The Preparticipation Physical Examination (Msq Drill 147)

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

Yes

No

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

True

False

3. Do some people have unequal pupil size?

Yes

Np

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.

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.

4. 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

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

True

False

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

True

False

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

Anorexia nervosa

Bulemia

8. Is the physiology of male and females different?

Yes

No

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

True

False

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

True

False

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

Resting asthma

Exercise induced asthma

12. 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

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

Yes

No

14. 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

Submit

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

True

False

16. Most murmurs are benign. True or false?

True

False

17. Ideally sports physical should be done:

1 month before

6 weeks before

1 year before

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

True

False

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

True

False

20. The two most common eating disorders amonth athetes are:

Anorexia nervosa

Bulimia nervosa

Overeating

Submit

21. Can youuse the PPE for preventive counselling?

Yes

No

22. Can hypoglycenmia occur up to a aday after exercising?

Yes

No

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

Office based

Station based

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

Yes

No

if it is asymptomatic

Explanation

if it is asymptomatic

25. 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

26. 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

to check their atlanto axial joint for instability or connective tissue disease

Explanation

to check their atlanto axial joint for instability or connective tissue disease

27. Any murmur that is over _______ needs to be evaluated?

>2/6

>3/6

>4/6

>5/6

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

Yes

No

29. Which of the following are the three characteristics of asthma?

Airway obstruction

Airway inflammation

Airway hyperresponsiveness

Anxiety

Submit

30. Start onslide 7 fro mthe slide

A

S

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

Right sternal border in standing position

Left sternal border in standing position

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

Systolic

Diastolic

33. Which of the following are signs of bulemia?

Partotid hypertrophy

Dental caries/periodontal disease

Pharyngeal erythema, conjuctival petechiae

Scars on dorsal hands

Rectal fissures

Submit

34. 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

Submit

35. Which of the following makes up the female athlete triad?

Disordered eating

Altered menstrual function

Abnormal bone mineralization

Recent weight loss

Submit

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

37. Which muscle is most commonly weak in athlestes?

Vastus lateralis

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

Submit

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

Radial

Brachial

Femoral

Dorsalis pedis

Submit

40. Over 10 years old a concerning blood pressure is over:

150/80

145/80

135/85

130/80

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

True

False

They can participate in sports except sports that are contact sports that include flexion and extension.

Explanation

They can participate in sports except sports that are contact sports that include flexion and extension.

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

CHF

HTN

Heart murmur

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

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

Submit

The Preparticipation Physical Examination (Msq Drill 147)

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

2.

What first name or nickname would you like us to use?

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

3. Do some people have unequal pupil size?

4. 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?

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

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

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

8. Is the physiology of male and females different?

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

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

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

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

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

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

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

16. Most murmurs are benign. True or false?

17. Ideally sports physical should be done:

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

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

20. The two most common eating disorders amonth athetes are:

21. Can youuse the PPE for preventive counselling?

22. Can hypoglycenmia occur up to a aday after exercising?

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

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

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

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

27. Any murmur that is over _______ needs to be evaluated?

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

29. Which of the following are the three characteristics of asthma?

30. Start onslide 7 fro mthe slide

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

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

33. Which of the following are signs of bulemia?

34. Which of the following are objectives of the sports physcial?

35. Which of the following makes up the female athlete triad?

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

37. Which muscle is most commonly weak in athlestes?

38. Our goal in pre participation physicals is:

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

40. Over 10 years old a concerning blood pressure is over:

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

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

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

44. Which of the following are you not going to clear?