Medical

Question 1

Most common type of diabetics in sport?

Answer 1

Type I

Question 2

Type I diabetes is caused by?

Answer 2

An autoimmune process that destroys insulin producing cells in the pancreas

Question 3

Type II diabetes is caused by?

Answer 3

Insulin resistance and variable insulin deficiency

Question 4

Prior to exercise: Type I meal intake should consist of?

Answer 4

CHO rich meal w/ a low glycemic index

Question 5

post exercise: Type I meal intake should consist of?

Answer 5

CHO rich meal w/ a high glycemic index

Question 6

Insulin dependent diabetics should monitor blood glucose when?

Answer 6

prior to, during and after exercise

Question 7

When should insulin dependent diabetics postpone exercise?

Answer 7

level is above 250 w/ presence of urine keytones

OR

above 300

Question 8

Treatment of mild hypoglycemia?

Answer 8

• Absorbed glucose
• hard candy
• glucose

Question 9

Treatment of severe hypoglycemia?

Answer 9

glucagon

Question 10

What virus causes Mono?

Answer 10

Epstein-Barr virus

Question 11

Classic triad of mono?

Answer 11

Pharyngitis
Fever
Lymphadenopathy

Question 12

What organ becomes enlarged?

Organ @ highest risk first ___days of illness

Answer 12

Spleen (Splenomegaly)

21 days

Question 13

How long is recovery from mono?

Answer 13

Acute phase: 7 days

But usually takes 2-3 weeks

Question 14

When can an athlete return to play after mono?

Answer 14

Must be asymptomatic

• most support 3 weeks of rest

Question 15

Define diuresis

Answer 15

Water loss at the kidneys

Question 16

Define runner’s hematuria

Prevention

Answer 16

Blood in urine after a race

Due to trauma to the bladder

Prevention:
- maintain a small amount of urine in the bladder

Question 17

Volkmann’s contracture

Answer 17

Ischemic contracture occurs when there is a lack of blood flow to the forearm

• could be caused by increased pressure due to swelling or compartment syndrome
• leads to contracture deformities of the fingers, hand and wrist

Question 18

How often should an asthma athlete follow up with a physician?

Answer 18

6-12 months

Question 19

RR > ____breaths/min should be transferred to ER

Answer 19

25 breaths/min

Question 20

EIA can be triggered by:

What will you see a dec in?

Answer 20

cooler & dryer air drawn into the lungs

Dec in FEV1

Question 21

4 signs of DVT

Answer 21

1. localized tenderness along distribution of deep venous system
2. collateral superficial veins
3. major surgery w/in last week
4. unilateral pitting edema

Question 22

How long do face laceration have until the wound needs to be closed to prevent infection?

Answer 22

8 hours

Question 23

After a liver laceration - when can a player return to sport?

Answer 23

normalization of liver enzymes

Question 24

What are symptoms of severe hypoglycemia?

Answer 24

Mental status changes
Autonomic Changes
Collapse

Treat w/ glucagon

• 1 mg subcutaneous
• Intramuscular injection

Question 25

Major Risk Factors for Hypertrophic Cardiomyopathy?

Answer 25

Prior cardiac arrest*
Family Hx of SCD
Unexplained syncope
Left ventricular wall thickness > 30 mm
Abnormal blood pressure response to exercise
Nonsustained spontaneous ventricular tachycardia

Question 26

What age is the best age to screen for scoliosis?

Answer 26

11-14

@ peak of incidence

Question 27

What blood pressure should be referred to physician?

Answer 27

Systolic > 160 mmHg or Diastolic >100 mmHg

Question 28

Type I DM: When should CHO be consumed?

Answer 28

Less than 100 mg/dL

Question 29

What if Type I DM is less than 100 mg/dL?

Answer 29

Specifically NATA recommends; Administer 10 g to 15 g of fast-acting carbohydrate: eg, 4 to 8 glucose tablets, 2 T honey. Measure blood glucose level. Wait approximately 15 min and remeasure blood glucose.

If blood glucose level remains low, administer another 10 g to 15 g of fast-acting carbohydrate. Recheck blood glucose level in approximately 15 min.

If blood glucose level does not return to the normal range after second dosage of carbohydrate, activate emergency medical system. Once blood glucose level is in the normal range, athlete may wish to consume a snack (eg, sandwich, bagel)

Question 30

What test is recommended to confirm the diagnosis of EIA?

Answer 30

exercise challenge test

Question 31

Classification of Asthma:

Step 1: mild
Step 4: severe

Answer 31

Mild = FEV in 1 sec or PEF (peak expiratory flow) > 80%

Severe = FEV or PEF < 60%

Question 32

What asthma medication should be used to prevent EIA?

Answer 32

Short acting, B2-agonist

• inhaled 10 to 15 minutes before exercise
• 4 to 6 hours

ie Albuterol

Question 33

What asthma medication is used for asthma prophylaxis?

Answer 33

Controller medications used daily, long term interventions
- 12 hours
Long acting B2-agonist
- ex Cromolyn

Question 34

If PEF is < 80% of best or predicited what is the initial treatment?

Answer 34

• Inhale a rapid-acting B2 agonist

- up to 3 treatments in 1 hour

Question 35

2 requirements to diagnosis EIA?

Answer 35

• Symptoms
• Obstructed Airways
  
  • dec by 10-15 % in FEV

Both with exercise

Question 36

Rescue inhaler medication

Answer 36

rapid acting inhaled B2-agonists

short acting theophylline

• controversial

Question 37

Within how many minutes should an avulsed tooth be reimplanted? Treatment?

Answer 37

5-10 mins

Rinse with water

Reimplant

If unwilling/unable place tooth in liquid such as milk or other storage medium

Transport immediately to DENTIST

Question 38

What to do with a luxated tooth? Still in socket, but wrong position.

Answer 38

Reimplant

Transport Immediately to dentist

Question 39

What do you do with a fractured tooth?

Answer 39

Patient may complete the game, but will require dental treatment within 24 hours to save or treat the dental pulp