BPK 241 UPDATED EVALUATION EXAM QUESTIONS
AND ANSWERS SURE A+
✔✔what is the assessment for a calf strain? - ✔✔TOP over injury site, pain and
weakness with active PF, possible pain with passive DF, possible swelling
✔✔what is the treatment for a calf strain? - ✔✔POLICE, heel lifts to unload calf, NO
stretching for first few 1-2 weeks depending on severity, isometric then concentric then
eccentric exercise, taping
✔✔what is the history for acute anterior compartment syndrome? - ✔✔impact from
external force, object or other player, numbness in foot, pain and tightness in front of
leg, loss of sensation 1st inter-webbed space, progressively worsening symptoms, not
relieved with rest.
✔✔what is the assessment for acute anterior compartment syndrome? - ✔✔decreased
dorsal pedal pulse, TOP and tightness with palpation anterior compartment, weakness
DF, no improvement in symptoms with rest.
✔✔what is the treatment for acute anterior traumatic compartment syndrome? -
✔✔Medical EMERGENCY, send to ER.
✔✔what is the history for chronic anterior compartment syndrome? - ✔✔Chronic, comes
on every time athlete exercises lower extremity, numbness, possible weakness (drop
foot), feeling of tightness in anterior leg.
✔✔what is the assessment for chronic anterior compartment syndrome? -
✔✔Weakness with resisted DF, decreased dorsal pedal pulse, tightness and pain with
palpation anterior compartment, improves almost immediately with rest.
✔✔what is the treatment for chronic anterior compartment syndrome? - ✔✔POLIE (no
C!), Biomechanical corrections, footwear ax, stretch tight structures, compartmental
pressure testing requested by DR. also might request XRAY to rule out stress fracture.
✔✔what is the history of medial tibial stress syndrome? - ✔✔Chronic, overuse, court
sports, TOP over distal 1/3 tibia, pain increases with exercise and lingers post activity.
✔✔what is the assessment of medial tibial stress syndrome? - ✔✔Poor biomechanics,
footwear?, possible weakness with resisted inversion, pain along medial aspect of tibia
usually 2-3cm sore spot.
✔✔what is the treatment for medial tibial stress syndrome? - ✔✔correct biomechanics,
footwear ax, ice cups, alternative workouts (decreased pounding), strengthening
, exercises (Tib post, balance exercises, towel scrunches), low dye tape job to correct
foot biomechanics.
✔✔what is the history for a stress fracture of the tibia? - ✔✔Develops over time,
recovery time not adequate, bone deposition not meeting bone breakdown, deep-
seated pain and ache, lots of TOP at fracture site, pain increases with training and gets
progressively worse.
✔✔what is the assessment for a stress fracture of the tibia? - ✔✔Tuning fork will be
positive, TOP over fracture site, pain and weakness generalized with strength testing
✔✔what is the treatment for a stress fracture of the tibia? - ✔✔REST!!!! Ice, refer to DR.
if you suspect stress fracture, footwear ax, gradual reintroduction to loading, softer
surfaces as return.
✔✔what is the history of a anterior cruciate ligaments sprain? - ✔✔Impact by another
player from the lateral side, folded back over other player with a twisting motion, athlete
will report a "pop". Might also be a non-contact ACL where athlete goes to cut and knee
buckles into valgus and hears a "pop", sometimes reports pain, sometimes reports no
pain, always reports instability.
✔✔what is the assessment of a anterior cruciate ligament sprain? - ✔✔Laxity, or laxity
and pain with anterior drawer and Lachman, positive swipe test, positive patellar
compression test for swelling, restricted KF/KE
✔✔what is the treatment of a anterior cruciate ligament sprain? - ✔✔POLICE, thorough
medical exam, strengthening specific to hamstrings, bracing, possible surgery if ACL
ruptured.
✔✔what is the history for a posterior cruciate ligament sprain? - ✔✔Impact with
dashboard in car accident, falling on another athlete, tibia translating posteriorly on
femur, fixed rotation, direct impact, may report "pop"
✔✔what is the assessment for a posterior cruciate ligament sprain? - ✔✔Positive
posterior sag, laxity with posterior drawer test, positive intracapsular swelling tests,
possible limitation into KF/KE
✔✔what is the treatment for a posterior cruciate ligament sprain? - ✔✔POLICE,
thorough medical exam, strengthening specific to hamstrings, bracing, NO surgery,
strengthen quadriceps
✔✔what is the history for a medial collateral ligament sprain? - ✔✔Lateral impact from
side, athlete might report a "pop", valgus force applied to knee.
AND ANSWERS SURE A+
✔✔what is the assessment for a calf strain? - ✔✔TOP over injury site, pain and
weakness with active PF, possible pain with passive DF, possible swelling
✔✔what is the treatment for a calf strain? - ✔✔POLICE, heel lifts to unload calf, NO
stretching for first few 1-2 weeks depending on severity, isometric then concentric then
eccentric exercise, taping
✔✔what is the history for acute anterior compartment syndrome? - ✔✔impact from
external force, object or other player, numbness in foot, pain and tightness in front of
leg, loss of sensation 1st inter-webbed space, progressively worsening symptoms, not
relieved with rest.
✔✔what is the assessment for acute anterior compartment syndrome? - ✔✔decreased
dorsal pedal pulse, TOP and tightness with palpation anterior compartment, weakness
DF, no improvement in symptoms with rest.
✔✔what is the treatment for acute anterior traumatic compartment syndrome? -
✔✔Medical EMERGENCY, send to ER.
✔✔what is the history for chronic anterior compartment syndrome? - ✔✔Chronic, comes
on every time athlete exercises lower extremity, numbness, possible weakness (drop
foot), feeling of tightness in anterior leg.
✔✔what is the assessment for chronic anterior compartment syndrome? -
✔✔Weakness with resisted DF, decreased dorsal pedal pulse, tightness and pain with
palpation anterior compartment, improves almost immediately with rest.
✔✔what is the treatment for chronic anterior compartment syndrome? - ✔✔POLIE (no
C!), Biomechanical corrections, footwear ax, stretch tight structures, compartmental
pressure testing requested by DR. also might request XRAY to rule out stress fracture.
✔✔what is the history of medial tibial stress syndrome? - ✔✔Chronic, overuse, court
sports, TOP over distal 1/3 tibia, pain increases with exercise and lingers post activity.
✔✔what is the assessment of medial tibial stress syndrome? - ✔✔Poor biomechanics,
footwear?, possible weakness with resisted inversion, pain along medial aspect of tibia
usually 2-3cm sore spot.
✔✔what is the treatment for medial tibial stress syndrome? - ✔✔correct biomechanics,
footwear ax, ice cups, alternative workouts (decreased pounding), strengthening
, exercises (Tib post, balance exercises, towel scrunches), low dye tape job to correct
foot biomechanics.
✔✔what is the history for a stress fracture of the tibia? - ✔✔Develops over time,
recovery time not adequate, bone deposition not meeting bone breakdown, deep-
seated pain and ache, lots of TOP at fracture site, pain increases with training and gets
progressively worse.
✔✔what is the assessment for a stress fracture of the tibia? - ✔✔Tuning fork will be
positive, TOP over fracture site, pain and weakness generalized with strength testing
✔✔what is the treatment for a stress fracture of the tibia? - ✔✔REST!!!! Ice, refer to DR.
if you suspect stress fracture, footwear ax, gradual reintroduction to loading, softer
surfaces as return.
✔✔what is the history of a anterior cruciate ligaments sprain? - ✔✔Impact by another
player from the lateral side, folded back over other player with a twisting motion, athlete
will report a "pop". Might also be a non-contact ACL where athlete goes to cut and knee
buckles into valgus and hears a "pop", sometimes reports pain, sometimes reports no
pain, always reports instability.
✔✔what is the assessment of a anterior cruciate ligament sprain? - ✔✔Laxity, or laxity
and pain with anterior drawer and Lachman, positive swipe test, positive patellar
compression test for swelling, restricted KF/KE
✔✔what is the treatment of a anterior cruciate ligament sprain? - ✔✔POLICE, thorough
medical exam, strengthening specific to hamstrings, bracing, possible surgery if ACL
ruptured.
✔✔what is the history for a posterior cruciate ligament sprain? - ✔✔Impact with
dashboard in car accident, falling on another athlete, tibia translating posteriorly on
femur, fixed rotation, direct impact, may report "pop"
✔✔what is the assessment for a posterior cruciate ligament sprain? - ✔✔Positive
posterior sag, laxity with posterior drawer test, positive intracapsular swelling tests,
possible limitation into KF/KE
✔✔what is the treatment for a posterior cruciate ligament sprain? - ✔✔POLICE,
thorough medical exam, strengthening specific to hamstrings, bracing, NO surgery,
strengthen quadriceps
✔✔what is the history for a medial collateral ligament sprain? - ✔✔Lateral impact from
side, athlete might report a "pop", valgus force applied to knee.
