnosis B. Clinical Diagnosis C. Judgment D. Prognosis

B. Clinical Diagnosis

Tongue movement, speech, and swallowing are functions of which of the following cranial nerves? A. Oculomotor B. Hypoglossal C. Vestibulocochlear D. Trigeminal

B. Hypoglossal

A diminished reflex is termed: A. Areflexia B. Hyporeflexia C. Hyperrefexia D. Relaxation

B. Hyporeflexia

Conditions following and resulting from a disease or injury are referred to as: A. Prognosis B. Sequela C. Diagnosis D. Etiology

B. Sequela

S.O.A.P. stands for: A. Subjective, observation, assessment, plan B. Subjective, objective, assessment, plan C. Subjective, observation, assessment, procedure D. Subjective, objective, assessment, procedure

B. Subjective, objective, assessment, plan

Which of the following is not part of the history that would be taken during an evaluation? A) grading of pain by the athlete B) description of how the injury occurred C) laxity assessment D) record of past or previous injury to the area

C) laxity assessment

To assess specific gravity and hydration levels prior to wrestling weight certification, this test must be performed. A) synovial fluid analysis B) blood tests C) urinalysis D) more than one of these tests

C) urinalysis

According to Cyriax, if a muscle is weak and painless upon contraction it has: A. A minor lesion B. A gross lesion C. A complete rupture D. A vascular disorder

C. A complete rupture

Movement away from the midline of the body is called: A. Flexion B. Pronation C. Abduction D. Valgus

C. Abduction

Movement that is performed solely by the athlete is called: A. Assistive B. Resistive C. Active D. Eccentric

C. Active

A muscle that can move a joint through its complete range of motion against gravity with some resistance is graded as: A. Poor B. Fair C. Good D. Normal

C. Good

Which of the following is NOT true of MRI? A. Provides clear images of soft tissue B. Is the current choice of physicians for detecting soft-tissue lesions C. Is relatively inexpensive D. Uses magnetic current to spin atoms that produce an image

C. Is relatively inexpensive

According to Cyriax, the following tissues are considered inert tissues EXCEPT: A. Ligaments B. Fascia C. Muscles D. Bones

C. Muscles

An example of a normal bone-to-bone endpoint is found when: A. The knee is fully flexed B. The hip is fully flexed C. The elbow is fully extended D. The shoulder is completely abducted

C. The elbow is fully extended

If a manual muscle test is graded GOOD, what does this tell us about muscle strength?

Can perform a complete ROM against gravity with some resistance.

Splits body into front and back

Coronal

Which of the following is NOT included in the history portion of an injury evaluation? A. Athlete describes the injury in detail B. Athlete locates the area of complaint by pointing to it C. Athlete describes the type of pain he/she is having D. Athlete tries to assess the movement of the injured part

D. Athlete tries to assess the movement of the injured part

Which of the following is a measure of the total blood volume made of red blood cells? A. Red blood cell count B. Hemoglobin level C. Platelet count D. Hematocrit level

D. Hematocrit level

The spinal nerve that innervates the cutaneous pattern on the front of the shins and the medial side of the foot is: A. L2 B. S1 C. C8 D. L5

D. L5

The deep tendon reflex for L4 can be elicited at which tendon? A. Achilles B. Triceps C. Biceps D. Patellar

D. Patellar

The combination of eversion and abduction of the foot is: A. Plantarflexion B. Dorsiflexion C. Supination D. Pronation

D. Pronation

What could an analysis of synovial fluid tell the physician.

Detect infection in the joint, confirm a diagnosis of gout, and differentiate noninflammatory joint diseases such as degenerative arthritis from inflammatory conditions such as rheumatoid arthritis.

Special tests are commonly used to determine what in an evaluation?

Determine ligament stability, impingement signs, tightness of specific structures, blood circulation, muscle imbalance, and body alignment discrepancies.

Name of a specific condition

Diagnosis

Sensory testing should involve_____________. A) superficial sensation B) sensitivity to temperature C) sensitivity to vibration D) position sense E) all of the above F) none of the above

E) all of the above

Electrical activity generated in muscle

Electromyography

Cause of an injury or disease

Etiology

During an injury evaluation, the purpose of the history is... A) to determine how the injury occurred B) to determine when the injury occurred C) to determine the athletes perception of the injury D) a and b E) b and c F) all of the above

F) all of the above

The order in which you should palpate an injury should be A) muscle, connective tissue, bony landmarks, skin B) bony landmarks, soft tissue C) begin at the site of the injury and work away D) start away from the point of injury and work towards the injury E) a and c F) b and d G) none of the above

F) b and d

Cerebral function controls purposeful coordinated movements such as touching ones finger to ones nose.

False

Differential diagnosis refers to a group of symptoms and signs that together indicate a particular injury or disease.

False

Etiology refers to a perceptual change in an athlete's body that indicates injury or disease.

False

Pain that increases in a joint throughout the day indicates a chronic inflammation.

False

Palpation should be done only at the beginning of an evaluation.

False

Passive movement refers to movement that is performed completely by the examiner and is used to determine the status of a particular muscle or muscle group.

False

Rotary motion in the transverse plane away from the midline of the body is called internal rotation.

False

The specific location of a lesion in a musculotendinous unit can be identified by the use of an isometric contraction.

False

The spinal nerve that innervates the cutaneous pattern over the acromion process and lower deltoid area is C6.

False

When assessing passive ROM, an abnormal feel could result in which of the following sensations? A) empty B) spasm C) tight D) springy E) a and b F) a and c G) a, b, and d

G) a, b, and d

What must be accomplished in a functional test before the athlete is cleared for participation?

Have full strength, joint stability and coordination, and be pain free.

What is the difference between evaluation and diagnosis?

Injury recognition is the recognition and evaluation of an injury. Diagnosis denotes that disease, injury, or syndrome a person has or is believed to have and can be performed only by a physician.

If an athlete feels pain in the left shoulder and down into the upper arm, what mught this referred pain indicate?

Injury to the spleen or cardiac problems.

Is the shoulder medial or lateral to the sternum?

Lateral

Splits into right and left halves

Midsaggital

What are some advantages in using arthroscopy?

More accurate than arthography; allows the physician to look into the joint and perform surgical procedures and some suturing of tissues.

What is passive movement?

Movement performed solely by the examiner.

What is active movement?

Movement performed solely by the patient.

Dye is injected into spinal canal

Myelography

Use of touch to determine abnormalities

Palpation

Prediction of the course of condition

Prognosis

Is the knee proximal or distal to the ankle?

Proximal

Objective indicator of a condition

Sign

Uses sound waves to view the body's interior

Sonography

How would an evaluator palpate a painful joint?

Start away from the painful area and gradually work toward it doing light circular palpations gradually becoming deeper.

Why would a physician want to do a bone scan rather than an x-ray?

Stress fractures can be detected more readily than on x-rays.

Subjective perceived change in the body

Symptom

X-ray produces cross-sectional view

Tomography

Splits body into superior and inferior

Transverse

. Some musculoskeletal pain is caused by myofascial trigger points, which are not related to deeper, referred type of pain.

True

A prognosis is a prediction of the course of the condition.

True

A sign is an objective measure; it is a definitive and obvious indicator for a specific condition.

True

An evaluation commonly used by athletic trainers is HOPS; History, Observation, Palpation, and Special Tests.

True

Electromyography is a graphic recording of the amount of electrical activity generated in a muscle when it contracts.

True

For one to become proficient in performing evaluations, knowledge of surface anatomy is crucial.

True

Hyperactive reflexes are indicative of an upper motor neuron lesion.

True

In soft-tissue approximation at the end of the range of motion, there is a feeling that further movement is being resisted by muscle bulk.

True

Muscular pain is often dull, aching, and referred to another area.

True

Pathomechanics refers to mechanical forces that are applied to the body because of structural body deviation, leading to faulty alignment.

True

Reflex refers to an involuntary response following a stimulus.

True

To measure the range of motion of shoulder flexion with a goniometer, one places the stationary arm along the midaxillary line of the trunk in line with the greater trochanter of the femur. The moving arm is placed along the humerus and in line with the lateral condyle of the humerus.

True

Each one of these regions contains a series of organs that can be systematically evaluated.

abdominopelvic quadrants

______ is used to measure joint range of motion.

goniometer

______ is used to determine varying extent of injury to contractile tissue.

manual muscle testing

This term describes the structural and functional changes associated with an injury process.

pathology

_____ is the prediction of the course of the condition.

prognosis