Pre-Participation Screen

Question 0

Is myocarditis an absolute or relative contraindication to participation?

Answer 0

Absolute contraindication

Question 1

Primary Objectives of PPE (3)

Answer 1

Screen for life threatening or disabling conditions, screen for injuries that may predispose for injury or illness, meet admin requirements

Question 2

How often should PPE be done?

Answer 2

Every 2 yrs in younger athletes, every 2-3 years in older athletes. Some advocate for yearly PPE screens.

Question 3

Is ventral septal defect an absolute or relative contraindication to participation?

Answer 3

Relative.

Question 4

What is the function of the privacy rule?

Answer 4

Allows release of some medical info without the patient’s autho. May be ‘cleared’ or ‘not cleared’

Question 5

School based training records, PPE, and training room medical encounters fall under HIPAA or FERPA? Can these documents be released without special consent?

Answer 5

FERPA

Yes

Question 6

What is an exculpatory waiver?

Answer 6

Aka risk release. Form that Parent’s and athletes sign to participate in sport against medical advice.

Question 7

What is the cornerstone of the PPE?

Answer 7

Medical history

Question 8

Sports are categorized by their degree of contact. Contact categories are based on…

Answer 8

… Potential injury from a collision.

Question 9

Ideally, when should the PPE take place?

Answer 9

6 weeks before start of season

Question 10

Carditis?

Answer 10

Not cleared for sport

Question 11

Fever

Answer 11

Not cleared for sport.

Question 12

Diarrhea

Answer 12

Qualified no. May participate if mild, otherwise, may increase dehydration.

Question 13

Atlanto-axial instability.

Answer 13

Qualified yes

Question 14

Bleeding disorder

Answer 14

Qualified yes

Question 16

HTN

Answer 16

Qualified yes

Question 17

Congenital heart disease

Answer 17

Qualified yes

Question 18

Dsrhythmia, heart murmur

Answer 18

Qualified yes

Question 19

CP

Answer 19

Qualified yes

Question 20

One eyed athlete, loss of eye, detatched reina, prev eye injury of surgery

Answer 20

Qualified yes (a functionally one eyed athlete has a best corrected visual acuity of less than 20/40 in the eye with the worse acuity)

Question 21

History of heat illness

Answer 21

qualified yes

Question 22

Absence of one kidney, enlarged liver

Answer 22

qualified yes

Question 23

malignant neoplasm, musculoskeletal disorders, neurologic disorders

Answer 23

qualified yes

Question 24

Well controlled seizure disorder

Answer 24

yes

Question 25

Poorly controlled seizure disorder

Answer 25

qualified yes (should avoid archery, riflery, swimming, weight/power lifting, sports involving heights)

Question 26

Organ transplant recipient

Answer 26

qualified yes

Question 27

Absence of one ovary

Answer 27

yes

Question 28

Respiratory conditions (pulmonary compromise including CF)

Answer 28

qualified yes (athletes with CF need acclimatization and proper hydration to reduce the risk of heat illness)

Question 29

acute upper respiratory infection

Answer 29

qualified yes

Question 30

Sickle cell disease

Answer 30

qualified yes (all sports except high exertion, collision, and contact sports may be played)

Question 31

Sickle cell trait

Answer 31

yes

Question 32

skin disorders

Answer 32

qualified yes (if contagious, participation is not allowed)

Question 33

Enlarged spleen

Answer 33

qualified yes (if acute, no. If chronically enlarged will need individual assessment)

Question 34

Undescended testicle, Absence of testicle

Answer 34

yes

Question 35

What is the biggest predictor of overuse injuries in pediatric/adolescent population?

Answer 35

volume of sport activity

Question 36

Pitching limits for players aged 9-14 y/o?

Answer 36

75 pitches/game, 600 pitches/season, 2-3k per season

Question 37

Pitching limits for players aged 15-18 y/o?

Answer 37

90 pitches/game, no more than 2 games/week

Question 38

2 types of football helmets? How should a helmet fit?

Answer 38

closed cell padded and air+fluid; 1 inch above eyebrow, 2-3 finger width in front of facemask

Question 39

2 types of shoulder pads? who wears what?

Answer 39

flat (QB's and receivers) and cantilevered (linemen)

Question 40

Secondary objective of PPE? (3)

Answer 40

determine general health, entry point into health care system, serve as an opportunity to initiate discussion on health related topics

Question 41

What phase to begin sprinting after hamstring injury: phase 3 or RTS?

Answer 41

RTS

Question 42

What is the cut off, in mm, for Adam's forward bending test screen? What does this measure? How does this relate to Cobb's angle?

Answer 42

>7 mm should refer for scoliosis referral. 7mm correlates to 20 degree cobb angle

Question 43

How are the cowboy collar and neck roll different?

Answer 43

the cowboy collar spreads the force to the sides and back of the helmet where the neck only stress the bottom of the helmet

Question 44

Y balance reach: when is the athlete at increased risk of injury for anterior direction? PM? PL?

Answer 44

anterior = >4cm; PM = >6cm; PL = >4cm

Question 45

What happens to systole during exercise? What happens to diastole?

Answer 45

systole increases but diastole should remain the same with exercise

Question 46

At what mmHg (systole) should exercise be terminated?

Answer 46

200mmHg