ATC Injury Prevention & Wellness Promotion 3 — Questions and Answers
Question 1: An athletic trainer conducts a Functional Movement Screen (FMS) on a baseball pitcher who scores a '1' on the deep squat pattern. What does this score indicate?
- Perfect movement with no compensation
- Movement completed with compensation
- Inability to perform the movement (Correct answer)
- Pain during the movement
Correct answer: Inability to perform the movement
An FMS score of 1 indicates the athlete could not perform the movement pattern even with modifications, suggesting significant mobility or stability deficits.
Question 2: Which supplement has FDA-approved safety concerns and is CONTRAINDICATED in adolescent athletes due to cardiovascular risks?
- Creatine monohydrate
- Ephedrine-containing products (Correct answer)
- Beta-alanine
- Vitamin D
Correct answer: Ephedrine-containing products
Ephedrine and ephedra-containing supplements are banned by the FDA due to documented cardiovascular adverse events including cardiac arrest, particularly in young athletes.
Question 3: A volleyball player has a body mass index (BMI) of 17.2 and reports restricting food intake to 'stay light.' Which FIRST step should the athletic trainer take?
- Immediately report to the coach to restrict practice
- Refer directly to a registered dietitian for a meal plan
- Initiate a private, non-judgmental conversation and refer to appropriate resources (Correct answer)
- Document findings and wait for the athlete to seek help independently
Correct answer: Initiate a private, non-judgmental conversation and refer to appropriate resources
Establishing trust through a compassionate conversation and making a timely referral to a multidisciplinary team (physician, dietitian, mental health) is the appropriate first response.
Question 4: In the Female Athlete Triad, low energy availability directly leads to which cascade of effects?
- Hypermenorrhea → increased bone density → stress fractures
- Amenorrhea → low estrogen → decreased bone density (Correct answer)
- Polycystic ovarian syndrome → hyperinsulinemia → weight gain
- Hypothyroidism → bradycardia → anemia
Correct answer: Amenorrhea → low estrogen → decreased bone density
Low energy availability suppresses reproductive hormones, causing amenorrhea and estrogen deficiency, which accelerates bone resorption and reduces bone mineral density.
Question 5: Which technique is MOST effective for preventing ankle sprains in athletes with a history of recurrent lateral ankle sprains?
- Rigid ankle taping or lace-up bracing during activity (Correct answer)
- Prolonged immobilization between practice sessions
- Avoidance of all cutting and jumping activities
- Bilateral proprioceptive training on stable surfaces only
Correct answer: Rigid ankle taping or lace-up bracing during activity
External ankle support via prophylactic taping or lace-up bracing consistently reduces lateral ankle sprain recurrence rates without significantly impairing performance.
Question 6: A high school football program asks an AT to implement a concussion education program. Which group MUST be educated according to most state concussion laws?
- Coaches only
- Athletes only
- Athletes, coaches, and parents/guardians (Correct answer)
- Athletic trainers and team physicians only
Correct answer: Athletes, coaches, and parents/guardians
Most state youth concussion laws (modeled after the Lystedt Law) require annual education for athletes, coaches, and parents/guardians before participation.
Question 7: Which ergogenic aid is considered safe, legal, and evidence-based for improving high-intensity, short-duration athletic performance?
- Human growth hormone (HGH)
- Creatine monohydrate (Correct answer)
- Androstenedione
- Blood doping
Correct answer: Creatine monohydrate
Creatine monohydrate is well-supported by research for enhancing phosphocreatine resynthesis during repeated high-intensity bouts and is not banned by major sports organizations.
An athletic trainer conducts a Functional Movement Screen (FMS) on a baseball pitcher who scores a '1' on the deep squat pattern.
What does this score indicate?