boc prep pt 12

Cardiovascular referral alerts include what signs?

Chest pain, shortness of breath, unexplained swelling in arms and legs

A patient can extend the knee against gravity but cannot overcome resistance. What MMT grade?

Fair 3/5

Which injury has an insidious onset?

Achilles tendinopathy

What areas may require patient-clinician communication and understanding?

Religious considerations, family considerations, language barriers, cultural differences

What is a Patient Rated Outcome Measure?

Provides a standardized means to quantify patient impairments and tailor interventions specific to the patient

What is a Clinician Rated Outcome Measure?

Quantifies extent of patient ROM and function

What does the ICF model allow?

Allows the patient to be seen as a person rather than a disability

All are part of inspection except what?

Point tenderness

Which part of the exam is most informative?

History

What does the medical record NOT allow?

Giving the treatment protocol for the patient

What provides a broad framework for the examination process?

ICF

What ICF section contains history, pain questionnaires, examination notes, and stability test results?

Body structure and functions

What is triage?

Process of determining priority of treatment

What is a sign?

A condition visually apparent to the examiner (example: vomiting)

What is a symptom?

A condition not usually visually apparent to the examiner (example: nausea)

What does proximal mean?

Toward the midline of the body

What does distal mean?

Away from the midline of the body

What is an effusion?

Collection of fluid within a joint space

What is edema?

Collection of fluid in the intercellular space

What is bradycardia?

Slow heart rate

What is tachycardia?

High heart rate

Which evaluation is used as the baseline for treatment and rehabilitation?

Initial evaluation

For every minute defibrillation is delayed, survival decreases by what percentage?

10%

What type of consent is needed before evaluating an injury?

Informed consent

What should be included in emergency action planning?

Personnel, equipment, lines of communication

When should active ROM NOT be completed?

Fracture

How many responders should ideally begin the evaluation process?

2 responders

What must occur before manual muscle testing?

Active range of motion (AROM)

After splinting, worsening pain may indicate what?

Check capillary refill distal to injury site

Football face mask removal is easiest using what?

Cordless screwdriver

What pathological end-feel is caused by involuntary or voluntary muscle contraction stopping joint motion?

Spasm

When a spinal nerve root innervates a specific skin area, what is tested?

Dermatome

List four signs of shock.

Rapid heart rate, low blood pressure, pale/cool skin, altered mental status

What maneuver is used to reinforce reflex testing?

Jendrassik maneuver

What systolic blood pressure range is considered elevated by the AHA?

120-129 mmHg

Before performing MMT on the knee, what should occur first?

The athlete should be able to perform active ROM (AROM)

What motor testing is associated with the C4 nerve root level?

Shoulder shrug

A patient who can move through full ROM in a gravity-eliminated position receives what MMT grade?

2/5 Poor

In normal healthy tissue, how does AROM compare to PROM?

Active ROM is less than passive ROM

Athletes who exaggerate or fake signs/symptoms are demonstrating what?

Malingering

Which component of the exam is most informative?

History

Which sport does not allow protective equipment that increases the size of the goalkeeper?

Field Hockey

Which sport allows time-limited medical and bleeding timeouts?

Tennis

Which sport requires hard equipment to be covered with padding and knee braces covered or worn under clothing?

Football

Which sport allows bleeding timeouts at the official's discretion?

Wrestling

Which sport requires ATs/staff to be instructed by an official before entering the field?

Soccer

Which sport requires an injured player to leave if medical staff enter the court?

Basketball

Which sport requires hard casts to be padded and allows one elbow pad under 10 inches?

Baseball

Which sport requires the athletic trainer to be summoned before entering the field/court/mat?

Soccer

Return-to-activity decisions should consider all except what?

Athlete's gender

During immediate on-field examination, what should be evaluated first?

Obstructed airway

Most important test while athlete is still on the field?

AROM

What are Biot's respirations?

Group of regular breaths followed by irregular patterns of apnea

What are Cheyne-Stokes respirations?

Periods of apnea followed by breaths of increasing depth

What are apneustic breaths?

Prolonged inspirations without attempts to exhale

What is an accelerated heart rate?

Pulse above 150 beats per minute

What is low tension pulse?

Short, fast, faint pulse that rapidly declines

What is a pulse deficit?

Number of heartbeats is less in radial pulse than over the heart

Weakness of what muscle causes scapular winging?

Serratus anterior

A Bankart lesion involves which ligament pulling off with part of the labrum?

Inferior glenohumeral ligament

Starting position for the empty can test?

GH abducted 90° in the scapular plane with humerus internally rotated

Deltoid atrophy indicates injury to what nerve roots?

C5 and C6

Which rotator cuff muscle internally rotates the humerus?

Subscapularis

What is the closed-packed position of the GH joint?

90° abduction with external rotation

The upper extremity's only attachment to the axial skeleton occurs at what joint?

Sternoclavicular joint

What radial fracture displaces palmarly?

Smith's fracture

Fracture of the base of the first metacarpal extending into the articular surface?

Bennett's fracture

Which carpal bone floats on the triquetrum?

Pisiform

Rupture of central extensor tendon causing lateral bands to slip palmarly at the PIP?

Boutonnière deformity

Which carpal bone is the floor of the anatomical snuffbox?

Scaphoid

Which wrist pathology is associated with clicking on the ulnar side of the wrist?

Triangular fibrocartilage tear (TFCC)

Which nerve travels through Guyon's tunnel?

Ulnar nerve

Primary extensor of the lateral four fingers' IP joints?

Extensor Digitorum

Angle formed by the long axis of the humerus and ulna?

Carrying angle

Which nerve enters the elbow at the arcade of Struthers?

Ulnar nerve

Which UCL bundle is the primary restraint against valgus force beyond 60° elbow flexion?

Posterior bundle

The radioulnar joints are classified as what type of joint?

Syndesmotic

What forms the lateral humeral articulating surface?

Capitellum

What is the Y-shaped ligament of the hip originating from AIIS?

Iliofemoral ligament

What position describes a posterior hip dislocation?

Adduction and internal rotation