Testlet Questions - Athletic Training Exam Review

This section of the site contains 39 scenario-based questions of common or related items; progress through each scenario with 3 or 4 multiple-choice questions. Each scenario is timed for a 20-minute period. You may pause an exam and come back and finish at a later time. Your password will be needed to re-enter the exam site. Once you advance to each question, you will not be able to return to previous pages and change your answers. At the conclusion, this section of the site will go into a review mode where you may review the correct answers.

Rehabilitation Progression – Question 1

The athlete reports a pain level of 6/10 when moving into the end ranges of flexion and abduction and 8/10 when moving into external rotation. The active/passive range of motion of the right shoulder is 0 to 150/155 degrees, abduction is 0 to 130/132 degrees, and external rotation (in neutral) is 0 to 40/47 degrees. Which of the following exercises would be inappropriate to begin at this time?

Over the door pulleys

Nonweighted shoulder shrugs and active scapular retraction

Active-assisted range of motion exercises with a wand

Passive range of motion of the right shoulder

Isotonic exercises into external rotation

None

Rehabilitation Progression – Question 2

You note a positive apprehension sign. You take this into consideration and avoid which of the following movements when developing his exercises protocol?

D1 flexion

D1 extension

D2 flexion

D2 extension

D2 extension from 90 degrees

Abduction with palms down

None

Rehabilitation Progression – Question 3

You have been treating this athlete for 5.5 weeks. His active range of motion is now pain-free. His scapulohumeral rhythym has normalized and his right shoulder manual muscle test results are as follows: flexion – +4/5, abduction +4/5, internal rotation 5/5, external rotation 4/5 (in neutral), and extension 5/5. Which of the following exercises might you begin below 90 degrees of flexion or abduction as long as his scapular stabilizers are strong?

Isotonic exercises

Upper extremity medicine ball drills against a wall

Overhead throwing progressions

Core stabilization exercises

Upper body ergometer exercise

None

Rehabilitation Progression – Question 4

The athlete has a follow-up visit with the doctor and is cleared to return to practice. How might you protect this athlete from reinjury?

Pad the anterior aspect of the involved shoulder

Limit the number of practices in which the athlete can participate

Do not allow the athlete to throw a football

Limit the athlete?s participation to walk-throughs only

Use a shoulder harness, which is attached to the shoulder pads limiting shoulder abduction with external rotation

None

Gastrointestinal Problems – Question 1

Based on these symptoms, what do you suspect the athlete has?

Colon cancer

Crohn?s disease

Salmonella

Gastritis

A parasite

None

Gastrointestinal Problems – Question 2

After talking in depth with the athlete, you find out your suspicions were correct. Which of the following medications would you expect has been prescribed for him in the past?

Corticosteroids

Antihistamines

Antipyretic drugs

Antibacterial drugs

Chemotherapy

None

Gastrointestinal Problems – Question 3

Knowing your athlete has Crohn?s disease, which type of diet would you assist the athlete in maintaining?

High protein

Low carbohydrate

Low fat

Low protein

No special diet needs to be maintained; it should be tailored to what the athlete can tolerate

None

Gastrointestinal Problems – Question 4

The athlete continues to have symptoms at the end of your trip. You decide he should see a physician when you get home. Which of the following physicians would be the most appropriate to refer this athlete to?

An internist

A gastroenterologist

An endocrinologist

A nephrologist

An allergist

None

Modalities – Question 1

Which of the following modalities might you select to deeply warm the muscle?

Moist heat pack

Ultrasound

Ben-Gay

Laser

A dynamic warm-up

None

Modalities – Question 2

As you begin treatment with ultrasound, you perform your technique based on the following standard recommendation:

Cover a treatment area < 4 times the area of the ERA with the sound head covering < 2 in/sec

Cover a treatment area > 4 times the area of the ERA with the sound head covering < 2 in/sec

Cover a treatment area 2 in/sec

Cover a treatment area > 6 times the area of the ERA with the sound head covering < 1 in/sec

Cover a treatment area 5 times the area of the ERA with the sound head covering < 1 in/sec

None

Modalities – Question 3

Following your treatment with ultrasound, you decide to initiate massage to decrease the pain and spasm. The analgesic benefits of massage are based on which of the following theories?

Complex regional pain theory

Pattern theory

Gate control theory

Strain-counterstrain theory

Somatization theory

None

Modalities – Question 4

To enhance the analgesic effect and minimize any further spasm of the involved area by directly stimulating the muscle spindles, you finish your treatment session with which of the following modalities?

TENS (transcutaneous electrical nerve stimulation)

Ice massage

Phonophoresis

Iontophoresis

Diathermy

None

MRSA – Question 1

What would be one of the first things you should do considering his complaints?

Give the athlete aspirin to decrease the pain

Apply a warm compress to the pimple

Try to drain the pimple of any fluid

Take the athlete?s temperature

Clean the lesion with alcohol

None

MRSA – Question 2

You suspect methicillin-resistant Staphylococcus aureus (MRSA). You refer this athlete to the team physician. Which of the following medications is the treatment of choice for this infection?

Penicillin

Amoxicillin

Neomycin

Tetracycline

Acyclovir

None

MRSA – Question 3

The athlete is responding well to the medication. He has less pain and is afebrile. When can he return to contact competition?

48 hours after the onset of the antibiotics

5 days after the onset of the antibiotics

When he tells you he ?feels better?

When his fever reduces to 99?F

Not until it is proven he is infection free

None

MRSA – Question 4

What should you be doing to help prevent this type of infection from spreading to other athletes?

Communal areas such as wrestling mats, weight rooms, and the athletic training facility need to be sanitized after each use

Have the athlete clean wash his hands and face with soap and water on a daily basis

Have the athlete clean his wound with an alcohol-based foam

Make sure the wrestling mats are sanitized with soap and water once a week.

Make sure the wound is treated with an antibiotic ointment and covered with a gauze pad.

None

Diabetes – Question 1

Considering this information, what would you encourage this athlete to do?

Immediately recheck her blood glucose level to make sure it is accurate

Have the athlete self-administer insulin

Advise the athlete to take Glucophage

Eat a preparticipation snack

Prevent the athlete from participating in the tournament

None

Diabetes – Question 2

The athlete notices a blister is forming on the back of her right heel. What should you do first when you are made aware of this problem?

Inspect the area and make sure it is properly cared for to avoid any complications

Wash it with an alcohol-based solution to dry it out

Have the athlete change shoes and wear white socks

Pad the area with a ?doughnut?

Tell the athlete to suck it up and put an adhesive bandage on it

None

Diabetes – Question 3

Halfway through the day the athlete is complaining of headaches, cannot remember which inning is being played, and has confused the batting order. In addition, you notice her speech is a little slurred. Suspecting she is becoming hypoglycemic, what would you do?

Administer insulin right away

Make sure she is brought to a cool, shaded area to rest

Ask her if she wants something to drink

Give her a protein bar

Have the athlete take a glucose tablet

None

Diabetes – Question 4

You decide that this athlete is not managing her diabetes well. What topics should you counsel her in as her athletic trainer to prevent diabetes-borne complications?

Proper exercise, good sleeping habits, and coping skills

Dental hygiene and proper nutrition

Coping skills, medication effects, and ear and foot care techniques

Medication effects and proper hand-washing techniques

Medication effects, proper exercise, proper nutrition, and eye and foot care

None

Arm Fracture – Question 1

What injury are you highly suspicious of considering the mechanism of injury and presentation?

Monteggia?s fracture

Galeazzi?s fracture

Scaphoid fracture

Jones fracture

Bennett?s fracture

None

Arm Fracture – Question 2

You have determined that there is probable proximal radioulnar dissociation. What would your next step be in the care of this athlete?

Ask the athlete to try to extend his elbow

Perform a neurovascular evaluation of the involved limb

Splint the arm

Immediately reduce the dislocation

Tell the athlete not to move and contact your team physician for advice

None

Arm Fracture – Question 3

The athlete is in obvious discomfort. What would you do next once your initial assessment has been performed?

Splint the upper arm and forearm to support and protect the extremity

Give the athlete a sling to wear

Strap the athlete?s arm to his side

Give the athlete Naprosyn for pain

Give the athlete Percocet for pain

None

Arm Fracture – Question 4

You have initiated treatment, and the athlete has been transported to the hospital for x-rays and further evaluation by a physician. You know surgery to align the bones and secure them may be required in all of the following cases except:

If there is a compound fracture

The bones cannot be aligned properly through manipulation alone

The fracture is unstable

The bone segments have been displaced

The athlete has pain while being casted

None

Pharmacology – Question 1

What do suspect is causing his symptoms?

Herpes I infection

Herpes II infection

MRSA

Superinfection (Candida fungus)

Superinfection (Staphylococcus aureus)

None

Pharmacology – Question 2

You refer him back to your team physician who determines his symptoms are related to his initial course of treatment. He prescribes medication to treat the new infection, and the coach\’s symptoms begin to clear over a 2-week period. What are your recommendations to prevent the resurgence of this infection?

Follow good oral hygiene practices

Avoid antifungal medications

Avoid antiviral medications

Use mouthwash daily

See a different physician if he gets sick again

None

Pharmacology – Question 3

Three weeks later, the coach returns to you to tell you he is feeling significantly better. What other action should you take to help this coach avoid a similar issue in the future?

Educate him on allergic reactions to medications

Recommend he consult his dentist when antibiotics are prescribed to him

Educate him regarding medicinal treatment for infections

Avoid oral antibiotics

Avoid antifungal medications

None

Anterior Cruciate Ligament Therapy – Question 1

What is the first thing you should do when you get to the athlete?

Ask her what happened

Ask the official to call a rescue squad

Try to find her parents in the crowd

Get her teammates to help you get her off the court

Get her to lie in supine and tell her not to move

None

Anterior Cruciate Ligament Therapy – Question 2

You do your preliminary evaluation and escort her to the athletic training facility, which is next to the basketball court. You suspect she has torn her ACL. Which of the following tests would you perform to confirm your suspicion?

McMurray?s test

Apley test

Lachman?s test

Varus stress test

Posterior drawer test

None

Anterior Cruciate Ligament Therapy – Question 3

Your athlete is seen by your team physician and he sends her for a MRI, which confirms an isolated ACL tear. He wants you to begin rehabilitating her in preparation for ACL reconstruction. During your initial evaluation, she states her pain level is 6-7/10 with activities of daily living, and you note a moderate amount of effusion of the right knee joint. Active range of motion of the right knee is -5 to 110 degrees, with end range discomfort going into flexion. Manual muscle testing of right knee extension and flexion are -3/5, and she demonstrates an antalgic gait pattern. You primary focus at this point of her treatment is which of the following?

Pain relief and edema reduction

Pain relief and gait training

Normalizing her range of motion and right lower extremity strength

Normalizing her range of motion and sport-specific training

Edema reduction and right lower extremity strengthening

None

Anterior Cruciate Ligament Therapy – Question 4

The athlete has a bone-patellar tendon-bone ACL reconstruction. During the later phases of her rehabilitation, when lower extremity strengthening, endurance, and proprioceptive training are the focus of the program, what potential problem will you be aware of and try to prevent?

Development of keloids

Chondromalacia patella

Hamstring tendonopathy

Patellar tendonopathy

Posterior shearing of the tibia with exercise

None

Safe Weight Loss and Maintenance – Question 1

Which of the following rapid weight loss strategies may you suspect this athlete is most likely implementing, knowing it is a common practice?

Active dehydration only via intense exercise

Active dehydration and a high-protein, high-carbohydrate diet

Eating a low-protein, very high-carbohydrate diet

Ingesting diuretics with a low protein diet

Mixing active dehydration and other methods, including food restriction

None

Safe Weight Loss and Maintenance – Question 2

You speak with the athlete and find he is exercising intensely to increase his core temperature and he has put himself on a low-calorie diet. You are very concerned with this athlete\’s behavior, because you know that it could significantly affect all of the following body systems except:

Cardiovascular

Endocrine

Skeletal

Immune

Ocular

None

Safe Weight Loss and Maintenance – Question 3

You are now aware that your athlete is participating in a detrimental weight loss strategy, which was recommended by a teammate. Who would you choose to educate first regarding safe weight loss practices?

Athletic director

Coach

Athlete

Parents

Athlete?s teammates

None

Safe Weight Loss and Maintenance – Question 4

Once the athlete has been counseled and the coach has been educated on safe and effective weight loss and management practices, you should check your athlete\’s body composition. You choose to do this with the most frequently used and most accessible clinical method available. Which of the following techniques does this describe?

Skin-fold measurements

Bioelectric impedance analysis

Near-infrared interactance

Hydrostatic weighing

Air displacement plethysmography

None

Pediatric Overuse Injuries – Question 1

Based on this premise, you make sure that you are proactive in all the following areas except:

Injury surveillance (ie, incidence, prevalence)

Making sure the athletes have a preparticipation examination

Identifying risk factors for injury

Coach education and medical supervision

Collaborating with the athletic director regarding a public relations/marketing strategy on the prowess of your baseball team

None

Pediatric Overuse Injuries – Question 2

You have your adolescent athletes go through a mass preparticipation examination. You make sure that this examination includes all of the following except:

A thorough medical history

Tanner staging

Musculoskeletal evaluation

Psychosocial evaluation/mandatory drug screen

Functional screening tests

None

Pediatric Overuse Injuries – Question 3

Once your athletes have passed their preparticipation physical examination, you turn your attention to identifying risk factors that may cause potential injuries in the future. You are particularly concerned about your baseball pitchers. Which specific risk factors will you be most interested in monitoring with this group?

Pitch count, pitching mechanics, mound height

Mound-to-plate distance, pitch count, pitching mechanics

Mound-to-plate distance and mound height

Pitch type and pitch count

Pitch type, bat weight, mound height

None

Pediatric Overuse Injuries – Question 4

Considering the nature of overuse injuries, you make sure that you coordinate a general preseason training and conditioning program, encompassing flexibility, strength, and endurance components. You make sure that your athletes follow the 10% Rule

Rest

Training distance

Repetitions

Training load

Training time

None

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