Chapter 76. Sports Physicals
MULTIPLE CHOICE
1. Which of the following is TRUE regarding sports physicals?
A.
The sports physical as a screening tool changes and updates yearly.
B.
They are meant to exclude athletes who are not in shape from participation in
sports.
C.
The sports physical is a formal requirement, and it is done annually.
D.
They are only done prior to junior year to determine participation in high school
sports.
2. Tatiana is receiving a sports physical to participate in cross-country running. She receives her
exam from a single provider, who is examining all of the athletes one after the other in the
nurse’s office at school. Which of the following is a problem with this exam format for sports
physicals?
A.
It is expensive, and her school will have to use a large amount of its budget to
fulfill the sports physical requirement.
B.
It lacks individual attention that could increase the risk of insufficient medical
history.
C.
It is disorganized, and the athletes may have the potential for inadequate
integration of findings.
D.
It lacks privacy and the students may feel that their medical information is not
being kept confidential.
3. Tyler is a 16-year-old football player who has an appointment for his sports physical. He had
a head hit yesterday while playing with friends, and went to the emergency room. He was
discharged with a diagnosis of a concussion. Today he feels dizzy, has noise sensitivity, and
had trouble sleeping last night. Which of the following options is best for the clinician to
pursue?
A.
Complete a formal Balance Error Scoring System (BESS) and neuropsychologic
testing before clearing him to play.
B.
Clear him to play, because the emergency room discharged him and these
symptoms are normal after a head hit.
C.
Clear him to play in a week when his symptoms will subside.
D.
Refuse to clear him because he had a concussion and should not be playing
football at all anymore.
4. The clinician is seeing Dahlia, a 15-year-old swimmer, for a sports physical. During
examination, she notes she has had difficulty breathing while swimming over the last 3 days.
Which of the following options is best for the clinician to pursue?
A.
Clear her to participate in swimming, as it is common to have some days of
difficulty on exertion, especially if she has not been as active the week before.
B.
Refer Dahlia to the sports trainer prior to clearing her so she can work on her form
and have less difficulty on exertion.
C.
Complete a workup for pulmonary hypertension, anemia, asthma, and
cardiovascular issues prior to clearing her for participation.
D.
Send her to the emergency room immediately, as this is very concerning and needs
to be urgently addressed.
5. Richard is a 14-year-old male with a history of a broken radius, hemophilia, and attention
deficit-hyperactivity disorder (ADHD). He is requesting a sports physical because he would
like to be more active. He asks which sport would be best for him. Based on Richard’s
history, which sport would be the best fit?
A.
Football
B.
Swimming
C.
Rugby
D.
Wrestling
6. Which of the following is the most common cause of cardiac death in athletes?
A.
Hypertrophic cardiomyopathy
B.
Supraventricular tachycardia
C.
Atrial flutter
D.
Conduction block
7. Dominic is a 17-year-old male who is 6 feet 6 inches tall. He has a thin build, pectus
carinatum, and flexible joints. Which of the following tests should the clinician perform for
Dominic?
A.
Chest x-ray to evaluate for signs of potential pneumothorax
B.
Abdominal computed tomography (CT) scan to assess for stomach distention
C.
Magnetic resonance imaging (MRI) to evaluate for scoliosis of the spine
D.
Echocardiography to assess for signs of aortic root dilatation
8. Henry is an 18-year old male who would like to play soccer. He was the star forward last year,
and would like to continue playing because his team is counting on him for their
championship game. The clinician has discovered that he has scabies. Which of the clearance
options is appropriate at this time?
A.
Unrestricted clearance.
B.
Clearance if he promises to refrain from contact with the other players during the
game.
C.
Clearance after completion of treatment for scabies.
D.
Disqualification.
9. Which of the following should be gathered from the family history during a sports physical?
A.
History of ADHD
B.
History of heart disease
C.
History of broken bones
D.
History of cancer
10. Which of the following sports would be appropriate for a patient with sickle cell disease?
A.
Football
B.
Boxing
C.
Archery
D.
Wrestling
11. The clinician is examining the skin of Mary, who would like to be cleared to play beach
volleyball. What is the clinician’s most important focus point when looking at her skin?
A.
Color of her skin, to see if she is easily sunburnt
B.
Acne, to see if she has sensitivity to perspiration
C.
Freckles, to assess if she potentially has a melanoma
D.
Contagious diseases, such as tinea, boils, impetigo, or herpes
12. Daphne is a 16-year-old female who has renal agenesis. Which of the following sports would
she be cleared to play?
A.
Fencing
B.
Wrestling
C.
Soccer
D.
Lacrosse
13. Ralph is a 13-year-old male with a history of anophthalmia. Which sport should the clinician
clear him to play?
A.
Baseball
B.
Golf
C.
Martial arts
D.
Field hockey
14. The clinician is examining the back of Christian, a 15-year-old male. What is the correct way
for the clinician to check for hamstring flexibility?
A.
Christian should sit on the exam table and touch his toes.
B.
Christian should stand up straight and flex 45 degrees forward at the waist.
C.
Christian should sit on the exam table and twist from side to side.
D.
Christian should stand up straight and flex 90 degrees forward at the waist.
15. Alexa is a 17-year-old female who participates in figure skating. Which of the following
issues is she at risk for being in an aesthetic sport?
A.
Bulimia
B.
Drug abuse
C.
Asthma
D.
Presyncope