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
