The Preparticipation Physical Examination (Msq Drill 147)

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    Does medicine now have a more positive role in sports physical?

    • Yes
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  • 2. 

    The primary goal in the PPE is to maintain health and safety of athlete in play and competition. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 3. 

    The PPE is the only health asessmetn for 80% of athletes. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 4. 

    Make sure before you examine a child under 18 that their parents have signed consent. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 5. 

    Hypercholestrol and hyperlipidemia is more common in adolescents these days. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 6. 

    Is the physiology of male and females different?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 7. 

    Decreased blood pressure, bradycardia, LE edema, dry skin/nals/hair and lanugo hair are seen in:

    • Anorexia nervosa

    • Bulemia

    Correct Answer
    A. Anorexia nervosa
  • 8. 

    Do some people have unequal pupil size?

    • Yes

    • Np

    Correct Answer
    A. Yes
    Explanation
    This is why you must check pupil size inthe physical in order to be able to have a baseline in case an athlete is knocked out.

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  • 9. 

    Patients with diabetes may have to adjust their medication due to exercise as they may get hypoglycemic True or false?

    • True

    • False

    Correct Answer
    A. True
  • 10. 

    If an athlete refuses insists on praticipating in sports despite not being cleared you need to get a propective release demonstrating that the athlete and the parents were fully infomed?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 11. 

    Is the preparticipation physical a substitute for a history and physical?

    • Yes

    • No

    Correct Answer
    A. No
  • 12. 

    What is the most common type of asthma that you will meet in sports physicals?

    • Resting asthma

    • Exercise induced asthma

    Correct Answer
    A. Exercise induced asthma
  • 13. 

    If a patient has sicke cell trait can you clear them for sporting activities?

    • YEs if the HGB is >8

    • No, they can not take part is sporting activities

    Correct Answer
    A. YEs if the HGB is >8
  • 14. 

    Atheletes gnerally fear being forbidden to play. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 15. 

    Can youuse the PPE for preventive counselling?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 16. 

    Ideally sports physical should be done:

    • 1 month before

    • 6 weeks before

    • 1 year before

    Correct Answer
    A. 6 weeks before
  • 17. 

    Which of the following i sdate that should be collected in the medical forms in a PPE?

    • Medications

    • Allergies

    • Exercise related problems

    • Family history of sudden death, marfan's syndrome

    • Family hx of heart murmur, sudden death of irregular heartbeat

    Correct Answer(s)
    A. Medications
    A. Allergies
    A. Exercise related problems
    A. Family history of sudden death, marfan's syndrome
    A. Family hx of heart murmur, sudden death of irregular heartbeat
  • 18. 

    Most murmurs are benign. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 19. 

    Eating disroders among athletes is very common. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 20. 

    The two most common eating disorders amonth athetes are:

    • Anorexia nervosa

    • Bulimia nervosa

    • Overeating

    Correct Answer(s)
    A. Anorexia nervosa
    A. Bulimia nervosa
  • 21. 

    Patients with asthma & diabetes can participate in sports. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 22. 

    Can hypoglycenmia occur up to a aday after exercising?

    • Yes

    • No

    Correct Answer
    A. Yes
  • 23. 

    Which of the following is a PPE methods is efficient and cost effective?

    • Office based

    • Station based

    Correct Answer
    A. Station based
  • 24. 

    If you have a patient with a murmur and its gets louder with a valsava, then it needs to be addressed. True or false?

    • True

    • False

    Correct Answer
    A. True
  • 25. 

    Can a patient still participate in sporting activities if they have a hernia?

    • Yes

    • No

    Correct Answer
    A. Yes
    Explanation
    if it is asymptomatic

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  • 26. 

    Any murmur that is over _______ needs to be evaluated?

    • >2/6

    • >3/6

    • >4/6

    • >5/6

    Correct Answer
    A. >3/6
  • 27. 

    Before you clear a patient with down's syndrome what modality do you want order?

    • CXR

    • C-spine with felxion and extension

    • Blood sugar level

    Correct Answer
    A. C-spine with felxion and extension
    Explanation
    to check their atlanto axial joint for instability or connective tissue disease

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  • 28. 

    Under 10 years old and the blood pressure is over 125/75, its this ok?

    • Yes

    • No

    Correct Answer
    A. No
  • 29. 

    Which of the following are the three characteristics of asthma?

    • Airway obstruction

    • Airway inflammation

    • Airway hyperresponsiveness

    • Anxiety

    Correct Answer(s)
    A. Airway obstruction
    A. Airway inflammation
    A. Airway hyperresponsiveness
  • 30. 

    Which of the following are objectives of the sports physcial?

    • Detect manageable conditions that could limit participation

    • Detect any conditionthe could predispose an athlete to injuty or contraindicate participation

    • Detect potentially life threatening conditions

    • Meet legal andinsurance requirements

    Correct Answer(s)
    A. Detect manageable conditions that could limit participation
    A. Detect any conditionthe could predispose an athlete to injuty or contraindicate participation
    A. Detect potentially life threatening conditions
    A. Meet legal andinsurance requirements
  • 31. 

    Which of the following are signs of bulemia?

    • Partotid hypertrophy

    • Dental caries/periodontal disease

    • Pharyngeal erythema, conjuctival petechiae

    • Scars on dorsal hands

    • Rectal fissures

    Correct Answer(s)
    A. Partotid hypertrophy
    A. Dental caries/periodontal disease
    A. Pharyngeal erythema, conjuctival petechiae
    A. Scars on dorsal hands
    A. Rectal fissures
  • 32. 

    If a patient has hypertrophic cardiomyopathy what type of murmur will they have?

    • Systolic

    • Diastolic

    Correct Answer
    A. Systolic
  • 33. 

    At which point is the sytolic murmur of hypertrophic cardiomyopathy loud?

    • Right sternal border in standing position

    • Left sternal border in standing position

    Correct Answer
    A. Left sternal border in standing position
  • 34. 

    Start onslide 7 fro mthe slide

    • A

    • S

    Correct Answer
    A. A
  • 35. 

    Which of the following makes up the female athlete triad?

    • Disordered eating

    • Altered menstrual function

    • Abnormal bone mineralization

    • Recent weight loss

    Correct Answer(s)
    A. Disordered eating
    A. Altered menstrual function
    A. Abnormal bone mineralization
  • 36. 

    If blodd sugar is between 120-180 before activity then the patient should receive:

    • 20gCHO: 9g protein

    • 15g CHO and 7-8protein

    • 25g CHO: 12g protein

    Correct Answer
    A. 15g CHO and 7-8protein
  • 37. 

    Which muscle is most commonly weak in athlestes?

    • Vastus lateralis

    • Vastus medial oblique muscle

    Correct Answer
    A. Vastus medial oblique muscle
  • 38. 

    Our goal in pre participation physicals is:

    • Early recognistion of illnees or injury

    • Increased performance levels

    • Minimise lost playing time

    Correct Answer(s)
    A. Early recognistion of illnees or injury
    A. Increased performance levels
    A. Minimise lost playing time
  • 39. 

    Over 10 years old a concerning blood pressure is over:

    • 150/80

    • 145/80

    • 135/85

    • 130/80

    Correct Answer
    A. 135/85
  • 40. 

    To establish that a patient does not have coaractatio of the aorta what two pulses do you rake simultaneousy?

    • Radial

    • Brachial

    • Femoral

    • Dorsalis pedis

    Correct Answer(s)
    A. Radial
    A. Femoral
  • 41. 

    If a patient has atlantoaxial instability they cannot participate in any sport. True or false?

    • True

    • False

    Correct Answer
    A. False
    Explanation
    They can participate in sports except sports that are contact sports that include flexion and extension.

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  • 42. 

    What is the most common caridac problem that you will find in athletes?

    • CHF

    • HTN

    • Heart murmur

    Correct Answer
    A. HTN
  • 43. 

    If a diabetic athlete's blood sugar is <120 before activity how much CHO and protein should they get?

    • 30gCHO:14g protein

    • 120CHO:20g protein

    • 60gCHO:18g protein

    Correct Answer
    A. 30gCHO:14g protein
  • 44. 

    Which of the following are you not going to clear?

    • An athlete with impetigo

    • A patient with BP over 135/90

    • Murmur that is worse with vasalva

    • An athlete with any form of asthma

    Correct Answer(s)
    A. A patient with BP over 135/90
    A. Murmur that is worse with vasalva

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  • Current Version
  • Feb 16, 2019
    Quiz Edited by
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  • May 10, 2010
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