Sports Medicine 1: Practice Final
1. What are 3 warning signs of a stroke?
a. Distended abdomen, swollen hands, head aches
b. Slurred speech, uneven pupils, nausea or vomiting
c. Heighten sense of awareness, bleeding in the ear, forgetfulness
2. After an athlete has suffered a 3rd concussion in one season, what should he do?
a. Continue to play until he sees his family physician
b. Stop playing for ever
c.
Stop playing and go to the nearest urgent care
d. Stop playing and see a neurologist
3.
The current NCAA Rule for is after 5 concussions you are out for:
a. 1 year
b. 2 years
c.
3 years
d. 1 season
e. Life
4. What is another Name for a stroke?
a. Cerebral Vascular Accident
b. Ouchy to the brain
c. Transient Ischemic Attack
d. Bruise to the brain
5. A condition marked by severe pain in the chest, often spreading to the shoulders arms and
neck, this is caused by an inadequate supply of blood to the heart.
a. Angina
b. Heart attack
c. Stroke
d. Myocardial Infarction
6. What medication can you give a heart attack victim to reduce further damage to the heart?
a. Tylenol
b. Acetomenophen
c. Advil
d. Ibuprofen
e. Aspirin
7. This is a life-threatening condition that occurs when the body is not getting enough blood
flow. Lack of blood flow means that the cells and organs do not get enough oxygen and
nutrients to function properly. Multiple organs can suffer damage as a result.
a. Shock
b. Stroke
c. Fainting
d. Angina
e. Heart Attack
8. This is a Mini Stroke, with a lot of the same signs and symptoms of a Stroke.
a. Cerebral Vascular Accident (CVA)
b. Cerebral Intelligence Agency (CIA)
c. Transient Ischemic Attack (TIA)
d. Anterior Cruciate Ligament (ACL)
9. The practices, in medicine, of avoiding contact with patients’ bodily fluids, by means of the wearing of
nonporous articles such as medical gloves, goggles, and face shields.
a. Universal exceptions
b. Universal Precautions
c. Universal medicine
d. CPR
10. Slurred speech, trouble understanding you, paralysis on side of the body are warning
signs of
a. Heart Attack
b. Stroke
c. TIA
d. B and C
e. A, B, and C
11. What is not a warning sign of a heart attack?
a. Cyanosis
b. Rapid but weak pulse
c. Unconsciousness
d. Slurred speech
e. Shallow rapid breathing
12. How many Phalanges are there in the adult hand?
a. 5
b. 8
c. 13
d. 14
e. 15
13. How many carpal bones are there in the adult hand
a. 8
b. 13
c. 15
d. 16
e. 28
14. If you slightly close your hand and one finger stays extended what is the likelihood of the
damage to your finger?
a. It’s extensor tendon has been cut or damaged
b. It’s Flexor tendon has been cut or damaged
c. The Thenar Eminence has atrophied
d. You have game keepers thumb
15. Surgical “No Man’s Land” is bordered by
a. The distal palmar crease
b. The proximal interphalangeal joint
c. The proximal palmar crease
d. The distal interphalangeal joint
e. A and B
16. This muscle controls the thumb
a. Hypothenar eminence
b. Thenar eminence
c. Extensor brevis
d. Flexor longus
17. This muscle controls the little finger
a. Hypothenar eminence
b. Thenar eminence
c. Extensor brevis
d. Flexor longus
18. The cup like shape of the palm is created by
a. 2 transverse arches
b. 1 longitudinal arch
c. 3 extensor arches
d. A and b
19. The palmar skin is fixed by fascia, which binds it to the structures beneath at the palmar
creases. This fixation allows
a. You to make a fist
b. You to hold objects securely in your hand
c. For free movement of the flexor tendons
d. You to text more rapidly
20. The skin on the bones is fixed to the bone by
a. Small tendons
b. Septa
c. Small ligaments
d. B and C
21. How many carpal bones are there in an infant hand?
a. 6
b. 8
c. 7
d. 14
22. How many phalanges are there?
a. 14
b. 15
c. 5
d. 1
23. Which bone is not part of the proximal carpal row?
a. Navicular
b. Trapezium
c. Lunate
d. Pisiform
e. Triquetrum
24. Which bone is not part of the distal carpal row?
a. Hamate
b. Pisiform
c. Trapezoid
d. Trapezium
25. This is a triangular deepening on the radial, dorsal aspect of the hand.
a. Tunnel of Guyon
b. The Ear of Justin
c. The anatomical snuffbox
d. The wad of 3
26. The Scaphoid is also known as:
a. The Carpal Nativity
b. Navicular
c. Hamate
d. Carpal radius
e. Styloid process
27. This is the most commonly fractured bone in the hand.
a. 2nd phalange
b. 2nd metacarpal
c. Lunate
d. Scaphoid
e. Pisiform
28. This is the largest and most prominent of the metacarpal bones.
a. 1st Metacarpal
b. 2nd Metacarpal
c. 3rd Metacarpal
d. 4th Metacarpal
e. 5th Metacarpal
29. Which carpal bone is the most dislocated?
a. Navicular
b. Trapezium
c. Lunate
d. Pisiform
e. Triquetrum
30. What 2 bones boarder the Tunnel of Guyon
a. Navicular and Lunate
b. Trapezium and hamate
c. Lunate and capatate
d. Pisiform and Hook of the Hamate
e. Triquetrum and Scaphoid
31. The Tunnel of Guyon is important because it transports _________________ to the hand
a. Ulnar Nerve
b. Radial Nerve
c. Ulnar Artery
d. Radial Artery
e. A and C
32. True or false: The 2nd and 3rd metacarpals are anchored firmly to the carpus and are
consequently Immobile.
a. True
b. False
33. True or false: The 4th and 5th metacarpals are not firmly attached to the carpus and are
consequently mobile.
a. True
b. False
34. What is the correct name for knuckles?
a. Fusiform
b. Fuzzy form
c. Pisiform
d. Knuckle bone
e. Mallet finger
35. The incidence of fracture in the metacarpals is greatest in the:
a. 1st Metacarpal
b. 2nd Metacarpal
c. 3rd Metacarpal
d. 4th Metacarpal
e. 5th Metacarpal
36. The anatomical snuffbox is bordered by
a. 2 tendons
b. 3 tendons
c. 4 tendons
d. 5 tendons
e. 3 ligaments
37. Upon palpation there is pain in the anatomical snuffbox, what should suspect?
a. Fractured capatate
b. Fractured Navicular
c. Strained tendons
d. Low pain tolerance
e. Bruised wrist
38. Which tendon or ligament forms the anatomical snuffbox?
a. Abductor pollicus longus
b. Extensor pollicis brevis
c. Extensorpollisis longus
d. All the above
e. B and C
39. This is a pea-size swelling with a jelly like consistency and may sometimes fix itself connective
tissues near or along soft tissue joints.
a. Bursa
b. Scar tissue
c. Ganglion
d. Bone chip
40. Tenderness in the area of the ulnar styloid process may be due either to pathology within the
process itself or to a __________ fracture.
a. Spiral
b. Open
c. Colles’
d. Bonnets
41. What is not a plan for carpal tunnel syndrome?
a. Rest
b. Ice
c. Heat modalities
d. Massage
e. Elbow splinting
42. The depression between the pisiform and the hook of the hamate forms the:
a. Tunnel of Minions
b. Tunnel of Guys and dolls
c. Tunnel of Guyon
d. Tunnel of Love
e. Tunnel of Ginon
43. In approximately __________ of the population the Palmaris Longus Tendon is absent.
a. 3%
b. 5%
c. 7%
d. 9%
e. 10%
44. Even though the Palmaris Longus Tendon is missing in some people why is this tendon still
important?
a. The additional tendon makes the hand stronger by adding more muscle fiber to the
area
b. It makes your larger and allows you to hold more objects in your hand
c. It can be used as grafts to replace severely damaged flexor tendons of the fingers
d. It can make you into a super strong person
45. The carpal tunnel lies deep to the ________________ ________________
a. Tunnel of Guyon
b. East Carpal Tunnel
c. Palmaris Longus
d. Palmaris Brevis
e. Carpal Navicular
46. The carpal tunnel is defined by four bony palpable bony prominences, which is not one of
them?
a. Hamate
b. Pisiform
c. Navicular
d. Trapezoid
e. Trapezium
47. The carpal transports the ______________ and the _______________ from the forearm to the
hand.
a. Median nerve and Radial nerve
b. Flexor tendons and Extensor tendons
c. Median nerve and tendons
d. Median and radial nerves
e. Flexor tendons and the ulnar nerve
48. In Carpal Tunnel syndrome compression of the _____________________ can restrict motor
function as well as nerve sensation of the hand
a. Ulnar nerve
b. Radial nerve
c. Median nerve
d. Palmar nerve
e. Brachial nerve
49. To confirm a diagnosis Carpal Tunnel syndrome, you can elicit or reproduce pain in the
median nerve by performing a Tinel sign test over the:
a. Volar Carpal Ligament
b. Volvo Car Ligament
c. Ulnar Collateral Ligament
d. Thenar eminence
e. Hypo-thenar eminence
50. Flexing a patients wrist to it maximum degree and holding it in that position for at least one
minute may reproduce signs of carpal tunnel syndrome, this test is called:
a. Tinel sign
b. Phalen’s Test
c. Block test
d. Flexion test
e. SCM test
51. How many muscles make up the Thenar Eminence?
a. 1
b. 2
c. 3
d. 4
e. 5
52. Compression of the medium nerve within the Carpal Tunnel can cause the thenar eminence to
a. Atrophy
b. Grow in size
c. It has no effect
d. Have extreme pain
e. A and D
53. The Hypothenar eminence lies just proximal to the _________________ and extends to the
pisiform.
a. Little finger
b. 4th digit
c. Great toe
d. Index finger
e. A and D
54. Tom’s finger tends to make a sudden palpable and popping noise/ audible snapping noise
when he moves his finger. This is an indication of:
a. Dorsum
b. Broken capsule between collateral ligaments
c. Trigger finger
d. Bony palpitation
e. Phalanges
55. Referring to the question above, Tom’s “snapping” finger is most often caused by a
_________ in the ________________ that catches on a narrower annular sheath or pulley
opposite the metacarpal head.
a. Nodule, flexor tendon
b. Crack, flexor tendon
c. Tendon, flexor nodule
d. Depression, extended phalanges
e. Pocket of air, joint
56. In the dorsum, which tendon runs along this area of the hand?
a. Extensor tendons
b. Metacarpophalangeal joints
c. Phalanges
d. Flexor tendons
e. Interphalangeal joints
57. How are fingers “motored”?
a. Neurotransmitters
b. Palmar fascia
c. Phalanges
d. Lateral forces
e. Flexor and extensor tendons
58. When performing physical examination of the wrist and hand specifically on the phalanges,
an abnormal fusiform enlargement can indicate what?
a. Ruptured joints
b. Broken fingers
c. Rheumatoid arthritis
d. Synovitis
e. Both C and D
59. _________________, which occurs when the proximal interphalangeal joint is hyper-extended
and the distal interphalangeal joint, is flexed.
a. Fusiform syndrome
b. Swan-neck deformity
c. Bony excrescence
d. Boutonniere deformity
e. Mallet finger
60. What happens in mallet finger?
a. The finger becomes immobile, stiff and hard, like a mallet
b. The finger swells uncontrollably and looks like the end of a mallet
c. The tip of the finger bends downwards while the rest of the finger stays straight.
d. A node on your finger
e. When the tip of your finger does not move at all, but the remainder of it does
61. In boutonnieres deformity, what area would be sensitive to palpation
a. Finger flexor tendon
b. Extender tendon
c.
Bouchard’s nodes
d. Middle phalanx
e. Lateral surfaces
62. What does “fusiform” mean?
a. Having a spindle-like shape that is wide in the middle and tapers at both ends
b. When two areas come together
c. Any tenderness or swelling specifically in the hand or wrist
d. When a bone and tendon form together and become a new joint
e. An oblong shape that resembles a rectangle
63. Discrete but palpable bony nodules, called _____________, found on the dorsal and lateral
surfaces of the distal interphalangeal joint may indicate osteoarthritis.
a. Lymph nodes
b. Knots
c. Herman’s nodes
d. Pressure points
e. Heberden’s nodes
64. Granny tells me that popping my knuckles will make them fat, is that true?
a. Yes
b. No
c. Maybe
d. Uh, granny sounds crazy
e. I don’t know, I don’t pay attention in class
65. If a joint is enlarged, how do you appropriately palpate it?
a. Don’t its broke and needs to be casted
b. Roughly, to see if it is numb or has lost feeling
c. Gently, because it may be sensitive
d. Ask the patient to move it for you, for the sake of a lawsuit
e. None of the above
66. This diagram shows the ________________________________ of the hand.
a.
b.
c.
d.
Position
Relaxation
Attitude
Altitude
67. This is the Proximal Boarder of surgical no man.
a.
b.
c.
d.
e.
Proximal crease
MP Joint
Distal Palmar crease
Proximal Palmar crease
PIP Joint
68. This is the Distal Boarder of the Surgical No Mans Land.
a.
b.
c.
d.
e.
Proximal crease
MP Joint
Distal Palmar crease
Proximal Palmar crease
PIP Joint
69. Identify the peak and valley of the palm
A
B
C
D
a.
b.
c.
d.
e.
A and B
C and D
A and C
B and C
A and D
a.
b.
c.
d.
Transverse arches
Longitudinal arches
Diagonal arches
Semi-lunar
a.
b.
c.
d.
Right
Left
Both are abnormal
Both are normal
70. The hand has 2 _____________.
71. Which hand is Normal?
Left
Right
72. This is called
73. This is testing for
a.
b.
c.
d.
a.
b.
c.
d.
Weird
Syncope
Unlucky
Syndactyly
Mobility of the 4th and 5th digits
Mobility of the 4th and 5th Metacarpals
Mobility of the 3rd and 4th metacarpals
Fractured 5th metacarpal
74. What is the examiner palpating for?
a.
b.
c.
d.
e.
First metacarpal
Second metacarpal
First PIP Joint
Third MP joint
Phalange
75. What is the examiner palpating for?
a.
b.
c.
d.
e.
First MP joint
2nd MP Joint
3rd MP Joint
4th MP Joint
2nd DIP Joint
76. What is the examiner palpating for?
a.
b.
c.
d.
e.
77. What is the Examiner palpating for?
First PIP joint
2nd PIP Joint
3rd PIP Joint
4th PIP Joint
2nd DIP Joint
a.
b.
c.
d.
e.
Flexor tendons
Extensor tendons
Lunate
Capatate
Navicular
a.
b.
c.
d.
e.
Palmer bump
Dorsal growth
Ganglion cyst
Dandelion cyst
I have no clue
78. What is this?
79. What structure is the examiner looking for?
a.
b.
c.
d.
e.
No seriously, I really have no clue
The Scaphoid
The Tunnel of Garcia
The tunnel of Guyon
The tunnel of Rayon
80. What do these 4 bony structures create?
a.
b.
c.
d.
e.
The tunnel of Guyon
The anterior compartment
The carpal Navicular
The carpal tunnel
The Lincoln tunnel
81. What is this tapping of the wrist checking for?
a.
b.
c.
d.
e.
Tinel sign for ulnar nerve
Tinel sign for radial nerve
Tinel sign for Scaphoid fracture
Tinel sign for Carpal Tunnel Syndrome
Tinel sign for Tunnel of Guyon
82. What is the name of this test for carpal tunnel syndrome?
a.
b.
c.
d.
e.
Phanen’s Test
Faylen’s Test
Catlin’s Test
Dillon’s Test
The CTS Test
a.
b.
c.
d.
e.
Hypothenar eminence
Thenar eminence
First metacarpal
Thumb muscle
Thumb cysts
83. What is the examiner palpating for?
84. What is the examiner palpating for?
a.
b.
c.
d.
e.
Hypothenar eminence
Thenar eminence
First metacarpal
Thumb muscle
Thumb cysts
85. This test is for _________________
a.
b.
c.
d.
e.
PM joint tendonitis
MP joint tendonitis
Trigger Finger
Gunstock deformity
Torn flexor tendon
86. What is this deformity called?
a.
b.
c.
d.
Swan-neck
Spider hand
Rheumatoid
Broken knuckles
87. What is this injury?
a.
b.
c.
d.
Hammer toe
Mallet finger
Finger pointer
Boutonniere deformity
a.
b.
c.
d.
Hammer toe
Mallet finger
Finger pointer
Boutonniere deformity
a.
b.
c.
d.
e.
Hangnail infection
Mallet finger
Inflamed finger nail
Tendonitis
Tendon rupture
a.
b.
c.
d.
e.
Ulnar and radial deviation
Wrist flexion and extension
MP Joint flexion and extension
DIP flexion and extension
PIP Flexion and extension
88. What is this injury?
89. What is this?
90. What is being measured?
91. What is being measured?
a.
b.
c.
d.
e.
Ulnar and radial deviation
Wrist flexion and extension
MP Joint flexion and extension
DIP flexion and extension
PIP Flexion and extension
92. What is being measured?
a.
b.
c.
d.
e.
Ulnar and radial deviation
Wrist flexion and extension
MP Joint flexion and extension
DIP flexion and extension
PIP Flexion and extension
a.
b.
c.
d.
e.
Ulnar and radial deviation
Wrist flexion and extension
MP Joint flexion and extension
DIP flexion and extension
PIP Flexion and extension
a.
b.
c.
d.
e.
Ulnar and radial deviation
Wrist flexion and extension
MP Joint flexion and extension
DIP flexion and extension
PIP Flexion and extension
a.
b.
c.
d.
e.
Thumb flexion and extension
Thumb adduction and abduction
Thumb supination and pronation
Thumb deviation
Thumb circumduction
93. What is being measured?
94. What is being measured?
95. What is this ROM?
96. What is this ROM?
a.
b.
c.
d.
97. What is this test for?
a.
b.
c.
d.
Muscle test for wrist flexion
To test wrist deviation
Muscle test for wrist extension
To measure grip strength
98. What is this test for?
a.
b.
c.
d.
Muscle test for wrist flexion
To test wrist deviation
Muscle test for wrist extension
To measure grip strength
Finger flexion and extension
Finger adduction and abduction
Supination and pronation
Septa deviation
99. NSAID
a.
b.
c.
d.
100.
Non steroidal anti-inflammatory drug
Non aspirin anti-inflammatory medication
Not safe and involved drug
Not safety administration approved drug
a.
b.
c.
d.
Which is not a topical skin Irritant
Ben Gay
Carrie Lotion
Atomic Balm
Tigerbalm
a.
b.
c.
d.
FU with ortho to RO FX
Check with family doctor to see if you broke something
Follow up with MD to see if you broke something
Follow up with orthopedic surgeon to see if you need surgery
Follow up with orthopedic doctor to rule fracture
101.
102.
What is this injury?
a.
b.
c.
d.
Anterior Dislocation
AC Separation
Fractured Clavicle
Nothing
a.
b.
c.
d.
Name the joint that connects the clavicle with the sternum
acromioclavicular joint
sternocostal joint
sternoclavicular joint
SI Joint
103.
104.
The Scapula rest upon the _______________________ .
a.
Humerus
b.
Upper trapizeus
c.
Thoracic cage
d.
Supraspinatus
105.
How long does it take for a broken bone to heal?
a.
4 – 6 days
b.
4 - 6 weeks
c.
4 – 6 months
d.
4 – 6 years
106.
True or False (Circle)
A thin bone will always take longer to heal than a thick bone.
107.
Pain felt at a site other than where the cause is situated?
a. Moving pain
b. Localized pain
c. Referred pain
d. Pain in the #%*#
108.
Which ribs does the scapula cover?
a. 2, 3, 4, 6, 7, 8
b. 2, 3, 4, 5, 6, 7
c. 2, 3, 4, 5, 5, 6, 7
d. 2, 3, 4, 4, 5, 6, 7
109.
The Head of the humerus sits in a shallow fossa called the __________________
a. Ball and socket
b. Glenoid cavity
c. Spine of the scapula
d. None of the above
110.
What 2 bones does the Clavicle attach to?
a. Humerus/sternum
b. Sternum/humerus
c. acromion process/sternum
d. First rib/clavicle
111.
What is this an x-ray of?
a. AC Seperation
b. Fractured Clavicle
c. Fractured humerus
d. Anterior dislocation