Sports Med

Question 1

What does AMA recommend doing during pre-participation physicals?

Answer 1

addressing health related discussion topics outside of sports stuff

Question 2

Most common abnormality for pre-participation screens?

Answer 2

elevated blood pressure; if less than 160/100, they should be allowed to play

Question 3

What is not recommended in PPE exams?

Answer 3

EKGs w/o any clinical or historical factors

Question 4

What is the murmur for HOCM?

Answer 4

crescendo - decrescendo, louder with valsalva (decreases preload) because outflow track is blocked with decrease in preload

**MOST COMMON CAUSE OF CV SUDDEN DEATH

Question 5

Work up and treatment for HOCM

Answer 5

EKG - will show nonspecific abnormalities
Echo or Cardiac MRI - order
Trreat: beta blockers

Question 6

Marfan complications (4)

Answer 6

cardiac - aortic dilatation, dissection
pulmonary - pneumothorax
ocular - lens dislocation

Question 7

Diagnosis in exercise induced bronchospasm

Answer 7

change in FEV1 > 10% from baseline (used to be 15%)

Question 8

Biggest risk of mono?

Answer 8

risk of splenic rupture highest in first 3 weeks post diagnosis.

can return to play when 1) no symptoms 2) after 21 days

Question 9

Best temp for heat related illness

Answer 9

RECTAL

Question 10

Difference between heat exhaustion and heat stroke

Answer 10

heat stroke = mental status changes, temp > 104

Question 11

Treatment for sports related heat exhaustion

Answer 11

ice water immersion

Question 12

Management for concussions

Answer 12

Physical and cognitive rest 24-48 hours post event
return to academic before physical
neuropsych testing = optional
most common side effects = headaches
competition higher risk than practice
takes longer in younger kids to resolve

Question 13

Most common type of shoulder dislocation

Answer 13

Anterior shoulder dislocation - reduce and immobilize

Question 14

What condition occurs with hip pain, c-sign (pain on anterior hip) and + flexion / adduction / internal rotation test?

Answer 14

femoral acetabular impingement

Question 15

which sports most common to have injuries? areas most commonly injured?

Answer 15

football!

head/face

Question 16

most common area of the knee to be injured?

Answer 16

MCL - lateral force

Question 17

best test for ACL tear?

Answer 17

lachmanns

Question 18

best test for PCL?

Answer 18

posterior drawer

Question 19

best test for meniscus?

Answer 19

thessaly - aka twist test

Question 20

most common mechanism for ACL tears?

Answer 20

non-=contact injuries

Question 21

males or females have higher rates of ACL tears?

Answer 21

females

Question 22

what is the treatment for ACL tears?

Answer 22

if instability present = surgical repair

knee bracing = doesn’t work

Question 23

benefits of surgery for acl tears?

Answer 23

only done for instability
rehab first
does not decrease OA later in life

Question 24

ankle sprain treatment care

Answer 24

Early movement and BRACE HELPS

Question 25

nerve and presentation for handle bar neuropathy

Answer 25

ulnar nerve at gunyon’s canal

numbness on volar/palmer surface of 4th and 5th digits

Question 26

nerve and presentation for ulnar neuropathy

Answer 26

ulnar nerve at cubital tunnel

numbness on dorsal surface of 4th and 5th digits

Question 27

nerve and presentation for saddle neuropathy

Answer 27

trapping of pudendal nerve

Question 28

nerve and presentation for peroneal neuropathy

Answer 28

compression from lateral aspect of knee / leg

foot drop

Question 29

student athlete has contagious skin stuff. when do they return to play?

Answer 29

after treatment and symptoms have resolved

Question 30

female athlete triad level recs

Answer 30

low bmd and ammenorrhea increase risk of stress facture
if no periods for 6 months + stress fracture, do DXA scan
lean sports have more BMD

Question 31

what is the treatment for quadriceps tendon and patellar tendon tear/rupture?

Answer 31

surgical!

most common = quad tear = low riding patella