Deck 1: Examination Process

Question 1

Which of the following is not an open-ended question?

A) "When does your arm hurt?"
B) "When is your pain the worst?"
C) "Does your ankle hurt when you walk?"
D) "When does your injury limit you?"

Answer 1

C

Question 2

A patient comes to the athletic training room with an acute ankle sprain.Which of the following pain descriptions is typically used to indicate acute pain symptoms?

A) "It hurts from my toes to my knee."
B) "My whole ankle is throbbing."
C) "It hurts right here" (pointing to the anterior talofibular ligament).
D) There is no difference between the feeling of acute and chronic pain.

Answer 2

C

Question 3

Before beginning the physical inspection portion of the exam,the clinician should be most concerned about his or her own safety.Which of the following is the greatest threat to the clinician if an injured knee is about to be evaluated?

A) Bruising on the knee
B) Bleeding from an abrasion on the knee
C) Swelling on the lateral portion of the knee
D) Swelling on the medial portion of the knee

Answer 3

B

Question 4

What is the best method for palpating an injury?

A) Immediately palpate the most painful site.
B) If there is a bilateral structure, palpate it first.
C) Palpate away from the injury working toward the injury.
D) Palpation doesn't offer any information and shouldn't be performed.

Question 5

Athletes may not want to compete or practice.They may exaggerate or fake their signs and/or symptoms.This is known as

A) exaggerating.
B) faking.
C) malingering.
D) outsmarting the coaches.

Question 6

In order to perform manual muscle testing (MMT),which of the following has to occur?

A) Active range of motion (AROM)
B) Passive range of motion (PROM)
C) Resistive range of motion (RROM)
D) Maximal voluntary isometric contraction (MVIC)

Question 7

When determining a treatment and rehabilitation program,which evaluation should be used as a baseline?

A) Initial evaluation
B) Reevaluation
C) Discharge evaluation
D) Final evaluation

Question 8

When should the evaluation of an injury begin?

A) While observing the mechanism of injury
B) When the patient comes into the athletic training room
C) During the history portion of the evaluation
D) During the inspection/observation portion of the evaluation

Question 9

Which of the following should not occur during the inspection portion of an evaluation?

A) Observe skin.
B) Measure range of motion (ROM).
C) Observe swelling.
D) Look for deformity.

Question 10

Active range of motion (AROM)should be completed unless which of the following is present?

A) Fracture
B) Contusion
C) Sprain
D) Strain

Question 11

Which of the following should not be done in an effort to minimize the risk of misdiagnosis?

A) Involve patients in their own health care.
B) Understand cultural groups' attitudes, beliefs, and values as related to issues of health and illness.
C) Use only the clinician's experiences or cultural beliefs when thinking about a diagnosis.
D) Use cultural resources and knowledge to address healthcare problems.

Question 12

Deep tendon reflexes should be assessed in all of the following injuries except

A) possible brain lesion.
B) anterior cruciate ligament sprain.
C) lumbar disc herniation.
D) concussion.

Question 13

Which of the following components of the exam is the most informative?

A) History
B) Inspection/observation
C) Palpation
D) Special tests

Question 14

The uninjured body part should not be used for which of the following purposes?

A) Allowing the patient to demonstrate the mechanism of the injury
B) Allowing the clinician to understand the normal "feel" of the patient during assessments
C) Allowing for unilateral comparison of the injured body part
D) Allowing the clinician to determine that an injury exists to the opposite limb

Question 15

What type of consent is needed before evaluating an injury?

A) Implied consent
B) Informed consent
C) Nonconsent
D) Assumed consent

Question 16

Capillary refill can give us information in all of the following cases except

A) a tape job that is applied too tightly.
B) a ligament injury.
C) when splinting a fracture.
D) when assessing injury with deformity.

Question 17

Which of the following would have an insidious onset?

A) Achilles tendinopathy
B) Medial collateral ligament sprain of the knee
C) Acromioclavicular sprain
D) Quadriceps contusion

Question 18

In normal healthy tissue,which of the following is true?

A) Active range of motion is the same as passive range of motion.
B) Active range of motion is greater than passive range of motion.
C) Active range of motion is less than passive range of motion.
D) Passive range of motion should not be compared to active range of motion.

Question 19

A complete history should be taken in which of the following injury situations?

A) Sideline evaluation of a sprained ankle
B) On-field evaluation of an injured knee
C) Clinical evaluation of an injured shoulder
D) Follow-up orthopedic exam

Question 20

The medical record does not allow for which of the following?

A) Communicating information about the patient
B) Documenting facts regarding the patient
C) Giving a disposition about the patient
D) Giving the treatment protocol for the patient

Question 21

In deep tendon reflex grading,hyperreflexia is graded as which of the following?

A) 0
B) 1+
C) 2+
D) 3+

Question 22

Which part of the examination process allows the examiner to detect tissue damage or tissue change by comparing the findings of one body part with those of the opposite one?

A) History
B) Physical examination
C) Inspection
D) Palpation

Question 23

Blood accumulation can result in what type of tissue density change?

A) Dense/viscous
B) Dense thickening
C) Hard, warm
D) Spongy

Question 24

What is the term for the sensation of numbness or tingling,often described as "pins and needles"?

A) Upper motor neuron lesion
B) Malingering
C) Painful arc
D) Paresthesia

Question 25

A patient is able to extend the leg (knee extension)against gravity but cannot overcome any other resistance.The grade for this manual muscle test is:

A) Normal (5/5).
B) Good (4/5).
C) Fair (3/5).
D) Poor (2/5).

Question 26

Which of the following is not examined during the inspection,when checking the injured body part and comparing the results with the opposite structure?

A) Infection
B) Edema
C) Ecchymosis
D) Movement pattern

Question 27

According to common documentation of goniometric data,which of the following would indicate a patient lacking 7° of knee extension?

A) 7°-0°-120°
B) 120°-0°-7°
C) 0°-7°-120°
D) 7°-120°-0°

Question 28

Which of the following bodily fluids is least likely to transmit blood-borne pathogens?

A) Blood
B) Sweat
C) Saliva
D) Synovial fluid

Question 29

Which factors influence ROM?

A) Height and age
B) Gender and age
C) Height and gender
D) Height, age, and gender

Question 30

Joint motion that is stopped by involuntary or voluntary muscle contraction describes what pathological end-feel?

A) Spasm
B) Hard
C) Soft
D) Firm

Question 31

Which pain rating scale provides descriptors that the patient uses to identify the intensity and nature of the pain?

A) Visual analog scale
B) Numeric rating scale
C) Part A of the McGill Pain Questionnaire
D) Part B of the McGill Pain Questionnaire

Question 32

Which of the following is used to assess strength and provocation of pain by isolating muscles or groups of muscles?

A) Manual muscle test
B) Resisted range of motion
C) Break test
D) Active range of motion

Question 33

What reflex is associated with the L5 nerve root?

A) Tibialis posterior
B) Patellar tendon
C) Semitendinosus
D) Achilles tendon

Question 34

What is the term for a hypersensitive area located in a muscle belly that,when irritated,refers pain to another body area?

A) Point tenderness
B) Crepitus
C) Muscle spasm
D) Trigger point

Question 35

Which of the following is not information that would be acquired while taking a patient history?

A) Mechanism of injury
B) Onset of symptoms
C) Posture
D) Treatment to date

Question 36

A patient who can move his or her body part through a full ROM in a gravity-eliminated position would be given what MMT grade?

A) 1/5, Trace
B) 2/5, Poor
C) 3/5, Fair
D) 4/5, Good

Question 37

Which of the following is not a finding that indicates an alert to refer for possible cancer?

A) Blood in urine
B) Blood in stool
C) Slow-to-heal skin lesions
D) Unexplained weight loss

Question 38

What is the correct positioning when performing abdominal percussion?

A) Hook-lying
B) Side-lying
C) Prone
D) Seated

Question 39

Which of the following is not a good practice when performing an evaluation?

A) A systematic approach to the evaluation following the history, inspection/observation, palpation, and special testing process
B) Utilizing a repeatable process that the clinician uses each time when performing an evaluation
C) Randomly assessing areas or structures
D) Developing high reliability in the order with which processes are performed to maximize the information gained during the evaluation

Question 40

What motor testing is associated with the C4 nerve root level?

A) Shoulder shrug
B) Elbow flexion
C) Elbow extension
D) Shoulder abduction

Question 41

A blood pressure with a systolic reading of 80 mm Hg would be considered

A) hypotension.
B) hypertension.
C) normal.
D) prehypertension.

Question 42

Which movement would result in a physiological end-feel of "soft" during PROM?

A) Knee flexion
B) Hip flexion with the knee extended
C) Extension of the metacarpophalangeal joint
D) Elbow extension

Question 43

What area is assessed when heart auscultation is performed in the left midclavicular line between ribs 5 and 6?

A) Aortic area
B) Pulmonary area
C) Tricuspid area
D) Mitral area

Question 44

Which of the following is considered a sign of shock?

A) Slow, strong pulse
B) Deep breathing
C) High blood pressure
D) Excessive thirst

Question 45

Which of the following statements is false concerning hematuria?

A) It may not be visible to the naked eye.
B) It may be present normally after long-distance events.
C) It can only be detected through a urinalysis.
D) It may be present normally due to menstruation.

Question 46

When auscultating the lungs,what sound indicates possible fluid in the lung?

A) Hyperresonance
B) Crackles
C) Wheezing
D) Rhonchi

Question 47

If an athlete came into the athletic training room stating that she thinks her appendix ruptured,where would the pain be located?

A) Upper left quadrant
B) Lower left quadrant
C) Upper right quadrant
D) Lower right quadrant

Question 48

Which of the following represents the heart rate range in beats/minute (bpm)of the general population?

A) 60 to 100 bpm
B) 80 to 120 bpm
C) 70 to 110 bpm
D) 90 to 120 bpm