Focused Testlet 1

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Scenario:

A midfield attackman on your school’s men’s lacrosse team sustains a stick blow to the abdomen while attempting to make a goal. He approaches you on the sideline, grimacing in pain.

Question 1

BOOKMARK
You must obtain an injury history in order to assess this athlete. What questions are appropriate to ask this athlete to gather a useful history?

Select all that apply.

Prompt

Response

"What's wrong?"

"My belly is killing me."

"What happened?"

"I took a stick blow to the abdomen."

"What were you doing when you got hit?"

"I was about to shoot for the goal, so my stick was over my head."

"What type of pain are you feeling?"

"It's sharp, and it hurts when I move."

"Do you have pain anywhere else?"

"My shoulder hurts where the other player checked me."

"Are you having any difficulty breathing?"

"It hurts to take a deep breath."

"Can you get into a comfortable position?"

"If I put my hand on my stomach and bend forward, it feels better."

"Have you noticed any blood in your urine?"

"No, I haven't left the field since I was hit."

"Do you feel faint, light-headed, or nauseous?"

"No, but I don't feel well because my belly really hurts."

"Do you feel any pain in your chest?"

"Just when I take a deep breath."

"Have you had any difficulty or pain with urination since you were hit?"

"I haven't gone since I was hit."

"Did you hear or feel a pop or crack in your chest?"

"I don't know."

"Did you empty your bladder before you came out to play?"

"Yes. I always do."

"How long has it been since you ate?"

"I had lunch about 4 hours ago."

"Is there a history of any heart problems in your family?"

"My uncle had a heart attack 2 years ago."

"Do you feel you are properly hydrated?"

"Yeah, I think so."

Scenario:

A midfield attackman on your school’s men’s lacrosse team sustains a stick blow to the abdomen while attempting to make a goal. He approaches you on the sideline, grimacing in pain.

Question 2

BOOKMARK
While you are gathering a history, the athlete reports pain in the areas indicated on the photo. Based on this information, which internal organ has most likely sustained the trauma?

Click to enlarge

Spleen

Liver

Gallbladder

Appendix

Scenario:

A midfield attackman on your school’s men’s lacrosse team sustains a stick blow to the abdomen while attempting to make a goal. He approaches you on the sideline, grimacing in pain.

Question 3

BOOKMARK
To correctly palpate this athlete’s abdomen you must understand the underlying anatomy. Match the organ name with its appropriate quadrant.

Using your mouse, click and drag each organ name to the appropriate abdominal quadrant on the photo.

Click to enlarge

Organs

  • Right kidney

  • Spleen

  • Stomach

  • Left kidney

  • Gallbladder

  • Liver

  • Pancreas

  • Appendix

Upper Left Quadrant

Upper Right Quadrant

Lower Left Quadrant

Lower Right Quadrant

Scenario:

A midfield attackman on your school’s men’s lacrosse team sustains a stick blow to the abdomen while attempting to make a goal. After completing an initial on-field assessment, you bring the athlete to the locker room to conduct a comprehensive examination.

Question 4

BOOKMARK
You choose to auscultate the lungs. Identify where you should place the diaphragm of the stethoscope to assess bronchial breath sounds.

Using your mouse, click the appropriate location on the image to indicate the correct response. You may reposition the circle until you are satisfied with its placement. Then click the SUBMIT RESPONSE button to submit the question for scoring.

SUBMIT RESPONSE

Scenario:

A midfield attackman on your school’s men’s lacrosse team sustains a stick blow to the abdomen while attempting to make a goal. After completing an initial on-field assessment, you bring the athlete to the locker room to conduct a comprehensive examination.

Question 5

BOOKMARK
You choose to auscultate the lungs. Identify where you should place the diaphragm of the stethoscope to assess bronchovesicular breath sounds.

Using your mouse, click the appropriate location on the image to indicate the correct response. You may reposition the circle until you are satisfied with its placement. Then click the SUBMIT RESPONSE button to submit the question for scoring.

SUBMIT RESPONSE

Scenario:

A midfield attackman on your school’s men’s lacrosse team sustains a stick blow to the abdomen while attempting to make a goal. After completing an initial on-field assessment, you bring the athlete to the locker room to conduct a comprehensive examination.

Question 6

BOOKMARK
You choose to auscultate the lungs. Identify where you should place the diaphragm of the stethoscope to assess vesicular breath sounds.

Using your mouse, click the appropriate location on the image to indicate the correct response. You may reposition the circle until you are satisfied with its placement. Then click the SUBMIT RESPONSE button to submit the question for scoring.

SUBMIT RESPONSE

Scenario:

A midfield attackman on your school’s men’s lacrosse team sustains a stick blow to the abdomen while attempting to make a goal. After completing an initial on-field assessment, you bring the athlete to the locker room to conduct a comprehensive examination.

Question 7

BOOKMARK
Percussion testing is used to determine if an organ sound is normal. Normally, organs produce either a dull sound or a resonant sound when percussed. Identify which organs produce a dull sound and which organs produce a resonant sound.

Using your mouse, drag and drop each organ name into the appropriate category.

Organs

  • Stomach

  • Spleen

  • Bladder

  • Pancreas

  • Liver

Dull Sound

Resonant Sound

STUDENT NAME:

DATE COMPLETED:

TIME TRACKED:

Question Number

Your Score

Possible Score

Answer Key

1

0

12

View Answer Key

2

0

1

View Answer Key

3

0

8

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4

0

1

View Answer Key

5

0

1

View Answer Key

6

0

1

View Answer Key

7

0

5

View Answer Key

Total Points

0

29

Percentage

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