Sports Health and Treatments Quiz

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Questions and Answers

What is the most significant change in muscle strength during the initial week of immobilisation?

  • Muscle strength remains unchanged.
  • Muscle strength increases slightly.
  • Muscle strength decreases significantly. (correct)
  • Muscle strength increases significantly.

Which type of muscle fiber experiences greater atrophy during immobilisation?

  • Both types of fibers experience equal atrophy.
  • The type of fiber experiencing greater atrophy depends on the individual.
  • Slow twitch fibers (correct)
  • Fast twitch fibers

What is the most likely underlying cause of exertional headaches?

  • Raised intracranial pressure (ICP) (correct)
  • Arnold Chiari malformation
  • Aneurysms
  • Cardiac issues

Which of the following is considered the most appropriate course of action for a soccer player experiencing recent onset exertional headaches?

<p>Gradually warming up before exercise. (D)</p> Signup and view all the answers

Which of the following statements regarding exercise for the treatment of chronic hypertension is incorrect?

<p>Resistance exercise should be high weight, low repetitions. (B)</p> Signup and view all the answers

Which of the following activities is LEAST effective in restoring glycogen stores after training in soccer players?

<p>Fartlek (A)</p> Signup and view all the answers

Which of the following is NOT a common treatment for exertional headaches?

<p>Anticonvulsants (A)</p> Signup and view all the answers

What is the most accurate statement about resistance exercise and blood pressure (BP) management in chronic hypertension?

<p>Resistance exercise can be helpful but is not as effective as aerobic exercise. (D)</p> Signup and view all the answers

What is the most important immediate action when a rugby player's tooth is avulsed and covered in dirt?

<p>Reinsert the tooth into its socket without cleaning it. (C)</p> Signup and view all the answers

Which of the following statements regarding weight training for 12-year-olds is supported by evidence?

<p>It significantly prevents sports-related injuries. (A)</p> Signup and view all the answers

What is the current evidence regarding the long-term benefits of hip arthroscopy for athletes?

<p>There is evidence of positive effects for up to ten years. (C)</p> Signup and view all the answers

What is the approximate daily muscle strength loss rate during the first week of limb immobilization?

<p>34% (B)</p> Signup and view all the answers

Which type of muscle fiber is more susceptible to atrophy during immobilization?

<p>Fast twitch fibers (B)</p> Signup and view all the answers

In the context of tooth avulsion, what does the text suggest about cleaning the tooth before reimplantation?

<p>The tooth should be cleaned with saline or milk before reimplantation. (B)</p> Signup and view all the answers

What is the recommended storage medium for an avulsed tooth if immediate reimplantation is not possible?

<p>Milk (D)</p> Signup and view all the answers

What is the primary reason for the recommendation to reimplant an avulsed tooth as soon as possible?

<p>To increase the chance of successful reintegration (B)</p> Signup and view all the answers

Which of the following medications is NOT known to potentially cause drug-induced myopathy?

<p>Ibuprofen (B)</p> Signup and view all the answers

Which of the following ECG changes is considered an abnormal finding in an athlete?

<p>Ventricular couplets (C)</p> Signup and view all the answers

Which of these scenarios would indicate a need for surgery in a radial head fracture?

<p>Mechanical block at 100 degrees of flexion (B)</p> Signup and view all the answers

Which of the following is the most common benign bone tumor in childhood/adolescence?

<p>Osteochondroma (A)</p> Signup and view all the answers

What is the most common location for an osteochondroma?

<p>Lower Limb (C)</p> Signup and view all the answers

What is the maximum time zone difference a person can safely adjust to in a single westward trip?

<p>12 hours (C)</p> Signup and view all the answers

Which direction of travel is associated with more severe jet lag?

<p>Eastward (A)</p> Signup and view all the answers

What is the ideal timeframe for adjusting to each time zone crossed during travel?

<p>1 day per time zone (C)</p> Signup and view all the answers

Which of the following is an absolute contraindication to exercise stress testing?

<p>Unstable angina (A)</p> Signup and view all the answers

Which of these is a sign of poor prognosis in the case of frostbite, after rewarming?

<p>Appearance of large bullae (D)</p> Signup and view all the answers

Which of the following medications can increase the risk of heat illness by affecting sweating?

<p>Antihistamine (B)</p> Signup and view all the answers

What duration of endurance activity would lead to depletion of glycogen stores, assuming carbohydrates are not consumed during the activity?

<p>Between 60-90 minutes (B)</p> Signup and view all the answers

Which type of exercise is most likely to be associated with anaerobic metabolism?

<p>Eccentric training (B)</p> Signup and view all the answers

Which of these types of training primarily involves alternating between different exercises with little rest?

<p>Circuit training (B)</p> Signup and view all the answers

Which of the following medications is considered the LEAST likely cause of myopathy in a 60-year-old patient experiencing muscle pain during exercise?

<p>Metoprolol (A)</p> Signup and view all the answers

Rewarming someone with frostbite should be done:

<p>Gradually, with warm blankets (A)</p> Signup and view all the answers

What is the most likely diagnosis for a dancer who presents with crepitus in their foot during repetitive dorsiflexion and plantarflexion?

<p>Flexor hallucis longus (FHL) tenosynovitis (B)</p> Signup and view all the answers

What stage of Tanner development is characterized by coarse hair across the pubis, but not on the inner thighs?

<p>3 (B)</p> Signup and view all the answers

Which of the following is the most common stress fracture in ballet dancers?

<p>Base of the 2nd metatarsal (A)</p> Signup and view all the answers

An athlete presents with a vitamin D level of 25. What is the most appropriate management?

<p>Administer 3000-5000 units of vitamin D daily and recheck the level in 10-12 weeks. (D)</p> Signup and view all the answers

During travel, how many days does it typically take to adapt to each hour of time zone changed?

<p>1 (B)</p> Signup and view all the answers

A right-handed adolescent tennis player presents with 3 weeks of lower back pain. What is the most likely diagnosis?

<p>Pars stress (B)</p> Signup and view all the answers

Which of the following statements about snowboarding and skiing injuries is TRUE?

<p>Knee injuries are less common in snowboarding. (C)</p> Signup and view all the answers

Exercise-associated muscle cramps (EAMC) are primarily caused by:

<p>Central and peripheral neural dysfunction (E)</p> Signup and view all the answers

Which of the following is the most effective protective gear for school children going on a snowboarding trip?

<p>Hip pads decrease the risk of wrist fractures and shoulder dislocations. (E)</p> Signup and view all the answers

A dancer presents with posterior ankle pain and crepitus when performing en pointe and demi pointe. What is the most likely diagnosis?

<p>FHL tenosynovitis (C)</p> Signup and view all the answers

Which of the following is a common cause of lower back pain in adolescent athletes?

<p>Spondylolisthesis (D)</p> Signup and view all the answers

A patient presents with lower back pain that is worse with extension and better with flexion. What is the most likely source of the pain?

<p>Facet joint dysfunction (D)</p> Signup and view all the answers

Which of the following is a potential complication of spondylolisthesis in adolescents?

<p>Neurological dysfunction (B)</p> Signup and view all the answers

Flashcards

Avulsed tooth immediate treatment

The appropriate immediate treatment for an avulsed tooth is to stick it back into the socket without cleaning it.

Cleaning avulsed tooth

If dirty, an avulsed tooth should be irrigated with saline or milk and handled by the crown.

Weight training benefits for children

Resistance training improves strength, power, and reduces sports-related injuries in children.

Significant prevention of injuries

Weight training in children can significantly reduce the risk of sports injuries.

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Hip arthroscopy benefits

Hip arthroscopy shows good effects up to 10 years post-surgery.

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Complications of hip arthroscopy

The complication rate of hip arthroscopy is approximately 17%.

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Immobilisation and strength loss

Immobilization can lead to a significant daily loss of muscle strength, up to 34% in the first week.

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Fast twitch vs slow twitch

Fast-twitch muscle fibers show greater atrophy compared to slow-twitch during immobilization.

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Loss of muscle strength

Muscle strength starts declining after 24 hours of immobilization.

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Muscle atrophy

Muscle loss is similar across different fiber types, but slow twitch muscles atrophy more.

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Exertional headaches causes

Exertional headaches may arise from raised ICP or cardiac issues during physical activity.

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Management of exertional headaches

The best approach is a gradual warm-up or pre-exercise NSAIDs.

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Chronic hypertension and exercise

High intensity exercise is more effective than low intensity for reducing blood pressure.

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Resistance training and hypertension

High weight, low repetition resistance exercise is recommended; simple resistance exercise is less effective.

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Recovery of glycogen stores

Certain training methods, like fartlek, are less effective for glycogen recovery.

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Immobilization effects duration

Significant muscle strength loss occurs most dramatically in the first week of immobilization.

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Anaerobic sprints

High-intensity short-duration exercise without oxygen usage.

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Absolute contraindication to exercise stress test

Conditions that avoid any testing due to severe risk.

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Frostbite treatment

Involves protective measures and managing risk of necrosis post-injury.

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Medications increasing heat illness risk

Drugs that hinder sweating and increase heat stress risk.

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Unstable angina

A concerning heart condition requiring immediate attention.

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Glycogen depletion timeline

Glycogen stores typically deplete in 60-90 minutes of endurance activity.

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Antihistamines and sweating

Antihistamines can interfere with sweating due to their action on the parasympathetic system.

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Myopathy medication causes

Identifying medications that can lead to muscle pain and weakness.

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Drug-induced myopathies

Muscle diseases caused by medications like colchicine and statins.

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ECG abnormal finding in athletes

Ventricular couplets are not normal variations in athletes' ECGs.

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Indication for surgery in radial head fracture

Mechanical block at 100 degrees of flexion indicates need for surgery.

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Most common benign bone tumor in childhood

Osteochondroma is the most prevalent benign bone tumor in children.

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Adjustment time for travel west

The quickest adjustment time when traveling west is 12 hours per time zone.

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Heart block types

Type I second-degree heart block (Wenckebach) is a normal finding in athletes.

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Radial head fracture treatment options

Surgical options for radial head fractures include ORIF and radial head replacement.

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ECG changes in athletes

Abnormal ECG findings in athletes can include T wave inversion and arrhythmias.

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Pars stress

A condition caused by repetitive stress injuries to the spine, often seen in athletes.

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Snowboarding knee injuries

Knee injuries are less common in snowboarding than skiing.

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Exercise-associated muscle cramps (EAMC)

Muscle cramps caused by altered neuromuscular activity central and peripheral nervous systems.

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Hip pads in snowboarding

Hip pads decrease the risk of wrist fractures and joint dislocations in children.

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Competitive tennis risk factor

Competitive tennis increases the risk of lower back pain due to spondylolysis.

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Snowboarding injury prevention gear

Helmets and wristguards have good evidence for reducing injuries in children.

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Ankle sprains in snowboarding

Ankle sprains and fractures are more common in snowboarding than skiing.

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Dancer's ankle pain diagnosis

Posterior ankle pain with crepitus in dancers could indicate FHL tenosynovitis.

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Achilles tendinopathy

A condition involving pain and inflammation in the Achilles tendon, often due to overuse.

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FHL tenosynovitis

Inflammation of the flexor hallucis longus tendon, often seen in dancers from repetitive stress.

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Tanner stage 3

Characterized by coarse pubic hair, but not on inner thighs; part of puberty development.

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Common stress fracture in ballet dancers

The base of the 2nd metatarsal is the most frequent site for stress fractures among dancers.

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Vitamin D management for levels at 25

Recommended treatment includes 3000-5000 IU/day, then recheck levels after 10-12 weeks.

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Adaptation to new time zone

It takes about 1 day to adjust for each hour of time zone change during travel.

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Crepitus

A grating sound or sensation experienced typically with tendon issues, like in FHL tenosynovitis.

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Dorsiflexion and plantarflexion

Movement of the foot: dorsiflexion is lifting the foot up, plantarflexion is pointing the toes down.

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Study Notes

Rugby Player Tooth Treatment

  • Appropriate immediate treatment for an avulsed tooth (covered in dirt) involves sticking the tooth back into the socket without cleaning, and ensuring the crown faces the correct direction.

Weight Training for 12-Year-Olds

  • Most injuries in young athletes during weight training occur at growth plates.

Hip Arthroscopy for Athletes

  • Evidence of a beneficial effect from hip arthroscopy can last for up to 10 years.
  • Combining labral repair and osteoplasty during arthroscopy can lead to improved outcomes.
  • Significant complications occur with a 20% rate.

Immobilisation and Strength Loss

  • Muscle strength decreases significantly in the first week of limb immobilisation.
  • Fast-twitch muscle fibers show a greater loss of strength than slow-twitch fibers during immobilisation.

Exertional Headaches

  • Elevated intracranial pressure (ICP) or cardiac causes are possible underlying issues in exertional headaches.

Exercise for Chronic Hypertension

  • High-intensity exercise is more effective than low-intensity exercise in lowering blood pressure.
  • Resistance training with high weight and low repetitions is a suitable exercise to lower blood pressure.

Glycogen Recovery after Soccer Training

  • Fartlek training is the worst method for restoring glycogen stores after training for soccer players, compared to the other methods listed.

Exercise Stress Test Contraindications

  • Unstable angina is an absolute contraindication for an exercise stress test.

Frostbite Treatment

  • Rapidly rewarming frostbite is crucial.
  • Large blisters post-rewarming usually indicate a poor prognosis.

Exercise Stress Treatment Contraindications

  • Acute myocardial infarction, unstable angina, high-risk unstable angina, symptomatic severe aortic stenosis, uncontrolled arrhythmia, hemodynamic instability, unstable heart failure, acute pulmonary embolus, and acute aortic dissection are absolute contraindications for cardiac stress testing.

Exercise-Associated Muscle Cramps (EAMC)

  • EAMC results from altered neuromuscular activity, with disturbances at various levels of the central and peripheral nervous systems and skeletal muscle.

School Children Snowboarding

  • Hard boots can reduce the risk of injury.
  • Helmets and wrist guards are important protective gear.
  • Hip pads can help prevent fractures and dislocations.
  • Elbow pads generally prevent various minor injuries.
  • Back-bone guards can lessen the risk of concussion.

Posterior Ankle Pain in Pointe Dancers

  • Flexor hallucis longus (FHL) tenosynovitis is the most likely diagnosis for posterior ankle pain with crepitus in pointe dancers.

Tanner Stage and Pubic Hair

  • Tanner Stage 3 is characterized by coarse pubic hair but not on inner thighs.

Stress Fractures in Ballet Dancers

  • The base of the second metatarsal is the most frequent site for stress fractures in ballet dancers.

Athlete with Vitamin D Deficiency

  • Vitamin D supplementation should start at 3000-5000 IU a day, and then follow up with a recheck after 10-12 weeks.

Time Zone Changes and Travel

  • Adapting to a new time zone typically takes one day for each time zone crossed.

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