CCSP Sports Injury Diagnosis 2

Question 1

A soccer player reports lateral ankle pain after an inversion sprain. The anterior drawer test is positive but the talar tilt test is negative. Which ligament is most likely injured?

Accepted Answer

Anterior talofibular ligament

Answer

Calcaneofibular ligament

Answer

Deltoid ligament

Answer

Posterior talofibular ligament

Question 2

Which mechanism of injury is most associated with a posterior shoulder dislocation in athletes?

Accepted Answer

Seizure or electric shock with shoulder in internal rotation

Answer

Direct blow to the anterior shoulder

Answer

Fall on an outstretched abducted arm

Answer

Forced external rotation with abduction

Question 3

A gymnast presents with wrist pain over the anatomical snuffbox after a fall. X-rays are negative. What is the most appropriate next diagnostic step?

Accepted Answer

MRI of the wrist

Answer

Repeat plain films in 10-14 days

Answer

CT scan of the wrist

Answer

Bone scan

Question 4

A runner complains of lateral knee pain that worsens with downhill running. The Ober test is positive. What structure is most likely involved?

Accepted Answer

Iliotibial band

Answer

Lateral collateral ligament

Answer

Biceps femoris tendon

Answer

Popliteus tendon

Question 5

Which Ottawa Ankle Rule criterion mandates radiographic evaluation of the foot rather than the ankle?

Accepted Answer

Tenderness at the base of the fifth metatarsal

Answer

Inability to bear weight immediately after injury

Answer

Tenderness at the posterior edge of the lateral malleolus

Answer

Bony tenderness along the medial malleolus

Question 6

A baseball pitcher develops posterior elbow pain with locking and reduced extension. Imaging shows a loose body in the posterior compartment. What is the most likely diagnosis?

Accepted Answer

Valgus extension overload syndrome

Answer

Medial epicondylitis

Answer

Ulnar collateral ligament tear

Answer

Lateral epicondylitis

Question 7

A volleyball player sustains a hyperextension injury to the PIP joint of the index finger. The lateral X-ray shows the middle phalanx displaced dorsally. What structure is primarily disrupted?

Accepted Answer

Volar plate

Answer

Central slip of the extensor tendon

Answer

Collateral ligament

Answer

Flexor digitorum superficialis