BOC EXAM Flashcards
5 Types of Tissue Loading
- Compression 2. Tension 3. Shearing 4. Bending
5. Torsion
Define: Clonic Muscle Spasm
Involuntary contraction to relaxation in rapid succession
Define: Tonic Muscle Spasm
Constant contraction over period of time
Define Tendinosis
Shift from Tendinitis to tendon degeneration.
S/S: Pain, swollen, stiffness.
Tx: Strengthen and stretch tendon
Define Tenosynovitis
Inflammation of tendon and synovial sheath
Latent Trigger Point
Does not cause spontaneous pain but restricts movement or causes muscle weakness. Pain is felt when pressure is applied over point.
Active Trigger Point
Causes pain at rest. Applied pressure over causes “jump sign.” Referred pain/radiating pain.
Define: Osteoarthritis
Decrease of hyaline cartilage
Name the 5 functions of Bone
- Body Support 2. Organ Protection 3. Movement via joints/levers 4. Calcium storage
- Hematopoiesis - formation of blood
What do Osteoblasts do?
Bone Producing cells
What do Osteoclasts do?
Bone-remodeling cells
Define: Hypoesthesia
Diminished sense of feeling
Define: Hyperesthesia
Increase sense of feeling
Define Paresthesia
Numbness, tingling, prickling
Define Neuropraxia
Compression or mild blunt blow to nerve. Temporary loss of function within hrs - months
Define Neuritis
Inflammation of nerve
Burning Sensation is indicative of…
a nerve being over stretched
Cardinal Signs of Inflammation (5)
- Redness (Rubor) 2. Swelling (Tumor) 3. Pain (Dolor) 4. Heat (Calor)
- Loss of function (functiolaesa)
Job of Chemical Mediator - Histamine
Vasodilation and increase cell permeability
Job of Chemical Mediator - Leukotrines
Margination
Job of Chemical Mediator - Cytokines
Attract phagocytes to injured site
Psychological Response (Kubler - Ross rx) 5 Steps
- Denial
- Anger
- Bargaining
- Depression
- Acceptance
Define: Hypovolemic
Decrease blood volume leading to shock
Neurogenic Shock
General dilation of vessels
Psychogenic Shock
Fainting (syncope)
Temporary dilation of vessels
Cardiogenic Shock
Inability of heart to pump enough blood
Septic Shock
Bacterial toxins = dilation of vessels
Anaphylactic Shock
Allergies
Tx:epi-pen
Metabolic Shock
Untreated diabetes
Decrease of body fluids
S/S of Shock
Moist Pale Clammy Skin Weak + Rapid pulse Increased shallow respiratory rate Decreased systolic
Normal Pulse Rates
Children
Adults
Children 60-100 bpm
Adults 80-100 bpm
Normal Respiration Rates
Children
Adults
Children 12-20
Adults 15-30
Normal Temperature Range
98.2 DF - 98.6 DF
Define Saggital plane
Divides body into left/right
Define Transverse plane
Divides body into upper/lower
Define Coronal plane
Divides body into anterior/posterior
Difference between Sign and Symptom
Sign - Indicator of disease. Determined when pt. is examined
Symptoms - Change indicating injury/disease. Subjective from pt.pov
HOPS stands for?
History
Observation
Palpation
Special Tests
Define Conduction
Heating through direct contact
Define Convection
Heating indirectly through medium such as air/liquid - whirlpool
Define Radiation
Transfer of heat through space from one object to another - diathermy
Define Conversion
Heating through other forms of energy - ultrasound
Define Effleurage Massage
Stroking
Define Petrissage Massage
Kneading
Define Friction Massage
Heat producing massage
Define Tapotement Massage
Percussion
Myotome Patterns C1
None
Myotome Pattern C2
Neck Flexion
Myotome Pattern C3
Neck lateral flexion/extension
Myotome Pattern C4
Shoulder Shrug
Myotome Pattern C5
Shoulder ABD
Myotome C6
Elbow flexion
Wrist extension
Myotome C7
Elbow extension
Wrist flexion
Myotome C8
Ulnar Deviation
Thumb Extension
Myotome T1
Finger ADD/ABD
Myotome L1
None
Myotome L2
Hip flexion
Myotome L3
Knee Extension
Myotome L4
Ankle Dorsiflexion
Myotome L5
Hallux Extension
Myotome S1
Plantar Flexion/eversion/knee flx/hip ext
Myotome S2
Plantar flexion/knee flexion/hip ext
Myotome S3
None
Myotome S4
Bladder/Rectum anal wink
Define Proprioception
Ability to determine position of joint in space
Define Kinesthesia
Ability to detect movement
Acetaminophen (Tylenol) uses
Analgesic effects
Antipyretic
Headaches
NO ANTI INFLAMMATORY activity
Acetylsalicylic Acid (Aspirin) uses
Analgesic effects Antipyretic Anti inflammatory Blood thinner Headaches NOT FOR CONTACT SPORTS Decrease clotting
NSAID uses
Analgesic effects Antipyretic Anti inflammatory Good for menstrual cramps, somatic pain, soft tissue injury. NOT GOOD FOR HEADACHES
Beta Blockers uses
Decrease BP used for hypertension - relaxes vessels
Apophysitis “Severs Disease” is what?
A bony outgrowth at the calcaneus where the achilles tendon attaches.
Tx. Ice, rest, achilles stretch, NSAID, heel lift
Pronation often indicates what type of arch?
Pes Planus
Supination often indicates what kind of arch?
Pes Cavus
Anteversion of the hip means what?
Internal Rotation of hip
Retroversion of the hip means?
External rotation of the hip
Measuring Anatomical Leg Length Descrepancy. Name the landmarks.
ASIS - Med. Patella - Med. Malleoli
Measuring Functional Leg Length Discrepancy. Name the landmarks.
Umbillicus (navel) - Lat.Condyle of knee - Med. Malleoli
Name the Rotator Cuff Muscles (4)
- Supraspinatus
- Infraspinatus
- Teres Minor
- Subscapularis
How many degrees of shoulder flexion/extension?
FLX - 180
EXT - 50
How many degrees of shoulder ABD/ADD?
ABD - 180
ADD - 40
How many degrees of shoulder IR/ER?
IR - 90
ER - 90
Define Bankart Lesion?
Anterior defect of the labrum
Define Hill Sachs Lesion
Posterior lateral defect of the labrum
Define SLAP lesion
Superior Labrum Anterior to Posterior lesion
Formula for calculating Max Heart Rate?
Max HR = 220 - Age
Ely’s test is used to check?
Tight rectus femoris
Ober’s test?
Tight IT band or Tensor Fascia Latae
Thomas Test?
Tight hip flexors/ilopsoas/rectus femoris/IT band
Craigs test?
Anteversion and retroversion of the hip
FABER Test
Hip is in Flexion ABD and External Rotation
SacroIliac joint, ilopsoas, hip flexor
Scour test
Osteoarthritis of the knee
Trendelenberg
Gluteus Medius/hip abd
Slocum test
15 degrees ER foot placement tests for anteromedial instability of the knee.
30 degrees IR tests for anterolateral instability of knee
Apleys Compression Test
Meniscal tear
McMurrays Test
Meniscus Tear. “Figure “U” with the knee to search for popping and pain”
Clarkes Sign Test
Patellar Chondromalacia
VMO weakness
Patellar tracking issue
Nobel Compression test
Tight IT Band
Talar Tilt Test
ADD - Calcaneofibular ligament tear
ABD - Deltoid ligament
Homan’s Sign
Deep Vein Thrombosis DVT.
Lateral Ligaments of Anke. 3 Important
Anterotalofibular, Calcaneofibular, Posterior calcaneofibular
Medial ligament of ankle important (1)
Deltoid ligament
Thompson Test
Integrity of Achilles Tendon
Yergasons Test
Pain in bicipital groove. Indicative of bicipital tendinitis.
Speeds Test
Long head of biceps brachii. Bicep muscle or tendon pathology
Neers Test
Impingement of supraspinatus with the subacromial space
Empty Can Test
Supraspinatus pathology
Adsons Test
Thoracic Outlet Syndrome. Scalenes impinging subclavian artery
Roos Test
Thoracic Outlet Syndrome. Subclavian Artery impingement
How do you test for Lateral Epicondylitis? Positioning.
Pt. elbow flexed with wrist extension.
Positioning for Medial Epicondylitis.
Elbow extension with wrist flexion
Finkelsteins Test
Tensosynovitis of the Extensor pollicis longus and extensor pollicis brevis. Dequervains Syndrome
Phalens Test
Carpal Tunnel
HIPPA
Health Insurance Portability and Accountability Act
Muscle Grading 2
Complete ROM some assistance no gravity
TBI
Traumatic Brain Injury
Special Test for DVT
Homan’s Sign
Chondromalacia
Articular cartilage softening
Wrist Ganglion
Synovial Cyst, herniation of joint capsule, synovial sheath of tendon
Uncomplicated Crown fracture
Small portion of tooth broken, no bleeding and pulp chamber is not exposed
Dupuytren’s Contracture
Nodules in palmar aponeurosis that limit finger extension
ECG of Heart (T-Wave)
Ventricular repolarization
DeQuervain’s Disease
Stenosing Tenosynovitis in the thumb
Finkelsteins Test
ECG of Heart Time
0.8 secs
Complicated Crown fracture
Portion of tooth fractured, bleeding, pulp chamber is exposed. Very painful
Elbow Osteochondritis Dissecans
Impairment of blood supply to anterior surfaces causes fragmentation of portion of articular cartilage and bone. 10-15 yr old throwers or raquet sports
Domains of AT (6)
Prevention, clincal eval and dx, immediate care, tx, admin, professional responsibility
Spooning or Depression nails (Koilonychia)
Thyroid, iron, anemia
Dermaphytes
Ringworm
Bacterial or Viral? MRSA
Bacterial
Bacterial or Viral? Impetigo Contagiosa
Bacterial
Bacterial or Viral? Furuncles (boils)
Bacterial
Bacterial or Viral? Carbuncles
Bacterial
Bacterial or Viral? Folliculitis
Bacterial
Bacterial or Viral? Paranychia/Onychia
Bacterial
Bacterial or Viral? Tetanus
Bacterial
Bacterial or Viral? Acne Vulgaris
Bacterial
Kiebocks Disease
Insufficient blood supply to the lunate
Urinalysis results for Dehydration
Specific gravity high amount
Bishops/Benediction hand
Ulnar nerve pathology “ulnar claw”
ECG of heart (P Wave)
atrial depolarization
Otitis Media
Redness and swelling of tympanic membrane
Tx: of ruptured tympanic membrane
Control bleeding and refer to physician
Panners Disease
Osteochondritis in children younger than 10
Ape Hand
Median Nerve pathology
Inability to ABD thumb
MOI of dislocated lunate
Forced hyperextension of wrist
FERPA
Family Education Rights and Privacy Act
Drop Wrist
Radial Nerve Pathology
Muscle Grading 0
No muscle contraction palpated
Nonfeasance
Not doing what should have been done
Spondylothesis
Spinal disorder in which the vertebra slips forward onto the bone below it. L5/S1 common. Occurs mostly with women
Carpal Tunnel Syndrome
Compression of median nerve
numbness of thumb, index, middle finger, and thumb
Phalens Test
Cystitis
Inflammation or infection of the bladder
Radiculitis
Inflammation of spinal nerve root
NOCSAE
National Operating Committee on Standards for Athletic Equipment
Bacterial or Viral? Herpes Simplex
Viral
Bacterial or Viral? Labialis
Viral
Bacterial or Viral? Gladioterum
Viral
Bacterial or Viral?Herpes Zoster
Viral
Urinalysis Results for Diabetes
High in blood sugar (glucose)
Swan Neck Deformity
Avulsion of volar plate
Hyperextension of PIP and Flexion of DIP
Spondylolysis
Degeneration of vertibrae - defect in the pars articularis
Urethritis
Symptoms of gonorrhea, chlamydia, herpes, and bacterial infections
Anterior Compartment of leg
Tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneal tertius
Lateral Compartment of leg
Fibularis longus and brevis
Posterior compartment of leg
Tibialis posterior, flexor hallucis longus, flexor digitorum longus, and popliteus
Superficial posterior compartment of leg
Gastrocnemius, soleus, plantaris
Epidural Hematoma
Tear of meningeal arteries, LOC, Medical Emergency
S/S - nausea, decreased pulse/respiration, dizziness
Alkylosis
Decreased blood pH
Periostitis
Inflammation of the bone covering
Sub dural Hematoma
Acceleration/deceleration force that tear vessels that bridge dura mater. Dilation of one pupil. Med Emergency
Comotio Cordis
Tramautic blunt impact to chest
Repolarization phase of T wave
HMO
Health Maintenance Organization
OSHA
Occupational Safety and Health Administration
Boutonniere Deformity
Ruptures extensor tendon dorsal to middle phalanx
PIP Flexion and DIP Hyperextension
CAATE
Commission on Accreditation of Athletic Training Education
Urinalysis results for UTI
High hemoglobin
Muscle grading 3
Complete ROM against gravity with no resistance
Osteomyelitis
Inflammation of bone marrow
Urinalysis of general infection
High RBC’s
ECG of Heart (QRS complex)
Ventrical depolarization and atrial repolarization
Mallet finger
Extensor tendon avulsion
TFCC
Triangular Fibro Cartilage Complex
Pain on ulnar side of wrist, clicking/catching sensation.
Forced hyperextension of wrist
Malfeasance
Acting outside legal boundaries
Claw hand
Compression of median and ulnar nerves
Anti-tussin
Anti cough
Muscle Grading 1
evidence of slight muscular contraction - no joint motion
Apophysitis
inflammation of bony outgrowth
Hyperplasia
increase muscle fiber amount
CT Scan
Computed Tomography Scan
CPM
Continuous Passive Motion
Meningitis
inflammation of brain and spinal cord
Anti-pyruvic
Anti inflammation
Misfeasance
Acting inside legal boundaries in an incorrect fashion
Jersey Finger
Rupture of the flexor digitorum profundus
Chopart’s Joint
Metatarsal Joint consisting of two distinct joints. Calcaneocuboid and talonavicular joint
Clubbing or cyanotic nails
Congenital heart disorder or chronic respiratory disease
Muscle Grading 5
Complete ROM against gravity with maximal resistance
Muscle grading 4
Complete ROM against gravity with moderate resistance
Ridging of nails
Nutritional deficiencies
The Year NATA was formed
1950
Slump Test
Sciatic type pain
Valsalvas Manuever
Herniated disk
Jerk Test
“clunk” at 30 degrees of flexion while being extended. Anterolateral rotary instability
Nobles Compression Test
IT band tightness
Talar tilt (eversion)
Tear of deltoid ligament
Q Angle Test
Normal Female 18 degrees
Male - 13 degrees
Patellofemoral pathology
Godfrey 90/90
PCL instability
Craigs Test
> 15 degrees toeing in, femoral anteversion, squinting patellae
Apley’s Test
Compression - meniscal
Traction - ligamentus
Slocum Test with External Rotation
Anteromedial rotary instability - secondary to MCL, ACL, and posteromedial capsule
90-90 Straight leg raise test
Knee flexed >20 degrees = tight hamstrings
Milgram Test
Low back pain @hip flexion 70 degrees - lumbar spine
Kernigs/Brudzinski Sign
Pt. Supine. 90/90 knee is extended until pain.
Indicative of meningeal irritation, nerve root impingement
Hip Scour test
Hip joint pathology - arthritis, osteochondral defects, acetabular labrum defects
Thomas Test
Tight iliopsoas and or tight rectus femoris
Clarke’s Sign
Chondromalacia
Spring Test
Increase/decrease in motion in one veterbra - hyper/hypomobility fracture
Medial/lateral grind test
Meniscal tear - pain,clicking, grinding
Sweep Test
Intracapsular swelling. Knee
Interdigital Neuroma Test
Mortons Neuroma - pain between metatarsal heads
Thompson Test
Upon squeezing calf foot does not plantar flex - achilles tendon rupture
Leg length discrepancy. How much?
Difference of >1 cm - abnormal pelvic positioning
Ballotable Patella (Tap test)
Severe joint effusion
Talar Tilt Inversion
Tear of calcaneofibular ligament
Pivot Shift Test
“Clunk” at 20-30 degrees of flexion - anterolateral instability
Gaenslens Test
SI Joint
Trendelenberg Test
Pelvis on unsupported side drops - weak gluteus medius
Wells SLR Test
Pain on involved side - vertebral disk damage
McMurrays Grind test
Click along medial joint line - med. meniscal tear
Lat. joint line - lat. meniscal tear
Stork Test
Spondylolysis
Ely’s Test
Tight rectus femoris
Total Quality Mgmt
A continuous focus on the needs and desires of clients.
Personal Power
The power a person has due to person characteristics and personality attributes
Entrepreneurial Role
AT who designs and initiates changes for their program and organization
Hawthorne effect
people change their behavior because they know they are being studied
Scientific mgmt
Mgmt theories from the 1900’s that emphasized on strict control of work in order to maximize production through increased efficiency
Transactional leadership
simple exchange of one thing for another in a relationship between two people
Analytical Listening
AT listens for specific info so they may convey that info. Pt. says they heard pop in knee…AT may convey ACL
MGMT
element of the leadership process that involves planning, decision making and coordinating the activities of a group of people working toward a common goal
Transformational leadership
transcends day to day administrative requirements of operating an ATEP by elevating standards through the creative use of change and conflict
Interpersonal Roles
A managerial role emanating from the possession of formal authority, that requires the manager to interact and form relationships with others in the organization.
Spokesperson Role
an informational role that requires communication with organizational influencers and members of the organization’s public
Leadership
the process of influencing the behavior and attitudes of others to achieve intended outcomes
Legitimacy
a check on the athletic trainer’s scope of authority
Power
The potential to influence
Decision Roles
AT is required to use both personal and position power by exercising authority by planning strategies to serve clients better
Honeymoon effect
the period of time usually immediately after arriving in a new position, in which persons are more likely to be granted extra authority to make decisions
Unity of Command
where a single supervisor directs the work of an employee
Zone of Indifference
Hypothetical boundary of legitimacy outside of which requests or orders will be met with mere compliance or refusal.
Interference
anything that distorts the message from the sender to the reciever
Counterpower
the ability to influence the behavior of a superior
Spending ceiling model budget
Requires justification for expenditures exceeding that of the previous year. Con is that inflation can cause an issue
Spending reduction model budget
Required to reduce budget to preserve institutional funds. Requires creativity to work with low funds
Zero-based budgeting
Must justify every expense without reference to previous spending patterns. Tool for developing priorities in a program
Fixed budgeting
Project both expenditures and program income to determine total costs and revenues for the fiscal year. Only appropriate for income-oriented programs. (not school based)
Variable budgeting
Requires that expenditures be adjusted according to revenues. not for school based programs
Lump-sum budgeting
Fixed total amount of money to be spent wherever the AT sees fit. Administrators hold ATs accountable
Line-item budgeting
List anticipated expenditures for specific categories of sub functions. Limited flexibility for midyear crisis because funds cannot be easily transferred between categories
Performance Budgeting
Breaks down functions of program into activity costs. Pre game prep, emergency first aid, rehab, etc. Difficult to analyze expenses per activities.
Jones fracture
Fracture of the meta diaphyseal junction of the 5th metatarsal of the foot.
Les Franc fracture/dislocation
Pathology to the tarsometatarsal - midfoot.