The B.O.C. Study Podcast: Recent Episodes

Dr. Adam Tamburello D.P.T, A.T.C

The B.O.C study podcast is a podcast hosted by Dr. Adam Tamburello, D.P.T., ATC. B.O.C. study podcast explains 2 scenarios in the form of mock B.O.C. questions. Each question is followed by a set of multiple choice answers, where each choice is broken down along with the rationale. My hope is that future Athletic Trainers will be able to solve these puzzles in order to form the knowledge base needed to destroy their B.O.C.!

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Question 1:

Your offensive lineman lands directly on the tip of his shoulder during practice. Your sideline examination reveals pain with active shoulder flexion, adduction and internal rotation, his subacromial space is TTP and Hawkins Kennedy and Horizontal Adduction tests are both positive. Based on these findings, what pathology is most likely prevalent?

A: Adhesive Capsulitis

B: Subacromial Bursitis

C: Shoulder Impingement syndrome

D: Thoracic Outlet Syndrome

Question 2:

Over the past few weeks, you have been working with Charlie, your baseball team’s starting catcher to help him recover from a biceps tendon strain. During your reassessment, you conduct a series of special tests to determine how he is progressing. Which of the following special tests do NOT test for Biceps pathology?

A: Yergason’s test

B: Speed’s test

C: Ludington’s test

D: O’Brien’s test

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Question 1:

At the beginning of August preseason, you implement a 14-day heat acclimatization period to allow your track team to get used to running in the heat and humidity. Your senior distance runner Gabriella is forced to sit out for days 9 and 10 of preseason due to injury. What day of the protocol will she be on when she returns to practice?

A: Day 9

B: Day 11

C: Day 1

D: Day 10

Question 2: After her return from injury, Gabriella begins complaining of headache, rapid heartbeat, flushed skin and feeling nauseous. You determine she is suffering from exertional heatstroke and determine that immediate action should be taken. What is the most appropriate immediate treatment for an athlete with exertional heatstroke?

A: Provide IV fluids along with oral fluids and transport to a healthcare facility

B: Immediately transport them to a healthcare facility

C: Use full body ice immersion to cool the athlete, and transport them to a healthcare facility

D: Use ice bags and wet towels to cool the athlete

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Question 1:

Sabrina, a winter track athlete goes for a short run outside and returns to the Athletic Training facility with redness, tingling, swelling, and pain in the fingers or toes after exposure to cold wet conditions. What condition is she most likely presenting with?

A: Chilblains

B: Frostnip

C: Superficial frostbite

D: Deep frostbite

Question 2:

You are traveling with your Men’s Baseball Team for their playoff game in Colorado. An athlete with which of the following conditions should be closely monitored for effects resulting from the change in altitude?

A: Sickle Cell Trait

B: Urticaria

C: Celiac disease

D: Mittelschmerz

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Question 1:

Lisa, a female high school basketball player with Type 1 diabetes uses her glucometer to check her blood glucose level. Which of the following readings would be considered a normal blood glucose level?

A: 160 mg/dL after 9 hours of sleep and before eating breakfast

B: 60 mg/dL prior to practice and 4 hours after eating lunch

C: 120 mg/dL 2 hours after eating lunch

D: 250 mg/dL 4 hours after eating lunch

Question: 2:

Matt, a male baseball player, reports to the ATF asking if he can take an antihistamine for his seasonal allergies. Antihistamines should be used with caution in athletes with which of the following conditions?

A: Type I diabetes

B: Raynaud’s disease

C: Fibromyalgia

**D: Hypertension

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Question 1:

Your coworker Dave is undergoing a cardiac stress test as part of a yearly physical. Which of the following conditions is the leading cause of cardiac problems in middle aged/older active people?

A: Marfan’s Syndrome

B: Cardiac arrhythmia

C: Atherosclerotic coronary disease

D: Hypertrophic Cardiomyopathy

Question 2:

Your gymnast Talia reports to the Athletic Training facility with a slight fever. Having conducted a full medical history prior to preseason you are aware that she also has a history of cardiac disease. Which cardiac condition places febrile athletes at risk of sudden cardiac death?

A: Hypertrophic Cardiomyopathy

B: Myocarditis

C: Commotio Cordis

**D: Grave’s Disease 

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Email us at bocstudypodcast@gmail.com**

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Question1:

While working in the Athletic Training Facility, an athlete presents with the following signs and symptoms after sustaining an injury to their 3rd finger during practice:

– Point tenderness on the dorsal aspect of the DIP joint

– ROM assessment reveals that they are Unable to actively extend their DIP joint

But are able to move through full passive extension of the same joint

Which finger deformity may be most likely demonstrated by these findings?

A: Boutonniere deformity

B: Jersey finger

C: Swan neck deformity

D: Mallet finger

Question 2:

You are working a Men’s Hockey Game when your defenseman suffers an upper extremity fracture after hitting the ice. When splinting a suspected fracture, which of the following is MOST important for proper splint application?

A: Check Proximal neurovascular function

B: Check Distal neurovascular function

C: Reduce the fracture

D: Immobilize only the joint proximal to the fracture

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Domain III – Immediate and emergency care

Question 1: You are working a local high school tennis tournament, when a player collapses and is unconscious on the court. Her skin is cool and dry to the touch, and her breathing is labored. Her face is flushed and there is a sweet odor to her breath. Which of the following diagnoses are most likely?

A: Stroke

B: Diabetic Coma

C: Insulin Shock

D: Anaphylaxis

Question 2: While working a soccer game, Brandon your goalkeeper collapses and is unresponsive. You immediately activate the EAP and begin CPR and determine that the AED will need to be used to treat the sudden cardiac arrest that has occurred. Which of the following is the most commonly occurring initial cardiac rhythm that will be seen in someone with this condition?

A: Asystole

B: Atrial fibrillation

C: Ventricular fibrillation

**D: Pulseless electrical activity

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Question 1: You are working with Bryan, a tennis player with a recent diagnosis of acute glenohumeral subluxation. Which of the following exercises should be avoided during the initial stages of his rehabilitation program?

A: Joint mobilization

B: Rhythmic stabilization

C: Passive ROM within a non-provocative range

D: Isometric Muscle strengthening

Question 2: Sophia is a 15-year-old female lacrosse player who has been diagnosed with mittelschmerz. What treatment is most recommended for her?

A: Anti-inflammatory medications and ice pack

B: Analgesic medications and moist heat pack

C: Antidiarrheal medications and electrolytes

D: Antiemetics and a bland diet

E: Antihistamines and a nebulizer treatment

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Question 1: You are working with Samantha, a tennis player who is unable to achieve full glenohumeral abduction with her involved shoulder compared to her contralateral side. Her range of motion is limited by capsular and connective tissue structures in the absence of pain. Which of the following mobilization techniques can best address this patient’s goal of increasing glenohumeral abduction?

A: Grade II inferior glide of the humerus

B: Grade III inferior glide of the humerus

C: Grade III superior glide of the humerus

D: Grade I superior glide of the humerus

Question 2: You are conducting a primary survey on Taylor, a dancer who collapsed during practice. Remembering the mnemonic ABCDE, which component of the primary survey includes a brief neurological examination or application of an AED?

A: A

B: B

C: C

D: D

E:  E

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Question 1: David is an incoming freshman football player. As his athletic trainer you are reviewing his medical history prior to preseason. Which of the following conditions would disqualify him from participation in football?

A: Mild Hypertension

B: Controlled epilepsy

C: Inguinal hernia

D: Absence of one kidney

Question 2: Daniel, a track and field athlete reports to the athletic training room complaining of burning, numbness and shooting pain between the third and fourth metatarsal heads. He reports that the pain increases when he wears cleats and decreases when he is sitting or wearing sandals. Which of the following conditions is the most likely diagnosis?

A: Tarsal tunnel syndrome

B: Peroneal nerve palsy

C: Morton’s Neuroma

D: Medial plantar nerve compression syndrome