CCSP CCSP Pediatric & Adolescent Sports Medicine Questions and Answers 2 — Questions and Answers
Question 1: The Female Athlete Triad consists of which three interrelated conditions?
- Low energy availability, menstrual dysfunction, and low bone mineral density (Correct answer)
- Anemia, stress fracture, and eating disorder
- Amenorrhea, osteoporosis, and obesity
- Iron deficiency, low BMI, and depression
Correct answer: Low energy availability, menstrual dysfunction, and low bone mineral density
The Triad describes the spectrum from optimal energy availability to low energy availability, eumenorrhea to amenorrhea, and optimal to low bone density.
Question 2: Relative Energy Deficiency in Sport (RED-S) expands the Female Athlete Triad concept by recognizing that energy deficiency also affects:
- Male athletes and multiple physiological systems beyond bone and menstrual function (Correct answer)
- Only gymnasts and distance runners
- Only post-pubertal female athletes
- Only bone density regardless of sex
Correct answer: Male athletes and multiple physiological systems beyond bone and menstrual function
RED-S includes males and addresses broader consequences including immune function, metabolism, cardiovascular health, and psychological well-being.
Question 3: At what age does the American Academy of Pediatrics recommend youth athletes can safely begin structured resistance training with proper supervision?
- As early as 7–8 years with appropriate load and technique supervision (Correct answer)
- Only after skeletal maturity (~18 years)
- Age 14 for males and 16 for females
- Not before Tanner stage 5
Correct answer: As early as 7–8 years with appropriate load and technique supervision
Research supports resistance training in children as young as 7–8 when performed with appropriate loads, technique instruction, and qualified supervision.
Question 4: Which developmental condition involves avascular necrosis of the femoral head in children aged 4–8 and presents with hip and knee pain?
- Legg-Calvé-Perthes disease (Correct answer)
- SCFE
- Developmental dysplasia of the hip
- Transient synovitis
Correct answer: Legg-Calvé-Perthes disease
Legg-Calvé-Perthes is characterized by idiopathic osteonecrosis of the femoral capital epiphysis in young children, causing pain and limited range of motion.
Question 5: Sever's disease is a calcaneal apophysitis typically seen in active children aged 8–14. The primary treatment approach is:
- Activity modification, heel cushions, calf stretching, and gradual return to sport (Correct answer)
- Surgical debridement
- Complete non-weight-bearing cast for 6 weeks
- Corticosteroid injection into the apophysis
Correct answer: Activity modification, heel cushions, calf stretching, and gradual return to sport
Sever's disease is self-limiting; management focuses on reducing traction stress through activity modification, stretching, and heel lift to alleviate symptoms.
Question 6: Prior to sports participation, a preparticipation physical evaluation (PPE) in a 16-year-old should specifically screen for which potentially fatal cardiac condition?
- Hypertrophic cardiomyopathy (HCM) (Correct answer)
- Mitral valve prolapse without regurgitation
- Benign athletic heart syndrome
- First-degree AV block
Correct answer: Hypertrophic cardiomyopathy (HCM)
HCM is the most common cause of sudden cardiac death in young US athletes; PPE screening targets its characteristic history and murmur findings.
CCSP CCSP Pediatric & Adolescent Sports Medicine Questions and Answers 2
The Female Athlete Triad consists of which three interrelated conditions?