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CATA 263 > lecture 4: preparticipation medical examination > Flashcards

lecture 4: preparticipation medical examination Flashcards

1
Q

what are the 3 general functions of a preparticipation medical exam

A

1) ensure healthy and safety while particiapting in activtiy/sport
2) gather ingo regarding gen health, matturaity, ffitness level at thebeg
3) idenetify those are risk for particpating in PA

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2
Q

what is another name for preparticpation medical examination (PPME)

A

pre season medical examination

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3
Q

when is the PPME perfroemd

A

PRESEASON annullay (or bi annualy)

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4
Q

what is the 1st goal of PPME

A

determine gen health and immunization status

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5
Q

what is the 2nd goal of PPME

A

Detect medical conditions that have not healed or predisposed individual to injury or illness

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6
Q

what is the 3rd goal of PPME

A

Identify behaviours posing a risk to health

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7
Q

what is the 4th goal of PPME

A

Establish baseline parameters for determining when athlete can return to activity

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8
Q

what is the 5th goal of PPME

A

Assess physical maturity

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9
Q

what is the 6th goal of PPME

A

Evaluate physical fitness

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10
Q

what is thr 7th goal of PPME

A

Classify readiness to participate

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11
Q

what is the 8th goal of PPME

A

Recommend appropriate activities to individuals with medical contraindications to exercise

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12
Q

what is the 9th goal of PPME

A

Meet legal and insurance requirements

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13
Q

how does a bi annual PPME work

A

they do a entry medical

and exit medical

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14
Q

give an example of behaviors posing a risk to health

A

smoking, drugs, alcohol, meds, bad behavior

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15
Q

what is meant by “assess ophysical maturity”

A

looking for younger athletes

ex: growth paltes not fusing, have they gotten their periods, etc)

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16
Q

what is needed to classify an individual as ready to participate

A

clearange by physician

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17
Q

true or false: it is a good idea to do PPME in a huge gym with a lot of people

A

false, it is better to be in a calm, isolated area

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18
Q

why is the PPME ideally completed by primary care physican

A

allows for easy refferals and clearange

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19
Q

true or flase: PPME can be done in group formates

A

true, you can have multiple HCP like supervising physicsions, ATs physios etc

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20
Q

what do teams do to acceralte the process of a PPME

A

set up stations (medical, physcial, eye exam etc)

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21
Q

when is a PPME ideally completed and why

A

6 weeks before start of PA because

1) it allows time to correct problems or to be reffered to specialists
2) allows time to see all the patients without being rushed

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22
Q

how is the medical hisotry usually given

A

in the form of wrriten form

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23
Q

is the medical hisotry usually done before or during PPME and why

A

before to save time

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24
Q

what are examples of things assessed in a medical history examination

A 
Immunizations/ vaccines
Infectious diseases
LOC
Headaches
MSK injuries
Cardiovascular and respiratory questions- SOB, heart palpitations, irregular heart beat…
Seizures
Eating disorders
Contact lenses, corrective glasses
Special equipment (pads, braces, eye guards, neck rolls etc)
Family history
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25
Q

during a physical exam what things are assessed

A 
Vital Signs
General Medical problems
CV examination (ECG)
Pulmonary examination
Neurological examination
Eye examination
Dental examination
Gastrointestinal examination
Genitourinary examination 
Dermatological Examination
Examination for Heat Disorders
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26
Q

true or false: the pulmonary exam doesnt need to be done is CV is done

A

false, theyre usually done together

27
Q

what are you looking for in a pulmonary exam (physical signs)

A

coouhging spells, abnormal breathing sounds, assymetry ot lungs movement

28
Q

what are you looking for in a pulmonary exam (history(

A

history of allergies or asthma attacks

29
Q

during a pulmonary exam you are checking for excessive coughing during PA

A

false, also AFTER pa

30
Q

what are some exmaples of abnomral breathing sounds during pulmonary exam

A

wheezing, crackles, rhonchi, rubs, rales and abnormal breathing rates.

31
Q

what are tthe thigns you are looking for in a neurological exam

A 
PEARLA
cranial nerve assess
myotomes/dermatomes
deep tendon reflexes
SCAT (concussion tools)
32
Q

what does PEARLA stand for and how is it performed

A

pupiles equal and round, reactive to light and accomdoate

done with apenlight in and with both eyes

33
Q

what are some ways to assess cranial nerves

A

smile, read allowed, follow the light, periphereal, smile, hearing

34
Q

what is myotome testing

A

ability to conttract muscles in specfic location testing every vertbrea

35
Q

what is dermatone testing

A

ability to eel a sensation on skin assessing evry vert.

36
Q

true or false: SCAT can be used even without a concussion

A

true, it can be used to establish a baseline

37
Q

what is another example of a concussion assessment tool that is not SCAT

A

imPACT

38
Q

what are you doing during the eye exam

A

looking for emmetropia (20/20 vision)

check if person can read letters on the 20 ft line of the eye chart when standing 20 ft away

39
Q

what is myopia synomym

A

nearsightness

40
Q

what is myopia and what is it caused by

A

where seeing far is blurry
light rays are focussed infront of retina
shape of eye is more oval horizontally

41
Q

hypermetripia symnoym

A

farsightness

42
Q

what is hypermetropia and what is it caused by

A

where seeing close is blurry
light rays are focussed behind retina
shape of eye is oval vertically

43
Q

what is nystigmas

A

checking for cyclical mvoement of eyes

do not watn pupil to make quick rapid movements

44
Q

what is anisocoria and why is it imporant to note

A

uneven pupil size

need to note if they have this pre season since it can be a sign of head injury

45
Q

who is the dental exam usually completed by

A

dentist

46
Q

why is it good to have a dentist to the dental exam

A

they can do custom moutguards

47
Q

true or false: during dental exam you are only assessing risk of losing teeth

A

false you are also checking health of gums

48
Q

how can you check for health of gums

A

check for
gingivitus
bacteria
tender,swollen, bleeding gums

49
Q

what are you assessing in the gastrointensitnal exam

A

checking health of digestive system, eating habits and nutrition

50
Q

why is palpating organs impornant during gastro exam

A

liver (check for help)

spleen (since the spleen is full of blood, during contract sports it can rupture and cause internal bleeding)

51
Q

what is imporant to check in weight control sports

A

flag for eating disorders

52
Q

what are you looking for in females during gastrourinary exam

A

checking for
menstral hisotry (risk for osteopenia, stress fractures, osteoportis)
-pregnancy

53
Q

what are you lookiing for in males for gastrourinary tests

A

injury to testes, number of tetes, any massess

54
Q

what organ is assessed during gastrourinarty

A

kidney (warned with risk of contract sports)

55
Q

dermatological exams are the most important for what kinds of sports

A

contact sports

56
Q

what are you hcecking for during a dermatological exam

A

contagious lesions

57
Q

what are some examples of contragious legions

A

herpes simplex (cold sores)
impetigo
tinea capitis/corporis (ringworm rash)

58
Q

true or false: heat exams aren important in sports

A

false they are especially important in activities that take place under high temp, high humidiity or combo

59
Q

what hisotry are you looking for during heat disorder exam

A

history of cramping, sympcompe, exahustions, heat stroke, sick cell trait

60
Q

why is someone with sick cell anemia need to be identified during exam

A

since they are at risk for dehydration or sickle cell episode

61
Q

why are examining medications during the heat exam important

A

because some can affect bodys ability to realse heat (antihistamine) or can dehydrate someone

62
Q

what are some things testest during physical fitness profile

A 
Anthropometry and body composition
Maturation and growth spurts may affect participation
Male 14years, females 12years
Affect balance, flexibility 
Flexibility 
Strength, Power and Speed
Agility, Balance and Reaction Time
Cardiovascular Endurance
63
Q

who determines level of participating based on findigns

A

physician

64
Q

what 3 questions do phyiscians ask when clearign an individual

A

Will the condition increase risk of injury to athlete or other participants?

Can participation be allowed if medication, rehabilitation, or protective bracing or padding is used?

If clearance is denied for a particular activity, are there other activities in which the individual can participate?

CATA 263 (17 decks)

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