1.
What are the three phases of care in orthopedic sports medicine?
Correct Answer(s)
A. Primary
B. Secondary
C. Tertiary
2.
In which stage is the focus on pain control?
Correct Answer
A. Primary
3.
The primary or acute stage lasts for about how many days in patients with sprains or strains?
Correct Answer
D. 10-14
4.
The primary phase of complex problems can last up to ___________ .
Correct Answer
B. 8 -12 weeks
Explanation
8-12 weeks complex problems
5.
Primary modlities include all of the following except:
Correct Answer(s)
A. Heat/ice
C. Pain meds & muscle relaxants
D. Rest
E. Injections
6.
In which stage are you focusing on chronic pain control?
Correct Answer
B. Tertiary
7.
Focus in the secondary phase or after 12 days is on preventing long term deconditioning. True or false?
Correct Answer
A. True
8.
During the first 72 hours after an injury just use heat. True or false?
Correct Answer
B. False, just use Ice
Explanation
Do not alternate in the acute phase.
9.
The following are modalities used in all phases of care.
Correct Answer(s)
A. AcetaminopHen - caution alcohol intake and pts with liver problems
B. NSAIDS, watch for GI upset,
D. Narcotics, no better than NSAIDS
Explanation
Steroids are OK to use but only for short term use.
10.
Does ultrasound electrical stimulation have an effect on the clinical outcome?
Correct Answer
B. No
11.
You decide to inject a steroid, what can you use to prevent steroid flare?
Correct Answer
B. Lidocaine
12.
Do steroids dissolve fat?
Correct Answer
A. Yes
Explanation
Make sure the needle is in the right place or else the patient will suffer loss of pigmentation and fat at the site of the injection.
13.
Can OMM improve joint function?
Correct Answer
A. Yes
14.
A rotatoe cuff that is irritated can lead to shoulder:
Correct Answer
A. Impingement
15.
If the labrum is causing the rotator cuff impingment is this considered an internal or external cuase?
Correct Answer
A. Internal
16.
The bony structures around the rotator cuff contribute to external impingement. True or false?
Correct Answer
A. True
17.
If the labrum is torn the patient will feel pain with humeral head movement. True or false?
Correct Answer
A. True
18.
A SLAP lesion is Superior labrum anterior and posterior. Is surgical repair first line of treatment?
Correct Answer
B. No, you try pHysical therapy first.
19.
Which is more common in the non-athlete, an internal or external impingment?
Correct Answer
B. External
20.
Can you shrink the rotator cuff by injecting it?
Correct Answer
A. Yes
21.
Which of hte following are all modalities that can be used in an external rotator cuff impingement?
Correct Answer(s)
A. Injection
B. Medication
C. pHysical therapy
D. Surgical decompression
E. Cuff repair
22.
Which athlete would be more at risk for an anterior glenohumeral instability?
Correct Answer
D. A baseball player
Explanation
a throwing athlete
23.
A sbuluxation or incomplete dislocation of the humeral head resulting in glenohumeral instability.What test can you use to assess this?
Correct Answer
B. Apprehension test
24.
The problem in an anterior humeral instability is________ and _______ .
Correct Answer(s)
A. Anterior
C. Inferior
25.
Is the labrum damaged in an anterior glenohumeral instability?
Correct Answer
A. Yes
26.
A throwing athlete complains of elbow pain. When you are throwing what stress are you exerting, a valgus or varus stress?
Correct Answer
A. Valgus
27.
Therefore a throsing athlete may experience problems with their:
Correct Answer
B. Medial/ulnar collateral ligament
28.
If a patient has a strain of their medial collateral ligament when is the discomfort felt?
Correct Answer
A. On lateral compression
29.
Which of the following is the most common cause of elbow medial collateral ligament discomfort?
Correct Answer
C. Pain
30.
Which of the following are appropriate in an elbow medial collateral ligament strain?
Correct Answer(s)
A. pHysical therapy
B. Surgery - reconstruction with graft
C. No throwing for 3 months
31.
What ligament is affected in little league elbow?
Correct Answer
B. Medial/ulnar collateral ligament
32.
What is stronger in very young childres, their ligaments or they physis?
Correct Answer
A. Ligaments
33.
If the ligaments are stronger than the physis in children can their medial collateral ligament pul on the medial epicondyle and therefore cause pain?
Correct Answer
A. Yes
34.
So, usually ligaments will not tear in children. True or false?
Correct Answer
A. True
35.
On X-ray you may see a widened plate ina patient with a little league elbow. True or false?
Correct Answer
A. True
36.
Is ACL injury usually due to contact or it is usually non-contact?
Correct Answer
B. Non-contact
37.
Which of the following make up the tibial profile of the mechanism of injury of the ACL?
Correct Answer(s)
B. Deceleration
C. Internal rotation
D. Hyperextension
38.
Which of the following can you use to test the intergrity of the ACL?
Correct Answer(s)
A. Drawer test
B. Pivot shift test
C. Lachman
39.
If you anticipate an ACL injury what test do you order first?
Correct Answer
C. MRI
40.
A bone/tendon/bone graft can be done to repair the ACL. True or false?
Correct Answer
A. True
41.
If the patient is 55 years old, is surgery the first option in an ACL injury?
Correct Answer
B. No
Explanation
Not usually, unless if it affects their living.
42.
If the patient is 36 years old. What will you do if the patient has an ACL injury?
Correct Answer
B. Case by case basis
Explanation
Under 35 - repair, over 45 non-operative.