ATC Immediate & Emergency Care 2 — Questions and Answers
Question 1: An athlete collapses and is unresponsive with no pulse. The AED advises 'no shock recommended.' What is the next immediate action?
- Deliver a precordial thump
- Resume CPR immediately (Correct answer)
- Reattach the AED pads and re-analyze
- Place the athlete in the recovery position
Correct answer: Resume CPR immediately
When an AED advises no shock, CPR should be resumed immediately starting with chest compressions.
Question 2: A football player sustains a neck injury and is found prone and unconscious. How should the athletic trainer manage the airway?
- Perform a chin-lift head-tilt maneuver
- Log-roll to supine and perform a jaw thrust (Correct answer)
- Leave prone and monitor breathing
- Immediately remove the helmet before repositioning
Correct answer: Log-roll to supine and perform a jaw thrust
A suspected cervical spine injury requires log-rolling to supine with spinal precautions, then using a jaw thrust to open the airway.
Question 3: Which of the following is the FIRST sign of impending anaphylaxis after a bee sting?
- Hypotension and tachycardia
- Urticaria and pruritus (Correct answer)
- Bronchospasm and wheezing
- Loss of consciousness
Correct answer: Urticaria and pruritus
Urticaria (hives) and pruritus (itching) are typically the earliest cutaneous signs of anaphylaxis.
Question 4: During a basketball game, a player exhibits confusion, hot and dry skin, and a rectal temperature of 41.2°C (106.2°F). What is the priority treatment?
- Oral hydration with sports drink
- Cold-water immersion (Correct answer)
- IV normal saline infusion
- Fan with wet towels only
Correct answer: Cold-water immersion
Cold-water immersion is the gold standard for rapid cooling in exertional heat stroke and should be initiated immediately.
Question 5: An unconscious diabetic athlete is found on the field. Which intervention should the AT avoid?
- Activating EMS
- Administering oral glucose gel (Correct answer)
- Placing in recovery position
- Monitoring airway patency
Correct answer: Administering oral glucose gel
Oral glucose should never be administered to an unconscious patient due to the risk of aspiration.
Question 6: A swimmer is pulled from the pool unconscious and not breathing but has a pulse. What intervention is indicated?
- Full CPR with compressions and ventilations
- Rescue breathing only at 10-12 breaths per minute (Correct answer)
- AED application and analysis
- Abdominal thrusts to clear water
Correct answer: Rescue breathing only at 10-12 breaths per minute
When a pulse is present but breathing is absent, rescue breathing alone (without chest compressions) is the appropriate intervention.
Question 7: A track athlete develops sudden severe wheezing and dyspnea 10 minutes into a race on a cold day. What condition is most likely?
- Spontaneous pneumothorax
- Exercise-induced bronchoconstriction (Correct answer)
- Anaphylaxis
- Hypertrophic cardiomyopathy episode
Correct answer: Exercise-induced bronchoconstriction
Exercise-induced bronchoconstriction (EIB) commonly presents with wheezing and dyspnea during or after exercise, especially in cold, dry air.
An athlete collapses and is unresponsive with no pulse.
The AED advises 'no shock recommended.' What is the next immediate action?