NATA-BOC Practice Questions 5 — Questions and Answers
Question 1: Which reflex is assessed by tapping the patellar tendon, and what nerve root does it test?
- Achilles reflex — S1
- Patellar reflex — L3/L4 (Correct answer)
- Biceps reflex — C5/C6
- Triceps reflex — C7
Correct answer: Patellar reflex — L3/L4
The patellar (knee-jerk) reflex tests the L3 and L4 nerve roots via the femoral nerve.
Question 2: A pitcher presents with a positive Speed's test and pain in the bicipital groove. Which structure is MOST likely irritated?
- Supraspinatus tendon
- Biceps brachii long head tendon (Correct answer)
- Subscapularis tendon
- Coracobrachialis muscle
Correct answer: Biceps brachii long head tendon
Speed's test loads the biceps long head tendon; a positive result (pain in the bicipital groove) indicates bicipital tendinopathy.
Question 3: Proper hydration before exercise in a hot environment should begin approximately how many hours beforehand?
- 30 minutes
- 1 hour
- 2–4 hours (Correct answer)
- 8–12 hours
Correct answer: 2–4 hours
NATA recommends athletes begin hyperhydrating 2–4 hours before exercise by consuming 17–20 oz of water.
Question 4: Which compartment is involved in the MOST common acute compartment syndrome of the lower leg?
- Posterior deep compartment
- Lateral compartment
- Anterior compartment (Correct answer)
- Posterior superficial compartment
Correct answer: Anterior compartment
The anterior compartment of the lower leg is most susceptible to acute compartment syndrome due to its rigid fascial boundaries and limited volume.
Question 5: Under HIPAA, an athletic trainer may share a student-athlete's protected health information (PHI) with a coach without consent under which condition?
- The coach is the athlete's parent
- The disclosure is the minimum necessary for legitimate athletic department functions (Correct answer)
- The athlete is a minor
- The coach requests it in writing
Correct answer: The disclosure is the minimum necessary for legitimate athletic department functions
HIPAA's 'minimum necessary' standard permits sharing PHI within a covered entity for legitimate operational needs such as return-to-play decisions.
Question 6: A distance runner presents with gradual-onset pain at the posteromedial tibia that worsens with running and is tender along a 5–10 cm region. The MOST likely diagnosis is:
- Tibial stress fracture
- Medial tibial stress syndrome (shin splints) (Correct answer)
- Popliteal artery entrapment
- Deep posterior compartment syndrome
Correct answer: Medial tibial stress syndrome (shin splints)
Diffuse posteromedial tibial tenderness over a 5–10 cm area that worsens with running is the hallmark presentation of medial tibial stress syndrome.
Question 7: Which ethical principle requires an athletic trainer to act in the best interest of the patient even when it conflicts with what the patient wants?
- Autonomy
- Beneficence (Correct answer)
- Non-maleficence
- Justice
Correct answer: Beneficence
Beneficence obligates the clinician to act for the patient's benefit, which may sometimes conflict with the patient's own stated preferences.
Which reflex is assessed by tapping the patellar tendon, and what nerve root does it test?