FA Davis Testlets | Focused Testlet 34

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Scenario:

A cheerleader complains of malaise, extreme fatigue, and a sore throat for over a week.

Question 1

BOOKMARK

She is referred for blood work by the physician in the general medical clinic. You have chosen to interpret the results of the athlete’s blood work. What should you conclude?

Select all that apply.

The athlete has a higher percentage of lymphocytes, which is consistent with mononucleosis

The athlete has an elevated white blood cell count, which is consistent with strep throat and mononucleosis

The athlete has a higher percentage of neutrophils, which is consistent with strep throat

The athlete has an elevated red blood cell count, which is consistent with anemia

Scenario:

A cheerleader complains of malaise, extreme fatigue, and a sore throat for over a week.

Question 2

BOOKMARK

You observe the physician performing the evaluation technique demonstrated in the photo. He expresses concern over the results of this examination. Which diagnostic test is the physician likely to order to confirm his findings?

Magnetic resonance imaging

Upper gastrointestinal series

Urinalysis

Diagnostic ultrasound

Scenario:

A cheerleader complains of malaise, extreme fatigue, and a sore throat for over a week.

Question 3

BOOKMARK

The athlete has been diagnosed with mononucleosis. You have chosen to make recommendations regarding activity restrictions. Based on the diagnosis, which recommendations should you make to this athlete?

Select all that apply.

Perform 30 minutes of low-intensity exercise daily in the first 2 weeks to maintain cardiovascular training

Do not participate in physical activity for 3 to 4 weeks

Practice proper hygiene

Do not share eating or drinking utensils

Increase sleep and rest periods as much as possible

Focus on consuming nutrient-dense foods

Discontinue antibiotics when the sore throat dissipates and fever and malaise resolve

Finish the entire course of prescribed antibiotics

Take over-the-counter analgesics/antipyretics as needed

Refrain from alcohol use

Contact the athletic trainer immediately if you experience abdominal pain, other body pain, nausea, vomiting, dizziness, or light-headedness

Refrain from physical activity for 7 days, then gradually return to activity

Scenario:

A cheerleader complains of malaise, extreme fatigue, and a sore throat for over a week.

Question 4

BOOKMARK

The athlete has been withheld from activity for 3 weeks due to mononucleosis. Select the criteria that will allow you to determine the athlete’s physical readiness to return to play.

Select all that apply.

Prompt

Response

Most recent diagnostic ultrasound results

Spleen size within diagnostic normative range

Current body temperature

Patient is afebrile

Liver function tests

Within normal limits

Athlete’s current complaints

Pharyngitis resolved; malaise and fatigue decreased significantly

Athlete’s willingness to return to play

Athlete is anxious to return

Current hydration status

Athlete is well hydrated and well rested

Results of urinalysis

Minor hematuria noted

Physical examination findings

All findings within normal limits; no hepatosplenomegaly

Results of repeat complete blood count

No results available because test was not ordered

Scenario:

A cheerleader complains of malaise, extreme fatigue, and a sore throat for over a week.

Question 5

BOOKMARK

Based on your review of the most current testing and physical findings related to her return-to-play criteria, what should you conclude?

The athlete is ready to begin return-to-play progression

The athlete is ready to return to full unrestricted participation

The athlete should rest for 2 additional weeks and then be reevaluated

Additional diagnostic testing is required before determining whether the athlete can return to play

Scenario:

A cheerleader complains of malaise, extreme fatigue, and a sore throat for over a week.

Question 6

BOOKMARK

The physician has determined that the athlete may gradually return to participation. What is the most appropriate recommendation for this athlete?

Participate at 20% for 14 days, 50% for the next 7 days, and then gradually increase intensity of participation as tolerated

Participate at 50% over the next 7 days and then gradually increase intensity of participation as tolerated

Participate at full intensity as tolerated

Participate at 50% for 1 to 2 days and then increase intensity to full participation

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Question Number	Your Score	Possible Score	Answer Key
1	0	3	View Answer Key
2	0	1	View Answer Key
3	0	9	View Answer Key
4	0	6	View Answer Key
5	0	1	View Answer Key
6	0	1	View Answer Key
Total Points	0	21
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