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Health Promotion and Fitness Management > Week 7 Pre-Participation Screening > Flashcards

Week 7 Pre-Participation Screening Flashcards

1
Q

What is the purpose of pre participation screening (primary objectives)

A

detection of conditions that may limit participation or predispose you to injury, or conditions that may be life threatening or disabling

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2
Q

What are the secondary objectives of pre participation screening

A

meet legal requirements
determine general health
entry point into the healthcare system
opportunity to initiate dialogue

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3
Q

what is the difference between a pre participation screen and evaluation

A

an evaluation is done in the office, there is a cost, and you get a 1:1 experience, so you can build rapport
a screen is mass participation, free or a reduced cost, low anxiety and may be like performance testing

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4
Q

what is the timing and frequency of a PPS

A

more than 6 weeks before pre season
secondary education, at entry and then every 2 years
collegiate: initial, and a brief annual

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5
Q

what are some of the team members with a PPS

A

MD/DO, PT, ATC, RN, potentially optometrist, dentist, medical assistant and a dietician

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6
Q

what are the components

A 
check in station
vitals 
medial history
MSK screen
general medical eval 
athletic fitness testing 
special populations 
check out
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7
Q

what happens at the check in station

A

consent, medical history form, insurance information and emergency contact form

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8
Q

what is part of the medical history

A

previous hospitalization, surgery, injury status (past and current), OTC and Rx meds, CVS, neuro or enviro factors.

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9
Q

what must we do during a medical history with athletes

A

really ask about past injuries. they may not tell you all about the ankle sprains and concussions they have gotten over the years.

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10
Q

what is the 90 second MSK screen

A

a brief exam that looks at functional movements, and looks for compensatory movements, differences side to side. includes things like toe touching, squat, lifting arms over head.

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11
Q

what are the components of the medical evaluation

A

visual, hearing, dental, heart, lungs, chest, hernia, testicular

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12
Q

pre participation screening puts you into 1 of 4 categories, what are they. which is most common

A
  1. contingent participation (need a specialist eval, or cleared by someone) MOST COMMON
  2. no participation
  3. modified participation (no contact sports, or minimal CV risk things)
  4. unrestricted participation
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13
Q

what are some of the special populations that we will do screening with

A

disabled, females, sickle cell, solitary organs, diabetic, Olympic.

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14
Q

for injury prevention, we look at many functional movements. What are some of those tests

A 
FMS
Y balance
CKC DF test
Tuck jump 
landing error scoring system 
Move2Perform
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15
Q

what is the purpose of doing functional movement tests

A

to get the broad picture

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16
Q

what are some agility tests

A

T test
pro agility
LEFT

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17
Q

what are some max aerobic tests

A

bruce treadmill
balk treadmill
PACER
1.5 mile run

18
Q

what are some power tests

A

1RM
Broad jump
vertical jump
medicine ball throw

19
Q

what are some submax aerobic tests

A

Harvard step test
12 minute run
modified brice treadmill

20
Q

what is sudden cardiac death

A

electrical disturbances in the heart, causing arrest or arrhythmia’s

21
Q

do you need trauma for sudden cardiac death, and it is with or without warning

A

no, and without warning

22
Q

what are some ways to detect it

A

prodromal signs, like chest pain, dyspnea, exercise intolerance and history of symptoms.

23
Q

how quickly can death occur

A

within 1 hour

24
Q

what gender and what race are more likely to die of sudden cardiac death

A

males, over females

blacks over whites

25
Q

what are the most common sports to die of sudden cardiac death

A

mens basketball, soccer then football

26
Q

there are 4 types of cardiac death, what are they

A

congenital structurally abnormal heart
acquired structurally abnormal heart
congenital structurally normal heart
acquired structurally normal heart.

27
Q

under the age of 40, what are the reasons for people to die of sudden cardiac death

A

hypertrophic cardiomyopathy (HCM) 33-41%
coronary artery anomalies 16%
commotio cordis 9%
myocarditis 5%

28
Q

what is hypertrophic cardiomyopathy

A

affects 1 in 500, it is the overgrowth of the heart, and it does not pump efficiently

29
Q

HCM and genetics

A

inherited autosomal dominant gene, with over 100 different genetic defects that can lead to this.
60% of people have affected first degree relative

30
Q

what is marfans syndrome

A

fibrillin gene defect, that alters connective tissues in the body and can lead to a ruptured aortic aneurysm

31
Q

what are the skeletal components of marfans

A

tall and thin, arm span is greater than height, pectus excavated and joint hyper mobility, and scoliosis

32
Q

what are the ocular components of marfans

A 
myopia (near sided and possibly color blind)
chromic myopia
ectopic lentis (upward)
retinal detachment
hypoplasia of dilator muscle 
flat cornea
33
Q

coronary artery anomalies

A

an abnormal artery will be compressed as the ascending aorta dilates with exercise, which limits the blood flow to the heart, and hypo-perfusion of the myocardium

34
Q

what is the primary cause of death with coronary artery anomalies

A

hypo perfusion

35
Q

what are some early prodromal signs of coronary artery anomalies

A

fatigue, exercise induced syncope and chest pain, kinda looks like an MI

36
Q

what is commotio cordis

A

anatomically normal heart, but there is a blow to the chest, that causes a disturbance in the timing of the heart

37
Q

what gender and what age is more affected by commotion cordis

A

males, and 13.6 years old (developing heart)

38
Q

what percentages of commotio cordis comes from blow from a projectile vs hit from another player

A

80% projectile,

20% player

39
Q

what is myocarditis

A

inflammatory process of the myocardium, from a virus (echovirus, adenovirus or influenza)

40
Q

what are some prodromal signs of myocarditis

A

dyspnea, orthopnea, exercise intolerance, tachycardia, diarrhea, malaise, myalgia

41
Q

what are 9 vital questions to ask a patient

A

1 and 2: have you passed out during or after exercise,

3: discomfort, pain or pressure during exercise
4: does your heart race or skip during exercise
5: heart murmur?
6: testing for heart?
7: family death
8: anyone in family with heart problem
9: family died sudden death before age 50

42
Q

Stigmata

A

tall and thin build, long arms legs and fingers, flexible joints, scoliosis, pectus excavated, carinatum, halvah palate, small jaw, crowded teeth, flat feet, stretch marks, ocular lens dislocation, nearside, blurred vision, corneal flatness

Health Promotion and Fitness Management (17 decks)

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