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AT BOC PREP DOMAIN II EXAMINATION, ASSESSMENT AND DIAGNOSIS QUESTIONS AND VERIFIED ANSWERS

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AT BOC PREP DOMAIN II EXAMINATION, ASSESSMENT AND DIAGNOSIS QUESTIONS AND VERIFIED ANSWERS

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Which two bones make up the roof of the orbit? A. Frontal and sphenoid
B. Ethmoid and maxillary
C. Zygomatic and palatine
D. Lacrimal and sphenoid
E. Palatine and frontal


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A: The orbit of the eye comprises many bones. The roof is formed by the
frontal bone and the sphenoid bone




On the preseason medical history questionnaire a female diver indicates an abnormal
menstrual cycle pattern. After gathering information about the athlete ' s menstrual
cycle, you are concerned that she may be experiencing secondary amenorrhea.
Which of the following is an accepted definition of secondary amenorrhea?
A. Fewer than three menstrual cycles per year
B. Absence of at least six consecutive menstrual cycles

,C. Menstrual periods lasting less than 2 days for at least 6 consecutive months
D. Five menstrual cycles in 1 calendar year


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A: There are various defi nitions of secondary amenorrhea, including (1)
fewer than three menstrual cycles per year and (2) the absence of menses
for 3, 4, 6, or 12 months in a previously menstruating woman




A factory worker presents with signs and symptoms consistent with unilateral carpal
tunnel syndrome, which is likely due to the repetitiveness of his work tasks. What is the
most effective means of quantifying the degree of this patient ' s median nerve
compression?
A. Refer the patient to a neurologist for an electroencephalogram.
B. Refer the patient to an occupational therapist for manual muscle testing.
C. Refer the patient to a physiatrist for a nerve conduction study and
electromyography.
D. Refer the patient to a radiologist for a computed tomography scan with contrast
dye.


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C: Pathology in peripheral nerves, such as the median nerve, and the
muscles they innervate can be detected and quantified using nerve
conduction studies and electromyography. These tests are typically
performed by neurologists or physiatrists.




A wrestler sustains an auricular hematoma for the third time in the season. The athlete
asks if there is anything he can do to minimize developing cauliflower ear? How
would you respond?
A. The athlete can wear ear plugs under his head gear to minimize long-term impacts.
B. Once the injury has occurred, there is not much that can be done to minimize the
impact.

,C. The athlete can be seen by the team physician, and antibiotics can be prescribed
to minimize the chance of infection.
D. The athlete can be seen by the team physician for aspiration of the hematoma and
application of a gauze and flexible collodion cast.


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D: Unaddressed auricular hematomas can result in increased scarring and a
condition known as caulifl ower ear. Aspirating the hematoma will allow the
cartilage to receive its nutrition and minimize scarring. 22 The condition
develops or doesn ' t based on immediate treatment of the active
hematoma, making answer option D correct. Using the word "getting"
indicates a prevention strategy such as wearing headgear as opposed to
managing the injury and preventing it from developing into "caulifl ower
ear."




A 12-year-old basketball camper reports anterior knee pain focused at the inferior
insertion of the patellar tendon. What apophyseal injury should you suspect?
A. Sever ' s disease
B. Osgood-Schlatter disease
C. Salter-Harris II fracture
D. Larsen-Johansson disease
E. Legg-Calvé-Perthes disease


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B: Osgood-Schlatter disease is a common knee condition in adolescents.
This condition is an apophysitis characterized by pain at the tibial
tuberosity, the distal attachment of the patella tendon




A freshman tennis player from Florida moves to Seattle, Washington, to attend
college. The athlete comes to see you in February complaining of malaise, fatigue,
difficulty paying attention in class, and feeling sleepy especially in the afternoon. She
notes the symptoms have gotten worse as the school year has gone on, but have

, been particularly bad since December. What condition would you suspect?
A. Adjustment disorder
B. Clinical depression
C. Anxiety
D. Seasonal affective disorder


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D: Seasonal affective disorder (SAD) typically occurs in the winter months
due to decreased levels of sunlight. It is most common in adults and
women. Treatment involves referral for light therapy, antidepressant
medication, and stress management.




Which of the following terms is correctly defined?
A. Neurapraxia: axon undergoes wallerian degeneration
B. Axonotmesis: mildest form of peripheral nerve injury
C. Paresthesia: abnormal sensation
D. Neurotmesis: complete disruption of the nerve E. Neurodynia: degeneration of
nerve cells


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D: Neurotmesis is the most severe form of peripheral nerve injury and is the
complete disruption of the nerve




Which of the following joints and associated ligaments are involved in the injury
commonly referred to as a shoulder separation?
A. Sternoclavicular joint; anterior and posterior sternoclavicular ligaments,
costoclavicular ligament, and interclavicular ligament
B. Acromioclavicular joint; acromioclavicular ligament, and conoid and trapezoid
ligaments
C. Glenohumeral joint; superior, middle, and inferior glenohumeral ligaments and
coracohumeral ligaments

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