GCU NUR 634 Advanced Health Assesment
Latest VERSION MIDTERM Practice Exam
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Mrs. Planer brings in her 16-year-old daughter for a preparticipation examination for
gymnastics. Her concern is her daughter's weight and growth. As the examiner, you are
aware that in the female athlete during teenage years, a too-thin body frame encourages:
A. primary amenorrhea.
B. thyroid dysfunction.
C. an eating disorder.
D. a hypoestrogenic state. –
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Correct Answer :D. a hypoestrogenic state.
A too-thin body encourages a low estrogen state and the possibility of menstrual
dysfunction and a resultant osteopenia or osteoporosis.
Mrs. Mills brings in her 17-year-old daughter for a preparticipation examination for field
hockey. She has stated that her daughter has a cardiac history. As the examiner, you know
that sudden cardiac death in athletes is a great concern. Which problem absolutely
precludes an athlete from participation in sports?
A. Hypertension
B. Carditis
C. Heart murmur
D. Dysrhythmia –
Correct Answer :B. Carditis
Two conditions considered absolute contraindications to sports participation are carditis
and fever. Carditis (inflammation of the heart) can result in sudden death with exertion, and
fever is associated with an increased risk of heat-related illness (Rice, 2008).
Ms. Baker is a 19-year-old college student who presents to your office for a preparticipation
examination for girls' basketball. As the examiner, you know that during the preparticipation
examination, the component that most often detects problems affecting athletes is the:
A. neurologic evaluation.
B. musculoskeletal examination.
C. history.
D. general physical examination. –
Correct Answer :C. history.
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The history provides the most information for the PPE.
Mr. Torres is a 16-year-old patient who presents for a preparticipation sports examination.
Why is it important to determine and document normal neuropsychologic status in the
preparticipation examination?
A. To clear the individual for all sports participation.
B. To better judge the return to normal in the event of injury.
C. To evaluate the suitability of the individual for contact sports.
D. To develop a comprehensive database so subsequent preparticipation examinations can
be brief. –
Correct Answer :B. To better judge the return to normal in the event of injury.
The preparticipation examination provides a baseline to assist in judging whether a patient
has return to his or her individual level after an event injury.
336. In managing a 16-year-old soccer player with a concussion, which element(s) should be
included in the plan of care?
A. Complete physical and cognitive rest until asymptomatic
B. Graduated return to play
C. Mental health assessment
D. All of the above –
Correct Answer :D. All of the above
Management of a concussion requires physical and cognitive rest until symptoms resolve,
followed by a stepwise return-to-play program. A mental health assessment is also
recommended because depressive symptoms are common in athletes. In general, most
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patients with concussions will have symptoms that resolve soon after the injury. The
following graduated return to play protocol is recommended:1. No activity; complete
physical and cognitive rest. Once asymptomatic, proceed to step 22. Light aerobic exercise
walking, swimming or stationary cycling, no resistance training3. Sport-specific exercise
without head impact activities (e.g., running drills in soccer)4. Noncontact training drills
(e.g., passing drills in football)5. Full-contact practice after medical clearance6. Return to
play (normal game play)The patient should only proceed to the next step if he or she is
asymptomatic.
Mr. Simmons brings in his 17-year-old son for a preparticipation examination for wrestling.
What is the importance of looking for asymmetries in range of motion, strength, and muscle
bulk as part of the orthopedic component of the examination?
A. Degree of physical development can be assessed.
B. Acute or old poorly rehabilitated injuries are identified.
C. Need for safety or supportive equipment can be determined.
D. Appropriate training exercises can be prescribed. –
Correct Answer :B. Acute or old poorly rehabilitated injuries are identified.
The examination consists of observing the athlete in a variety of positions and postures that
highlight asymmetries in range of motion, strength, and muscle bulk. These asymmetries
serve to identify acute or old, poorly rehabilitated injuries.
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. –
Correct Answer :B. There is nothing legally binding about the provider's recommendation.
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