Chapter 25: Sports Participation Evaluation

Question 1

1. The goals of preparticipation sports evaluation include
   a. screening for steroid use or abuse.
   b. determining the best fit for positions in each sport.
   c. determining the risk of injury or death during sports participation.
   d. securing a legal contract before recommending limiting participation.

Answer 1

c. determining the risk of injury or death during sports participation.

Question 2

2. The checkout station for preparticipation physical evaluation is critical because at this point
   a. all completed forms are distributed.
   b. parental signatures are obtained.
   c. the relevant history is obtained.
   d. the coordination of follow-ups is reviewed.

Answer 2

d. the coordination of follow-ups is reviewed.

Question 3

3. You are conducting a preparticipation physical examination for a 10-year-old girl with Down syndrome who will be playing basketball. She has slight torticollis and mild ankle clonus. Which additional diagnostic test would be required for her?
   a. Cervical spine radiography
   b. Visual acuity
   c. Mini-Mental State Examination
   d. Nerve conduction studies

Answer 3

a. Cervical spine radiography

Question 4

4. Part of the screening orthopedic component of the examination includes evaluating the person while he or she is
   a. performing push-ups.
   b. duck walking.
   c. twisting at the waist.
   d. crossing the arms over the chest.

Answer 4

b. duck walking.

Question 5

5. Your 15-year-old patient is athletic and thin. 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.

Answer 5

d. menstrual cycles.

Question 6

6. One of the most important aspects to consider in the orthopedic screening examination is
   a. muscle contraction.
   b. flexibility.
   c. symmetry.
   d. balance.

Answer 6

c. symmetry.

Question 7

7. Which medical condition would exclude a person from sports participation?
   a. Asthma
   b. Fever
   c. Controlled seizures
   d. HIV-positive status

Answer 7

b. Fever

Question 8

8. A parent is advised to restrict contact sports participation for their child. An example of a sport in which this child could participate is
   a. hockey.
   b. roller skating.
   c. riflery.
   d. skateboarding.

Answer 8

c. riflery.

Question 9

9. A child has a poorly controlled seizure disorder. He has restricted sports participation but would be able to engage in
   a. archery.
   b. swimming.
   c. weight lifting.
   d. badminton.

Answer 9

d. badminton.

Question 10

10. You are auscultating heart tones as part of a sports physical examination. You hear a murmur at the right second intercostal space (aortic area). The murmur increases in intensity when this teenager goes from a sitting to standing position. The subsequent recommendation should be to
    a. consult a cardiologist as soon as possible.
    b. have a stress test before completion of the form.
    c. participate in low-static, high-dynamic sports.
    d. limit contact sports and have an echocardiogram.

Answer 10

a. consult a cardiologist as soon as possible.

Question 11

1. Why should the preparticipation sports examination take place well in advance of the planned sports activity? (Select all that apply.)
   a. To allow completion of therapy for identified problems
   b. Because routine health maintenance needs to be addressed
   c. Because it should be 6 weeks prior to the planned sports event
   d. To allow completion of follow-up testing

Answer 11

ANS: A, D
a. To allow completion of therapy for identified problems
d. To allow completion of follow-up testing