B6-079 Teen Sports Physical

Question 1

when is the ideal time for a sports physical?

Answer 1

6 weeks or before before starting

Question 2

most common finding of a sports physical

Answer 2

healthy adolescent with no restrictions

Question 3

most common reason an athlete is not cleared to play after a sports physcial

Answer 3

95% of the time its a cardiac structural problem

Question 4

most common cause of sudden cardiac death in young athletes

Answer 4

hypertrophic cardiomyopathy

Question 5

what symptom found on history really helpful in screening for cardiac risk?

Answer 5

syncope or near syncope event

Question 6

female athlete triad

Answer 6

amenorrhea
anorexia
osteoporosis

Question 7

can athletes with sickle cell still participate in sports?

Answer 7

yes- just take extra precautions to hydrate and avoid sickling

Question 8

[…] can increase the risk of splenic rupture for 6 weeks following illness

Answer 8

mononucleosis

Question 9

absence of […] might be restricted from certain sports and need to ensure appropriate protection is worn

Answer 9

paired organ

Question 10

how should you manage asthma in a patient that wants to participate in sports?

Answer 10

optimize controller medications and pretreat as needed

Question 11

what medical history requires clearance from a cardiologist prior to sports participation?

Answer 11

Marfan’s

Question 12

increased arm span/height ratio would raise your level of suspicion for

Answer 12

Marfan’s

Question 13

due to increased risk of […], patients with Down Syndrome should be encouraged to participate in […] sports

Answer 13

AO instability
non-contact

Question 14

when can an athlete return to sports following concussion?

Answer 14

symptom free, even during non-athletic activities
appropriate balance testing

Question 15

is neurocognitive testing required during the pre-participation physical?

Answer 15

no, but it is helpful if you have an established baseline when you later evaluate for concussion

Question 16

pain with flexion of the spine might indicate

Answer 16

disc problems

Question 17

GU exam is required for [males/females]

Answer 17

males

Question 18

when should hypertension preclude sports activity?

Answer 18

Grade 3 (160-169 systolic)

athlete can return to play once HTN is controlled

Question 19

when is hypertension an absolute contraindication to sports participation?

Answer 19

Grade 4 (>180 systolic)

Question 20

if initial BP is elevated at time of physical, what is the next best step?

Answer 20

repeat blood pressure twice over the next month

**is not a contraindication for sports clearance