AT BOC Prep Domain II Examination Assessment and Diagnosis Questions and Answers

AT BOC Prep Domain II
Examination Assessment
and Diagnosis Questions
and Answers
A female basketball player reports to your university's athletic training clinic

complaining of right superior shoulder pain she has been experiencing for

approximately 5 days. She reports no history of shoulder trauma or changes in

training or conditioning load or intensity. Which of the following questions can best

assist you in determining the potential cause of this patient's pain?

A. "You look tired; have you been spending a lot of time on your laptop?"

B. "That's a nice-looking and large new messenger style book bag; do you carry it on

your right or left shoulder?"

C. "I know you commute to campus; do you have a lumbar support roll in your car

seat?"

D. "When sitting in class, do you have difficulty seeing the projection screen or

blackboard?"

,✓~ B : A patient' s pain may be caused by activities of daily living that subject the body to

repetitive stresses. Backpacks that are heavy and worn on one shoulder can overload the

patient' s shoulders. Students should be instructed to use both shoulder straps while wearing

backpacks, avoiding carrying weight over one shoulder.




A n athlete with repeated herpes simplex eruptions should be counseled to avoid

which of the following potential outbreak triggers?

A. Fatigue, psychological stress, and sunlight exposure

B. Overexposure to the sun, decreased body fat percentage, and sharing water

bottles

C. Sexual activity, contact with others, and dehydration

D. Contact with others, fatigue, and a high carbohydrate diet

E. Poor nutrition, overexposure to the sun, and sexual activity


✓~ A: Herpes simplex eruptions can be triggered by illness, external stresses, internal

stresses, fatigue, overexposure to sunlight, menstruation, and physical trauma.




A baseball pitcher presents with unilateral shoulder pain he describes as deep within

the joint as well as intermittent bicipital groove and biceps tendon tenderness. The

athlete also reports a history of his involved shoulder popping, clicking, and catching

with certain motions. As he is a baseball pitcher, you are concerned he may have

sustained a superior labral anterior-posterior (SLAP) lesion. To apply evidence

based practice to the examination of this patient, what information from the National

Athletic Trainers' Association (NATA) position statement on evaluation,

,management, and outcomes of and return-to-play criteria for overhead athletes with

SLAP injuries should you consider?

A. Bicipital groove or biceps tendon tenderness is diagnostic of a SLAP lesion.

B. A history of popping, clicking, or catching is diagnostic of a SLAP lesion.

C. Mechanisms of injury for a SLAP lesion can include repetitive overhe


✓~ C: In overhead athletes, the mechanisms of a superior labral anterior posterior (SLAP)

lesion are associated with repetitive overhead activities. During overhead motions the tensile

forces on the labrum from the biceps during the deceleration phase may result in a tear of

the labrum




Which of the following groups of muscles insert into the medial aspect of the tibia just

distal to the medial condyle?

A. Vastus medialis, gracilis, and semimembranosus

B. Semitendinosus, sartorius, and vastus medialis C. Biceps femoris,

semitendinosus, and semimembranosus

D. Sartorius, gracilis, and semitendinosus

E. Sartorius, gracilis, and semimembranosus


✓~ E: Sartorius, gracilis, and semimembranosus muscles make up the pes anserine

muscle group and insert on the medial aspect of the tibia through a common tendon




Which four palpable bony prominences define the carpal tunnel?

A. Radial styloid, navicular, ulnar styloid, and hook of the hamate

, B. Radial styloid, base of the first metacarpal, base of the fifth metacarpal, and ulnar

styloid C. Pisiform, tubercle of the navicular, hook of the hamate, and tubercle of the

trapezium

D. Tubercle of the navicular, lunate, pisiform, and ulnar styloid

E. Lister' s tubercle, tubercle of the trapezium, capitate, and base of the fifth

metacarpal


✓~ C: The carpal tunnel is oriented within the carpal bones. The trapezium is the most

medial bone in the carpal distal row, and its prominence can be palpated through the

hypothenar eminence. The pisiform is also found and palpated on the medial portion of the

wrist. The carpal tunnel is defi ned laterally by the tubercle of the navicular and the hook of

the hamate




Which ligaments comprise the lateral ligaments of the elbow?

A. Radial collateral ligament, lateral ulnar collateral ligament, anterior oblique band,

posterior oblique band

B. Transverse oblique band, annular ligament, accessory collateral ligament, radial

collateral ligament

C. Radial collateral ligament, lateral ulnar collateral ligament, accessory collateral

ligament, anterior oblique band

D. Anterior oblique band, posterior oblique band, transverse oblique band, annular

ligament E. Annular ligament, accessory collateral ligament, radial collateral

ligament, lateral ulnar collateral ligament