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ATHLETIC TRAINING BOC EXAM (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) 2026-2027
BOC Athletic Training Practice Exam
Domain: Injury/Illness Prevention and Wellness Promotion
1. Case:
A 16-year-old soccer player complains of heat cramps during practice in 90°F weather.
Question: Initial management?
A. Ice bath
B. Hydration and rest
C. Hospitalization
D. Massage only
Rationale:
Heat cramps result from electrolyte imbalance and dehydration; immediate treatment includes
rest, hydration, and stretching.
2. Case:
During pre-participation screening, an athlete reports previous stress fractures.
Question: Most appropriate prevention strategy?
A. Increase training intensity immediately
B. Gradual load progression and cross-training
C. Avoid weight-bearing activity permanently
D. Only strength training
Rationale:
Gradual loading and cross-training reduce risk of recurrence of stress fractures.
3. Case:
A high school football player wants to prevent ACL injuries.
2026 2027 GRADED A+
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Question: Recommended intervention?
A. Plyometric and neuromuscular training
B. Only stretching
C. Avoid sports
D. Strengthen upper body only
Rationale:
Neuromuscular and plyometric programs reduce ACL injury risk, especially in female
athletes.
4. Case:
An athlete has mild asthma controlled with an inhaler.
Question: Clearance for participation?
A. Clear for full participation
B. Exclude completely
C. Require pulmonary function test before clearance
D. Only low-intensity activity
Rationale:
Athletes with well-controlled asthma can participate fully, with monitoring and inhaler use as
needed.
5. Case:
A basketball player complains of recurrent ankle sprains.
Question: Most effective preventive measure?
A. Bracing/taping and proprioceptive training
B. Surgery
C. Rest only
D. Aggressive stretching
Rationale:
Ankle taping/bracing combined with balance/proprioception exercises significantly reduces
re-injury risk.
Domain: Clinical Evaluation and Diagnosis
6. Case:
A soccer player lands awkwardly, hearing a pop in his knee, with immediate swelling.
2026 2027 GRADED A+
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Question: Most likely structure injured?
A. MCL
B. ACL
C. Medial meniscus
D. Patellar tendon
Rationale:
Non-contact pivoting injury with popping → ACL tear, presenting with hemarthrosis and
instability.
7. Case:
A football player reports gradual onset anterior knee pain.
Question: Most likely diagnosis?
A. Patellar tendinopathy
B. Meniscal tear
C. ACL injury
D. Osteoarthritis
Rationale:
Patellar tendinopathy occurs with repetitive jumping/running, causing anterior knee pain.
8. Case:
A baseball pitcher complains of shoulder pain and decreased range of motion, especially internal
rotation.
Question: Likely condition?
A. Rotator cuff tendinopathy
B. Posterior capsule tightness (GIRD)
C. Biceps tendon rupture
D. Labral tear
Rationale:
Glenohumeral internal rotation deficit (GIRD) is common in overhead athletes due to
posterior capsule tightness.
9. Case:
A gymnast has wrist pain after repetitive hyperextension.
2026 2027 GRADED A+
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Question: Likely diagnosis?
A. Scaphoid fracture
B. Colles fracture
C. Carpal tunnel
D. Ligament sprain
Rationale:
Repetitive wrist extension → scaphoid stress or fracture, especially in gymnasts.
10. Case:
A runner complains of pain along the tibia, worsened with activity.
Question: Most likely diagnosis?
A. Stress fracture
B. Shin contusion
C. Compartment syndrome
D. Achilles tendinopathy
Rationale:
Medial tibial stress syndrome or stress fracture presents with activity-related anterior tibial
pain.
Domain: Immediate and Emergency Care
11. Case:
A football player collapses with shallow breathing, weak pulse, and pale skin.
Question: First action?
A. Call EMS and begin CPR
B. Give water
C. Monitor only
D. Move to sideline
Rationale:
Collapse with poor vital signs → medical emergency; CPR and EMS activation are priorities.
12. Case:
A soccer player has a head impact, momentarily confused, no loss of consciousness.
2026 2027 GRADED A+
ATHLETIC TRAINING BOC EXAM (NEW UPDATED VERSION) LATEST ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED QUESTIONS AND ANSWERS) 2026-2027
BOC Athletic Training Practice Exam
Domain: Injury/Illness Prevention and Wellness Promotion
1. Case:
A 16-year-old soccer player complains of heat cramps during practice in 90°F weather.
Question: Initial management?
A. Ice bath
B. Hydration and rest
C. Hospitalization
D. Massage only
Rationale:
Heat cramps result from electrolyte imbalance and dehydration; immediate treatment includes
rest, hydration, and stretching.
2. Case:
During pre-participation screening, an athlete reports previous stress fractures.
Question: Most appropriate prevention strategy?
A. Increase training intensity immediately
B. Gradual load progression and cross-training
C. Avoid weight-bearing activity permanently
D. Only strength training
Rationale:
Gradual loading and cross-training reduce risk of recurrence of stress fractures.
3. Case:
A high school football player wants to prevent ACL injuries.
2026 2027 GRADED A+
,2|Page
Question: Recommended intervention?
A. Plyometric and neuromuscular training
B. Only stretching
C. Avoid sports
D. Strengthen upper body only
Rationale:
Neuromuscular and plyometric programs reduce ACL injury risk, especially in female
athletes.
4. Case:
An athlete has mild asthma controlled with an inhaler.
Question: Clearance for participation?
A. Clear for full participation
B. Exclude completely
C. Require pulmonary function test before clearance
D. Only low-intensity activity
Rationale:
Athletes with well-controlled asthma can participate fully, with monitoring and inhaler use as
needed.
5. Case:
A basketball player complains of recurrent ankle sprains.
Question: Most effective preventive measure?
A. Bracing/taping and proprioceptive training
B. Surgery
C. Rest only
D. Aggressive stretching
Rationale:
Ankle taping/bracing combined with balance/proprioception exercises significantly reduces
re-injury risk.
Domain: Clinical Evaluation and Diagnosis
6. Case:
A soccer player lands awkwardly, hearing a pop in his knee, with immediate swelling.
2026 2027 GRADED A+
,3|Page
Question: Most likely structure injured?
A. MCL
B. ACL
C. Medial meniscus
D. Patellar tendon
Rationale:
Non-contact pivoting injury with popping → ACL tear, presenting with hemarthrosis and
instability.
7. Case:
A football player reports gradual onset anterior knee pain.
Question: Most likely diagnosis?
A. Patellar tendinopathy
B. Meniscal tear
C. ACL injury
D. Osteoarthritis
Rationale:
Patellar tendinopathy occurs with repetitive jumping/running, causing anterior knee pain.
8. Case:
A baseball pitcher complains of shoulder pain and decreased range of motion, especially internal
rotation.
Question: Likely condition?
A. Rotator cuff tendinopathy
B. Posterior capsule tightness (GIRD)
C. Biceps tendon rupture
D. Labral tear
Rationale:
Glenohumeral internal rotation deficit (GIRD) is common in overhead athletes due to
posterior capsule tightness.
9. Case:
A gymnast has wrist pain after repetitive hyperextension.
2026 2027 GRADED A+
, 4|Page
Question: Likely diagnosis?
A. Scaphoid fracture
B. Colles fracture
C. Carpal tunnel
D. Ligament sprain
Rationale:
Repetitive wrist extension → scaphoid stress or fracture, especially in gymnasts.
10. Case:
A runner complains of pain along the tibia, worsened with activity.
Question: Most likely diagnosis?
A. Stress fracture
B. Shin contusion
C. Compartment syndrome
D. Achilles tendinopathy
Rationale:
Medial tibial stress syndrome or stress fracture presents with activity-related anterior tibial
pain.
Domain: Immediate and Emergency Care
11. Case:
A football player collapses with shallow breathing, weak pulse, and pale skin.
Question: First action?
A. Call EMS and begin CPR
B. Give water
C. Monitor only
D. Move to sideline
Rationale:
Collapse with poor vital signs → medical emergency; CPR and EMS activation are priorities.
12. Case:
A soccer player has a head impact, momentarily confused, no loss of consciousness.
2026 2027 GRADED A+
