FINAL EXAM
NR 509 ADVANCED PHYSICAL ASSESSMENT
FINAL EXAM 3 2025/2026 COMPLETE 100
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Which is an accurate statement regarding the preparticipation examination?
A. The only necessary component is a musculoskeletal examination.
B. There is nothing legally binding about the provider's recommendation.
C. Noncontact sports do not require a preparticipation examination.
D. The only place to perform a preparticipation examination is in a clinic.
B. There is nothing legally binding about the provider's recommendation.
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, NR 509 ADVANCED PHYSICAL ASSESSMENT
FINAL EXAM
Once a PPE has been completed, the health care provider can guide the patient with sport
selection; plan therapy or rehabilitation of conditions or injuries; and, in rare instances, discuss
restrictions. Decisions are made at the discretion of the clinician, but recommendations to
limit participation are not legally binding.
The American Academy of Pediatrics recommends limiting participation in which sport until
the adolescent achieves a sexual rating 5?
A. Wrestling
B. Tackle football
C. Bodybuilding
D. Curling
C. Bodybuilding
The American Academy of Pediatrics recommends limiting bodybuilding and powerlifting until
the adolescent achieves sexual rating 5 (Tanner stage V).
Mrs. Harris brings in her 15-year-old son for a preparticipation examination. He plans to start
football practice in 2 days. You explain that the preparticipation examination should be
completed at least 6 weeks before the start of the sports event or practice so that:
A. any identified problems can, if possible, be rehabilitated.
B. there is enough time to fill out the paperwork.
C. evaluation by a physical therapist can be completed.
D. specialized neurologic evaluations can be completed.
A. any identified problems can, if possible, be rehabilitated.
The PPE should be completed well enough in advance of the planned sports activity so that
any needed specialist evaluations, rehabilitation, or therapy can be completed before
participation begins. As a general rule, 6 weeks before participation is an appropriate time.
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FINAL EXAM
The main goal of the preparticipation examination is to:
A. develop an ongoing primary care relationship with the athlete.
B. adhere to state and local school district regulations.
C. detect a chronic illness that has developed.
D. ensure safe participation in an appropriate physical activity.
D. ensure safe participation in an appropriate physical activity.
The overall goal of the PPE is to ensure safe participation in sports.
The American Academy of Pediatrics opposes the participation of children, adolescents, and
young adults in which sport?
A. Rugby
B. Boxing
C. Rodeo
D. Wrestling
B. Boxing
The American Academy of Pediatrics opposes participation in boxing for children,
adolescents, and young adults (AAP, 1997).
Secondary amenorrhea occurs in as many as ______% of female athletes.
A. 10
B. 33
C. 48
D. 69
D. 69
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FINAL EXAM
Among athletes, depending on the sport, secondary amenorrhea occurs in as many as 69%
(Nazem and Ackerman, 2012).
When performing a preparticipation examination on a child with Down syndrome, you assess
for signs of atlantoaxial instability. Which findings would indicate this problem?
A. Radicular pain and change in bowel function
B. Slowed deep tendon reflexes (DTRs) and change in gait
C. Torticollis and change in bladder function
D. Weakness and loss of superficial reflexes
A. Radicular pain and change in bowel function
Discuss spinal cord injury risk with parents of children with Down syndrome who will be
participating in sports (especially football, soccer, and gymnastics). Inquire about neck or
radicular pain, weakness, change in gait, and bowel or bladder function, and perform a careful
neurologic examination. These examination findings require immediate referral to a
neurosurgeon with expertise in atlantoaxial instability.
Approximately how long should an examiner take to conduct a primary assessment of the
stable patient?
A. 30 seconds
B. 60 seconds
C. 2 minutes
D. 5 minutes
A. 30 seconds
The primary survey or initial assessment is completed very rapidly. With a stable patient, it may
take only 30 seconds.
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