BOC Domain 2 Prep Exam Questions
And Answers
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 demanding 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 ne - ANS B. "That's a nice-looking and large new
messenger-style book bag; do you carry it on your right or left shoulder?"
An 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 the sun, and sexual activity - ANS A. fatigue, psychological
stress, and sunlight exposure
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 lateral anterior-posterior
(SLAP) lesion. To apply evidence-based practice to the examination of this patient, what
information from the na - ANS C. Mechanisms of injury fro 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-lateral complex
which of the following groups of muscles insert into the medial aspect of the tibia just distal to
the medial condyle? - ANS sartorius, gracilis, semitendinous
Which four palpable bony prominences define the carpal tunnel? - ANS pisiform, tubercle
of the navicular, hook of the hamate, and tubercle of the trapezium
,which ligaments compromise the lateral ligaments of the elbow? - ANS annular ligament,
accessory collateral ligament, radial collateral ligament, lateral ulnar collateral ligament
which of the following functional areas of the cerebral cortex manages complex problems and
abstract thought? - ANS frontal lobe
which two bones make up the roof of the orbit? - ANS frontal and sphenoid
which statement best describes the pressures present during inhalation? - ANS
intra-alveolar pressure is lower than atmospheric pressure
which structure returns deoxygenated blood to the heart? - ANS superior and inferior vena
cava
which bone lies directly proximal to first metacarpal? - ANS trapezium
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 symptoms 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 invo - ANS
C. decreased strength of left shoulder and arm muscles that are innervated by the involved
nerves
which of the following tests assesses cranial nerve II?
A. lateral and vertical gauze
B. double simultaneous stimulation of the trigeminal nerve
C. symmetric smile
D. visual acuity
E. pupil reaction to light - ANS D. visual acuity
which of the following injuries result from a shearing force mechanism?
A. ligament tears, spiral fractures, and lacerations
B. ligaments tears, blisters, and abrasions
C. blisters, comminuted fractures, and contusions
D. spiral fractures, ligament tears, and blisters
E. comminuted fractures, tendon injuries, and contusions - ANS B. ligaments tears,
blisters, and abrasions
,A soccer player has sustained a traumatic blow to the lower leg in the absence of a shin guard.
He is unable to dorsiflexion and invert the ankle. Which of the following conclusions would you
make?
A. the player has sustained an injury to the lateral compartment; integrity of the peroneal artery
should be assessed.
B. the player has sustained an injury to the anterior compartment; integrity of the peroneal artery
should be assessed.
C. the player has sustained an injury to the superficial post - ANS D. the player has
sustained an injury to the anterior compartment; integrity of the anterior tibial artery should be
assessed.
A 14-year-old skateboarder falls while performing a trick and externally rotates his foot. The
anterior tibiofibular ligament is intact, but you suspect he may have sustained a fracture. Which
fracture is most likely based on this afternoon?
A. Salter-Harris V fracture of the distal tibia
B. talar dome fracture
C. tillaux's fracture
D. fibular avulsion fracture
E. Jone's fracture - ANS C. tillaux's fracture
- tillaux's fracture is a type 3 Salter-Harris fracture, caused by abduction and external rotation of
foot;
the mechanism is also typical for an anterior tibfib ligament tear; when it doesn't tear it typically
results in an avulsion fracture of the anterior tibial tubercle
What causes the development of an exostosis? - ANS repetitive stress placed on a bone or
bony insertion of a tendon
which of the following calcaneal alignments is most commonly observed in patients with pes
planus? - ANS calcaneal valgus
which observation would lead you to believe an athlete has functional as opposed to structural
scoliosis? - ANS scoliosis is observed during erect posture and disappears during forward
trunk flexion
a female athlete presents complaining of left lower quadrant tenderness and pain and referred
pain in the shoulders. The athlete reports absence of her menstrual cycle for the past 3 months,
which she attributes to an increase in training intensity. which of the following conditions should
be ruled out?
A. diverticulitis, gallstones, and ovarian cyst
B. ectopic pregnancy, urinary tract infection, and hepatitis
, C. cholecystitis, spleen injury, and irritable bowel syndrome
D. colitis, sexually tr - ANS spleen injury (b/c referred pain is in left shoulder- Kehr's sign),
ovarian cyst (one of ovaries located in lower left quadrant so could be pain there), ectopic
pregnancy (b/c of absence of menstrual cycle)
an athlete who underwent surgical repair of the anterior cruciate ligament is unable to achieve
the final degrees of extension, as she "locks out" her knee in the open kinetic chain position.
What must occur for this athlete to complete the "screw home motion" and achieve full
extension? - ANS the quadriceps must contract to externally rotate the tibia
in which anatomical position are the rotator cuff muscles in their optimal length-tension
relationship? - ANS with the glenoid fossa angled 30º from the frontal plane
refereed to the plane of the scapula
in the initial phase of throwing a ball, as the shoulder girdle and arm move from a posterior
retracted to a forward, internally rotated position, what are the primary muscles responsible for
moving the scapula and the arm forward? - ANS serrates anterior (brings scapula from
retraction to protraction), Subscapularis (internally rotates humerus), anterior deltoid (forward
flexes and internally rotates humerus), and pectoralis major (forward flexes and internally
rotates humerus)
a member of the rifle team reports to your athletic training facility complaining of posterior
scapular and thoracic muscle pain. On review of his medical records, you note he has been
treated for muscular trigger points in the postural muscles where he is reporting pain. What is
the potential cause of his trigger point development?
A. the postural muscles become inhibited in response to stress or strain
B. the postural muscles become weakened in response to stress or strain.
C. the postural mu - ANS C. the postural muscles become over activated and tightened or
shortened in response to stress or strain
the ability of a muscle to develop tension is dependent on the length of the muscle, which
impacts the positioning of the actin and myosin cross-bridge. what impact will a shortened
muscle have on its ability to provide mobility and stability?
A. passive insufficiency will occur, and the muscle will provide efficient mobility and inefficient
stability
B. reciprocal inhibition will occur, and the muscle will provide efficient mobility and efficient
stability
C. muscular imbalance will occur, and - ANS D. Active insufficiency will occur, and the
muscle will provide inefficient mobility and efficient stability
