preparticipation physical trigger

Question 1

what is the progresstion of the return to play protocol

Answer 1

each step/test in the progression is 1 day long

1. no activity w complete physical/cognitive rest
2. light aerobic exercise (<70% max HR)
3. sport specific exercise (drills specific to athletes sport
4. non-contact training drills (more intense sports drill w no contact from other players)
5. full participation practice (following written medical clearance)
6. return to play (normal game play)

Question 2

progressive scoliosis with dysrhythmias is present in what syndrome

Answer 2

marfans

Question 3

bifid uvula and high arched palate w crowded dentition is seen in what syndrom

Answer 3

marfans

Question 4

progressive aortic root dilation and MVP are associated with what condition

Answer 4

marfans syndrome

Question 5

10 min after completing a cross country race, a girl begins to cough and become SOB. she then passes out shortly after. what is your top differential? How would you have treated this patient prophylactically

Answer 5

exercise induced bronchoconstriction

albuterol inhaler 20 min prior to exercise, singulair/montelukast, proper warm ups, stay aware of respiratory status

Question 6

a male athlete that you have been following for the past 10 years has a history of right leg pain localized just below the knee. He is now 16 and reports the pain has resolved over the past year, despite the pain being present throughout most of the last 3 years. what was the likely diagnosis?

Answer 6

osgood schlatter disease

Question 7

What characterizes HCM? what 4 physiologic things occur in this disease?

Answer 7

LVH with clinical manifestations and hemodynamic abnormalities

LV outflow obstruction
Diastolic dysfunction
MI
Mitral regurgitation

Question 8

low caloric intake, menstrual dysfunction and what other thing makes up the female athlete triad

Answer 8

low bone density