Pre-Participation Screen Flashcards

You may prefer our related Brainscape-certified flashcards:
0
Q

Is myocarditis an absolute or relative contraindication to participation?

A

Absolute contraindication

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1
Q

Primary Objectives of PPE (3)

A

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

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2
Q

How often should PPE be done?

A

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

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3
Q

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

A

Relative.

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4
Q

What is the function of the privacy rule?

A

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

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5
Q

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

A

FERPA

Yes

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6
Q

What is an exculpatory waiver?

A

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

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7
Q

What is the cornerstone of the PPE?

A

Medical history

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8
Q

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

A

… Potential injury from a collision.

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9
Q

Ideally, when should the PPE take place?

A

6 weeks before start of season

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10
Q

Carditis?

A

Not cleared for sport

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11
Q

Fever

A

Not cleared for sport.

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12
Q

Diarrhea

A

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

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13
Q

Atlanto-axial instability.

A

Qualified yes

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14
Q

Bleeding disorder

A

Qualified yes

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16
Q

HTN

A

Qualified yes

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17
Q

Congenital heart disease

A

Qualified yes

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18
Q

Dsrhythmia, heart murmur

A

Qualified yes

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19
Q

CP

A

Qualified yes

20
Q

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

A

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)

21
Q

History of heat illness

A

qualified yes

22
Q

Absence of one kidney, enlarged liver

A

qualified yes

23
Q

malignant neoplasm, musculoskeletal disorders, neurologic disorders

A

qualified yes

24
Q

Well controlled seizure disorder

A

yes

25
Q

Poorly controlled seizure disorder

A

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

26
Q

Organ transplant recipient

A

qualified yes

27
Q

Absence of one ovary

A

yes

28
Q

Respiratory conditions (pulmonary compromise including CF)

A

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

29
Q

acute upper respiratory infection

A

qualified yes

30
Q

Sickle cell disease

A

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

31
Q

Sickle cell trait

A

yes

32
Q

skin disorders

A

qualified yes (if contagious, participation is not allowed)

33
Q

Enlarged spleen

A

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

34
Q

Undescended testicle, Absence of testicle

A

yes

35
Q

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

A

volume of sport activity

36
Q

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

A

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

37
Q

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

A

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

38
Q

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

A

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

39
Q

2 types of shoulder pads? who wears what?

A

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

40
Q

Secondary objective of PPE? (3)

A

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

41
Q

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

A

RTS

42
Q

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?

A

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

43
Q

How are the cowboy collar and neck roll different?

A

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

44
Q

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

A

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

45
Q

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

A

systole increases but diastole should remain the same with exercise

46
Q

At what mmHg (systole) should exercise be terminated?

A

200mmHg