CCSP Sports Injury Diagnosis 3

Question 1

A football lineman experiences acute knee pain and swelling after a valgus force with the foot planted. Lachman test is positive but valgus stress test is negative. What is the isolated injury?

Accepted Answer

Anterior cruciate ligament

Answer

A positive Lachman test with negative valgus stress test indicates an isolated ACL injury without MCL involvement.

Question 2

Which special test is used to detect a SLAP (superior labrum anterior to posterior) lesion in a throwing athlete?

Accepted Answer

O'Brien active compression test

Answer

The O'Brien active compression test (with pain in adduction/internal rotation relieved by supination) is the most sensitive clinical test for SLAP lesions.

Question 3

A cross-country runner develops insidious anterior shin pain that is worse with activity and better with rest. Point tenderness is found over the medial tibial cortex. The most likely diagnosis is:

Accepted Answer

Medial tibial stress syndrome

Answer

Diffuse posteromedial tibial tenderness along the distal two-thirds of the tibia in a runner is the hallmark of medial tibial stress syndrome (shin splints).

Question 4

A wrestler presents with severe ear pain and a fluctuant, non-tender swelling of the auricle after repeated blunt trauma. What is the correct immediate management?

Accepted Answer

Aspiration and pressure dressing

Answer

Auricular hematoma (cauliflower ear) requires prompt aspiration and application of a pressure dressing to prevent cartilage necrosis and permanent deformity.

Question 5

A cyclist describes pain in the lateral thigh and buttock that radiates below the knee after long rides. The piriformis stretch reproduces symptoms. The most likely diagnosis is:

Accepted Answer

Piriformis syndrome

Answer

Piriformis syndrome involves sciatic nerve compression by the piriformis muscle, producing buttock and posterior thigh/leg pain reproduced by piriformis stretching.

(CCSP) Certified Chiropractic Sports Physician Practice Test

(CCSP) Certified Chiropractic Sports Physician Practice Test

CCSP Sports Injury Diagnosis 3