CCSP Sports Injury Treatment 5 — Questions and Answers
Question 1: A wrestler presents with tinea corporis (ringworm). Per NFHS wrestling rules, when may the athlete return to competition?
- After 24 hours of antifungal cream
- When lesions are completely healed with no treatment
- After 72 hours (minimum) of appropriate systemic antifungal treatment with covered/resolved lesions (Correct answer)
- After one topical application if covered
Correct answer: After 72 hours (minimum) of appropriate systemic antifungal treatment with covered/resolved lesions
NFHS requires at least 72 hours of appropriate antifungal treatment and covered/non-active lesions before a wrestler may return to competition.
Question 2: Which clinical test is most specific for a superior labrum anterior-to-posterior (SLAP) tear in a throwing athlete?
- Hawkins-Kennedy impingement test
- Active compression (O'Brien) test (Correct answer)
- Sulcus sign test
- Drop arm test
Correct answer: Active compression (O'Brien) test
The O'Brien active compression test has high specificity for SLAP tears, with pain in the adducted/internally rotated arm position relieved by supination.
Question 3: A basketball player with chronic patellar tendinopathy asks about isometric exercises for in-season pain management. What is the recommended protocol?
- 5 sets of 45-second holds at 70% MVC on a leg extension machine (Correct answer)
- 3 sets of 10 dynamic squats only
- Static stretching of the quadriceps for 60 seconds
- Cold water immersion only
Correct answer: 5 sets of 45-second holds at 70% MVC on a leg extension machine
Isometric quadriceps contractions (45 seconds at 70% MVC, 5 sets) provide immediate and prolonged analgesic effects for patellar tendinopathy during the season.
Question 4: What is the primary indication for using a functional knee brace (e.g., DonJoy) in a post-ACL reconstruction athlete returning to sport?
- Replace full neuromuscular rehabilitation
- Provide proprioceptive feedback and psychological confidence while the graft matures (Correct answer)
- Prevent all pivot-shift maneuvers permanently
- Substitute for surgical repair
Correct answer: Provide proprioceptive feedback and psychological confidence while the graft matures
Functional bracing after ACL reconstruction primarily provides proprioceptive cues and athlete confidence; it does not mechanically prevent ACL re-rupture.
Question 5: A cross-country skier develops exertional compartment syndrome in the anterior leg. What is the definitive treatment?
- Rest and NSAID therapy for 6 weeks
- Fasciotomy of the affected compartment (Correct answer)
- Compression stocking use during activity
- Corticosteroid injection into the compartment
Correct answer: Fasciotomy of the affected compartment
Fasciotomy releasing the compartment fascia is the definitive treatment for chronic exertional compartment syndrome refractory to activity modification.
Question 6: Which rehabilitation principle best describes prescribing an exercise at an intensity that produces mild discomfort (≤3/10 pain) during tendon loading?
- No pain, no gain principle
- Pain monitoring model for tendon loading (Correct answer)
- Graded exposure therapy for fear-avoidance
- Tissue-stress overload principle
Correct answer: Pain monitoring model for tendon loading
The pain monitoring model allows up to 3/10 pain during tendon exercises provided pain does not worsen the next morning, guiding safe load progression.
Question 7: A field hockey player has a Jones fracture (proximal 5th metatarsal at the metaphyseal-diaphyseal junction). What is the concern and preferred treatment for a competitive athlete?
- Low re-fracture risk; treat with buddy taping only
- High non-union risk; early surgical fixation with intramedullary screw is preferred (Correct answer)
- Treat with a walking boot for 2 weeks only
- Immediate amputation risk; emergent surgery
Correct answer: High non-union risk; early surgical fixation with intramedullary screw is preferred
Jones fractures have a high non-union rate due to poor vascularity; intramedullary screw fixation allows earlier return to sport in competitive athletes.
CCSP Sports Injury Treatment 5
A wrestler presents with tinea corporis (ringworm).
Per NFHS wrestling rules, when may the athlete return to competition?