Focused Testlet 5

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Scenario:

During practice a football player sustained an acute knee injury.

Question 1

BOOKMARK
The football player has received an evaluation of and immediate treatment for his injured knee. You have chosen to immobilize this injury until the athlete can be referred to your team physician for further evaluation.

From the five photos provided, select the immobilization device that is most appropriate in this situation.

Scenario:

During yesterday's practice, a football player sustained an acute knee injury and was referred to the team physician for evaluation.

Question 2

BOOKMARK
You have chosen to treat the athlete's knee injury using the RICE principles. Which methods will help you appropriately manage this injury?

Select all that apply.

Prompt

Response

Apply an ice bag to the anterior and posterior aspects of the knee

Sufficient tissue cooling occurs

Use ice massage on the medial aspect of the knee

Localized pain decreases during treatment, but insufficient tissue cooling is achieved

Apply three to four sweeps of Fluori-Methane spray in a distal to proximal direction

Pain is managed for 20 seconds. No other effect is noted

Utilize a cold whirlpool

Sufficient tissue cooling occurs; however, the athlete is wet and unhappy, and his knee is more swollen after treatment in a gravity-dependent position

Apply a cold compression device to the knee

Sufficient tissue cooling occurs

Apply a cold hydrocollator pack to the knee

Sufficient tissue cooling occurs

Apply elastic wrap, with even compression throughout

Some support is provided, but the athlete notes increased distal swelling after 3 hours

Apply elastic wrap in a distal to proximal direction, with greatest compression pressure distally

A sufficient compression gradient is created

Place the athlete supine with the leg elevated on several pillows

The athlete is comfortable and falls asleep, but elevation is insufficient to minimize distal fluid accumulation

The athlete is placed supine on a split-leg table with his hip flexed to 75°

Elevation is sufficient to minimize distal fluid accumulation

Scenario:

During yesterday's practice, a football player sustained an acute knee injury and was referred to the team physician for evaluation.

Question 3

BOOKMARK
In addition to RICE, you have chosen to treat the athlete's knee injury with a premodulated biphasic electrical stimulation current. Which treatment parameters will appropriately address the athlete's pain and swelling?

Select all that apply.

Use four electrodes in a crossing pattern

Use two electrodes of the same size

Use two electrodes with one being at least three times the size of the other

Frequency: 0–10 pps

Frequency: 80–150 pps

Frequency: 40 pps

Intensity: subsensory

Intensity: motor

Intensity: sensory

On/off time: 1:1 ratio

On/off time: 1:2 ratio

Scenario:

During yesterday's practice, a football player sustained an acute knee injury and was referred to the team physician for evaluation.

Question 4

BOOKMARK
The injured athlete returns to the athletic training room and presents you with a prescription for care that he received from the physician. Which of the following descriptions most accurately interprets the physician's prescription shown?

Click to enlarge

The athlete has sustained a bucket handle tear to the medial meniscus of his right knee. The athlete should perform range of motion and open kinetic chain exercises four times each day. Modalities should be used as needed. The athlete can be progressed to touch-down weight-bearing crutch gait. The physician wants to see the athlete in 2 weeks.

The athlete has sustained a midsubstance bucket handle tear of the anterior cruciate ligament. Range of motion and open kinetic chain exercises should be performed four times daily. Modalities should be used as needed. The athlete should progress to total down weight-bearing for 2 weeks.

The athlete has sustained a medial bucket handle tear to the lateral meniscus. Range of motion and open kinetic chain exercises were within normal limits. Modalities are allowed only with prescription. Progress to tibial dependent weight-bearing exercises for the next 2 weeks.

The athlete has sustained a bucket handle tear to the medial meniscus of his right knee. The athlete should perform range of motion and open kinetic chain exercises four times each day.  Modalities should be used as needed. The athlete can be progressed to touch-down weight-bearing crutch gait at the end of 2 weeks.

Scenario:

During yesterday's practice, a football player sustained an acute knee injury and was referred to the team physician for evaluation.

Question 5

BOOKMARK
The athlete has requested some medication to help manage his pain. What should you recommend?

The athlete should not take any medication at this time. Ice should be sufficient for managing the pain

The athlete may take an over-the-counter anti-inflammatory according to the directions on the label

The athlete may take an over-the-counter analgesic that does not have anti-inflammatory properties

The athlete should schedule to meet with the physician to request a prescription for a narcotic

The athlete may take an over-the-counter anti-inflammatory medication at a prescription-strength dosage to create a true anti-inflammatory effect

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DATE COMPLETED:

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1

0

1

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2

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5

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3

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3

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4

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1

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5

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1

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11

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