AT BOC Prep Domain II - Examination, Assessment and Diagnosis | Questions & Answers
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B : A patient' s pain may be caused by activities of daily living that subject the body to repetitive
stresses. Backpacks that are heavy and worn on one shoulder can overload the patient' s shoulders.
Students should be instructed to use both shoulder straps while wearing backpacks, avoiding carrying
weight over one shoulder. - A female basketball player reports to your university's athletic training clinic
complaining of right superior shoulder pain she has been experiencing for approximately 5 days. She
reports no history of shoulder trauma or changes in training or conditioning load or intensity. Which of
the following questions can best assist you in determining the potential cause of this patient's pain?
A. "You look tired; have you been spending a lot of time on your laptop?"
B. "That's a nice-looking and large new messenger style book bag; do you carry it on your right or left
shoulder?"
C. "I know you commute to campus; do you have a lumbar support roll in your car seat?"
D. "When sitting in class, do you have difficulty seeing the projection screen or blackboard?"
A: Herpes simplex eruptions can be triggered by illness, external stresses, internal stresses, fatigue,
overexposure to sunlight, menstruation, and physical trauma. - A n athlete with repeated herpes
simplex eruptions should be counseled to avoid which of the following potential outbreak triggers?
A. Fatigue, psychological stress, and sunlight exposure
B. Overexposure to the sun, decreased body fat percentage, and sharing water bottles
C. Sexual activity, contact with others, and dehydration
D. Contact with others, fatigue, and a high carbohydrate diet
E. Poor nutrition, overexposure to the sun, and sexual activity
C: In overhead athletes, the mechanisms of a superior labral anterior posterior (SLAP) lesion are
associated with repetitive overhead activities. During overhead motions the tensile forces on the labrum
from the biceps during the deceleration phase may result in a tear of the labrum - A baseball pitcher
presents with unilateral shoulder pain he describes as deep within the joint as well as intermittent
bicipital groove and biceps tendon tenderness. The athlete also reports a history of his involved
shoulder popping, clicking, and catching with certain motions. As he is a baseball pitcher, you are
concerned he may have sustained a superior labral anterior-posterior (SLAP) lesion. To apply evidence
based practice to the examination of this patient, what information from the National Athletic Trainers'
Association (NATA) position statement on evaluation, management, and outcomes of and return-to-play
criteria for overhead athletes with SLAP injuries should you consider?
,A. Bicipital groove or biceps tendon tenderness is diagnostic of a SLAP lesion.
B. A history of popping, clicking, or catching is diagnostic of a SLAP lesion.
C. Mechanisms of injury for a SLAP lesion can include repetitive overhead activities, especially activities
requiring shoulder abduction and end-range external rotation, that impart tensile, eccentric, or torsional
forces on the biceps-labral complex.
D. Shoulder pain described as deep within the anterior superior glenohumeral joint is not diagnostic of a
SLAP lesion.
E: Sartorius, gracilis, and semimembranosus muscles make up the pes anserine muscle group and insert
on the medial aspect of the tibia through a common tendon - Which of the following groups of muscles
insert into the medial aspect of the tibia just distal to the medial condyle?
A. Vastus medialis, gracilis, and semimembranosus
B. Semitendinosus, sartorius, and vastus medialis C. Biceps femoris, semitendinosus, and
semimembranosus
D. Sartorius, gracilis, and semitendinosus
E. Sartorius, gracilis, and semimembranosus
C: The carpal tunnel is oriented within the carpal bones. The trapezium is the most medial bone in the
carpal distal row, and its prominence can be palpated through the hypothenar eminence. The pisiform is
also found and palpated on the medial portion of the wrist. The carpal tunnel is defi ned laterally by the
tubercle of the navicular and the hook of the hamate - Which four palpable bony prominences define
the carpal tunnel?
A. Radial styloid, navicular, ulnar styloid, and hook of the hamate
B. Radial styloid, base of the first metacarpal, base of the fifth metacarpal, and ulnar styloid C. Pisiform,
tubercle of the navicular, hook of the hamate, and tubercle of the trapezium
D. Tubercle of the navicular, lunate, pisiform, and ulnar styloid
E. Lister' s tubercle, tubercle of the trapezium, capitate, and base of the fifth metacarpal
E: These ligaments assist in resisting varus stresses placed on the elbow as well as maintaining
congruence between the articulating surfaces of the humerus and radius - Which ligaments comprise
the lateral ligaments of the elbow?
A. Radial collateral ligament, lateral ulnar collateral ligament, anterior oblique band, posterior oblique
band
B. Transverse oblique band, annular ligament, accessory collateral ligament, radial collateral ligament
,C. Radial collateral ligament, lateral ulnar collateral ligament, accessory collateral ligament, anterior
oblique band
D. Anterior oblique band, posterior oblique band, transverse oblique band, annular ligament E. Annular
ligament, accessory collateral ligament, radial collateral ligament, lateral ulnar collateral ligament
C: The frontal lobe of the brain manages complex problems and abstract thought. - Which of the
following functional areas of the cerebral cortex manages complex problems and abstract thought?
A. Parietal lobe
B. Temporal lobe
C. Frontal lobe
D. Occipital lobe
E. Medulla
C: The trapezium lies directly proximal to the fi rst metacarpal. The fi rst carpometacarpal (CMC) joint
has a synovial cavity that is separate from the other four CMC joints and allows accessory rotational
movement, which permits opposition - Which bone lies directly proximal to the first metacarpal?
A. Trapezoid
B. Pisiform
C. Trapezium
D. Navicular
E. Lunate
A: The orbit of the eye comprises many bones. The roof is formed by the frontal bone and the sphenoid
bone - Which two bones make up the roof of the orbit? A. Frontal and sphenoid
B. Ethmoid and maxillary
C. Zygomatic and palatine
D. Lacrimal and sphenoid
E. Palatine and frontal
C: During inhalation the diaphragm contracts creating a vacuum that pulls air into the lungs across a
pressure gradient from areas of high to low pressure - Which statement best describes the pressures
present during inhalation?
, A. Atmospheric pressure is lower than intrapleural pressure.
B. Intra-alveolar pressure is lower than intrapleural pressure.
C. Intra-alveolar pressure is lower than atmospheric pressure.
D. Intra-alveolar pressure is higher than atmospheric pressure.
E. Intrapleural pressure is higher than atmospheric pressure.
D: The inferior vena cava delivers deoxygenated blood from the lower portion of the body directly to the
right atrium, while the superior vena cava delivers the blood from the upper body and cranium - Which
structure returns deoxygenated blood to the heart?
A. Aortic arch
B. Pulmonary artery
C. Pulmonary vein
D. Superior and inferior vena cava
E. Left ascending coronary artery
C: This athlete has sustained a traction force to the brachial plexus, stretching the left side cervical nerve
roots. - During a match a water polo player sustains an aggressive tackle, forcing his neck into lateral
right side flexion and depressing his left shoulder. The player immediately retreats to the side of the
pool complaining of radiating and "burning" pain. Based on the mechanism of injury and initial
complaint, what other sign or symptom is this athlete likely to report?
A. Severe neck pain
B. Bilateral paresthesia
C. Decreased strength of left shoulder and arm muscles that are innervated by the involved nerves
D. Diminished sensory ability of right side dermatomes of the involved cervical nerves
D: Cranial nerve II is the optic nerve. Visual acuity is assessed testing vision with tools such as the Snellen
eye chart - Which of the following tests assesses cranial nerve II?
A. Lateral and vertical gaze
B. Double simultaneous stimulation of the trigeminal nerve
C. Symmetric smile
D. Visual acuity
