AMSSM
AMSSM Sports Medicine CAQ Exam
2025
What are two major types of femoral neck stress fractures?
Which carries a higher rate of complications?
Management for this more complicated Fx? - Correct Ans-Tension side (lateral)
Compression side (medial)
Tension side: Risks
- Unstable Fx, risks of displacement
- AVN of femoral head
- Need for hip replacement
Tension side: Management:
- Non-weight bearing immediately
- Orthopedic referral
Compression-sided femoral neck stress fracture: When to consider surgery? - Correct
Ans-Fracture comprising > 50% of femoral neck
What concept of thermoregulation occurs during cold water immersion? - Correct Ans-
Conduction: Heat transferred from a warm surface to cold surface
What is is the concept of convection?
Example? - Correct Ans-When the body exchanges heat with the surrounding air
Ex. Fans / wind cooling body
What is the concept of radiation re: thermoregulation?
Example? - Correct Ans-Heat is absorbed or reflected without contact
Ex. Wearing lighter colored clothing to reflect heat
The sleeper stretch addresses which specific part of the shoulder?
How is this performed?
In which athletes is this most useful? - Correct Ans-Posterior capsule
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,AMSSM
Technique:
- Side-lying position with a roll under axilla
- Opposite extremity forces flexed elbow in a downward direction, internally rotating the
shoulder and stretching posterior capsule
Overhead-throwing athletes
What conditions are most associated with adhesive capsulitis? - Correct Ans--
Hyper/hypothyroidism
- DM
- Parkinson's disease
- Ischemic heart disease
- CERVICAL spondylosis
- Malignanc
Which types of athletes/maneuvers are at greatest risk of developing lumbosacral pars
interarticularis stress fractures (spondylolyis)? - Correct Ans-- Recurrent lumbar
extension
- Increased lumbar lordosis
- Poor abdominal strength and control
- Skeletal immaturity
- Male gender
Spondylolisthesis grading re: displacement - Correct Ans-- Grade 1: 0% - 25%
- Grade 2: 25% - 50%
- Grade 3: 50% - 75%
- Grade 4: 75% - 100%
- Grade 5: Complete displacement
When is surgical intervention indicated in spondylolistheses? - Correct Ans-- Persistent
symptoms in grade 1-2
- Symptomatic grade 3
- All grade 4-5
Lumbosacral pars interarticularis stress fractures (spondylolyis): Imaging modalities if
negative plain films? - Correct Ans-1. Bone scan with SPECT
- Differentiate between acute and chronic lesions
2. CT scan (thin cuts through area of concern)
- Second study for staging
Limit on intentional weight loss? - Correct Ans-No more than 1.5% body weight / week
What are diagnostic findings of complex regional pain syndrome on triple phase bone
scan? - Correct Ans-- Phase 1/2: Hypoperfusion
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, AMSSM
- Phase 3: Increased uptake / Juxta-articular accentuation
What are the two types of complex regional pain syndrome? - Correct Ans-- Type 1: No
injury to a specific nerve
- Type 2: Evidence of injury to a specific nerve
What are some contributing factors that cause patellofemoral pain syndrome? - Correct
Ans-- Hip abductor weakness (gluteus medius)
- Internally rotated femur at foot strike
- Quadriceps/VMO weakness / tightness
Positioning for reducing a patellar dislocation? - Correct Ans-Hip flexed, knee extended
What are factors that predispose to patellar dislocation? - Correct Ans-- Increased Q
angle
- Genu valgum
- Patella alta
UCL injuries and MRI statistics? - Correct Ans-MRI 100% specificity
Risk of injury to what nerve in supracondylar Fx?
Complications from this? - Correct Ans-Median nerve
Masks compartment syndrome
Valgus extension overload - Radiographic findings? - Correct Ans-Small irregular loose
bodies in posterior elbow
Valgus extension overload - Sx? - Correct Ans-- Posteromedial elbow pain
- Worse during DECELERATION and FOLLOW THROUGH phases of throwing
How does valgus extension overload differ from ulnar collateral ligament injury? -
Correct Ans-VEO:
- Posteromedial elbow pain in terminal extension during DECELERATION and
FOLLOW THROUGH phases
Ulnar collateral ligament injury:
- Posteromedial elbow pain during ACCELERATION phase
Physical exam maneuver for hypothenar hammer syndrome? - Correct Ans-Allen test:
- Assess patency of superficial palmar arch
What is a Monteggia fracture? - Correct Ans-Fracture of the proximal third of the ulna
with anterior radial dislocation
AMSSM
AMSSM Sports Medicine CAQ Exam
2025
What are two major types of femoral neck stress fractures?
Which carries a higher rate of complications?
Management for this more complicated Fx? - Correct Ans-Tension side (lateral)
Compression side (medial)
Tension side: Risks
- Unstable Fx, risks of displacement
- AVN of femoral head
- Need for hip replacement
Tension side: Management:
- Non-weight bearing immediately
- Orthopedic referral
Compression-sided femoral neck stress fracture: When to consider surgery? - Correct
Ans-Fracture comprising > 50% of femoral neck
What concept of thermoregulation occurs during cold water immersion? - Correct Ans-
Conduction: Heat transferred from a warm surface to cold surface
What is is the concept of convection?
Example? - Correct Ans-When the body exchanges heat with the surrounding air
Ex. Fans / wind cooling body
What is the concept of radiation re: thermoregulation?
Example? - Correct Ans-Heat is absorbed or reflected without contact
Ex. Wearing lighter colored clothing to reflect heat
The sleeper stretch addresses which specific part of the shoulder?
How is this performed?
In which athletes is this most useful? - Correct Ans-Posterior capsule
AMSSM
,AMSSM
Technique:
- Side-lying position with a roll under axilla
- Opposite extremity forces flexed elbow in a downward direction, internally rotating the
shoulder and stretching posterior capsule
Overhead-throwing athletes
What conditions are most associated with adhesive capsulitis? - Correct Ans--
Hyper/hypothyroidism
- DM
- Parkinson's disease
- Ischemic heart disease
- CERVICAL spondylosis
- Malignanc
Which types of athletes/maneuvers are at greatest risk of developing lumbosacral pars
interarticularis stress fractures (spondylolyis)? - Correct Ans-- Recurrent lumbar
extension
- Increased lumbar lordosis
- Poor abdominal strength and control
- Skeletal immaturity
- Male gender
Spondylolisthesis grading re: displacement - Correct Ans-- Grade 1: 0% - 25%
- Grade 2: 25% - 50%
- Grade 3: 50% - 75%
- Grade 4: 75% - 100%
- Grade 5: Complete displacement
When is surgical intervention indicated in spondylolistheses? - Correct Ans-- Persistent
symptoms in grade 1-2
- Symptomatic grade 3
- All grade 4-5
Lumbosacral pars interarticularis stress fractures (spondylolyis): Imaging modalities if
negative plain films? - Correct Ans-1. Bone scan with SPECT
- Differentiate between acute and chronic lesions
2. CT scan (thin cuts through area of concern)
- Second study for staging
Limit on intentional weight loss? - Correct Ans-No more than 1.5% body weight / week
What are diagnostic findings of complex regional pain syndrome on triple phase bone
scan? - Correct Ans-- Phase 1/2: Hypoperfusion
AMSSM
, AMSSM
- Phase 3: Increased uptake / Juxta-articular accentuation
What are the two types of complex regional pain syndrome? - Correct Ans-- Type 1: No
injury to a specific nerve
- Type 2: Evidence of injury to a specific nerve
What are some contributing factors that cause patellofemoral pain syndrome? - Correct
Ans-- Hip abductor weakness (gluteus medius)
- Internally rotated femur at foot strike
- Quadriceps/VMO weakness / tightness
Positioning for reducing a patellar dislocation? - Correct Ans-Hip flexed, knee extended
What are factors that predispose to patellar dislocation? - Correct Ans-- Increased Q
angle
- Genu valgum
- Patella alta
UCL injuries and MRI statistics? - Correct Ans-MRI 100% specificity
Risk of injury to what nerve in supracondylar Fx?
Complications from this? - Correct Ans-Median nerve
Masks compartment syndrome
Valgus extension overload - Radiographic findings? - Correct Ans-Small irregular loose
bodies in posterior elbow
Valgus extension overload - Sx? - Correct Ans-- Posteromedial elbow pain
- Worse during DECELERATION and FOLLOW THROUGH phases of throwing
How does valgus extension overload differ from ulnar collateral ligament injury? -
Correct Ans-VEO:
- Posteromedial elbow pain in terminal extension during DECELERATION and
FOLLOW THROUGH phases
Ulnar collateral ligament injury:
- Posteromedial elbow pain during ACCELERATION phase
Physical exam maneuver for hypothenar hammer syndrome? - Correct Ans-Allen test:
- Assess patency of superficial palmar arch
What is a Monteggia fracture? - Correct Ans-Fracture of the proximal third of the ulna
with anterior radial dislocation
AMSSM
