Podcast
Questions and Answers
Which symptom is characteristic of effusion rather than edema?
Which symptom is characteristic of effusion rather than edema?
What is the primary focus when conducting a bilateral comparison during the observation phase?
What is the primary focus when conducting a bilateral comparison during the observation phase?
What does a grade of '2' indicate in the grading system for range of motion tests?
What does a grade of '2' indicate in the grading system for range of motion tests?
Which of the following is NOT a sign of inflammation?
Which of the following is NOT a sign of inflammation?
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What should be the first structure evaluated during palpation procedures?
What should be the first structure evaluated during palpation procedures?
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What does the term 'gapping' refer to in a clinical context?
What does the term 'gapping' refer to in a clinical context?
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During a joint stability test, what is typically assessed?
During a joint stability test, what is typically assessed?
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What does active range of motion (AROM) primarily evaluate?
What does active range of motion (AROM) primarily evaluate?
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Which of the following is a characteristic of muscle spasm?
Which of the following is a characteristic of muscle spasm?
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What type of swelling surrounds a joint due to injury, commonly known as edema?
What type of swelling surrounds a joint due to injury, commonly known as edema?
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What type of laxity is indicated by an empty assessment during injury evaluation?
What type of laxity is indicated by an empty assessment during injury evaluation?
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What is the purpose of selective tissue tests in injury evaluation?
What is the purpose of selective tissue tests in injury evaluation?
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During functional activity tests, what should be ensured when progressing activities?
During functional activity tests, what should be ensured when progressing activities?
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What should be the first step in the on-field evaluation process?
What should be the first step in the on-field evaluation process?
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What is the main focus during the on-field systematic evaluation?
What is the main focus during the on-field systematic evaluation?
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Which of the following is NOT considered during the primary survey of an on-field evaluation?
Which of the following is NOT considered during the primary survey of an on-field evaluation?
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Which of the following best describes the importance of recording findings during the rehabilitation process?
Which of the following best describes the importance of recording findings during the rehabilitation process?
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What type of testing assesses sensory and motor functions in an injury evaluation?
What type of testing assesses sensory and motor functions in an injury evaluation?
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Which aspect should be prioritized when deciding the course of action post-injury?
Which aspect should be prioritized when deciding the course of action post-injury?
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What is the significance of determining if the athlete is moving during the observation phase?
What is the significance of determining if the athlete is moving during the observation phase?
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What should you always treat an unconscious athlete as having?
What should you always treat an unconscious athlete as having?
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Which of the following is NOT a mechanism for rendering an athlete unconscious?
Which of the following is NOT a mechanism for rendering an athlete unconscious?
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What is essential to check when managing an unconscious athlete?
What is essential to check when managing an unconscious athlete?
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Which rigidity indicates that the arms are flexed and the legs are extended?
Which rigidity indicates that the arms are flexed and the legs are extended?
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What should you do if there are no signs of life in an unconscious athlete?
What should you do if there are no signs of life in an unconscious athlete?
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What is a notable indicator of skull fracture during an inspection of the head?
What is a notable indicator of skull fracture during an inspection of the head?
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Which assessment tool is used to establish the level of consciousness?
Which assessment tool is used to establish the level of consciousness?
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What type of breathing assessment is essential when determining the quality of life in an unconscious athlete?
What type of breathing assessment is essential when determining the quality of life in an unconscious athlete?
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What is the significance of checking pupil size during an evaluation?
What is the significance of checking pupil size during an evaluation?
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In managing the unconscious athlete, what is prioritized in terms of care?
In managing the unconscious athlete, what is prioritized in terms of care?
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What is rhinorrhea primarily associated with?
What is rhinorrhea primarily associated with?
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What is NOT a part of a neurological assessment?
What is NOT a part of a neurological assessment?
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Which feature is characteristic of a sports-related concussion?
Which feature is characteristic of a sports-related concussion?
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Which statement accurately describes the symptoms of a concussion?
Which statement accurately describes the symptoms of a concussion?
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What is an important first step when palpating an injury?
What is an important first step when palpating an injury?
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Which test is involved in assessing balance and coordination in a neuropsychological evaluation?
Which test is involved in assessing balance and coordination in a neuropsychological evaluation?
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Which of the following is crucial to assess when a fracture is suspected?
Which of the following is crucial to assess when a fracture is suspected?
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What should one remember when dealing with a concussion situation?
What should one remember when dealing with a concussion situation?
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What should be done if a patient is showing shock symptoms?
What should be done if a patient is showing shock symptoms?
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What does AROM stand for in the context of injury assessment?
What does AROM stand for in the context of injury assessment?
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What is typically true regarding neuroimaging in concussion cases?
What is typically true regarding neuroimaging in concussion cases?
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Which aspect is part of the head-to-toe evaluation during a palpation assessment?
Which aspect is part of the head-to-toe evaluation during a palpation assessment?
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When is splinting absolutely necessary?
When is splinting absolutely necessary?
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What is a contraindication for palpation during injury assessment?
What is a contraindication for palpation during injury assessment?
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Which decision guideline indicates that the patient should be transported directly to the hospital?
Which decision guideline indicates that the patient should be transported directly to the hospital?
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What is the recommended action for an athlete with a concussion regarding their return to play?
What is the recommended action for an athlete with a concussion regarding their return to play?
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Which of the following tests assists in assessing nerve function and potential spinal injuries?
Which of the following tests assists in assessing nerve function and potential spinal injuries?
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What should an athlete's response to palpation during assessment provide?
What should an athlete's response to palpation during assessment provide?
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What type of brain injury is classified as a coup injury?
What type of brain injury is classified as a coup injury?
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Which of the following is NOT considered a somatic symptom of acute SRC?
Which of the following is NOT considered a somatic symptom of acute SRC?
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Identify a key contributing factor when conducting sideline evaluations for SRC.
Identify a key contributing factor when conducting sideline evaluations for SRC.
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Which symptom is commonly associated with post-traumatic phase symptoms following a concussion?
Which symptom is commonly associated with post-traumatic phase symptoms following a concussion?
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Which assessment tool is primarily used for mental status testing on the field or sidelines?
Which assessment tool is primarily used for mental status testing on the field or sidelines?
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What characterizes anterograde amnesia in the context of a concussion?
What characterizes anterograde amnesia in the context of a concussion?
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What is a common persistent symptom that indicates a failure of normal clinical recovery after a concussion?
What is a common persistent symptom that indicates a failure of normal clinical recovery after a concussion?
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Which of the following is an example of balance impairment associated with SRC?
Which of the following is an example of balance impairment associated with SRC?
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Study Notes
Systematic Evaluation Process
- Evaluation Goals: Understanding what needs to be known for a successful evaluation and impression (anatomy, pathomechanics, biomechanics, pathologies).
- Evaluation Approach: The process must be systematic to ensure all relevant information isn't missed, and it should follow a sequential order.
- Evaluation Types: Two types are described: off-field (clinical) and on-field evaluations with off-field evaluations occurring in an athletic training clinic or other clinical facility and on-field evaluations being more condensed.
Off-Field Systematic Evaluation Process - History
- Importance: History is the most crucial part, emphasizing communication skills.
- Questioning Techniques: Use simple, open-ended questions, listen actively, avoid slang or jargon, maintain eye contact, and be calm and reassuring.
- Example Questions: Questions about present condition, mechanism (what, when, how, where?), forces, acute vs. chronic issues, limb position, ability to continue, location of symptoms, descriptions of symptoms, changes in symptoms, sounds, and sensations, and pain.
- Rating Scales: The McGill Pain Questionnaire is mentioned as an example rating scale.
Additional Important Aspects of On-Field & Off-Field Evaluation
- History: Includes questioning techniques, a list of questions and other key elements needed for a complete history.
- Observation (Inspection): Covers gait, posture, functional movement, and comparison of injured to uninjured side, observing skin, and palpation.
- Further Evaluation: Additional details include muscle tension/spasm, temperature, swelling (edema/effusion), palpation, and range of motion (ROM).
- Manual Muscle Tests: Used to isolate muscles and differentiate pain related to muscles.
- Joint Stability Tests: Assessing ligaments and capsules using stress tests and bilateral comparison.
On-Field & Off-Field Evaluation Continued
- Secondary Survey: includes a brief history, observing for noises, a patient's reaction to injury, possible deformity, swelling, discoloration, and abnormalities.
- Symptom Evaluation & Cognitive Screening: Includes factors such as orientation, immediate memory, concentration, and coordination/balance skills. The purpose of a cognitive screening is to test for any impairments.
- Immediate Action Plan: Decisions, such as splinting or transporting the patient, are based on the evaluation of the patient, and their response to the injury.
- Final On-Field Evaluation: Ensuring a complete evaluation and planning definitive treatment (x-rays, lab tests), and following up with rehabilitation.
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Description
This quiz covers the systematic evaluation process in sports medicine, focusing on both off-field and on-field evaluations. Participants will learn about evaluation goals, important questioning techniques, and the significance of history in effective assessments. Gain insights on the essential skills required for successful evaluations and how to communicate effectively with athletes.
