d. Final evaluation - a baseline? a. Initial evaluation b. Reevaluation

MULTIPLE CHOICE

• When determining a treatment and rehabilitation program, which evaluation should be used as

a baseline?

• Initial evaluation
• Reevaluation
• Discharge evaluation
• Final evaluation

ANS: A

Rationale: Baseline measures allow you to monitor progress across subsequent evaluations and make changes as needed; thus, the initial evaluation is the evaluation used to gather the baseline measures.

PTS: 1

• The uninjured body part should not be used for which of the following purposes?
• Allowing the patient to demonstrate the mechanism of the injury
• Allowing the clinician to understand the normal “feel” of the patient during

assessments

• Allowing for unilateral comparison of the injured body part
• Allowing the clinician to determine that an injury exists to the opposite limb

ANS: C

Rationale: Examination of the uninjured side allows for bilateral comparison with the injured side, not unilateral comparison.

PTS: 1

• Which of the following components of the exam is the most informative?
• History
• Inspection/observation
• Palpation
• Special tests

ANS: A

Rationale: The history portion of the examination is the most informative because it will obtain important information that will be refined by later portions of the examination.

PTS: 1

• The medical record does not allow for which of the following?
• Communicating information about the patient
• Documenting facts regarding the patient
• Giving a disposition about the patient
• Giving the treatment protocol for the patient

ANS: D

Chapter 1 (Examination of Orthopedic & Athletic Injuries, 4e Chad Starkey Sara Brown) (Test Bank all Chapters) 1 / 4

Rationale: Aside from legal reasons, the main purpose of the medical record is to communicate a patient’s current medical disposition, not the treatment plan.

PTS: 1

• What type of consent is needed before evaluating an injury?
• Implied consent
• Informed consent
• Nonconsent
• Assumed consent

ANS: B

Rationale: A clinician must obtain informed consent unless there is a medical emergency that does not allow the patient to give consent for treatment.

PTS: 1

• Which of the following is not an open-ended question?
• "When does your arm hurt?"
• "When is your pain the worst?"
• "Does your ankle hurt when you walk?"
• "When does your injury limit you?"

ANS: C

Rationale: This is not open-ended because it can be answered with a “yes” or “no.”

PTS: 1

• Which of the following should not be done in an effort to minimize the risk of misdiagnosis?
• Involve patients in their own health care.
• Understand cultural groups’ attitudes, beliefs, and values as related to issues of

health and illness.

• Use only the clinician’s experiences or cultural beliefs when thinking about a

diagnosis.

• Use cultural resources and knowledge to address healthcare problems.

ANS: C

Rationale: Many things beyond the clinician’s own experiences or cultural beliefs should be taken into account when determining a diagnosis.

PTS: 1

• A complete history should be taken in which of the following injury situations?
• Sideline evaluation of a sprained ankle
• On-field evaluation of an injured knee
• Clinical evaluation of an injured shoulder
• Follow-up orthopedic exam

ANS: C

Rationale: The clinical setting is ideal to take a full history, whereas the on-field examination will typically only focus on immediate events.

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PTS: 1

• Which of the following would have an insidious onset?
• Achilles tendinopathy
• Medial collateral ligament sprain of the knee
• Acromioclavicular sprain
• Quadriceps contusion

ANS: A

Rationale: Insidious refers to a condition that has a gradual onset with no apparent macrotrauma. Of the options given, Achilles tendinopathy is the only pathology that typically has an insidious onset.

PTS: 1

• A patient comes to the athletic training room with an acute ankle sprain. Which of the

following pain descriptions is typically used to indicate acute pain symptoms?

• “It hurts from my toes to my knee.”
• “My whole ankle is throbbing.”
• “It hurts right here” (pointing to the anterior talofibular ligament).
• There is no difference between the feeling of acute and chronic pain.

ANS: C

Rationale: Acute injury often results in pain that is localized; thus, being able to point to exactly where it hurts is a good sign of acute injury.

PTS: 1

• Before beginning the physical inspection portion of the exam, the clinician should be most

concerned about his or her own safety. Which of the following is the greatest threat to the clinician if an injured knee is about to be evaluated?

• Bruising on the knee
• Bleeding from an abrasion on the knee
• Swelling on the lateral portion of the knee
• Swelling on the medial portion of the knee

ANS: B

Rationale: Any injury that involves exposed bodily fluid should be treated as contaminated because all bodily fluids can potentially transmit blood-borne pathogens.

PTS: 1

• When should the evaluation of an injury begin?
• While observing the mechanism of injury
• When the patient comes into the athletic training room
• During the history portion of the evaluation
• During the inspection/observation portion of the evaluation

ANS: A

Rationale: The evaluation should begin as soon as possible, with the earliest point being your observation of the mechanism of injury.

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PTS: 1

• Which of the following should not occur during the inspection portion of an evaluation?
• Observe skin.
• Measure range of motion (ROM).
• Observe swelling.
• Look for deformity.

ANS: B

Rationale: ROM should be assessed during the joint and muscle function assessment portion of the examination.

PTS: 1

• What is the best method for palpating an injury?
• Immediately palpate the most painful site.
• If there is a bilateral structure, palpate it first.
• Palpate away from the injury working toward the injury.
• Palpation doesn’t offer any information and shouldn’t be performed.

ANS: B

Rationale: Palpating the uninjured side first allows for a baseline to which the injured side can be compared.

PTS: 1

• Active range of motion (AROM) should be completed unless which of the following is

present?

• Fracture
• Contusion
• Sprain
• Strain

ANS: A

Rationale: Due to the potential for further damage, AROM should be omitted when there is an immature fracture.

PTS: 1

• Athletes may not want to compete or practice. They may exaggerate or fake their signs and/or

symptoms. This is known as

• exaggerating.
• faking.
• malingering.
• outsmarting the coaches.

ANS: C

Rationale: Malingering is defined as faking or exaggerating the symptoms of an injury or illness.

PTS: 1

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