CCSP Sports Injury Diagnosis 4

Question 1

A basketball player sustains a hyperflexion neck injury and reports transient bilateral arm tingling that resolved within minutes. No neurological deficits remain. This presentation is most consistent with:

Accepted Answer

Cervical cord neuropraxia (stinger/burner)

Answer

Transient bilateral upper extremity paresthesias following a cervical compression-flexion injury that fully resolve are characteristic of cervical cord neuropraxia.

Question 2

The 'terrible triad' of the elbow refers to which combination of injuries?

Accepted Answer

Posterior elbow dislocation, radial head fracture, and coronoid fracture

Answer

The terrible triad of the elbow consists of posterior dislocation combined with fractures of both the radial head and coronoid process, resulting in gross instability.

Question 3

A golfer presents with medial elbow pain reproduced by resisted wrist flexion and forearm pronation. The diagnosis is:

Accepted Answer

Medial epicondylitis

Answer

Medial epicondylitis (golfer's elbow) involves the flexor-pronator tendon origin and is reproduced by resisted wrist flexion and forearm pronation.

Question 4

A track athlete develops exertional lower leg pain relieved only by rest and has increased compartment pressure measured at 15 mmHg at rest and 35 mmHg five minutes post-exercise. The diagnosis is:

Accepted Answer

Chronic exertional compartment syndrome

Answer

Chronic exertional compartment syndrome is diagnosed by post-exercise compartment pressures ≥30 mmHg at 1 minute or ≥20 mmHg at 5 minutes post-exercise.

Question 5

A field hockey player sustains a direct blow to the lateral thigh, resulting in immediate pain, swelling, and a firm mass over the quadriceps. The immediate management priority is:

Accepted Answer

RICE with knee in flexion to limit hematoma expansion

Answer

Acute quadriceps contusion should be managed with RICE and the knee placed in flexion (120°) to limit hematoma formation and reduce risk of myositis ossificans.

(CCSP) Certified Chiropractic Sports Physician Practice Test

(CCSP) Certified Chiropractic Sports Physician Practice Test

CCSP Sports Injury Diagnosis 4