Sports Med

Question 1

Presentation of heat stroke

Answer 1

Temp > 105 f
Flushed, dry skin NOT sweating
CNS depression
Severe dehydration

May lead to end organ damage due to release of endotoxins and cytokines

Question 2

When can a child return to sports after an ankle injury

Answer 2

Full range of motion, full strength, no swelling, no pain, no joint instability

Question 3

Dx when pt falls back on a posteriorly rotated, abducted arm

Answer 3

Anterior humeral dislocation

Question 4

Dx when fall on an outstretched arm that is hyperextended at the elbow

Answer 4

Suprachondylar fracture

Question 5

Dx when pain over the distal clavicle with a prominence noted over the area of point tenderness

Answer 5

Acromioclavicular injury

Question 6

Dx when direct force to the posterior shoulder. Pain over the sternoclavicular joint with possible respiratory discomfort

Answer 6

Posterior sternoclavicular dislocation

Question 7

Dx when shoulder and upper arm pain in the absence of asymmetry

Answer 7

Proximal humeral fracture

Question 8

Dx when shoulder pain with elevating or lowering the arm, without any deformity. This can also present as chronic pain.

Answer 8

Rotator cuff injury

Question 9

Which conditions refrain children from participating in contact sports

Answer 9

Splenomegaly
Hepatomegaly
One kidney
Repeated concussions

Question 10

What are some high impact collision sports

Answer 10

Football, wrestling, handball and water polo

Question 11

Sports that are not high contact

Answer 11

Baseball, squash, volleyball

Question 12

Contraindications to sports participation

Answer 12

Pulmonary vascular disease with cyanosis and large r to l shunt

Severe pulmonary HTN

Aortic or mitral valve stenosis or regurgitation

Cardiomyopathy

Vascular form of Ehler denlos

Coronary anomalies of wrong sinus origin

Acute phase of pericarditis, myocarditis or Kawasaki disease