Preparticipation Evaluation

Chapter 161 Preparticipation Evaluation




Clinical Case Problem 1 The First-Year Team Physician’s Dilemma


This is your first year as team physician for the local high school. All the talk in the community is about the school’s football team, which is expected to win the state championship this season. The coach of the football team does not like to lose and was known to put pressure on the previous team physician to give medical clearance to players before games.



Select the best answer to the following questions




1. Which of the following is a contraindication to participation in contact sports?


a. sickle cell trait

b. human immunodeficiency virus (HIV) infection

c. solitary testicle

d. temperature of 102° F

e. convulsive disorder, well controlled

2. Which of the following is the most common cause of sudden death in an athlete younger than 35years?


a. coronary artery anomaly

b. premature coronary artery disease

c. myocarditis

d. hypertrophic cardiomyopathy

e. rupture of the aorta

3. Which of the following tests is recommended for routine screening of athletes during the preparticipation evaluation (PPE)?


a. electrocardiography

b. echocardiography

c. exercise stress testing

d. vision screen

e. urinalysis

4. During the PPE, you note that the 17-year-old star quarterback of the high-school football team has a blood pressure of 148/95   mm Hg. His past medical history is negative, and he has never been told that he has high blood pressure. He is 6 feet 2 inches tall and weighs 175 pounds. As the team physician, you tell him that


a. he cannot play any contact sports

b. he cannot play football until his blood pressure is under control

c. he is cleared to play but must have his blood pressure measured twice during the next month

d. if he begins to take antihypertensive medication immediately, he is cleared to play

e. he must lose 10 pounds before he will be cleared to play football

5. The school’s wrestling team has had an unusually high amount of injuries this season. Which of the following conditions is reason to disqualify a wrestler from competition?


a. herpes simplex

b. HIV infection

c. hepatitis C

d. inguinal hernia

e. diabetes mellitus

6. In performing a PPE of a female athlete, certain considerations should be taken for gender-specific predispositions. Which of the following conditions is (are) more common in female athletes than in male athletes?


a. eating disorders

b. stress fractures in runners

c. anterior cruciate ligament injuries in basketball players

d. osteoporosis

e. all of the above

7. Which of the following statements concerning the PPE is true?


a. approximately 10% of athletes are denied clearance during the PPE

b. the PPE ideally should be performed 6 months before preseason practice

c. a primary objective of the PPE is to detect conditions that may predispose an athlete to injury

d. a primary objective of the PPE is to counsel athletes on health-related issues, such as tobacco and drug use

e. a complete history will identify approximately 95% of problems affecting athletes

8. Which of the following sports is considered limited contact?


a. downhill skiing

b. basketball

c. soccer

d. diving

e. lacrosse

9. You are the physician for the town’s football league and are performing PPEs for the senior division (13- to 15-year-old boys). You note that one of the players is much smaller than the rest. He is 4 feet 10 inches tall, weighs 100 pounds, and is Tanner stage 1. Regarding clearance to play, which of the following is recommended?


a. clearance only after evaluation by an endocrinologist

b. may play but limited to certain positions on the field

c. no clearance until he has grown in size and weight and is at Tanner stage 2

d. recommend that he play this season with the younger division

e. full clearance to play

10. In performing a PPE of an athlete with a spinal cord injury, which of the following is important to ask about in the history?


a. use of adaptive equipment

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Oct 1, 2016 | Posted by in GENERAL SURGERY | Comments Off on Preparticipation Evaluation

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