How are the hands evaluated in the MSK exam?

asking athlete to open & close fists, asking athlete to spread fingers

a concussion results from:

a rapid rotational acceleration of the brain

why are telephone numbers needed?

authorization to treat specific conditions may be needed

genital examination can also be used to assess males mainly for:

presence of a single testicle, presence of hernias.

which of the following are also asked in a preparticipation sports eval?

recent & previous concussions, fam hx of exercise related death, dizziness or collapse with exertion

How is the shoulder function assessed in the MSK exam?

having athlete do shoulder shrugs, abduction to 90°, and int & ext rotation

Which of the following is NOT a goal in preparticipation sport evals?

Treat their intellectual disability

How are the forearms inspected in the MSK exam?

have athlete supinate and pronate forearms with elbows flexed to 90°

which is a red flag for concussion?

agitation, restlessness, one pupil larger, worsening HA, doesnt go away, drowsiness/cant wake up/LOC

which of the following is NOT a restriction?

Arrhythmogenic right ventricular cardiomyopathy

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PE sport physicals

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Answers

1
if athlete with history of previous concussions has memory issues they can be cleared to play
True
False
2
Medical and surgical histories must be obtained with a parent, guardian, or sibling present
True
False
3
How are the hands evaluated in the MSK exam?
asking athlete to open & close fists
asking athlete to spread fingers
asking athlete to crack knuckles
asking athlete to open & close fingers and spread fists
4
cardiac auscultation exams reveal mostly malignant diastolic-flow murmurs
True
False
5
patient can still participate in sports if they have a hernia
False
True
6
Which of the following is NOT indicated by a change in weight?
eating disorders
purging behavior
hypertension
steroid abuse
7
cardiac auscultation exams reveal mostly BENIGN SYSTOLIC-flow murmurs
True
False
8
Ht & Wt is used in evaluating risks for competing at certain levels. Ex:thin freshman playing varsity football
True
False
9
routine auscultation of the heart is done to listen for: (more than 1)
hypertrophy
HTN
irregular rhythms
murmurs
10
a concussion results from:
a rapid rotational acceleration of the brain
a rapid rotational acceleration of the brainstem
a rapid rotational decelerration of the brain
minor hemorrhage in the brain
11
Concussion typically results in the slow onset of long-lived impairment of neuro fx that does not resolve spontaneously
False
True
12
clearance w/o intervention for any person w/ 20/40 or better using both eyes is possible
True
False
13
Which has a high risk of rupture in contact sports?
hepatomegaly
hepatomegaly and splenomegaly
splenomegaly
cholelithiasis
14
Some goals of pre sport evals are: Determining the athlete is in general good health and Assessing present fitness.
True
False
15
if athlete has a history of anaphylaxis, they may be advised to have a kit at hand.
False
True
16
why are telephone numbers needed?
authorization to treat specific conditions may be needed
it is just needed, fill out yo form
to get verbal authorization for medical record requests
confidentiality purposes
17
which organs does assessment of loss/dysfunction NOT apply to?
kidneys
testicles
ears
eyes
18
which of the following is NOT a restriction?
Cerebral palsy
Kawasaki Dz
Pulmonary HTN
Ehlers-Danlos syndrome
19
Have the athlete perform a duck walk to evaluate function of the :
all of the above
ankles.
knees
hips
20
measures that indicate growth & development, may reflect general fitness (obesity) & pathology (eating d/o).
blood pressure
spo2
height
weight
21
Which of the following describes asking the same question over and over?
Memory difficulties
emotional lability
Confusion and disorientation
HA
22
how many positions should cardiac auscultation be performed in?
1 only
at least 2
3 max
2 max
23
concussion hx must be assessed to ID individuals at risk AND to determine whether they should continue playing contact
False
True
24
the hands are evaluated for flexion/extension deformities
True
False
25
genital examination can also be used to assess males mainly for:
presence of a single testicle
presence of a small testicle
presence of rashes
presence of hernias.
26
athletes with hx of heat illness are NOT at risk for recurrent
False
True
27
How much should a BP be for those aged 16 years and older?
>100/80
< 130/85
< 135/80
120/85
28
which of the following are also asked in a preparticipation sports eval?
recent & previous concussions
what their diet consists of
fam hx of exercise related death
dizziness or collapse with exertion
29
which of the following is NOT an option for clearance?
cleared
not cleared for
not cleared
cleared after eval/rehab for
30
How is the shoulder function assessed in the MSK exam?
having athlete do shoulder shrugs, adduction to 45°, and int & ext rotation
having athlete do shoulder shrugs, abduction to 45°, and int & ext rotation
having athlete do shoulder shrugs, adduction to 90°, and int & ext rotation
having athlete do shoulder shrugs, abduction to 90°, and int & ext rotation
31
the mortality rate associated with head injury in sports is high
False
True
32
ask athlete to touch knees to check for scoliosis
False
True
33
which of the following is NOT part of the MSK exam?
checking for hernias
knee extension
inspecting forearms & hands
toe walk and heel walk
34
Where is HOCM auscultated?
left upper sternal border
right sternal border
left sternal border
left lower sternal border
35
Which of the following is NOT a goal in preparticipation sport evals?
Detecting conditions that predispose athlete to new injuries.
Treat their intellectual disability
Detecting poor presport conditioning that may put them at increased risk.
Assessing the size & developmental maturation of the athlete
Detect congenital anomalies that increase risk of injury
Evaluate any existing injuries
36
the following are restrictions: Visual problems, Missing a paired organ, Malignancy, RECURRENT headache / seizure.
False
True
37
Genital exam is used for Tanner staging in adolescents
True
False
38
Restrictions do not need further evaluation
False
True
39
which of the following is NOT a restriction?
Atlantoaxial instability
Bleeding disorders
Congenital heart dz
acute rheumatic fever
40
How are the forearms inspected in the MSK exam?
have athlete supinate and pronate forearms with shoulders flexed to 90°
have athlete supinate and pronate forearms with elbows flexed to 45°
have athlete supinate and pronate forearms with wrists flexed to 45°
have athlete supinate and pronate forearms with elbows flexed to 90°
41
Concussion typically results in the rapid onset of short-lived impairment of neuro fx that resolves spontaneously
False
True
42
which is a red flag for concussion?
agitation, restlessness
one pupil larger
worsening HA, doesnt go away
drowsiness/cant wake up/LOC
43
multiple concussions can lead to decreased neuro/mental ability
True
False
44
Preparticipation sport evals include ask about history of excessive weight loss or gain
False
True
45
severity of future asthma episodes should be evaluated further.
True
False
46
How much should a BP be for those aged 10-15 years?
< 120/75
< 125/80
120/80
>100/80
47
which of the following is NOT a restriction?
Arrhythmogenic right ventricular cardiomyopathy
MVP
Marfan syndrome
Dysrhythmias
48
which of the following is NOT a sxs of concussion?
difficulties w/ memory
emoional lability
vomiting
snoring
49
which of the following is NOT part of the MSK exam?
general body habitus
patellar tracking
cervical range of motion
knee flexion
50
familiarity with the definitive findings of different valvular lesions is not essential.
False
True
51
Visual acuity does not need to be 20/20 for sports participation.
True
False
52
Which of the following describes inappropriate laughing or crying?
inattentiveness
emotional lability
Memory difficulties
Confusion and disorientation
53
Which vital measurement may be a reason to limit an athlete's participation?
Height
Weight
BP
BMI
54
which should be noted about the eyes? (more than 1)
anisocoria
eye color
preexisting abnormalities
pupil reactivity
55
Previous heat illness findings are important for which type of sports? (more than 1)
sports with heavy restrictive equipment
indoor sports with lots of cardio
sports in the winter
peak seasons in hot seasons
56
which patients need to get in-depth evaluations?
dizziness or collapse w/ exertion when sxs are present
family hx of collapse with exercise
anaphlyactic rxn hx
excessive weight loss or gain
57
which of the following is NOT a disqualifier to sport participation?
HOCM
acute rheumatic fever
asthma
Carditis
58
need for a genital exam is an area of controversy among sports medicine physicians.
False
True
59
how many rehabilitation stages are on a return to play protocol after a concussion?
4
8
3
6
60
which are common causes of sudden cardiac death in athletes? (more than 1)
HTN
DM
HOCM
Brock Dz
61
abnormal menses can be a clue to: (more than 1)
pregnancy
nutritional deficits & eating d/o
osteoporosis
drug abuse & psych conditions
62
MEDICAL & SURGICAL histories must be obtained with a PARENT or GUARDIAN present
False
True
63
which of the following is a disqualifier to sport participation?
Coronary artery anomalies
Acute rheumatic fever
Arrhythmogenic right ventricular cardiomyopathy
Ehlers-Danlos syndrome
64
Which of the following is a most common complaint in PCS?
psych sxs
cognitive impairment
headache
dizziness
65
Which of the following describes difficulty following instructions or focusing?
inattentiveness
Confusion and disorientation
Memory difficulties
emotional lability
66
how many times should BP be evaluated?
more than 1 time
10 times
every day
not at all
67
which of the following is a sxs of concussion? (more than 1)
inattentiveness
blank stare/stunned appearance
slow or incoherent speech
gait abnormalities
68
what does the tanner staging do?
detects cancer
classifies athletes by maturity
restricts them to sports
detects developmental delays
69
in which positions should heart auscultation be performed?
sitting
standing
prone
supine
70
Some sports physicians omit the genital exam unless the medical history indicates which of the following (more than 1)
inguinal swelling
phimosis
single testicle
scrotal swelling
71
Which is false?
risk of abrasion & laceration increases as the risk of injury increases
not all athletes need updated tetanus immunizations
history of asthma and anaphylactic rxns is asked
history of excessive weight loss or gain is asked
72
which of the following is NOT a restriction?
Malignancy
DM
coronary artery anomalies
HTN
73
pts with down syndrome need a cervical x ray
False
True
74
refers to a common constellation of symptoms reported by patients after MILD traumatic brain injury.
Concussion Syndrome
mild dementia
concussion
Postconcussion syndrome (PCS)
75
abdominal examination should be conducted to assess organomegaly
True
False
76
which sports commonly have excessive weight loss or gain?
dance
gymnastics
soccer
wrestlers
diving
figure skating
77
jewelry and body piercings should be noted and assessed
True
False
78
clearance w/o intervention for any person w/ 20/50 or better using both eyes is possible
False
True
79
if visual acuity is abnormal, interventions can be RECOMMENDED before participation in sports activities.
True
False
80
use of contact lenses, dental appliances, and other devices should be asked in the prepartic sport eval
True
False
81
Concussion typically results in the slow onset of long-lived impairment of neuro fx that resolves spontaneously
True
False
82
which disqualifies athletes from certain sports like wrestling?
nebi
herpes
acne
scabies
83
which of the following should be counseled in terms of participating in sports? (more than 1)
tinea
Nevi
Scabies
acne
84
concussion is a synonym for mild TBI
False
True
85
a systolic murmur along left sternal border, accentuated by Valsalva maneuvers and standing
VSD
aortic stenosis
MVP
HOCM
86
which should disqualify athletes from sports, like wrestling? (more than 1)
herpes
impetigo
tinea
MRSA skin infxn
87
which of the following describes walking in the wrong direction?
imbalance
gait abnormalities
HA
confusion & disorientation
88
Concussion typically results in the slow onset of short-lived impairment of neuro fx that resolves spontaneously
True
False
89
concussion is a synonym for MOD TBI
True
False
90
patient returns to sports after a concussion with no rehabilitation
False
True
91
Musculoskeletal part of the PE can be completed w/ a 90sec ortho eval (if screening Hx is NEG)
True
False
92
Updated information and telephone numbers are recommended
True
False
93
the hands are evaluated for rotational deformities
True
False
94
which do NOT disqualify athletes from certain sports, like wrestling?
herpes
nevi
impetigo
some tinea forms
95
BP is ALWAYS an indication for disqualification from sports (abnormalities are also often first noted during sport's PE)
True
False
96
auscultating the heart in different positions decreases the likelihood of detecting subtle abnormalities
False
True
97
Preparticipation sport evals include ask about adoption status
False
True
98
What happens in HOCM with the squat maneuver?
nothing happens
the murmur decreases
the murmur remains the same
the murmur increases
99
Which type of hernia can a patient have to still be CLEARED to participate in sports?
testicular torsion
unstrangulated
strangulated
incarcerated
100
what is the minimum wt for varsity football athletes? (not strict)
150lbs
100lbs
200lbs
120lbs

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