Clinical Self Eval Flashcards
Which of the following methods I used to classify muscle contusions? Isokinetic testing; comparative ROM in the non-injured joint; magnitude of pain; degree of swelling
Comparative ROM in the non-injured joint
What differentiates myositis ossificans from a malignant tumor?
Pain and lesion size typically decrease in myositis ossificans but increase with malignant tumors
The protocol that decreases disability time after a quadriceps muscle contusion uses:
early flexion procedures
Which of the following is NOT appropriate treatment for delayed-onset muscle soreness? Applying ice; stretching gently; taking a nonsteroidal anti-inflammatory medication, vigorously exercising the affected muscles.
Vigorously exercising the affeted muscles
Which step is LEAST important in assessing serious sports-related extremity injuries? Assessing for associated cervical spine and head injuries; differentiating between severe sprain and a fracture; evaluating motor function; measuring capillary refill time.
Differentiating between severe sprain and a fracture
Severe acute ankle injuries should be protected initially with a
posterior splint
Which of the following tests is the most reliable indicator of an acute ACL sprain? Apley’s test, Lachman’s test, Anterior drawer test, Pivot shift
Lachman’s test
In Osgood-Schlatter disease, knee pain usually
is increase with resisted knee extension
What is the major mechanism responsible for cervical spine injuries in tackle football. The greatest risk of sustaining a cervical spine these injuries resulting in permanaent quadriplegia is in defensive backs who use their heads as the initial point of contact.
Axial
______________ is a rare cause of death among the many participants in sports and recreational athletics, but it attracts widespread attention because the deaths occur in young, apparently healthy people. It is the single most common cardiovasular cause of sudden death in young athletes.
Hypertrophic cardiomyopathy
Which of the following is an absolute contraindication to play regarding cervical spine condition recommendations for participation in contact sports? Ligamentous laxity greater than 3.5mm; Atlanto-occipital fusion; spear tackler’s spine; verterbral body fracture with a sagittal component; all the above
All the above
Which of the following is the best test for a chronic ACL injury? Lachman, drawer, privot shift, sag sign
Drawer
T/F: In order to have a concussion you must lose consciousness
FALSE
Adolescents have a higher incidence of nonmuscular causes for back pain, including tumor, that add urgency to the treatment scenario. Posterior element injuries of the bony spine may account for up to _____% of the cases.
75%
Saddle numbness and bowel and/or bladder control issues may indicate a cord compression syndrome and should be treated as a(n)
Cauda equina
The single-leg standing hyperextension test, commonly called the stork test, is more sensitive and specific for which of the following: posterior element injury; disc; slipped capital femoral epiphysis; saroiliac dysfunction; hip flexor strain
Posterior element injury
Acute, transient brachial plexus injuries, are typically traction neurapraxias occurring in younger athletes as a result of shoulder depression and lateral neck deviation away from the side of injury. These are called_______
Stingers
Which of the following injuries is best described by the following? Neurologic findings may include both arms, both legs, all four extremities, or an ipsilateral arm and leg. The symptoms may result in sensory changes with or without motor findings. Sensory changes include burning pain, numbness or tingling; motor changes consist of weakness or complete paralysis. An episode usually lasts less than 15 minutes, although some cases may take up to 48 hours to resolve. Complete motor function and full, pain-free cervical motion normally return. Spinal Shock; cervical cord neurapraxia; brachial plexus axonotemesis; concussion
Cervical cord neurapraxia
The “cowboy collar” is used with which of the following conditions? Cervical cord neuropraxia, disk injury, cervical strain, brachial plexus injury.
Brachial plexus injury
What is described by the following? -Asymptomatic patients with a canal/vertebral body ratio of 0.8 or less: no contraindications. - Patients with a ratio of 0.8 or less who have had one CCN episode:relative contraindication. -Measured off a lateral cervical. Options: Torg ratio, Pavlov’s Ratio, Bennet’s Ratio, Two of the above
Two of the above (Torg and Pavlov’s ratios are the same)
T/F: Upper cervical nerve injuries are relatively rare and reer dysesthetic pain to the head, the neck, and the upper trapezius region.
TRUE
Dysesthesias along the ulnar forearm from the elbow into the fourth and fifth fingers may be associated with ulnar nerve entrapment at the elbow (cubital tunnel syndrome) an must be differentiated from a _____radiculopathy.
C8
The posterior cruciate ligament does which of the following: prevents excessive exernal rotation; guides the knee in flexion; acts as drag during the later gliding phase in flexion; all the above; none of the above
Guides the knee in flexion
T/F: Capsular ligaments are taut during full flexion
FALSE
T/F: Capsular ligaments allow for ration to occur
TRUE
T/F: Deeper capsular ligaments remain taut to keep rotation in check
TRUE
This test is performed at 0 and 30 degrees to assess the integrity of the lateral collateral ligament.
Varus stress test
Which two tests can be used to assess the integrity of the meniscus?
Apley’s compression and McMurray’s
This test is utilized to assess anterolateral rotary instability.
Pivot Shift
T/F: The Q-Angle is comprised of lines that bisect the patella relative to the ASIS and tibial tubercle
TRUE
T/F: The Q-Angle is normal in females at 10 degrees and 15 degrees for males
FALSE
T/F: The Q-Angle can be indicative of specific pathologies if greater than normal.
TRUE
T/F: Regarding the Q-Angle, normal angles change relative to body position.
TRUE
T/F: A peroneal nerve contusion is often the result of a direct blow to the lateral aspect of the leg.
TRUE
T/F: The infrapatellar bursa generally becomes inflamed as a result of continued kneeling.
FALSE
T/F: The patella apprehension test is generally negative in individuals that have dislocated or subluxed their patella.
FALSE
T/F: Osgood Schlatter Disease is common in immature adolescent knees and is characterized by an apophysitis of the tibial tubercle.
True (aphysitis only occurs in growing people)
T/F: Posterior cruciate ligament injuries are most often seen in athletes that have fallen on a bent knee and may have had some degree of rotational force involved.
TRUE
T/F: Athletes rarely complain of having heard or feeling a pop as a result of a torn ACL, and usually complain of severe pain that dissipates shortly after injury.
FALSE
T/F: Healing of meniscal injuries may be limited and compromised due to the level of blood supply which is provided to these cartilagenous disks.
TRUE
