AT BOC Prep Domain II - Examination,
Assessment and Diagnosis Exam
Questions And Answers
B : A patient' s pain may be caused by activities of daily living that subject the body to repetitive
stresses. Backpacks that are heavy and worn on one shoulder can overload the patient' s
shoulders. Students should be instructed to use both shoulder straps while wearing backpacks,
avoiding carrying weight over one shoulder. - ANS 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
determining 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 new messenger style book bag; do you carry it on your right
or left shoulder?"
C. "I know you commute to campus; do you have a lumbar support roll in your car seat?"
D. "When sitting in class, do you have difficulty seeing the projection screen or blackboard?"
A: Herpes simplex eruptions can be triggered by illness, external stresses, internal stresses,
fatigue, overexposure to sunlight, menstruation, and physical trauma. - ANS A n 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 to the sun, and sexual activity
C: In overhead athletes, the mechanisms of a superior labral anterior posterior (SLAP) lesion
are associated with repetitive overhead activities. During overhead motions the tensile forces on
the labrum from the biceps during the deceleration phase may result in a tear of the labrum -
ANS 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 labral
anterior-posterior (SLAP) lesion. To apply evidence based practice to the examination of this
patient, what information from the National Athletic Trainers' Association (NATA) position
,statement on evaluation, management, and outcomes of and return-to-play criteria for overhead
athletes with SLAP injuries should you consider?
A. Bicipital groove or biceps tendon tenderness is diagnostic of a SLAP lesion.
B. A history of popping, clicking, or catching is diagnostic of a SLAP lesion.
C. Mechanisms of injury for 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-labral complex.
D. Shoulder pain described as deep within the anterior superior glenohumeral joint is not
diagnostic of a SLAP lesion.
E: Sartorius, gracilis, and semimembranosus muscles make up the pes anserine muscle group
and insert on the medial aspect of the tibia through a common tendon - ANS Which of the
following groups of muscles insert into the medial aspect of the tibia just distal to the medial
condyle?
A. Vastus medialis, gracilis, and semimembranosus
B. Semitendinosus, sartorius, and vastus medialis C. Biceps femoris, semitendinosus, and
semimembranosus
D. Sartorius, gracilis, and semitendinosus
E. Sartorius, gracilis, and semimembranosus
C: The carpal tunnel is oriented within the carpal bones. The trapezium is the most medial bone
in the carpal distal row, and its prominence can be palpated through the hypothenar eminence.
The pisiform is also found and palpated on the medial portion of the wrist. The carpal tunnel is
defi ned laterally by the tubercle of the navicular and the hook of the hamate - ANS Which
four palpable bony prominences define the carpal tunnel?
A. Radial styloid, navicular, ulnar styloid, and hook of the hamate
B. Radial styloid, base of the first metacarpal, base of the fifth metacarpal, and ulnar styloid C.
Pisiform, tubercle of the navicular, hook of the hamate, and tubercle of the trapezium
D. Tubercle of the navicular, lunate, pisiform, and ulnar styloid
E. Lister' s tubercle, tubercle of the trapezium, capitate, and base of the fifth metacarpal
E: These ligaments assist in resisting varus stresses placed on the elbow as well as maintaining
congruence between the articulating surfaces of the humerus and radius - ANS Which
ligaments comprise the lateral ligaments of the elbow?
A. Radial collateral ligament, lateral ulnar collateral ligament, anterior oblique band, posterior
oblique band
B. Transverse oblique band, annular ligament, accessory collateral ligament, radial collateral
ligament
C. Radial collateral ligament, lateral ulnar collateral ligament, accessory collateral ligament,
anterior oblique band
D. Anterior oblique band, posterior oblique band, transverse oblique band, annular ligament E.
Annular ligament, accessory collateral ligament, radial collateral ligament, lateral ulnar collateral
ligament
,C: The frontal lobe of the brain manages complex problems and abstract thought. - ANS
Which of the following functional areas of the cerebral cortex manages complex problems and
abstract thought?
A. Parietal lobe
B. Temporal lobe
C. Frontal lobe
D. Occipital lobe
E. Medulla
C: The trapezium lies directly proximal to the fi rst metacarpal. The fi rst carpometacarpal (CMC)
joint has a synovial cavity that is separate from the other four CMC joints and allows accessory
rotational movement, which permits opposition - ANS Which bone lies directly proximal to
the first metacarpal?
A. Trapezoid
B. Pisiform
C. Trapezium
D. Navicular
E. Lunate
A: The orbit of the eye comprises many bones. The roof is formed by the frontal bone and the
sphenoid bone - ANS Which two bones make up the roof of the orbit? A. Frontal and
sphenoid
B. Ethmoid and maxillary
C. Zygomatic and palatine
D. Lacrimal and sphenoid
E. Palatine and frontal
C: During inhalation the diaphragm contracts creating a vacuum that pulls air into the lungs
across a pressure gradient from areas of high to low pressure - ANS Which statement best
describes the pressures present during inhalation?
A. Atmospheric pressure is lower than intrapleural pressure.
B. Intra-alveolar pressure is lower than intrapleural pressure.
C. Intra-alveolar pressure is lower than atmospheric pressure.
D. Intra-alveolar pressure is higher than atmospheric pressure.
E. Intrapleural pressure is higher than atmospheric pressure.
D: The inferior vena cava delivers deoxygenated blood from the lower portion of the body
directly to the right atrium, while the superior vena cava delivers the blood from the upper body
and cranium - ANS Which structure returns deoxygenated blood to the heart?
A. Aortic arch
B. Pulmonary artery
C. Pulmonary vein
D. Superior and inferior vena cava
E. Left ascending coronary artery
, C: This athlete has sustained a traction force to the brachial plexus, stretching the left side
cervical nerve roots. - ANS 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 symptom 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 involved
nerves
D. Diminished sensory ability of right side dermatomes of the involved cervical nerves
D: Cranial nerve II is the optic nerve. Visual acuity is assessed testing vision with tools such as
the Snellen eye chart - ANS Which of the following tests assesses cranial nerve II?
A. Lateral and vertical gaze
B. Double simultaneous stimulation of the trigeminal nerve
C. Symmetric smile
D. Visual acuity
E. Pupil reaction to light
B: Shear forces create loads that are equal, but not directly opposite, resulting in forces parallel
to each other. Once the forces exceed the tissue strength, pathologies such as abrasions,
blisters, and ligament tears may result. - ANS Which of the following injuries result from a
shearing force mechanism?
A. Ligament tears, spiral fractures, and lacerations
B. Ligament tears, blisters, and abrasions
C. Blisters, comminuted fractures, and contusions
D. Spiral fractures, ligament tears, and blisters E. Comminuted fractures, tendon injuries, and
contusions
D: The athlete ' s inability to dorsifl ex and invert his ankle suggests trauma to the anterior
tibialis muscle. This muscle is located in the anterior compartment. The integrity of the anterior
tibial artery should be assessed - ANS A soccer player has sustained a traumatic blow to
the lower leg in the absence of a shin guard. He is unable to dorsiflex 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 posterior compartment; integrity of the
posterior tibial artery should be assessed. D. The player has sustained an injury to the anterior
compartment; integrity of the anterior tibial artery should be assessed.
