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    1- . /.:� � p.6rts yr.:'

    medicine qUiz.. ' , .

    Question 1. Fe:ltures of the rnc:lisci

    of the knee include:

    A. The lateral meniscus is the more

    mobile.

    B. The medial meniscus is the more

    commonly injured. .

    C. Injury to the medial rr:.eniscus has

    the worse prognosis.

    D. Damage to a meniscus C:In J1most

    always be traced bat:!< to J single inci

    denl

    E. Well localised medial or lateral

    pain is rarely meniscal.

    Question 2. Applying tr.lction �o theann while it is at the patient's side is J.

    useful test in the diagnosis or assess

    ment of:

    A. Acromioc!avicular joint sprJin.

    B. RctJror ::.:ff :e:lt.

    C. Multidire:tior.al 2:!e:1ohumer:l1

    instability. -D. A:dllary ner;e :njur:/.

    E. Adhesive capsulitis.

    Question 3. The lunare bone is sus

    ceptible to avascular r.'�crosis in y�ung

    adults. TRUE or FA!.5t??

    Question 4.

    The effects of

    intense ::;(;erd�e

    on the immune

    sy�tem appe:lr

    10 be the S:lme

    :IS those ofmodemte e;(;er

    eise. but e;(;:12

    ger:1ted. TRU.Eor FALSE?

    Question 5. Tre:1lment of:1 13-ye:l!'

    old m:11e tenni5 player with low backpain from a. grnde twO spondylolisthesisof LA or L5 should consist of:

    A. Extension e;(;ercises.

    B. A lengthy break from tennis.

    C. Careful neurological assessment.

    D. Traction.

    E. Immediate �urgical inte:vention .

    Answers on page 82

    1'ft ..D

  • f ,-.,. ... ,.,."

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    Sportsmedicine quiz

    Question 1. A prores�ionaJ lenni�

    player and a voIleyhaller ooth come IO

    vou for advice aoout ho\\' to �truclUre

    their training program�. immediatelyafler their major com�ti[iom; of the

    year. The prograrns which you devi�e

    for e::lch of [hern will be radieali)' differenl. TRUE or FALSE?

    Question 2. The !Itl

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    .lpJl'" nJodS 1t:::l!u!I:> '� !Je\{)( 'd J;,u'1fug, '3 pue 0 'g ''0' " Question 1. Pain due to primary

    shoulder pathology is rypiealJy wor>e at

    night when Iying on the affected shoul.

    der, TRUE or FALSE?'SI!:,\lldIlJ, jr.JOt\P.I p;ldd�ls

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  • Que.stion 1. Musc!:s COr.tribuling to

    U1e "routor cuff' of �":e shaulde: inc!uce:

    A. SUpr.lSpin;Hus.

    3. SubsCJpu/:l.:is.

    C. lnfiJ5pinJcus.

    D. T::r:s minor.

    E. T::-:s major.

    Question 2. A white cei! eaunt af

    .lO.OC.()/r:"..-nJ in upiIJte from a iwall:n

    J,r.;..!::. is suggesti ... : of J se�uc J.."'t11ritis.

    nCE or FA.LSE?

    Question 3. The pJthog::lesis af

    ";:cor.C imp3ct syndrome" is thcught to

    be c:r::'rJl oedema due to disorde:ed

    c:::-:bra! vJsoregulation. TR UE or

    F\L5E'

    Question J, Surgic� repai: of :.":: l"'..:p

    rured te:lcon is indicaled io most cases

    ar:

    A. Acl'tilles tendon l"'JPru.re.

    a. Long nead of �ic:i's rupcure.

    C. R�:'JS femoris rupcure,

    D . .'.1edial gas:focnemius rupture

    u,r.e:-: !h:� :, J paJpable defect 3lld lump.

    E. DislJi bic:ps tendon :uplur:

    (.::00""",1.

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    .-\. C!:l1f J:',iar;on J..-:d :Q:.Jl:cn af :..'1:

    \00'::5:

    3. X-iJYlOg �e ',l,'r.st with :"''':.: haIle

    cl::;.öd.

    C. ?:Jpaung UI< paJm:lt aspeet of :he

    dist:J :adioulnar joint in fuU pronation.

    D. PJlp:lling che sC:lphoid .:tnte:iorIy

    '.vni!: i':di:l11y devi:lting the wrist.

    E. F'JJ1 :le.'tion ot '.ne thumb with :he

    wriSt :n u!n.u deviaucn.

    Answers

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  • .J;-( b 0 /

    \ sports�edicine quiz

    Question 1. Carreine is J proven

    er;ogcllÎ: .1icJ. enhancing the: perfor.rnJnc� 01 endur=tnc� e:\�rcise. TRL"E

    or FALSc"

    Answers

    Quc.o;tion !. r\ (cnni� pl:1yer ;lresC::'lt5

    Jflc:r:t long .... c:ekemJ (llUmôlO1cnt Win

    p1Jining of pain fui c;wellin2 on the:dor�lIln of her t1ol1lin::ml rOI1:�n..... hÎchprevclltc:d hc:r competing errecti .. e1y in(h� tournament fin31. You detcct abuggy lineJr �wel1ing extendinz sc"':r:11 :e:llimetre:� Jlooz the dorsum ofthe ror�"r,n. A c;lress (rJClUre i!' li't..d ....

    TRUE or FALSE� .

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  • .-f..J('.'- ,

    Q�estion 1. ScapuJ:u '.vi.nging due :0acqwred loog Ú10r.lcic nerve pa!sy in asponspersoc, usua1ly resolvcs sponu

    neously o .... e:- a Y� or mOre. 1RUE crFALSE? .

    Quesdoa 2. An overweigbt 12.y�.oId OOy pr�:1ts [0 you with rec:ur:ncantl::rom.edi� lc1ee pain for� n:omr.s.

    Pain is a:.osr ncc:i�bl;:: wr.en he sits \lrithhis legs cross

  • .1�-ICOri::

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    .;:!�q�l d\il U() p.rn"

    -Jnl ";":!'!It

    /

    .'

    Question 5. The tibia is the mos[

    comrnon 3ile of 5tresS fr:ca;re in ath

    letes.

    TRlJE or fALSE7

  • I .. ', sports -y;v

    .mediçlne QUJ?. --� ..... �

    I .�.

    Question 1. Triangular fib�i:lage injuries:

    A. Cau.c;c: pain on ulnar deviation ofthe \Jr.;Sl.

    B. Usually require surgicaJ lreat.

    ment. .. :J��';�;'" .C. C8u�e c1ickint with wrisnnove':'

    ment" .. ' ...."....

    P, Are associated with negatjve

    ulnar \'arlance (ulna short relative tolheradius). ," ;:;.:;;,..;.....

    E. 'Cau.e swelling over lJié.Ulnar

    side of lhe dorsum of the w¡js¡;'C .'� " ,". '::�':S:'''

    o. o" ..... ." "VO,'. .

    Question 1. A ro:k climber lellsyou.that v,hile climbin£ )'"-IletiJBy hc .. . •

    fclt somelhing pop a' the base,of his - .. '�' ":';7i/"" .... :. ';'�'"iighrriúddlefiri�er \(.H1i"'liñiñeâiále' ""'."_:::,. '''';'-J����.t .l.:.�":: '!r ':'.�� .pain"tnd w:akn�( �f .Çrip:�� A '$ � ••:� '::F.;.--:.;..t:-�� '.:;�� ''}fl- õ:J:le d ..�:. jik"'¡ '-:'-," JO '�'.;�••�J':-!��.t.;:�; ........;��-:

    ..Xu•. n onrupClrt15 e)�... ..... ..•••-...�;.:r� �--s.,...�...�,... TRUE or FAlSE? ""-....� .":. .... ��,�.

    .. ....,.� .....o:o-.....,.��.

    . �.aiestion. 3:���9_v��ldi6;:H R • :- ,':9£id 'i66i�¡eisã¡� -pa p� 'i"] p.Jr!.. -m .the. p;" '¡m;H 11(. c: S7.:n:fu¡ �;'N1Y ,-ruods

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    habilitation pro¡!itm fo:-lM n�tfcw OC!p.n:;- olOlosQc 'WlcS :lt¡l'�A.!llo,;lIÍo:llliS, in the Jong temi: she jl stiil OI S"ltt.! l=q JOi=:i�bol :OO.óq po.likélJ: lo expdch:e gi.�i.tl£ "'a� If she s,Wnl0i. o�o!lI:'j�lIclnst¡l!Ai '£l1t:,qpã:'J�ipates in: '. �lr: ��.: . J:lHtWS- �Atií�U�âThlt\ "anat.".r �

    'o' A; Skiing. • .,.; :;:S:, 'c .;: .•.• ".�*'l..(1J!'!'S'l �£O!qIl. Squash: � , .al"" uo," pUl!\'lJódSou¡¡.¡q2fC1ls lnq

    . C. 100m and.'200tii' ¡prlfti(,\fUr.:'-"';Flhpe;II1.?:!' 'f¡c�¡.¡¡ pue l¡Scnbs OS. ruog). •. .'.". '. uooOOJ!P JO ��.:>od>:Otm t¡lfhlI D. Step acrobl:s :lasseS :;?-.: ", O¡qclsun .(1l"PC010dsrô'otrti!'�ons

    E. NetbalL - . ." . .:..-:-. 't:;':?!I\;;K¡ u1 �otp JO} 10U �..jo lnq 'ÁJ!

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  • Ques:ion 1. T:,� QVc:-::,::c J.t.':::::

    Wit.1 ;::::1."7::-:( or ..;:-..lJnlC irr:.ping�:T.e:-:[

    symprorr.s in or:.e shoulder (SUPr:lSpir.J.�

    ::us :e::.ci;tiris) usu.1l.Iv:us J bonv .lCr.Ci.

    mJ.iit:' which mus'� b� Jdcr;ssec :0df�c: l :eso!uricn of :te proble:n.

    D.L'E ar FA!..SE?

    Question 1. rn CJS�s of suspec:e::

    cr.rcr.ic :omp:u:lT.�r.[ .iync..'"Ome in :.b:

    !eg. ::�:":e cor.cuc:ion s:::�es ',l.:iil ::-e

    ql.'e:J.t1y de:r.ons�te sig:-.i..�cJIl[ impJ.!!

    me:1t vf ne:",ve function in the aifec:ed

    CO�C:JIt:nent mer e:terc:se.

    TRUE or F.illE?

    Question 3. A 55�yeu.old fe:nJ.!e

    :e:utis �iayer is refer.ed to you by her

    physicrh�rapist wim J. diagnosis of �r.

    si"e" ":mis dbow. \\bich oi tbe :01lowing diI".icJ.1 5igns would cJ.use ycu

    :0 ql.:es:ion u-js diagnosis?

    A. LJSS of fulI e;ce:J.sion in :h:::

    e!bow.

    3. ?:ir.t :e::ce:::ess Jve: :be l�t:�

    e;:iccr.dyle.

    C. R.:stric:ion of fore:L.'TI1 pronJccn.

    D. ?'J.in 00 :esisted :::x.:ension of t.":.e

    rr.idC.I� 5nger. ,

    E. b...1bilir:' :0 comb :'1e �air be..--:J.use

    Sports �medicine .quiz li

    of pain.

    Question �. Lowering LDL cncJes.

    re:ol le ...e:s !1as :.ee:1 sr.own to :e�c �O

    reg:ession of athe:osc!e:otic coronarf

    he:JJ't diseJ.Se.

    TRUE or FALSE?

    Question 5. HeJ( acclim.l[isation

    ie3tur1:S :he following adaputions:

    A. [nc:-e:lSed rI13:

    .w;r

    ..qc.:d �CU..�C:: S!ti'1 JO :U;C!Cot;t\;P .qi�OJ S'':CSC:-.l [tr.sn ;tp ;",-z ';rdp.t; ."'e[UJ

    .mw pl..-z s:eu:; ;nb�:-;l 01 .U!TIqt:'lS'J!

    I'e',;�wnqou;[j llnJJO WOl; ;iu�Ju�.!

    's.:ol:e; �:�q=-wo�s: .'aS1Y� .1

    Compikd !J.v Dr John AcUnnan.

  • Questions

    QUestiOD J.

    Features cf acquired lang thora:ic

    nerve palsy due to S;)(>:'t in:lud::

    A. Usually relativei)" linl: pain.

    B. Unilat:..al wingin. oftb: ""pula

    whiJe doing a push-up agaiDst a wall.

    C. Ma..ked weakness of :xl:mal

    roution 0: tbe affe«:d shoulder.

    D. Usually follows an episode of

    shouJder instabili=J',

    E. Nerve conductioD sludies are

    unh:lpfuJ.

    Answers

    Question 2-

    Available techniques for accurate

    measurernent of inuacompznmental

    pressure du.;ng and after exercise can

    be used as reliabl: =nin. teSts for

    chronie exe.."1ior:a1 comp2!ttDent syn

    drome_

    TRUE 0.. F.ALSE?

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    ;ln;:lt hq p;.,mfu! � ;;t'� :;lt..::;lU :I;;tJo�

    .uOI oe.l . .{ä0I0tptC ;oPlno�s ,-",puo

    -,:;IS Cl Ja 'jj;lSl! rwnt.:J �A�tsnt'=: :;ll.p

    Ol �np s! n::;ls;;d t:;I:.tM U!td os ';l/';;lU

    J010W t' SI :;lA.1:;lU :I;:ltJotp 8uo1 :;llJ.l. -::; .S '.,.. '1 uO!1S"nll

    QUestiOD 4,

    Maximal oxyg:er. ut':.ak.e, even wh�n

    expressed relative to fal�free weight. is

    grC2te: for men L'1an warnen.

    TRUE 0: F.t,LSE?

    Qu,,",tion 5.

    Subje:tive fuilctiona! instabilit)' of

    the ankle correlates poorly with

    m�h��.ical 1m;:' 2.S dem�nstrated b)'

    clirucaJ examina:.ion 0: stress radiol

    °bY-TRtiE 0" F.ALSE?

    Compild b.\ D,. jcJhr. AcJ.erman

  • Sporis

    medicine quiz,

    Question 1. Swirnmin£ is • =fUJ

    {oπn of rohabiliιauo.o (ο: .:ilJoιos

    sufforin£ from ro:a10: cuff ιor-daniris

    or impingem:nl S)':nptoms in ι.;:

    shouJdor. TRUE ο: F.AJ..SE?

    Question 2. Trip!o-phaso radio

    .ouclido bonc sCaDnin£ is \';::ually

    ] 00% τcliable 2.S 2. screeninf :�ι [ΟΤ

    stress tra:ιuro. TRύΈ ο: FALSE?

    Question 3. Α 79.y=-010 man

    proso.ots 10 you compJ.ir-i'E of

    a:hing pain und� Lίoιe arch �! οη:

    foo:., Vo'hi:ll ν.'akcs hL.oz: οι: nici:: bUi is

    πο: pr:s:D: a: oth:r tim�. Tn.:s:Α. 15 fci:l)' τypicaJ of plan:z: fas=j.

    itis.

    Β. 5ugg:sts aπ os�jd o�:ηz..

    C. Ί\'z....."ιs an X-ray.

    D. Will probabl)' respond ΙC οΧ..

    clsos {ο: ιh. inιrinsic [σοι m=les.

    Ε. 15 00=0.0 in diaberics.

    Question 4. Di.gnosric criιo:ilfU"CJ) s,o,n, JO) 0!J!0

    .:>ds 10Ι: S! aU!LIU'c�s ;.'Ιυος n!ψ p�;q

    .""ω:: oq PIn04s 11 '..,o.uo ιεO!UΙρ,ι

    .]0 ]fT1s:J ;;ιψ :>q 03 " ιι:ιης ;l1tAr:Jaar ΟΙ Αι;!){!!

    ;;ΙJQW 41 ;JC '8urι:Γ.l;!ιΥ.s au!pnjjU!

    ',OIj!h;:ot ρε'ιμΟΛΟ 'Ξ!SlΊ-",:j Ί

  • ';

    Sports

    medicine quiz

    f)lll"'liulI 1. In thc hand� of an expc

    ,il"IIn.'cl Ilhr:l.ilOontlgr:tpher. diatno�;(ic

    .. II';"'''lIIul or lhe �houlder can be vcry

    ""('1"111 ill diagllo�in£ or a.o:;�("�".ing:

    .\ I'al li:d rnl:llor cuff lear5.

    11. Tl'lldllllili� of IlIe long he:ld llf

    !lj,'j'IIS.

    ,'. (}"ll.t1;lnh�i(i� ofthe a.:romiocl;lv.

    inl1:1l jllillt.

    1). 5111e\f 0' lhe pregnanC)'"

    TRUE or FALSE7

    -----t.:�};;l 5! 1U;lpud ;41 JI 'SmAOUAS pue

    ruqop .nolCO:m:.n Slc=d:u A\qcqcud

    uO�5�1 .. P!O:JS!U�w •• P:lllt:J-oS ;H�.L

    'swItJ poof uo u".;a 'p;tss!W At!S'C;l ;l.It!

    P;lUOPU;lW s:;umocJj :;ltj'l l[109 '(lU!O[

    04' au!u!cJd. A\POlC,doJ ., oq./04

    ':;l4l;l4-\\ '1St Plnoqs n'Jh 1J5nOtf1) 5S;lU

    'l!!lS JO u!cd st lOU '!":!i!qClSU! st SlU;lS

    .;lJd !.lItnsn ..\1!l�qt1SiJl lU;lJ..Jn:J;I}J

    '3 '0 "::J '8 T uO!lsont!

    '9£t :(:)[1

    't661 '''Ir.:J!P�J'\' r-... odS U! t:J!U!i:J :'JU�'Plf

    '3..1U � CO!1SdnO

    . ":�Olo41cd hUoq JOj :lJ!Otp

    10 UO!lt�PS�hU� ;141 lOU 5! JI '1U;lW

    .;l8u�dw'! rcrwa.::mqns S1J tj'Jns SW;llqOJd

    J�tU'\P .10 �u!8tW! ;IW!1-lt:u 5U!I\!�)0 ;:}tlUtApt ;Itp St4 put: S;lnSS!1 1)OS

    JO.1 tJ!ltpoW 3U,3tW! 1��i;l'lsolnJsnw

    In;;lsn ;';;1\ t S! sNl 'sp:.n:t; P;lllr-1S uI

    "3 '8 "y'1 UO!ISOnO

    Compihc by Dr lohn Acbnnan.

    ----�....-

  • ----'-----------

    )J

    Questinn 1.

    SlreSS fracture of the na\'icular is an

    injury which occurs in runners and

    which will u�ually resolve with

    orthotic5 and off-season modifi:alions

    10 running style.

    TRUE or FALSE?

    Queslion 2,

    Girls who play spon:

    A. Have higher levels of .elf-esleem.

    B. Havc greater acad:mir: �u=cess.

    C. Are le" likely (o have an

    unwanted pregnancy.

    D. Havc le!'s risk of osteoporosis in

    later Iife.

    E. Have higher levels of depression.

    Queslion 3.

    MRJ is 2. \'el")' reJiable (bu: expensive)

    screening tesl for menis::al pathoJogy.

    TRUE or FALSE?

    Queslion 4,

    Soleus is one of the mus:l� most

    Sportsmedicine. quiz

    implicaled in lhe aetiology of mediaJ

    tibi:tJ stn:s!\ svndrome.

    TRUE 0: FALSE?Question 5.

    F:moral n:ck 5tre!'!' fractures:

    A. Are o:t:n s)'mptomati: for wed.s

    before they are deljJoltl prepUCJS ;:l1.{ljO ucd sl: nil�

    gU!5n JO) UO�Jt"Y!J5nf ou 5! �;ll.f1 'Jo• .:>t!.J

    "00 ''P)O ss,!pn:8'1l "'h p'4"lqm,

    t:;l;lq 10U scq 5!4'1 1nq 'UO�lt!;;lt:�i�p

    hpt:l lU:JS;lJ:::!;': i.t!U1 S!tU '!.�O[04)t!d

    .JO ::lU::�!A:: :l!CC-'SOJ"-iUt JO It:l;:J!P 100

    -41!h'I 'IoJ", uo ;:lSP':;lW u: (r.;;l: ;IIQ!S!/,

    mO!.fl!M) ;5ut!1..jJ It!ug�s :lPtJ�-MOi )0

    ;'"'P;'"' 4814 t 51 ;;'4l '3S1Yl T.t:p-r8,:�:(1 'r661 ';JU::1!l'�Jr n100S 'i! r:JJil!::J

    ';:.'lt!ld:!p::lN. :141 U! ;,xiWO:'l 01

    p=dOJd ;,u:v.; hlqeqcud :>Jl: pUt ,"eUII

    .{poq �A!J!sod :JJQW r. �At!lI AlltJ;:lt:�3

    ';:::mr.:l lSC;lJQ �U!dOj;:l";lp )0 '1S� SS:JI

    ;)101:14' OSIC ,(r.w .(;:llU '0 '.J .8 'y 'Z

    .]t;;lW:::IIJld

    -S!P q1!M ::Jn:.:'ltJJ �ur.J; 0; UO!SS;lJg

    -OJd u;lPlm� .10 put uo!un.uou .10 '1s!l

    �4'1 )0 �5nt��q uopus!lrqOWW! J:llSCld

    hl1r.nsr. pur ]S;lJ ;llC!P;:lWW! spurw;lp

    'JJh: