Chapter 24

Question 1

The goals of preparticipation sport evaluation (PPE) include
A. Screening for steroid use or abuse
B. Determining the best fit for positions in each sport
C. Identify health problems that increase risk of injury or death during participation
D. Securing a legal contract before recommending limiting participation
E. Predict brain injury and concussion

Answer 1

C) Identify health problems that increase risk of injury or death during participation

Question 2

The checkout station for preparticipation physical evaluation (PPE) is critical because at this point:
A. All completed forms are distributed
B. Parental cosignatories are obtained
C. The relevant history is obtained
D. Data is reviewed and follow-up actions coordinated
E. A primary care visit will not be required

Answer 2

D. Data is reviewed and follow-up actions coordinated

Question 3

You are conducting a PPE for a 10 y/o girl with Down syndrome who will be playing soccer. She has increased deep tendon reflexes, ankle clonus, and a positive Babinski sign. What would be your next course of action? 
A. Cervical spine radiograph
B. Immediate referral to a neurosurgeon
C. Mini-Mental State Examination
D. Nerve conduction studies
E. Visual acuity

Answer 3

B. Immediate referral to a neurosurgeon

Question 4

Part of the screening orthopedic component of the examination includes evaluating the person while
A. Performing push-ups
B. Duck walking
C. Twisting at the waist
D. Crossing the arms over the chest
E. Performing jumping jacks

Answer 4

B. Duck walking

Question 5

Your 15 y/o patient appears to have a too-thin body build. Radiography of an ankle injury reveals a stress fracture. You should question this patient about her
A. Sleep patterns
B. Salt intake
C. Aerobic workouts
D. Menstrual cycles
E. Family history

Answer 5

D. Menstrual cycles

Question 6

One of the most important aspects to consider in all portions of the orthopedic screening examination is 
A. Muscle contraction
B. Flexibility
C. Muscle development
D. Balance
E. Symmetry

Answer 6

E. Symmetry

Question 7

Which medical condition would exclude one from sports participation?
A. Asthma
B. Fever
C. Controlled seizures
D. Stage 1 hypertension
E. Sickle cell trait

Answer 7

B. Fever

Question 8

Which of the following radiographic studies is no longer recommended by the American Academy of Pediatrics (AAP) as a screening examination for individuals with Down syndrome?
A. Skull x-rays
B. Pelvic x-rays
C. Cervical spine x-rays
D. Thoracic spine x-rays
E. Lumbar spine x-rays

Answer 8

C. Cervical spine x-rays

Question 9

A parent is advised to restrict contact or collision sports participation for his or her child. An example of a sport in which this child could participate is
A. Hockey
B. Roller skating
C. Track
D. Skateboarding
E. Diving

Answer 9

C. Track

Question 10

Which of the following may be a component of the female athlete triad?
A. Heavy menstrual periods
B. Fevers
C. Seizures
D. Weight gain
E. Binging and purging

Answer 10

E. Binging and purging

Question 11

Which of the following statements is true regarding sports-related concussions?
A. They are only caused by a direct blow to the head
B. The may or may not involve a loss of consciousness
C. They are usually associated with abnormal neuroimaging studies
D. Symptoms largely reflect structural rather than functional disturbances
E. They typically result in delayed onset of symptoms that rarely resolve spontaneously

Answer 11

B. The may or may not involve a loss of consciousness