Chap 11 Flashcards

1
Q
  1. According to the NCAA, which of the following does NOT need to be included in an athlete’s medical record?
    a. Preparticipation medical history questionnaire
    b. Immunization records
    c. History of injuries or illnesses, both athletic and nonathletic
    d. Drug testing results
A

D

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2
Q
  1. Which of the following best illustrates a diagnostic sign?
    a. Edema
    b. Blurred Vision
    c. Nausea
    d. Headache
    e. All of the above
    f. None of the above
A

A

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3
Q
  1. Which of the following best illustrates a symptom?
    a. Deformity
    b. Ecchymosis
    c. Crepitation
    d. Tinnitus
    e. All of the above
    f. None of the above
A

D

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4
Q
  1. When asking about the characteristics of symptoms, the athletic trainer should determine:
    a. Limitations in sport, occupational, and ADLs
    b. Location, onset, limb position, and direction of force
    c. Location, onset, severity, frequency, and duration
    d. Previous injuries, congenital abnormalities, and family history
A

C

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5
Q
  1. Which of the following terms refers to a structure on both sides of the body or body part?
    a. Bilateral
    b. Contralateral
    c. Ipsilateral
    d. Lateral
A

A

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6
Q
  1. Visceral pain results from an injury to what type of structure?
    a. Ligaments
    b. Organs
    c. Muscle
    d. Bone
A

B

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7
Q
  1. Superficial discoloration or bruising of tissue is called:
    a. Ecchymosis
    b. Erythema
    c. Edema
    d. Effusion
A

A

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8
Q
  1. Decreased skin temperature on palpation of an injury site could indicate:
    a. Decreased circulation
    b. Inflammation
    c. Infection
    d. Decreased nerve conduction
A

A

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9
Q
  1. Information pertaining to which of the following is NOT included in the assessment component of SOAP notes?
    a. Long-term goals
    b. Short-term goals
    c. Immediate treatment
    d. Injury severity
A

C

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10
Q
  1. Swelling inside a joint capsule is known as:
    a. Edema
    b. Effusion
    c. Erythema
    d. Ecchymosis
A

B

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11
Q
  1. Which of the following is done last in a physical examination:
    a. Questioning the patient about their mechanism of injury
    b. Range of motion assessment
    c. Looking for any open wounds
    d. Feeling the area for swelling
A

B

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12
Q
  1. How often should a patient complete the numeric pain scale?
    a. Initial injury, halfway through treatment, and at discharge
    b. Initial injury and monthly until treatment is discontinued
    c. Initial injury and weekly until treatment is discontinued
    d. Initial injury and every day of treatment
A

D

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13
Q
  1. Crepitus is a sign of:
    a. Fracture
    b. Dislocation
    c. Swelling
    d. Infection
A

C

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14
Q
  1. Movements within the joint that cannot be voluntarily performed by the individual are called
    a. Accessory movements
    b. Active movements
    c. Passive movements
    d. Assisted movements
A

A

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15
Q
  1. The position in a joint’s ROM during which it is under the least amount of stress is called the:
    a. Close packed position
    b. Loose packed position
    c. Neutral position
    d. Relaxed position
A

B

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16
Q
  1. Skin sensation is best assessed using:
    a. Myotomes
    b. Deep tendon reflexes
    c. Dermatomes
    d. Palpation
A

C

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17
Q
  1. Which type of testing can be performed with the clinician resisting static muscle contraction:
    a. Myotome testing
    b. Dermatome testing
    c. Manual muscle testing
    d. Resistive range of motion
    e. All of the above
    f. A, B, C only
    g. A, C, D only
    h. B, C, D only
    i. None of the above
A

G

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18
Q
  1. Images in an x-ray appear what color if the x-rays travelled through the tissue?
    a. Black
    b. White
    c. Gray
    d. Charcoal
A

A

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19
Q
  1. Which type of imagery is best for soft tissue?
    a. X-ray
    b. MRI
    c. CT scan
    d. Myelogram
A

B

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20
Q
  1. Range of motion is measured quantitatively with:
    a. A ruler
    b. A goniometer
    c. General observation
    d. A sphygmomanometer
A

B

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21
Q
  1. Normal range of motion for wrist flexion is how many degrees?
    a. 0–50
    b. 0–60
    c. 0–70
    d. 0–80
A

D

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22
Q
  1. A muscle that can move through the complete range of motion against gravity with no overload is graded as:
    a. Fair
    b. Good
    c. Normal
    d. Poor
A

A

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23
Q
  1. The C6 myotome is tested with:
    a. Shoulder abduction
    b. Elbow flexion and wrist extension
    c. Elbow extension and wrist flexion
    d. Thumb extension and ulnar deviation
A

B

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24
Q
  1. True or False: The information the patient tells you about their injury is written in the objective portion of the SOAP note.
A

F

25
Q
  1. True or False: The term mechanism of injury refers to how an injury occurred.
A

T

26
Q
  1. True or False: Muscles and ligaments cause somatic pain
A

T

27
Q
  1. True or False: Nerve pain is most often localized to the site of injury
A

F

28
Q
  1. True or False: Erythema is a form swelling
A

F

29
Q
  1. True or False: Informed consent in not necessary if the patient is over the age of 18.
A

F

30
Q
  1. True or False: The most painful area should be palpated last
A

T

31
Q
  1. True or False: A list of differential diagnoses should be made prior to beginning the special test portion of an evaluation.
A

T

32
Q
  1. True or False: Pain from a bony injury would increase when they body is moved to a closed-packed position.
A

T

33
Q
  1. True or False: Resisted range of motion testing isolates a specific muscle
A

F

34
Q
  1. True or False: Each deep tendon reflex assesses a specific nerve root
A

T

35
Q
  1. True or False: A CT scan is a type of radiograph that produce 3D images
A

T

36
Q
  1. True or False: Clinicians should create their own medical abbreviations to make documentation faster and more efficient
A

F

37
Q
  1. True or False: Proper grammatical punctuation is not necessary when writing a SOAP note that uses medical abbreviations
A

F

38
Q
  1. True or False: The clinician must sign and date every note he/she writes
A

T

39
Q
  1. True or False: The results of a manual muscle test are negated if the contraction causes pain.
A

T

40
Q
  1. True or False: Pain that occurs before the end of the available range of motion indicates a chronic injury.
A

F

41
Q
  1. When using a goniometer to measure ROM, the stationary arm of the goniometer is placed ________ to the proximal bone of the joint being tested.
A

a. Parallel

42
Q
  1. In assessing ligament laxity, a soft end feel indicates a grade______ ligament injury
A

2

43
Q
  1. ___________ is an abnormal sensation characterized by numbness, tingling, or burning
A

a. Paresthesia

44
Q
  1. A __________ is a group of muscles primarily innervated by a single nerve root.
A

a. Myotome

45
Q
  1. ____________ movements accompany traditional active and passive range of motion but cannot be voluntarily performed by the individual.
A

a. Accessory

46
Q
  1. Normal hematocrit levels for women are 37 to __________
A

a. 48

47
Q
  1. __________ colored synovial fluid could be indicative of septic arthritis.
A

a. Brownish

48
Q
  1. The close packed position for the subtalar joint would be__________
A

a. Supination

49
Q
  1. A MMT that reveals complete ROM with some assistance and gravity eliminated would be graded __________
A

a. 2 (poor)

50
Q
  1. Toe extension would be considered the _________ myotome
A

a. L5

51
Q
  1. C5–C6 deep tendon reflex targets the __________ muscle
A

a. Brachioradialis

52
Q
  1. Stroking the anteromedial tibial surface targets the ________ pathological reflex
A

a. Oppenheim

53
Q
  1. What is the purpose of a bilateral comparison?
A

a. Comparing the healthy and injured limbs allows the clinician to test for discrepancies similar to a baseline test. Differences can indicate the level and severity of injury and the baseline can be used as a target to guide the rehabilitation process.

54
Q
  1. What is the difference between a diagnosis and differential diagnosis?
A

a. Diagnosis is the term used to designate a specific condition. Differential diagnosis is a list of possible conditions created prior to having a set diagnosis.

55
Q
  1. What is the Single Assessment Numeric Evaluation (SANE) and how should it be used in patient care?
A

a. The SANE is an assessment measure of a patient’s perceived functional status of the injured body part. It can be administered to all patients who have sustained an injury to the upper or lower extremity. Twenty-four hours after the onset of injury and every 24–48 hours throughout the duration of treatment, the patient will be asked to rate the current status of the injured body part. This is a way to measure patient progress.

56
Q
  1. What is the difference between active and passive range of motion?
A

a. Active range of motion is joint motion performed by the individual through muscular contraction. Passive range of motion is assessed when the clinician moves the body part through the ROM with no assistance from the injured individual.

57
Q
  1. What criteria must a patient meet before activity specific functional testing is performed?
A

a. The patient should have full pain-free ROM, have no active inflammation or acute swelling present, and demonstrate pre-injury strength and ROM.

58
Q
  1. Identify the five key areas used to develop a history of an injury.
A

a. Primary complaint, mechanism of injury, characteristics of the symptoms, disabilities from the injury, related medical history

59
Q
  1. What are three types of tests clinicians can use to test neurological conditions?
A

a. Dermatomes, myotomes, deep tendon reflexes.