Chapter 127 - Medical Aspects of Sports Participation

Question 1

what abdominal organs are most often affected by bunt trauma?

Answer 1

spleen or liver

(contrast this to a seatbelt spine injury - duodenum)

Question 2

what area of the heart is most affected by blunt trauma?

Answer 2

right ventricle

Question 3

most common cause of sudden death in athletes?

Answer 3

hypertrophic cardiomyopathy

Question 4

characteristics of hypertrophic cardiomyopathy

Answer 4

non-dilated left ventricular hypertrophy -> outflow obstruction of the left ventricle

Question 5

most important predictor of mortality in commotio cordis?

Answer 5

time to defibrillation
(direct blow -> v fib)

Question 6

treatment for tinea corporis and tinea cruris?

Answer 6

tinea corporis (skin), cruris (groin) both get topical treatment x 72 hours before return to play

Question 7

tinea capitis treatment

Answer 7

systemic treatment x 2 weeks before return to play

Question 8

local MRSA (small lesions)

Answer 8

topical mupirocin

Question 9

bigger MRSA abscesses

Answer 9

I&D plus bactrim, clinda, or doxy

Question 10

herpes gladiatorum treatment

Answer 10

oral acyclovir x 5 days plus all lesions must be scabbed over and no new lesions in 72 hours

HSV-1 infection common to wrestlers

Question 11

heat exhaustion

Answer 11

core temp <39 degrees
can have nausea/vomiting/etc but MUST LACK Altered mental status
any mental status changes -> heat stroke