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BOC Study
GOTTA PASS
526
Health Care
Undergraduate 4
03/27/2014

Additional Health Care Flashcards

 


 

Cards

Term
Q angle
Definition
Lines drawn from the middle of the patella to the ASIS and from the tibial tubercle through the center of the patella.
Normal:
10 degrees (males) 15 degrees (females)
*Anything over 20 degrees considered excessive and could lead to pathological conditions*
Term
Genu Valgum
Definition
Knock-knees
Term
Genu Varum
Definition
Bow-legged
Term
Genu Recurvatum
Definition
Hyperextended
Term
Coxa vara
Definition
angle between the head of the femur and the shaft less than 120 degrees
Term
Coxa valga
Definition
angle between the head of the femur and the shaft over 135 degrees
Term
Paget's Disease
Definition
chronic disorder that can result in enlarged and misshapen bones.
caused by the excessive breakdown and formation of bone, followed by disorganized bone remodelling.
This causes affected bone to weaken, resulting in pain, misshapen bones, fractures, and arthritis in the joints near the affected bones.
The pelvis, femur, and lower lumbar vertebrae are the most commonly affected bones.
Term
Milch disease
Definition
ischial apophysis
Term
Addison's disease
Definition
rare, chronic endocrine disorder in which the adrenal glands do not produce sufficient steroid hormones.
Term
Gigantism
Definition
excessive growth in height about average due to overproduction of human growth hormone.
multiple health issues concerning their skeletal and cardiovascular system
Term
Marfan syndrome
Definition
abnormality of the connective tissue that results in weakening of the aorta and cardiac valves that can cause rupture.
present with long arms and myopia as well.
Term
vital capacity
Definition
max amount of air that can be expired after max inspiration
Term
Maximum expiratory flow rate
Definition
max speed of expiration
Term
Forced expiratory volume
Definition
How much air a person can exhale during a forced breath.
Term
Tidal volume
Definition
Amount of air moved into and out of lungs during normal breathing.
Term
Residual volume
Definition
Amount of air left in lungs after fully exhaling.
Term
Myopia
Definition
Nearsightedness
Term
Functions of the liver
Definition
carbohydrate metabolism
detoxification of blood
protein synthesis
bile production
Term
Functions that contribute to athlete's ability to maintain a steady state during increased metabolic needs?
Definition
pulmonary diffusion
vascular adaptation
physical condition of involved muscles
Term
4 methods of skin fold measurements
Definition
biceps
triceps
suprailiac
subscapular
Term
Hypoxia
Definition
body or a region of the body is deprived of adequate oxygen supply
Term
Hypervolemia
Definition
Abnormal increase of body's blood volume, particularly blood plasma.
Patient may demonstrate edema. Be aware of pulmonary edema.
Term
Hypernatremia
Definition
Electrolyte disturbance resulting in elevated sodium levels in the blood.
Most commonly caused by water deficit.
Term
Inability to dissipate heat by evaporation
Definition
limits body's ability to adjust to a significantly increased cardio workload in hot wet environments
*need dry air in order to evaporate heat*
Term
Power
Definition
Force x Distance
intensity at which a muscle is able to perform work
Term
Max HR equation
Definition
220-age
Term
Adequate warm-up time
Definition
10-15 minutes
Term
Average calorie expenditure for college athlete per day
Definition
2200-4400
Term
Athlete diet
Definition
Proteins- 12-15%
Fats- 40-50%
Carbs- 55-70%
Term
Pre-event meal should be planned by who?
Definition
coach
athlete
athletic trainer
Term
Pregame meal should be eaten how soon before competition to ensure proper digestion?
Definition
3-4 hours
Term
Female athletes with low bone mass should consume how much calcium a day?
Definition
1000 mg
Term
Combatting jet lag effect
Definition
upon arrival, adjust all training, eating, and sleeping schedules to the local time of the country in which they are competing
Term
NATA position statement on exertional heat illness recommendations
Definition
-ensure appropriate medical care is available
-plan rest breaks to match environmental conditions and intensity of activity
-weigh high-risk athletes before and after practice to estimate amount of body water lost during practice
-allow athletes to practice in shaded areas or use cooling fans to circulate air
Term
Pediculosis (lice)
Definition
-eggs attach to base of hair shaft
-bites cause itching dermatitis
-treated with NIX
-spread through sexual contact
Term
Minimizing liability when fitting protective gear
Definition
-buy gear from reputable manufacturer
-ensure that individual who assembles the equipment is competent to do so
-if wearing immobilization device ensure that is doesn't violate the rules of the sport
-ensure equipment is not defective
Term
Fitting football helmet
Definition
I. place helmet over the head, tilt it backward, and rotate it forward into position
II. Try to turn the helmet side to side with head in stationary position
III. Press straight down on the crown of the helmet to see if the pressure is at crown of head
IV. Check to see if the jaw pads fit snugly against jaw
V. Check chin strap adjustment for tight fit
*no face guard should have less than 2 bars*
Term
Who should be involved with athlete and AT when selecting protective equipment?
Definition
coach
equipment manager
Term
National Operating Committee on Standards for Athletic Equipment (NOCSAE)
Definition
- establishes voluntary test standards to reduce head injuries by establishing minimum safety requirements for football helmets and face masks, baseball batting helmets, baseballs and softballs, and lacrosse helmets and face masks
Term
2 categories of football helmets
Definition
air/fluid filled
padded
Term
Mouth guard fit
Definition
most effective:
flexible resilient material and form fitted to teeth and upper jaw
Term
Epaulets and cups of shoulder pads should completely cover what structure?
Definition
deltoids
Term
Flak jacket
Definition
protects athlete after a rib injury
Term
ACSM
Definition
American College of Sports Medicine
Term
FDA
Definition
Food and drug administration
Term
ASTM
Definition
American Society of Testing and Materials
-sets standards for eye protection in raquet sports
Term
NCAA mandated equipment
Definition
Wrestling: ear guards
Men's lacrosse: protective gloves
Baseball: double ear flab helmet for batting
Women's lacrosse: protective eyewear
Term
Vitamin B6
Definition
helps with PMS symptoms
Term
Vitamin A
Definition
megadose of this can be very dangerous
Term
Stress Fractures
Definition
-occur after a few high loads or many small loads are applied to a bone
Term
Pre-participation physical exams
Definition
*medical history*
*physical examination*
-height and weight
-vital signs
-ear/nose/throat exam
*maturity assessment*
*orthopedic screening*
*wellness screening*
Term
CPSC
Definition
Consumer Product Safety Commission
-report if bicycle helmet is purchased and has crack in the shell
Term
USOC
Definition
United States Olympic Committee
Term
NASM
Definition
National Academy of Sports Medicine
Term
Tanner's 5 stages of assessment
Definition
used to document the maturity of an athlete's secondary sex characteristics
Term
Things to consider when developing a risk management plan:
Definition
security issues
fire safety
electrical and equipment safety
emergency action plan
Term
HIPPA Regulations
Definition
*Health Insurance Portability and Accountability Act*
written blanket authorization signed by athlete at beginning of year will suffice for all injuries and treatments done during course of participation for that year
*must indicate what info may be released, to whom, and for what length of time*
Term
FERPA Regulations
Definition
*Family Educational RIghts and Privacy Act*
protects privacy of student educational records
Term
Liability
Definition
being legally responsible for the harm one causes another person
Term
Negligence
Definition
failure to use ordinary or reasonable care
TO ESTABLISH NEGLIGENCE:
1. duty of care existed between the person injured and the person responsible for that injury
2. conduct of the defendant fell short of that duty of care
3. resultant damages
Term
Standard of reasonable care
Definition
assumes that an individual is neither exceptionally skillful nor extraordinarily cautious
Term
Duty of care
Definition
part of official job description
Term
Torts
Definition
legal wrongs committed against the person or property of another
Term
Nonfeasance
Definition
*act of omission*
fails to perform a legal duty
Term
Malfeasance
Definition
*act of commission*
commits an act that is not theirs to legally perform
Term
Misfeasance
Definition
improperly does something that they have a legal right to do
Term
Sovereign immunity
Definition
neither government nor any individual who is employed by the government can be held liable for negligence
Term
Good Samaritan law
Definition
provide limited protection against legal liability to any individual who voluntarily chooses to provide first aid
Term
Statutes of limitation
Definition
sets specific length of time that individual may sue for damages from negligence
varies from state to state (usually 1-3 years)
Term
Assumption of risk
Definition
expressed in form of a waiver signed by athlete or guardians or can be implied from the conduct of an athlete under the circumstances of their participations in activity
*may be asserted as a defense to a negligence suit brought by injured athlete*
Term
General health insurance
Definition
policy that covers illness, hospitalization, and emergency care
Term
secondary insurance coverage
Definition
pays the athlete's remaining medical bills once the athlete's personal insurance company has made its payment
Term
Accident insurance
Definition
covers accidents on schools grounds while student is in attendance
protects against financial loss from medical and hospital bills encourage an injured student to receive prompt medical care, encourage prompt reporting of injuries, and relieve a school of financial responsibility
Term
Professional liability insurance
Definition
major concern is whether supervision was reasonable and if unreasonable risk of harm was perceived by sports participant
*all professionals involved with sports program must be fully protected by professional liability insurance*
*typically covers negligence in a civil case*
Term
Catastrophic insurance
Definition
NCAA and NAIA provide plans that deal with the problem of a lifetime that requires extensive medical and rehabilitative care because of permanent disability
Term
Third party reimbursement
Definition
involves reimbursement by the policyholders insurance company for services performed by health care professionals
Term
Third party payers
Definition
HMO (Health Maintenance Organizations)
-provide preventive measures and limit where individual can receive care

PPO (Preferred Provider Organizations)
-provide discount health care but also limit where a person can go for treatment of illness

POS (Point of Service)
-combo of HMO and PPO
-will pay out of network

EPO (Exclusive Provider Organization)
-combo of HMO and PPO
-will not pay out of network

TPA (Third Party Administrators)
-used to administer services and to pay claims for self-insured group plans

PHO (Physician Hospital Organization)
-involve major hospital and its physicians
-contracts directly with employers to provide services

Medicare
-for aged and disabled

Medicaid
-for people with low incomes and limited resources

Workers Compensation
-benefits for injured workers that are mandated by the states

Indemnity Plans
-fee-for-service plan that allows the insured party to seek medical care without restrictions on utilization or cost

Capitation
-used by managed care providers in which members make a standard payment each month regardless of how much service is rendered to the member
Term
Filing insurance claim
Definition
when submitting for reimbursement standard form available labeled HCFA-1500/HCFA-1450 is accepted by most carriers
Term
6 classes of nutrients
Definition
carbohydrates
fats
proteins
vitamins
minerals
water
Term
3 major roles of nutrients
Definition
growth
repair
maintenance of all tissues
Term
Carbohydrates
Definition
-sugar, starches, or fibers
-should account for 55-70% of total caloric intake
-glycolysis is the process that breaks down glucose to produce energy
-4 calories/gram
Term
Fats
Definition
-40-50% of total caloric intake
-may be saturated or unsaturated
-9 calories/gram
Term
Proteins
Definition
12-15% of total calories
RDA: 0.8 gram per kg of desirable body weight
4 calories/gram
Term
Fat-soluble vitamins
Definition
Vitamins A, D, E, K
*possible to consume in excess amount*
Term
Water-soluble vitamins
Definition
Vitamin C, B6, B12
thiamin
riboflavin
niacin
biotin
panothenic acid
*can't be stored in any significant extent in the body and need to be supplied in diet everyday*
Term
Antioxidants
Definition
vitamin C & E
beta-carotine
*may prevent premature aging, certain cancers, and heart disease*
Term
Essential minerals
Definition
calcium
phosphorus
sodium
iron
copper
zinc
iodine
fluorine
Term
Water
Definition
-60% of body weight
-average adult = 2.5 L or 10 glasses of water per day
-replacing fluid after heavy sweating is far more important than replacing electrolytes
Term
Electrolytes
Definition
sodium
chloride
potassium
magnesium
calcium
-maintain balance of water in and out of cell
-electrolyte losses can produce muscle cramping and intolerance to heat
Term
US RDA
Definition
US Recommended Dietary Allowances
Term
DRIs
Definition
Dietary Reference Intakes
Term
ULs
Definition
upper intake levels
Term
EAR
Definition
estimated average requirements
Term
AI
Definition
adequate intake
Term
Calcium deficiency
Definition
-if intake is too low to meet needs, the body can remove calcium from bones
-bone can become weakened and appear porous of x-ray and can be brittle and break spontaneously in a condition called osteoporosis
Term
Lactase deficiency (intolerance)
Definition
lack enzyme called lactase that is need to digest milk sugar lactose
Term
Iron-deficienct anemia
Definition
oxygen carrying ability of RBCs is reduced so that muscles can't obtain enough oxygen to generate energy
person will feel tired and weak
Term
2 types of creatine
Definition
free creatine
phosphocreatine
Term
Herbs
Definition
essentially body balancers that work with body's functions so that it can heal and regulate itself
Term
Ephedrine
Definition
similar to amphetamine
BANNED SUBSTANCE
Term
Vegans
Definition
total vegetarians
consume plant but no animal foods
Term
Lactovegetarians
Definition
consume milk products along with plant foods
Term
Ovolactovegetarians
Definition
consume dairy, eggs, and plant foods
Term
Semivegetarians
Definition
consume animal products except red meat
plants are important part of diet
Term
Glycogen supercompensation
Definition
-maximizing amount of glycogen that can be stored
-reduce training program a few days before competing and by significantly increasing carbohydrate intake during the week before event
Term
Recommendations for restoring muscle glycogen after exercise
Definition
begin consuming carbs to retire supplies as soon as possible after workout to maximize recovery between sessions
Term
Body composition
Definition
Females: 20-25% of body weight made up of fat
Males: 12-15% of body weight made up of fat
Term
Obesity
Definition
Females: body fat above 30%
Males: body fat above 20%
Term
Hydrostatic weighing
Definition
underwater
body composition calculated by comparing the weight of the submerged individual with the weight before entering the tank
Term
Bioelectrical impedance
Definition
measurement of resistance to flow of electrical current through the body between selected points
*fat is poor conductor*
Term
Caloric intake of college athlete
Definition
2000-5000
Term
Hyperinsulinemia
Definition
elevated insulin levels in the blood is the main cause of being over weight
Term
3 processes of calorie expenditure
Definition
basal metabolism (BMR)
work
excretion
Term
Methods of weight loss
Definition
-specific recommendations made my ACSM
-goal should be to lose 1.5-2 lbs/wk
Term
Bulimia Nervosa
Definition
-gorges thousands of calories after period of starvation then purges through induced vomiting, fasting, or use of laxatives
Term
Anorexia Nervosa
Definition
-distorted body image and major concern about weight gain
-deny hunger, hyperactive, highly secretive
Term
Anorexia Athletica
Definition
-specific to athletes that is characterized by several of the feature common to anorexia
Term
Female Athlete Triad Syndrome
Definition
eating disorder
amenorrhea
osteoporosis
Term
Heat can be gained/lost through:
Definition
metabolic heat production
conductive heat exchange
convective heat exchange
radiant heat exchange
evaporative heat exchange
Term
Wet bulb globe temperature (WBGT)
Definition
objective means for determining necessary precautions for practice and competition in hot weather
Term
Dry bulb temperature (DBT)
Definition
recorded from standard mercury thermometer
Term
WBGT <78 F
Definition
-no flag
-normal activity
-extreme exertion may precipitate heat illness
Term
WBGT 78-82 F
Definition
-green flag
-normal activity
-pay special attention to at risk individuals
-use discretion in planning intense exercise
Term
WBGT 82.1-86 F
Definition
-yellow flag
-limit intense exercise to 1 hour
-limit total outdoor exercise to 2.5 hours
Term
WBGT 86.1-89.9 F
Definition
-red flag
-stop outdoor practice sessions and outdoor physical conditioning
Term
WBGT >90 F
Definition
-black flag
-cancel all outdoor exercise requiring physical exertion
Term
Heat rash
Definition
-red, raised rash accompanied by sensations of prickling and tingling during sweating
-usually localized to areas covered with clothing
-prevent by toweling off
Term
Heat syncope
Definition
-rapid physical fatigue during overexposure to heat
-quickly relieved by going in cool environment and replacing fluids
Term
Heat cramps
Definition
-occur because of some imbalance between water and electrolytes
-most common in calf and abdomen
-immediate treatment = ingestion of large quantities of fluids and mild prolonged stretching with ice massage
Term
Exertional heat exhaustion
Definition
-results from dehydration
-unable to sustain adequate cardiac output and can't continue intense exercise
-temp less than 104 degrees
-rehydration should begin immediately then cleared by physician
Term
Exertional heat stroke
Definition
-CNS abnormalities and potential tissue damage resulting from significantly elevated body temp
-temp 104 or higher (107 = death)
-body loses ability to dissipate heat through sweating
-immediate treatment = whole-body cooling
-avoid exercise for minimum of 1 week and gradually return to full practice after being asymptomatic and cleared by physician
Term
Malignant hyperthermia
Definition
-genetically hypersensitive to anesthesia and extreme exercise in hot environment
-muscle breakdown
-disqualified from competing in hot, humid environment
Term
Acute exertional rhabdomyolysis
Definition
-sudden catabolic destruction and degeneration of skeletal muscle accompanied by leakage of myoglobin and muscle enzymes into vascular system
-related to athletes with sickle cell trait
-refer to physician immediately
Term
Exertional hyponatremia
Definition
-fluid/electrolyte disorder that results in abnormally low concentration of sodium in blood
-cause by ingesting too much fluid
-blood sodium <130mmol/L
-transport immediately to hospital
Term
Dehydration
Definition
-mild: loss of less than 2% of body weight
-3-5% loss of body weight will reduce blood volume and lead to health threat
-fluid intake should = fluid loss
-sports drink more effective that water for fluid replacement
-need to drink fluids when cold in order to keep blood volume high to be available for warming tissues
Term
Prevention of hyperthermia
Definition
gradual acclimatization
identification of susceptible individual
lightweight uniforms
routine weight record keeping
unrestricted fluid replacement
well-balanced diet
routine temperature and humidity readings
Term
Gradual Acclimatization
Definition
-progressive exposure should occur over 7-10 day period
Term
Hypothermia
Definition
-low temps accentuated by wind and dampness can pose major problems
-65% of heat produced by body is lost through radiation
-most often occurs through head and neck (50% of heat loss)
-shivering ceases below body temp of 85-90 F
-death imminent if below 77-85 F
Term
Frostnip
Definition
-skin initial appears firm with cold painless areas that may peel or blister
-firm sustained pressure of hand/ blow hot breath on spot for treatment
Term
Frostbite
Definition
*Chilblains*
-skin redness, swelling, tingling, pain in toes and fingers
SUPERFICIAL: skin and subcutaneous layers
>appears pale, hard, cold, and waxy
>first feels numb then stings and burns
DEEP: medical emergency
>during rewarming becomes blotchy red,swollen, and extremely painful
>may become gangrenous
Term
Altitude
Definition
-body compensates for decrease in max oxygen uptake with corresponding tachycardia and hyperventilation
-have athlete arrive 2-3 weeks before competition provides the best adjustment period
-can cause pulmonary edema at 9000-10,000 ft
Term
Acute Mountain Sickness
Definition
-7000-8000ft
-nausea, headache, vomiting, sleep disturbance, dyspnea
-last up to 3 days
Term
Major types of skin cancer
Definition
basal cell carcinoma
squamous cell carcinoma
malignant melanoma
Term
Lightning safety
Definition
-if you hear thunder or see lightning you are in immediate danger and should seek protection
-flash to bang: # of seconds from lighting flash until sound of thunder divided by 5
-NATA recommend 30 minutes should pass after the last sound of thunder is heard or lightning stoke is seen before resuming play
Term
Sulfur dioxide
Definition
causes:
increased resistance to air movement in and out of lungs
decreased ability of lungs to rid themselves of foreign matter
shortness of breath
coughing
fatigue
increased susceptibility of lung diseases
Term
Carbon monoxide
Definition
reduces hemoglobins ability to transport and release oxygen in body
Term
Circadian dysrhythmia
Definition
jet lag
Term
Pleurisy
Definition
inflammation of the lining of the lungs and chest that leads to chest pain when taking a breath or cough
Term
Spontaneous pneumothorax
Definition
-collection of air or gas in the space between the lungs and the chest that "collapses" the lung and prevents it from inflating completely
-no apparent mechanism of injury
Term
Boutonniere deformity
Definition
-rupture of extensor tendon dorsal to the middle phalanx
-trauma occurs to tip of finger
-splint PIP joint in extension for 5-8 weeks
Term
de Quervain's disease
Definition
-stenosing tenosynovitis in thumb
-first tunnel of the wrist becomes contracted and narrowed as result of inflammation of synovial lining
-constant wrist movement can be source of irritation
Term
Lunate dislocation
Definition
-most common dislocation of a carpal bone usually cause by FOOSH
-usually dislocated on the palmar side (anterior)
-physician needed for reduction
Term
Swan-neck deformity
Definition
*pseudoboutonneire deformity*
-splinting at 20-30 degrees of flexion for 3 weeks
Term
Most common site of Achilles tendon rupture
Definition
1-2in proximal to distal attachment of tendon
Term
Ground fault interruptors
Definition
protection from electrical outlets in hydro-room
Term
Raynaud's phenomenon
Definition
vasospasm of digital arteries in hands and feet
Term
Guyon's canal
Definition
*Handlebar palsy*
can compress ulnar artery and nerve causing numbness and tingling in ring finger and little finger
Term
PRN
Definition
as needed
Term
QID
Definition
4x/day
Term
TID
Definition
3x/day
Term
BID
Definition
2x/day
Term
PC
Definition
after meals
Term
BT
Definition
bedtime
Term
UCL sprain prevention in youth baseball
Definition
-develop sound mechanics
-limit pitch count
Term
What can be taken to when there is decreased bone mineralization in females?
Definition
calcium
vitamin D
Term
Common mechanism of gamekeepers thumb
Definition
forceful abduction of 1st MCP joint
Term
Medication for herpes simplex
Definition
antiviral meds
>acyclivir
Term
Waiver
Definition
athlete voluntarily surrenders right to sue university for damages in event of an injury
Term
Diapedisis
Definition
The movement or passage of blood cells, especially white blood cells, through intact capillary walls into surrounding body tissue.
Term
Margination
Definition
free-flowing leukocytes exit the central blood stream, and initiate leukocyte and endothelial cell interactions by close mechanical contact
Term
Most likely causes of tarsal tunnel syndrome
Definition
-flexor hallucis longus trauma
-calcaneal fx
-fracture of distal tibia
-medial ankle sprain
Term
Primary mechanisms of NSAIDS
Definition
decrease in prostaglandin production
Term
What complication with disordered eating can cause sudden death?
Definition
electrolyte abnormalities
Term
Dysmenorrhea
Definition
-painful menstruation
-may be caused by ischemia, hormonal imbalance, or endometriosis
Term
Bennett's fracture
Definition
-fracture of carpometacarpal joint as a result of an axial and abduction force to the thumb
Term
Preiser's disease
Definition
-avascular necrosis of scaphoid
-caused by repetitive microtrauma
-initially treated by immobilizing in a cast but usually requires surgical intervention
Term
Signs and symptoms of mandibular fracture
Definition
-loss of normal occlusion
-blood around teeth
-pain when biting down
Term
Contraindication of spinal traction
Definition
osteoporosis
Term
Proper lifting technique
Definition
-brace abs
-keep neutral spine
-use hip and knee extensors to lift object
Term
Myocarditis symptoms
Definition
-mild fatigue
-systemic body aches
-pitting edema
-palpitations
Term
Position of patient for hamstring injury hip spica
Definition
-knee flexion
-hip extension
Term
OSHA precautions for Hepatits B
Definition
disinfectant must stay on surface for 10 minutes
Term
Accuracy of which output will be ensured by calibrating therapeutic US generator?
Definition
duty cycle
Term
Blow out fracture symptoms
Definition
-asymptomatic
-numbness
-sunken globe
Term
Battle's sign
Definition
-mastoid ecchymosis
-fracture of middle cranial fossa of skull
-could indicate underlying brain damage
Term
Hyperglycemia
Definition
-blood glucose 210 mg/dL
-evidence of ketones in urine
-excessive thirst
-frequent urination
Term
Zero-based budgeting
Definition
-requires directors to justify every expense without reference to previous spending patterns
-prioritization of functions within mission
-directors must include rationale for each item in budget request
Term
Fixed budgeting
Definition
-project both expenditures and program income on a month-by-month basis to determine program costs and revenue for the year
-best for large clinics
Term
Variable budgeting
Definition
-expenditures for given time period are adjusted according to revenues for the same period
-predict the monthly balance of expenditures to revenue
-adjust expenditures to actual revenues
Term
Lump-sum budgeting
Definition
-provided a fixed sum of money and authority to spend money any way seen fit
-can use money where needed
Term
Line-item budgeting
Definition
-anticipate expenditures for specific categories
-money can't be moved from one line to another without permission
Term
Performance budgeting
Definition
-break functions of sports med program into discrete activities and appropriates the funds necessary to accomplish activities
Term
Capital equipment and improvement
Definition
-treat equipment repair as consumable supply
-develop priority lists for capital equipment and improvement requests with documentation of need
Term
Operating budget
Definition
estimates of the total value of resources required for the performance of the operation including reimbursable work or services for others
Term
Capital budget
Definition
used for things such as estim, US, treatment tables, etc.
Term
Spending ceiling model
Definition
requires justification of expenditures exceeding that of previous year
Term
Spending reduction model
Definition
reduce expenditures to preserve institutional budget
Term
Cranial Nerve I
Definition
Olfactory
smell
Term
Cranial nerve II
Definition
optic
vision
Term
Cranial nerve III
Definition
oculomotor
eye movement, opening of eyelid, constriction of pupil, focusing
Term
Cranial nerve IV
Definition
trochlear
eye movement
Term
Cranial nerve V
Definition
trigeminal
sensation to the face, mastication
Term
Cranial nerve VI
Definition
abducens
motor, lateral eye movements
Term
Cranial nerve VII
Definition
facial
movement and feeling of face
Term
Cranial nerve VIII
Definition
vestibulocochlear
hearing and balance
Term
Cranial nerve IX
Definition
glossopharyngeal
swallowing and voice
Term
Cranial nerve X
Definition
vagus
gag reflex
Term
Cranial nerve XI
Definition
accessory
neck strength
Term
Cranial nerve XII
Definition
hypoglossal
tongue movement
Term
Shoulder normal ROM
Definition
flexion: 180
extension: 50
adduction: 40
abduction: 180
IR: 90
ER: 90
Term
Elbow normal ROM
Definition
flexion: 145
Term
Forearm normal ROM
Definition
pronation: 80
supination: 85
Term
Wrist normal ROM
Definition
flexion: 80
extension: 70
abduction (radial deviation): 20
adduction (ulnar deviation): 45
Term
Hip normal ROM
Definition
flexion: 125
extension: 10
abduction: 45
adduction: 40
IR: 45
ER:45
Term
Knee normal ROM
Definition
flexion: 140
Term
Ankle normal ROM
Definition
PF: 45
DF: 20
Term
Foot normal ROM
Definition
inversion: 40
eversion: 20
Term
According to Americans with Disabilities Act, who should make the final decision regarding a disable athlete's participation in sport?
Definition
The individual athlete
Term
Bioavailability
Definition
how completely a particular drug is absorbed by the system
Term
Volume of distribution
Definition
volume of plasma in which drug is dissolved
Term
Efficacy
Definition
drug's capability of producing a specific therapeutic effect
Term
Potency
Definition
dose of a drug required to produce a desired therapeutic effect
Term
Biotransformation
Definition
transforming a drug so it can be metabolized
Term
Metabolism
Definition
changing a drug into a water soluble compound that can be excreted
Term
Half-life
Definition
rate at which a drug disappears from the body through metabolism and excretion
Term
Steady-state
Definition
when the amount of the drug taken is equal to the amount that is excreted
Term
Administration of drugs
Definition
-prescription drugs MUST be prescribed by person licensed by the law
-administration of single doses of nonprescription medicines to athlete by member of athletic staff depends of philosophy of school district and must be under direction of team physician
Term
Addiction
Definition
body response to certain types of drugs that produces both physiological need and psychological craving for the substance
Term
Antagonistic action
Definition
results observed when medication, used together, have adverse effects or counteract one another
Term
Cumulative effect
Definition
exaggerate drug effects which occur when the body is unable to metabolize a drug as rapidly as it is administered
*may cause unfavorable rxns*
Term
Depressive action
Definition
effect from drugs that slow down cell function
Term
Habituation
Definition
individual's development of a psychological need for specific medication
Term
Hypersensitivity
Definition
allergic response to a specific drug
Term
Idiosyncrasy
Definition
unusual reaction to a drug
Term
Irritation (drug)
Definition
process caused by substances that result in a cellular change
Term
Paradoxical reaction
Definition
effect that is exact opposite of what is intended
Term
Potentiating agent
Definition
increases the effect of another drug
Term
Specific effect
Definition
action usually produced by drug in a select tissue or organ
Term
Side effect
Definition
drug given for a particular condition but affects other body areas
Term
Side effect
Definition
drug given for a particular condition but affects other body areas
Term
Stimulation
Definition
drugs that speed up cell activity
Term
Synergistic effect
Definition
when drugs given together produce a greater effect then when given alone
Term
Tolerance
Definition
certain drug dosage is no longer able to give a therapeutic action and must be increased
Term
in vitro
Definition
in lab
Term
in vivo
Definition
in body
Term
Drugs that combat infection
Definition
local antiseptics
disinfectants
antifungal agents
antibiotics
Term
Types of antiseptics and disinfectants
Definition
alcohol
phenol
halogens
oxidizing agents
Term
Types of antibiotics
Definition
penicillin
bacitracin
tetracycline
erythromycin
sulfonamides
quinolones
Term
Most common inhalers
Definition
meter-dosed inhalers
dry powder inhalers
Term
Drugs used to inhibit pain and inflammation
Definition
counterirritants
local anesthetic
narcotic analgesics
antipyretics
Term
Counterirritants
Definition
inhibit pain sensation
spray coolants
alcohol
cold
menthol
local anesthetics
Term
Narcotic analgesics
Definition
depress pain impulses and individuals respiratory center
codeine
propoxyphene hydrochloride
morphine
meperidine
Term
Nonnarcotic analgesics and antipyretics
Definition
suppress all but the most severe pain
acetaminophen
Term
Antiinflammatories
Definition
acetylsalicylic acid (aspirin)
NSAIDs
corticosteroids
Term
Acetylsalicyclic acid
Definition
aspirin
act in reducing pain, fever, and inflammation
Term
NSAIDs
Definition
strong inhibitors of prostaglandin synthesis
Term
Corticosteroids
Definition
used for chronic inflammation of musculoskeletal and joint regions
Term
Drugs used to treat GI tract
Definition
antacids
antiemetics
carminatives
cathartics (laxatives)
antidiarrheals
histamine-2 blockers
Term
Antacids
Definition
neutralize acidity in the upper GI tract by raising pH and inhibiting the activity of the digestive enzyme pepsin
Term
Antiemetics
Definition
treat nausea and vomiting
Term
Carminatives
Definition
gas relief
Term
Cathartics
Definition
laxatives
Term
Histamine-2 blockers
Definition
reduce stomach acid output by blocking the action of histamine of certain stomach cells
Term
Drugs used to treat colds and allergies
Definition
nasal decongestants
antihistamines
cough suppressants
sympathomimetics
Term
Nasal decongestants
Definition
mild vasocontricting agents
Term
Antihistamines
Definition
beneficial to allergies
little benefit in treating common cold
Term
Cough medicines
Definition
suppress cough (antitussives)
increase production of fluid in respiratory system (expectorants)
Term
Sympathomimetics
Definition
used to treat exercise-induced bronchospasm (EIB)
Term
Drugs used to control bleeding
Definition
vasoconstrictors
hemostatic agents
anticoagulants
Term
Ergogenic Aids
Definition
performance enhancing substances
Term
Stimulants
Definition
increase alertness, competitiveness, and hostility,reduce fatigue
amphetamines
caffeine
Term
Beta blockers
Definition
inhibit the action of catecholamines
primarily for hypertension and heart disease
Term
Diuretics
Definition
increase kidney excretion by decreasing resorption of sodium
Term
Anabolic steroids
Definition
androgenic effects:
-growth development
-maintenance of reproductive tissues
-masculinizaton
anabolic effects:
-promote nitrogen retention
-protein synthesis in skeletal muscles
-increased muscle mass, weight, growth, and bone maturation

*Tetrahydrogestrinone (THG) - used by athletes to improve performance
Term
Androstenedione
Definition
produce transient increase in testosterone in males and females for enhancing athletic performance
*banned*
Term
Drug testing
Definition
-NCAA requires all athletes to sign consent form agreeing to participate in drug testing program throughout year
-USOC test athletes on random basis and ALL athletes before sanctioned competition
Term
According to the Americans with Disability Act, who should make the final decision regarding a disabled athlete's participation in sport?
Definition
Individual athlete
Term
What helps prevent cryotherapy injury?
Definition
Placing damp towel between skin and ice pack
Term
Diuretic that helps lose weight quickly and is banned by Olympic Committee?
Definition
Furosemide
Term
Salbutamol
Definition
albeutrol (used for bronchospasms)
Term
Salicylates
Definition
ingredient in aspirin
Term
Preventing ingrown toenails
Definition
Trim toenails weekly and cut them straight across
Term
Proper construction of a running shoe
Definition
-midsole should be somewhat soft, but not easily flattened out.
-should good forefoot flexibility
-heel counter should be strong and fit well around the foot
Term
Allergic rhinitis medication that can have drowsy effect
Definition
Antihistamines
Term
Expectorants
Definition
suppress coughing
Term
Antipyretic agents
Definition
fever reducers
Term
Adverse effects of anabolic steroids on females
Definition
severe acne
increased libido
deep voice
change in menstrual cycle
Term
Minimize the negative effects of jet lag
Definition
drink adequate amount of fluids to avoid dehydration
Term
Effects of chronic use of chewing tobacco
Definition
leukoplakia (spots on tongue)
mouth and throat cancer
bad breath
Term
Antioxidant
Definition
nutrient that protects the cell from detrimental effects of substances that may cause health problems, such as premature aging
Term
Patients who should avoid high volume, high intensity plyometric exercises
Definition
patients who weigh more than 220 pounds
Term
Keratoderma prevention
Definition
*callus*
-wearing 2 pairs of socks
-applying lubricant to the skin to prevent friction
-using glove or moleskin
-wearing properly fitted shoes
Term
Torus fracture
Definition
-results from trabecular compressive force
-frequently involves distal radial metaphysis
Term
How many servings of fruit should an athlete have as minimal daily requirement?
Definition
servings based on athlete's height and weight
Term
How long should a stretch be held?
Definition
10-30 seconds as long as it feels comfortable
Term
Results of a diet low in carbohydrates
Definition
fatigue
hypoglycemia
ketosis
headaches
Term
Neural effects of resistance training
Definition
-increase motor unit activation and recruitment
-increased discharge frequency and motor neurons
-decreased neural inhibitions
-increased neuromuscular efficiency
Term
To prevent hazardous electrical problems, what should never be used in an athletic training facility?
Definition
multiple adapters
extension cords
Term
When is the best time to have athletes practice outdoors in an urban environment?
Definition
very late afternoon/early evening
Term
Preventing infectious diseases
Definition
-appropriate diet, recovery time, and sleep
-use individual water bottles, towels, uniforms, and personal equipment
-frequent laundering of uniforms
Term
Stage of disease prevention that focuses on early detection and appropriate referral
Definition
secondary stage
Term
Infections that are transmitted through the air
Definition
meningitis
pneumonia
tuberculosis
scarlet fever
Term
Sign and symptoms of dehydration
Definition
sunken, soft eyes
high specific of gravity in urine
weight loss
thirst
Term
Most likely forefoot deformity that causes medial tibial stress syndrome
Definition
pronation creating tension on proximal posterior tibialis attachment
Term
Most appropriate when developing treatment protocol policy using evidence-based medicine
Definition
thoroughly reviewing literature
Term
Descriptive research studies should include
Definition
- existing preformed group of subjects
- methods of recording presence of variable
- random assignment of volunteer participants
Term
Salter-Harris fractures
Definition
classification of long bone epiphyseal injuries in children
Term
Hordeolum
Definition
stye of eye
Term
Visual acuity
Definition
first number is what you can see compared to the bottom number which an average person can see
Term
Metatarsalgia
Definition
- pain in the ball of the foot
- most commonly under second and third metatarsal head
Term
Tailor's bunion
Definition
affects the 5th metatrsophalangeal joint
little toe angulates towards 4th toe
Term
Signs and symptoms of meningitis
Definition
high fever
severe headache
(+) Kernig's sign
stiff neck
Term
Aniscoria
Definition
unequal pupil size
Term
Emmetropia
Definition
sharp focus when the lens of the eye is relaxed
Term
Hypemetropia
Definition
farsightedness
Term
Agencies associated with developing plans for MRSA
Definition
CDC
local health dept.
OSHA
Term
Proper management of heat stroke
Definition
immerse patient in ice water
Term
What most likely refers pain to low back?
Definition
kidney stones
Term
Cardiovascular effects on pregnant women
Definition
increased HR
decreased BP
Term
Deep vein thrombosis signs and symptoms
Definition
diminished dorsal pedal pulse
palpable warmth and tightness in calf
(+) Homan's sign
Term
What best determines the scope of practice for clinical ATs?
Definition
Laws of the state
Term
Nystagmus
Definition
involuntary lateral movement of eye
indicative of CNS lesion
Term
What bloodborne pathogen can be picked up from dried blood?
Definition
Hepatitis B
Term
Primary purpose of organizations policy and procedures manuals
Definition
To address common needs of organizations and employees
Term
Signs and symptoms of L4-L5 disk herniation
Definition
- parasthesia at dorsum of foot
- weakness during big toe extension
Term
Archimedes principle
Definition
upward buoyant force on the body when immersed in water is equal to the amount of water displaced
Term
Law of Grotthus Draper
Definition
radiation produces photochemical action only through absorption of its energy by the substance affected
Term
Chronic injury to long thoracic nerve indicates rehab for what muscle?
Definition
serratus anterior
Term
Traction pneumothorax
Definition
- pain at site of impact
- dyspnea
- cyanotic
- tracheal deviation away from injured site
Term
Traumatic asphyxia
Definition
violent blow or compression of rib cage that causes breathing to stop
Term
Ventricular fibrillation
Definition
inability to pump blood due to rapid unorganized contraction
Term
Ventricular tachycardia
Definition
rapid heartbeat that starts in the ventricles
Term
PPO
Definition
provide discounted healthcare and have specified provider networks
Term
CSA
Definition
*Canadian Standards Association*
essential for all hockey players to wear protective helmets that carry stamp from this association
Term
Mouth guards
Definition
- properly fitted mouth guards protect the teeth, absorbs blows to the chin, and can prevent concussion
- max protection when mouth guard is composed of flexible, resilient material and formed to fit teeth and upper jaw
Term
2 types of contact lenses
Definition
corneal
scleral
Term
Cantilevered football pads
Definition
bulkier
worn by players who do lots of blocking and tackling
Term
Noncantilevered football pads
Definition
less bulky
worn by QBs and receivers
Term
Athletic socks
Definition
-should be a combo of cotton and polyester (dries faster and less bulky)
-should be clean and dry without holes
-socks that are the wrong size can irritate the skin
Term
Shoe selection
Definition
Toe box : plenty of room
Sole : three layers
1. thick spongy layer to absorb force at foot strike
2. midsole that cushions the mid foot and toes
3. hard rubber layer that contacts ground
Heel counters : prevents foot from rolling side to side at heel strike
Term
Shoe fitting measurements
Definition
distance form heel to MTP joint
distance from heel to end of longest toe
Term
Protective knee braces
Definition
used prophylactically to prevent injuries to the MCL in contact sports
Term
Rehabilitative braces
Definition
used after surgical repair of knee joint to allow for controlled progressive immobilization
Term
Functional knee braces
Definition
provide support during functional activities
Term
Neoprene knee braces with medial and lateral supports
Definition
used on athletes that have sustained injury to collateral ligaments
Term
Neoprene knee sleeves
Definition
used to support patellofemoral conditions
Term
Emergency Action Plans
Definition
-develop separate plans for each sport field
-determine personnel who will be on the field during practices and competitions and understand responsibility
-decide what emergency equipment should be available
-phones readily accessible
-familiar with community based emergency care delivery
-inform personnel of EAP annually
-carry contact info of athletes, coaches and personnel
-should include plans of how to deal with injuries in crowd
Term
Person making emergency phone call should know:
Definition
type of emergency situation
type of suspected injury
present condition of athlete
current assistance being given
location of phone being used
exact location of emergency
Term
Emergency practice sessions
Definition
should be held once a year for ATs and EMTs
(EMTs get the final say on how athlete is to be transported)
Term
Primary survey
Definition
assesses life threatening injuries
Term
Secondary survey
Definition
performed after life threatening injuries are ruled out
Term
Parental consent
Definition
if no informed consent forms are signed, implied consent on the part of the athlete to save a life takes precedence
Term
Life-threateing conditions
Definition
airway obstruction
no breathing
no circulation
profuse bleeding
shock
Term
Administering Supplemental Oxygen
Definition
-air that a person normally breathes contains 21% oxygen
-rescue breathing the victim only receives 16% oxygen
-bag valve mask provides 21% oxygen
Term
External bleeding management
Definition
direct pressure
elevation
pressure points
Term
Shock
Definition
quantity of plasma moves from blood vessels into tissue spaces of body leaving blood cells within the vessels causing stagnations and slowing of blood flow
Term
Signs of shock
Definition
low BP
systolic BP below 90 mmHG
rapid weak pulse
drowsy and sluggish
shallow and rapid respiration
pale, cool, clammy skin
Term
Hypovolemic shock
Definition
stems from trauma where there is blood loss
Term
Respiratory shock
Definition
occurs when lungs are unable to supply enough O2 to circulating blood
Term
Neurogenic shock
Definition
caused by general dilation of blood vessels in cardiovascular system
Term
Psychogenic shock
Definition
syncope
temporary dilation of blood vessels that reduce normal amount of blood to brain
Term
Cardiogenic shock
Definition
inability of heart to pump blood to body
Term
Septic shock
Definition
occurs from severe bacterial infection
Term
Anaphylactic shock
Definition
occurs from allergic rxn
Term
Metabolic shock
Definition
occurs when severe illness such as diabetes goes untreated
Term
Shock management
Definition
-maintain body temp
-elevate feet and legs 8-12 in
Term
Vital signs to observe in secondary survey
Definition
pulse (60-100 bpm)
respiration (12-20 breaths/min)
BP
Temp
Skin color
Pupils
LOC
Movement
Abnormal nerve response
Term
Level of consciousness measurements
Definition
AVPU scale:
Alert
Verbal
Pain
Unresponsive

ACDU Scale:
Alert
Confused
Drowsy
Unresponsive
Term
Emergency Emotional Care
Definition
*American Psychiatric Association*
-accept everyones rights to personal feelings
-accept injured persons limitations are real
-accept your own limitations as first aid provider
Term
Fitting crutches
Definition
-6 in from outer margin of shoe and 2 in in front of shoe
-1 in below anterior fold of axilla
-elbow flexed at 30 degree angle
Term
Cane fitting
Definition
measurement taken from superior aspect of greater trochanter of femur to floor
Term
Using stairs with crutches
Definition
up with the good
down with the bad
Term
C1 dermatome and myotome
Definition
D: top of head
M: resisted neck flexion
Term
C2 D and M
Definition
D: temporal and occipital regions of head
M: resisted neck flexion
Term
C3 D and M
Definition
D: neck and posterior cheek
M: lateral neck flexion
Term
C4 D and M
Definition
D: superior shoulder and clavicle
M: resisted shoulder shrugs
Term
C5 D and M
Definition
D: deltoid patch and lateral arm
M: resisted shoulder abduction
Term
C6 D and M
Definition
D: lateral forearm thumb and index finger
M: elbow flexion
Term
C7 D and M
Definition
D: posterior lateral forearm and middle finger
M: resisted wrist flexion
Term
C8 D and M
Definition
D: medial forearm, ulna border, ring and little fingers
M: resisted thumb extension
Term
T1 D and M
Definition
D: medial side or forearm and upper arm
M: finger abduction and adduction
Term
L1 D and M
Definition
D: back, hip, and groin
M: resisted hip flexion
Term
L2 D and M
Definition
D: anterior superior thigh, medial thigh about knee
M: resisted hip flexion
Term
L3 D and M
Definition
D: anterior thigh and medial knee
M: resisted knee extension
Term
L4 D and M
Definition
D: lateral thigh/knee, anterior medial lower leg, medial aspect of big toe
M: resisted DF
Term
L5 D and M
Definition
D: lateral knee and lateral lower leg and top of foot
M: resisted great toe extension
Term
S1 D and M
Definition
D: butt, posterior lateral thigh, lateral plantar surface of foot
M: resisted PF
Term
S2 D
Definition
D: butt, posterior medial thigh, and medial plantar surface of foot
Term
Soft-tissue end feel
Definition
soft and spongy (knee flexion)
Term
Capsular end feel
Definition
Abrupt, hard, firm endpoint (end point of hip rotation)
Term
Bone to bone end point
Definition
distinct and abrupt end point (elbow in full extension)
Term
Muscular end point
Definition
springy feel (end of shoulder abduction)
Term
Empty end feel
Definition
abnormal
movement beyond normal anatomical ligament (complete ligament rupture)
Term
Spasm end feel
Definition
Abnormal end point
involuntary muscle contraction that prevents motion
(back spasms)
Term
Loose end feel
Definition
abnormal
extreme hypermobility (previously sprained ankle)
Term
Springy block end feel
Definition
abnormal
rebound at endpoint (meniscus tear)
Term
Manual Muscle Strength Grading
Definition
5 (Normal): complete ROM against gravity with full resistance
4 (Good): Compete ROM against gravity and some resistance
3 (fair): Complete ROM against gravity with no resistance
2 (poor): Complete ROM with gravity omitted
1 (trace): Evidence of slight contractility with no joint motion
0: No evidence of muscle contractility
Term
Neurological examination
Definition
Cerebral function
Cranial nerve function
Cerebellar function
Sensory testing
Reflex testing
Motor testing
Term
Reflexes
Definition
C5: biceps
C6: brachioradialis
C7: triceps
L4: patella
S1: Achilles
Term
Arthrography
Definition
visual study of a joint via X-ray after an opaque dye or air is injected into joint space
Term
Arthroscopy
Definition
invasive procedure requiring anesthesia and a small incision for the arthroscope into joint space
Term
Myelography
Definition
opaque dye injected into spinal canal through lumbar puncture
can contract tumors, nerve root compression, and disk disease
Term
Computed Tomography (CT)
Definition
penetrates body with thin, fan shaped X-ray beam producing cross-sectional view of the tissues
Term
Bone scanning
Definition
intravenous introduction of radioactive tracer imaging the skeleton
Term
Magnetic Resonance Imaging (MRI)
Definition
surround body with powerful electromagnets producing different images
Term
Ultrasonography
Definition
ultrasound
Term
Echocardiography
Definition
ultrasound to produce images of cardiac structures
Term
Electrocardiography
Definition
records electrical activity of the heart to determine impulse formation, conduction, depolarization, depolarization
Term
Electroencephalography
Definition
records electrical potentials produced in brain
Term
Urinalysis
Definition
acidic: diabetes, dehydration
alkaline: UTI, kidney disease
ketones: diabetes
hemoglobin: extensive exercise, kidney disease
protein: kidney disease
nitrate: infection
Term
Depressed fracture
Definition
occurs most often in flat bones like the skull
Term
Greenstick fracture
Definition
incomplete breaks in bone that have not completely ossified (adolescents)
Term
Impacted fracture
Definition
result from a fall from a height
require immediate splinting and traction
Term
Longitudinal fracture
Definition
bone splits along its length
Term
Spiral fracture
Definition
S-shaped separation
torsion mechanism
Term
Oblique fracture
Definition
two bony fragments have a saw tooth, sharp edged fracture line, usually caused by direct blow.
can cause extensive internal damage
compression, torsion, and bending mechanism
Term
Transverse fracture
Definition
occurs in straight line
right angle to bone shaft
bending mechanism
Term
Commuinuted fracture
Definition
three or more fragments at fracture site
Term
Contrecoup fracture
Definition
occurs on opposite side to point at which trauma initiated
Term
Blowout fracture
Definition
occur to wall of eye orbit
Term
Avulsion fracture
Definition
separation of a bone fragment from its cortex at an attachment of a ligament or tendon
Term
Stork Test
Definition
usually associated with disk problems
spondylolysis or spondylolisthesis
Term
Slump test
Definition
neural tension
Term
Straight leg raise
Definition
nerve root or sciatic nerve irritation
Term
Kernig's Test
Definition
nerve root impingement can be caused by bulging disk or bony entrapment
meninges irritation
*add neck flexion to make it Brudzinskis test*
Term
Wells straight leg raise
Definition
symptoms down opposite leg
nerve root inflammation along sciatic nerve
Term
Milgram Test
Definition
hold legs up close to the table
disk puts pressure on lumbar root
Term
Bowstring test
Definition
differentiates between hamstring tightness and nerve (sciatic) irritation
Term
Faber Test
Definition
Hip or SI problem
Term
Fadir test
Definition
basically cross over stretch
hip or SI problem
Term
Press ups
Definition
radiating pain through butt and thigh
herniated disk if posteriorly displaced
Term
Spring test
Definition
hyper/hypo mobility of specific vertebral segment
Term
Thomas Test
Definition
hip flexor tightness
(rectus, illiopsoas, IT band)
Term
Gaenslen's Test
Definition
hip and SI joint dysfunction
off the side Thomas test (increased pain with pressure)
Term
Nobel's Test
Definition
flex knee back and forth
pain @ 30 degrees of flexion with finger over lateral femoral condyle
Term
Leg length discrepancy
Definition
True (anatomical): ASIS to medial malleolus
Apparent (functional): bellybutton to medial malleolus
Term
Thessaly Test
Definition
for meniscus
twisting while standing on one leg
Term
Feiss Line
Definition
used to determine pes caves and pea plans
Term
Mulder sign
Definition
reproduces intermetatarsal neuroma symptoms
Term
ATC IS IT
Definition
Avoid Aggravation
Timing
Compliance
Individualism
Specific Sequencing
Intensity
Total Athlete
Term
Inflammation phase
Definition
0-7 days
vascular rxn
5 signs of inflammation
cellular response
secondary ischemia
Term
Proliferation phase
Definition
4-21 days
repair or regenerate
fibroblasts to scar tissue
collagen fibers parallel to stress
collagen type III to type I
Term
Remodeling phase
Definition
up to 2 years
back to normal function
Term
4 phases of fracture healing
Definition
inflammation
soft callous
hard callous
bone remodeling
Term
Stretch reflex
Definition
quick stretch of muscles activates muscle spindles
muscle reflexively contracts
Term
Autogenic inhibition
Definition
muscle is stretched and GTO activated
muscle relaxes as protective mechanism
Term
Reciprocal inhibition
Definition
relaxation of antagonist muscle when contracting agonist
Term
Contract-relax
Definition
passively stretch muscle, isometric contraction, relax, passive stretch
Term
Hold-relax
Definition
passive stretch
isometric contraction
active stretch
Term
slow reversal-hold-relax
Definition
isotonic contraction to actively stretch, isometric contraction, active stretch
Term
Grades of movement
Definition
I: small amplitude at beginning range

II: large amplitude within range but not reaching either end range

III: large amplitude at beginning range and reaching end of range

IV: small amplitude at end range

V: small amplitude, high velocity thrust at end range
Term
Type I muscle fibers
Definition
slow, oxidative
Term
Type IIA muscle fiber
Definition
fast oxidative, glycolytic
Term
Type IIx
Definition
fast glycolytic, fast fatiguable
Term
FIT principle
Definition
frequency
intensity
time
Term
Criteria to release athlete
Definition
physician approval
pain free
no swelling
equal ROM
equal strength
risk of re-injury
Term
Muscle Reeducation E-stim
Definition
high volt pulsed or medium frequency biphasic
pulse duration: 300-600 microseconds
35-55 pps (produce tetanic contraction)
Modulation: 1:1, 1:4, 1:5
15 minutes
work with stim to contract muscle
Term
Muscle pumping contraction to reduce edema estim
Definition
high-volt pulsed, medium frequency biphasic
pulse duration: 300-600 microsec
35-50 pps
Modulation: 5-10 sec on/ 5-10 sec off
20-30 min
Term
Retardation of atrophy estim
Definition
high-volt
pulse duration: 300-600 microsec
50-85 pps
Modulation: 6-15 sec on/ off for at least a minute
15-20 min/minimum of 10 contractions
Term
Muscle strengthening estim
Definition
high-volt, russian
pulse duration: 300-600 microsec
70-85 pps
modulation: on 10-15 sec, off 2 min
10 reps 3x/wk
work with electricity
Term
Increasing ROM estim
Definition
high-volt, russian
duration 300-600 microsec
40-60 pps
modulation: on 15-20 sec, off equal or greater to reduce fatigue
90 minutes daily, 3x30
Term
Conventional TENS estim
Definition
IFC, premod
pulse duration: 75-150 microsec
80-125 pps
30 min
Term
Asthma breath sounds
Definition
wheezing
Term
Pnuemonia breath sounds
Definition
crackles
Term
Pneumothorax breath sounds
Definition
no sound, decreased sound
Term
Anterior GH instability tests
Definition
Apprehension test
relocation test
anterior release test
anterior drawer test
Term
Posterior GH instability special tests
Definition
posterior apprehension test
jerk test
posterior drawer test
Term
Inferior GH instability special tests
Definition
sulcus test
Term
Impingement and Subacromial Bursitis special tests
Definition
active impingement test
neer's impingement test
hawkins-kennedy test
drop arm test
impingement relief test
Term
Rotator cuff tendinopathy special tests
Definition
drop arm test
empty can test
*testing supraspinatus*
Term
Sign of serratus anterior muscle weakness
Definition
winged scapula
Term
Biceps tendon special tests
Definition
yergason's test
speed's test
ludington's test
Term
SLAP lesion special tests
Definition
active compression test (O'Briens)
anterior slide test
compression-rotation test
Term
Thoracic Outlet special tests
Definition
adson's test
allen test
military brace position
roo's test
Term
Phalen's test
Definition
carpel tunnel syndrome
Term
Finkelstein test
Definition
deQuervain syndrome
Term
NATA code of ethics
Definition
I. Respect rights
II. Comply with laws
III. Maintain high standard
IV. No conflict of interest
Term
Cold whirlpool temperature
Definition
50-65 degrees
Term
Hydrocollator temperatures
Definition
165-175 degrees
Term
Paraffin temperatures
Definition
UE 126-135 degrees
LE 113-126 degrees
Term
Warm whirlpool temperatures
Definition
98-110 degrees
Term
Primary prevention
Definition
used before someone gets a disease
Term
Secondary prevention
Definition
after the disease has occurred but before the patient notices anything is wrong
early treatment
Term
Tertiary prevention
Definition
prevent damage and pain from disease
slow down disease
prevent disease from causing complications
Term
Periodization
Definition
dividing annual training plan into smaller segments, phases, or cycles
Term
Ranchos Los Amigos Amnesia Scale
Definition
determines patients level of cognitive functioning
Term
Glasgow Coma Scale
Definition
important in assessing the severity of head injury
Term
Golfer's elbow test
Definition
positive with inflammation at site of medial epicondyle of elbow
Term
Salter Harris fracture types
Definition
I: A transverse fracture through the growth plate

II: A fracture through the growth plate and the metaphysis, sparing the epiphysis

III: A fracture through growth plate and epiphysis, sparing the metaphysis

IV: A fracture through all three elements of the bone, the growth plate, metaphysis, and epiphysis

V: A compression fracture of the growth plate (resulting in a decrease in the perceived space between the epiphysis and diaphysis
Term
What two structures are injured with a Bankart lesion?
Definition
anterior capsule of shoulder
glenoid labrum
Term
Supination and pronation occur in what plane?
Definition
Horizontal
Term
Type I diabetes
Definition
non-insulin dependent
juveniles
Term
Type II diabetes
Definition
insulin dependent
obese
Term
What sensation might an athlete have just prior to an epileptic seizure?
Definition
an aura
Term
Risk factors for osteoporosis
Definition
early menopause
high consumption of alcohol, cigarettes, and caffeine
sedentary lifestyle
lack of folic acid in diet
Term
Results of severe fluid restriction during weight loss attempts may include what?
Definition
Higher resting HR
Term
Pre-event meals should be based around what food group?
Definition
carbohydrates
some protein and fat
lean meats
veggies
Term
What happens when athlete consumes a simple sugar prior to event?
Definition
may cause sudden decrease in blood glucose because of sudden increase in insulin production
Term
Tetracycline will bind which two minerals to form a non absorbable complex?
Definition
iron
calcium
Term
Body fat in females should not go below what percentage?
Definition
12%
Term
Examples of NSAIDs
Definition
aspirin
motrin
celebrex
aleve
Term
Examples of antihistamines
Definition
dimetapp
benadryl
claritin
tavist D
Term
Procedures for determining fracture of the jaw
Definition
have athlete bite and observe for malocclusion
ask athlete to open and close mouth noting asymmetry
palpate for jaw deformity when at rest, opened, and closed
see if athlete can retract jaw and observe difficulty in movement
Term
Symptoms of second degree concussion
Definition
blurring of LOC lasting from 20 sec-5 min
headache and amnesia often present
athlete is often confused and disoriented
Term
Lasegue's Test
Definition
another name for SLR test
Term
Flexor pollucis longus is responsible for what action
Definition
thumb flexion
Term
Muscles involved in IR of hip
Definition
adductor magnus
gracilis
tensor fascia latae
gluteus minimus
Term
Muscles that adduct the shoulder
Definition
pec major
teres major
subscapularis
latissimus dorsi
Term
Order of food flow through small intestine
Definition
duodenum
jejunum
ileum
Term
Extensors and lateral flexors of neck
Definition
splenius capitis and cervicis
levator scapulae
multifidus
Term
Normal VO2 max for average college athlete
Definition
45-60 mL/kg/min
Term
Recovery O2 is used for what reasons
Definition
replacing O2 dissolved in tissue fluids
returning muscle myoglobin to resting values
increasing venous oxyhemoglobin to pre exercise levels
Term
Periostitis
Definition
tenderness and pain with induration and swelling of pretibial musculature following overexertion
Term
Clunk of shift at approx 20-30 degrees of flexion during pivot shift test indicates what?
Definition
anterolateral rotary instability of knee
Term
Two signs of diabetic coma
Definition
drowsiness
acetone-smelling breath
Term
Papule
Definition
solid
well defined
pink elevated area
*wart*
Term
Phases of running gait
Definition
foot strike
midsupport
take off
Term
Extradural hemorrhage
Definition
appears to be normal for couple of hours then becomes significantly lethargic
Term
Subdural hematoma
Definition
increasing headache and confusion
Term
CBC consists of what?
Definition
RBC count
WBC count
hemoglobin levels
platelet count
Term
Medications appropriate for psoriasis
Definition
aristocort
kenalog
topicort
Term
Medications for EIA
Definition
proventil
alupent
atroven
ventolin
Term
Butisol
Definition
used to treat insomnia
Term
Xanax
Definition
used for anxiety and panic attacks
Term
Proper treatment for deep frostbite
Definition
rapid rearming of affected body part with warm water
Term
How long can brain be deprived of oxygen
Definition
4-6 min
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