NATA-BOC Upper Extremity Injury Assessment 2

Question 1

An athlete presents with lateral elbow pain that worsens with gripping and wrist extension. Which special test would best confirm the diagnosis?

Accepted Answer

Cozen test

Answer

Phalen test

Answer

Speed test

Answer

Yergason test

Question 2

A volleyball player complains of shoulder pain and weakness with overhead serving. The Speed test is positive. Which structure is most likely involved?

Accepted Answer

Long head of the biceps tendon

Answer

Supraspinatus tendon

Answer

Infraspinatus tendon

Answer

Subscapularis tendon

Question 3

During a sideline evaluation, an athletic trainer suspects an athlete has dislocated their acromioclavicular (AC) joint. Which finding is most consistent with a Grade III AC separation?

Accepted Answer

Complete displacement of the clavicle above the acromion with obvious deformity

Answer

Tenderness at the AC joint without deformity

Answer

Slight elevation of the distal clavicle with pain on cross-body adduction

Answer

Pain only with extreme overhead reaching

Question 4

An athletic trainer suspects a scaphoid fracture in an athlete who fell on an outstretched hand. Anatomical snuffbox tenderness is present. Initial radiographs are negative. What is the most appropriate next step?

Accepted Answer

Immobilize the wrist in a thumb spica splint and re-evaluate in 10-14 days

Answer

Clear the athlete for return to play since X-rays are negative

Answer

Apply a compression wrap and follow up in 3-4 weeks

Answer

Order an immediate MRI

Question 5

Which special test specifically assesses for a SLAP (Superior Labrum Anterior to Posterior) lesion of the shoulder?

Accepted Answer

O'Brien test (Active Compression test)

Answer

Hawkins-Kennedy test

Answer

Sulcus sign

Answer

Drop arm test

Question 6

An athlete sustains a mallet finger injury during a basketball game. Which deformity is characteristic of this injury?

Accepted Answer

Flexion deformity of the DIP joint with inability to actively extend it

Answer

Hyperextension of the DIP joint

Answer

Lateral deviation of the PIP joint

Answer

Flexion contracture of the MCP joint