Question 1

Which of the following would not be grounds for immediate referral to a physician?
A) Reports of significant chest pain
B) Quadriceps hematoma
C) Cyanosis
D) Reports of difficulty breathing

Accepted Answer

While a quadriceps hematoma can be uncomfortable and cause some limitation in movement, it is not typically a medical emergency that requires immediate referral to a physician. In contrast, the other options listed (reports of significant chest pain, cyanosis, and difficulty breathing) can all potentially signify serious medical problems and require prompt medical attention.

Question 2

Which of the following would be a good practice when adding a splint or protective device to an injured area?
A) Check with the referee prior to the event to make sure it is legal.
B) Don't worry about the referee; you are the athletic trainer and you know best.
C) All splints are legal, no matter their construction.
D) Only over-the-counter or off-the-shelf splints and braces should be used.

Accepted Answer

Checking with the referee prior to an event is a good practice to ensure that any splint or protective device being used is legal and compliant with the rules and regulations of the sport. This also helps to prevent any potential disciplinary action or penalties that may result from using an illegal device.

Question 3

After removal from the field,a more detailed examination process ensues.Which of the following is not a goal of this examination?
A) Obtain enough information to formulate a return-to-play decision.
B) Determine long-term rehabilitation goals.
C) Determine a diagnosis.
D) Decide on an immediate plan of care.

Accepted Answer

The examination process after removal from the field is focused on obtaining enough information to make a return-to-play decision, determining a diagnosis, and deciding on an immediate plan of care. Long-term rehabilitation goals would be determined after the initial acute care phase.

Question 4

After colliding with another player,a soccer player is unconscious on the field when you arrive.What would be your main concern?
A) Stabilizing the cervical spine
B) Checking for bleeding
C) Checking pupillary response
D) Stopping epistaxis

Accepted Answer

Stabilizing the cervical spine should be the main concern as there is a risk of spinal cord injury after a collision causing unconsciousness. Moving the player without stabilizing the neck could result in further injury or even paralysis. Once the neck is stabilized, other assessments such as checking for bleeding or pupil response can be done. Stopping epistaxis is not a priority in this scenario.

Question 5

For every minute that defibrillation is delayed,the chance of surviving sudden cardiac arrest reduces by what percentage?
A) 1%
B) 5%
C) 7%
D) 10%

Accepted Answer

The chance of surviving sudden cardiac arrest reduces by 10% for every minute that defibrillation is delayed. This is why prompt defibrillation is crucial in increasing the chances of survival.

Question 6

Swelling after an injury is often associated with disruption of soft tissue.Which of the following injuries may present with swelling that is disproportionate to the injury?
A) Ankle sprain
B) Prepatellar bursitis
C) Shoulder sprain
D) Quadriceps tear

Accepted Answer

Prepatellar bursitis is an inflammation of the small fluid-filled sac (bursa) located in front of the kneecap (patella). It can result in significant swelling that may be disproportionate to the injury. Ankle sprains, shoulder sprains, and quadriceps tears may also cause swelling, but the degree of swelling is typically more proportional to the severity of the injury.

Question 7

Which of the following conditions would not warrant activating emergency medical services (EMS)and stopping an on-field evaluation?
A) Prolonged loss of consciousness
B) Cyanosis
C) Left shoulder pain
D) Unequal chest expansion

Accepted Answer

Left shoulder pain, while potentially indicative of an injury or medical condition, does not require immediate activation of EMS and is not a life-threatening condition in and of itself.

Question 8

Shaking the victim or using "smelling salts" to arouse an unconscious athlete should not be done for which of the following reasons?
A) Informed consent hasn't been given.
B) The smelling salts may burn the nasal passage.
C) Shaking the victim without consent could be interpreted as battery.
D) The cervical spine may be compromised.

Accepted Answer

Shaking the victim can cause further damage to the cervical spine if there is an underlying injury. Therefore, it is not recommended to shake the victim or use smelling salts to arouse an unconscious athlete. Informed consent and the possibility of burning the nasal passage or battery are also important considerations but not the primary reason for avoiding these techniques.

Question 9

After splinting an injury,the athlete complains that the pain is getting worse.Which of the following might give you information regarding the injury?
A) Visual analog pain scale
B) Taking off the splint
C) The athlete realizing that he or she is injured and the pain is going to increase
D) Capillary refill distal to the injury site

Accepted Answer

Checking capillary refill distal to the injury site can give information on the circulation in that area and whether or not the splint is too tight or causing any further damage.

Question 10

When performing an immediate on-field examination,which of the following injuries should be ruled out first?
A) Inhibition of the cardiovascular and respiratory systems
B) Life-threatening trauma to the head or spinal column
C) Fractures
D) Profuse bleeding

Accepted Answer

The answer of When performing an immediate on-field examination,which of...

Question 11

If an athlete is returned to play,how much of a difference in bilateral strength should be allowed?
A) 40%
B) 30%
C) 15%
D) 0%

Accepted Answer

Ideally, there should be no difference in bilateral strength and full symmetry should be achieved before an athlete is returned to play. Any residual strength differences could increase the risk of injury or re-injury.

Question 12

Which of the following is not a correct principle of splinting and immobilization?
A) Splint the extremity in the position in which it was found.
B) Establish a baseline level of sensation and skin temperature so that any changes can be noted.
C) Immobilize the joint(s) proximal and distal to the injured site.
D) Completely cover the fingers or toes so that they don't get cold.

Accepted Answer

Completely covering the fingers or toes can actually cause them to become cold and increase the risk of frostbite. It is recommended to leave the fingertips or toes exposed so that any changes in skin color or temperature can be easily detected.

Question 13

Before you perform manual muscle testing (MMT)on an athlete's knee,which of the following should occur first?
A) The athlete should be able to walk without an antalgic gait.
B) The athlete should be able to perform active ROM (AROM).
C) The athlete should be assessed to make sure there are no positive ligamentous stress tests.
D) The athlete should be able to jog in place.

Accepted Answer

Before performing manual muscle testing (MMT) on an athlete's knee, they should be able to perform active range of motion (AROM) to ensure that they are able to tolerate the test and do not have any physical limitations that could affect the results. It is also important to assess their gait and ligamentous stability, but those assessments can happen before or after the MMT.

Question 14

Which of the following is not identified within an emergency action plan (EAP)?
A) Facility design
B) Personnel
C) Equipment
D) Lines of communication

Accepted Answer

Facility design is not typically identified within an emergency action plan (EAP). An EAP typically includes personnel, equipment, and lines of communication, among other elements.

Question 15

The return-to-activity decision should be based on all of the following except the
A) relative risk of reinjury.
B) athlete's functional ability.
C) athlete's gender.
D) athlete's age.

Accepted Answer

The athlete's gender is not a relevant factor when making a return-to-activity decision. The decision should be based on the relative risk of reinjury and the athlete's functional ability, which includes factors such as age, physical condition, injury history, and any necessary rehabilitation.

Question 16

As you stand on the sideline of a football game,you see a player go down on the field while holding his knee.Which of the following is the first step in the evaluation process?
A) Seeing the mechanism of injury
B) Getting a history once you arrive at the player's side
C) Palpating the injury
D) Performing passive range of motion (PROM)

Accepted Answer

Seeing the mechanism of injury is the first step in evaluating an injury because it gives important information about what structures may be affected and how. It can also help the healthcare provider determine the type of injury and the severity of it.

Question 17

Which of the following is not part of the primary survey?
A) Airway
B) Breathing
C) Circulation
D) Bleeding

Accepted Answer

Bleeding is part of the secondary survey, which comes after the primary survey. The primary survey consists of the ABCs: Airway, Breathing, and Circulation.

Question 18

An athlete goes down on the football field during a practice after colliding with another player.When you arrive,you realize the athlete is lying prone and is unconscious.What is your primary concern?
A) Rolling the athlete over
B) Activating EMS
C) Calling the physician
D) Assessing the athlete's ABCs

Accepted Answer

Assessing the athlete's Airway, Breathing, and Circulation (ABCs) is the primary concern in any medical emergency, particularly if the individual is unconscious. This will help to determine if any life-saving interventions are necessary, such as starting CPR or administering oxygen. Rolling the athlete over should only be done if necessary to maintain their airway, and activating EMS and calling the physician should be done after assessing the ABCs.

Question 19

Which of the following sports requires that the athletic trainer be summoned onto the field/court/mat before entering?
A) Soccer
B) Football
C) Baseball
D) Softball

Accepted Answer

In soccer, the rules specifically require that the referee signal for the athletic trainer or medical personnel to enter the field to attend to an injured player. This is to ensure the safety of the player and to maintain the flow of the game, as the game can only be stopped by the referee for such incidents.

Question 20

Which of the following history questions should not be asked during an on-field evaluation of an elbow injury?
A) "Where does it hurt?"
B) "Can you feel your fingers?"
C) "Have you hurt this before?"
D) "Did someone contact you?"

Accepted Answer

"Have you hurt this before?" is not a question that should be asked during an on-field evaluation of an elbow injury. This question is more appropriate for a medical history questionnaire or a follow-up appointment.

Quiz 2: Examination and Management of Acute Pathologies

Which of the following would not be grounds for immediate referral to a physician?

Which of the following would be a good practice when adding a splint or protective device to an injured area?

After removal from the field,a more detailed examination process ensues.Which of the following is not a goal of this examination?

After colliding with another player,a soccer player is unconscious on the field when you arrive.What would be your main concern?

For every minute that defibrillation is delayed,the chance of surviving sudden cardiac arrest reduces by what percentage?

Swelling after an injury is often associated with disruption of soft tissue.Which of the following injuries may present with swelling that is disproportionate to the injury?

Which of the following conditions would not warrant activating emergency medical services (EMS) and stopping an on-field evaluation?

Shaking the victim or using "smelling salts" to arouse an unconscious athlete should not be done for which of the following reasons?

After splinting an injury,the athlete complains that the pain is getting worse.Which of the following might give you information regarding the injury?

When performing an immediate on-field examination,which of the following injuries should be ruled out first?

If an athlete is returned to play,how much of a difference in bilateral strength should be allowed?

Which of the following is not a correct principle of splinting and immobilization?

Before you perform manual muscle testing (MMT) on an athlete's knee,which of the following should occur first?

Which of the following is not identified within an emergency action plan (EAP) ?

The return-to-activity decision should be based on all of the following except the

As you stand on the sideline of a football game,you see a player go down on the field while holding his knee.Which of the following is the first step in the evaluation process?

Which of the following is not part of the primary survey?

An athlete goes down on the football field during a practice after colliding with another player.When you arrive,you realize the athlete is lying prone and is unconscious.What is your primary concern?

Which of the following sports requires that the athletic trainer be summoned onto the field/court/mat before entering?

Which of the following history questions should not be asked during an on-field evaluation of an elbow injury?