BOC Domain 2 Questions And Answers (2024 / 20245 (Verified Answers)
A conscious patient presents with a rigid and extended abdomen upon palpation after a direct impact to the abdomen. What is the treatment for this patient? - Call 911, treat for shock by placing in supine position, elevate legs, cover patient to keep warm, and give high-flow oxygen A patient appears to have pharyngitis. How can the athletic trainer determine whether the pharyngitis is viral or bacterial? - Patients with viral infections will have rhinorrhea, conjunctivitis, and a cough A patient can move a body part against gravity throughout a full range of motion. How is this graded both verbally and numerically? - Fair: 3/5 A patient complains of pain in their anterior tibialis muscle. Where is the referral pain pattern for this muscle? - Over the muscle trigger point and the dorsal foot and big toe A patient complains of referred pain over the posterior gluteal area. What muscle can refer this type of pain? - Gluteus medius and maximus A patient has a patellar tilt of more than 15°. What is this most likely to lead to? - Anterior knee pain A patient has a springy block end feel of the knee. What injury should be suspected? - Meniscus tear A patient has dermatographism (hives) induced by rubbing the skin. What should the athletic trainer suspect as the cause? - Recent medications or infections A patient has dysmenorrhea, oligomenorrhea, and severe pelvic pain. What are these symptoms of? - Endometriosis A patient has hypertension. What form of exercise will decrease blood pressure the most? - Aerobic exercise A patient has knee pain during both active and passive motion. What structure should be suspected? - Meniscus, ligament, or capsule A patient has low level of magnesium. Which foods should the athletic trainer recommend to increase magnesium? - Black beans, peanuts, and baby spinach A patient is actively having a seizure. What type of airway should be used to assist this patient with breathing? - Nasopharyngeal A patient might have an eating disorder. How can one best determine the patient's nutrition status? - Have the patient record everything she eats for the next three days A patient presents with dyspnea, acute chest pain, cyanosis, hypoxia, and tachypnea; he is also coughing up blood. What is the most likely diagnosis? - Pulmonary embolismA patient presents with increased femoral anteversion, genu valgus, vastus medialis obliquus dysplasia, lateral tibial torsion, and forefoot pronation. What type of dysfunction or injury will this patient be prone to? - Patellofemoral dysfunction and lateral structure tightness A patient reports blunt trauma impact to the left side of the abdomen. The athletic trainer is able to distinguish the following signs and symptoms: chest pain, shortness of breath, decreased breath sounds, a scaphoid abdomen, and bowel sounds in the chest. What injury should the athletic trainer suspect? - Ruptured diaphragm A patient reports pain in the anterior aspect of the knee, guarding, a positive apprehension test, and laxity of tissues. These signs and symptoms lead the athletic trainer to suspect what condition? - Patellar subluxation A patient shows a low pH reading on a dipstick urinalysis. What condition might this patient have? - Diabetic ketoacidosis A patient with a complete disruption of the anterior cruciate ligament needs to be removed from the field of play. Which of the following is the most appropriate way to move this patient with a single rescuer? - Walking assist A patient with a pes cavus foot is most likely to have what types of injuries? - Plantar fascitis, Achilles tendon tightness, and stress injury A patient with a spear tackler's spine and developmental stenosis of the cervical canal wants to participate in a sporting activity. What sport, if any, should this patient be allowed to participate in? - Shot put A patient with known sickle cell anemia has collapsed. What signs or symptoms would lead the athletic trainer to believe a patient has a sickle cell crisis? - Abdominal and limb pain A patient's chief complaint is numbness just lateral and superior of the patella. Which dermatome is affected? - L4 A patient's primary complaint is pain that is constant and does not change in place or intensity through the range of motion. What should the athletic trainer suspect the problem is? - Bone injury A positive Finkelstein's test is an indication of what? - De Quervain's syndrome A shoulder inpingement syndrome in which the supraspinatus muscle is involved is most likely to have occurred in which of the following sports? - Volleyball After using an EpiPen auto-injector, how can the user confirm the medication was injected? - The needle will still be exposed An athlete has a suspected cervical spine injury from a head-down tackle. The athlete is supine but his head is laterally flexed to the shoulder. What is the best way to treat the athlete's cervical spine? - The athletic trainer needs to move the head into neutral alignment with the bodyAn MRI with a contrast injection of the shoulder is best used for what suspected injury? - Labral tear An unconscious patient who is not breathing shows no chest rise when given two breaths. What is the next step in the care of this patient? - Retilt the head and give two additional breaths During auscultation of the abdominal quadrants, the athletic trainer discovers a high-pitched sound. What is the interpretation of this sound? - This is a partial or total obstruction of the bowel How can an athletic trainer decrease the swelling and effusion that occurs with a third-degree knee sprain? - Apply a compression wrap over open cell foam How does a patient compensate for lack of left or right rotation range of motion in the cervical spine during examination? - Rotating the body in the direction of the rotation of the neck How does stress increase the risk of injury? - It wears down the patient's coping mechanisms and attention span How does the active range of motion of the lateral toes at the metatarsophalangeal joint compare to the great toe's active range of motion at the metatarsophalangeal joint? - Moving away from the great toe, each consecutive toe has less range of motion progressively How is girth best determined when measuring the girth of an ankle? - Measure the girth using a figure-8 technique How long do the physiological changes of pregnancy persist after the pregnancy has ended? - Four to six weeks How should an amputated body part be cared for, for possible reattachment? - Cover the end with a sterile dressing, place in a plastic bag, and put on ice How should peak flow measurements be taken to determine evidence of exercise-induced bronchoconstriction (EIB) or asthma? - The patient takes a deep breath and then blows into a tube on the peak flow meter as hard and as fast as possible. Then the patient does the same thing after exercising for 8 minutes If left uncorrected, forward-head posture will lead to what long-term consequences? - Degenerative disc and joint changes Of the cleansing techniques that are available for wounds, which is best for cleaning the wound without damaging the granulation and epithelial tissues? - Irrigation Of the following items, which would be used within the scope of practice for an athletic trainer? - Splint kit Of the following, which are cognitive signs or symptoms of an acute concussion? - Slowed-down reaction time, decreased working memory, and delayed recall Second-impact syndrome produces what form of injury? - Herniation of the brainSwelling occurs that is disproportionate to the severity of injury. What injury should be suspected in this instance? - Injury of a bursa
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