Deck 21: Preparticipation Sports Physical

Question 1

An overweight adolescent who takes metformin has type 2 diabetes with a HgA1C of 8.5% and asks about sports participation. What will the provider recommend?

A) Losing weight prior to initiating sports participation
B) Participation in strenuous sports to help with weight loss
C) Referral to the endocrinologist for sports clearance
D) Switching to insulin therapy prior to participation

Answer 1

C

Question 2

During a preparticipation sports physical, the examiner notes a difference in strength of the patient's radial and femoral pulses with the femoral pulses being weaker. What will the provider do?

A) Evaluate for orthostatic hypotension.
B) Obtain Doppler studies of lower extremity circulation.
C) Reassure the patient that this is a normal finding.
D) Refer the patient for a cardiologic exam.

Answer 2

D

Question 3

A high-school adolescent is being screened for fitness before participating in sports. The adolescent has a normal examination and the examiner notes S1 and S2 heart sounds without murmur, normal blood pressure, and equal pulses. The parent reports that the adolescent's father has a history or Wolff-Parkinson-White syndrome, which has been treated. What will the provider do?

A) Clear the adolescent to play sports.
B) Perform an electrocardiogram.
C) Refer the adolescent to a cardiologist.
D) Tell the adolescent that sports are not allowed.

Answer 3

C