Preparticipation Physical

Question 1

What are some red flag signs during sports physical?

Answer 1

Be aware of RED FLAGS:

a. History of exercise intolerance
b. Syncope or near syncope
c. Chest pain with exercise
d. A family cardiac history or unexplained death before age 50
e. Hyperlipidemia

Question 2

What are the stations of Preparticicaption physical evaluation?

Answer 2

Height/weight 
Vitals 
Vision 
Hx REVIEW****** 
PE

Question 3

What are some key cardiac questions to ask during PPE?

What are some CV causes of sudden death?

Answer 3

identify if Hypertrophic cardiomyopathy

Marfans

Premature atherosclerosis

Sudden death:

• hypertrophic cardiomyopathy
• anomalies of coronary arteries
• atherosclerotic heart dz
• marfans syndrome
• aortic stenosis
• mitral valve prolapse
• myocarditis

Question 4

What is the MC arrhythmia found in PPE?

Answer 4

isolated premature ventricular contractions.

Question 5

What are some specific medical conditions that require further work up before clearance of PPE?

Answer 5

Atlantoaxial instability (Downs)

Bleeding disorders

Heart murmurs

Diabetes

Sickle cell trait

HIV

Absence of kidney