SCS Patient Assessment & Evaluation 2

Question 1

During a sideline evaluation of an athlete with a suspected ACL injury, which special test has the highest sensitivity for detecting an acute ACL rupture?

Accepted Answer

Lachman test

Answer

The Lachman test has superior sensitivity (~85%) compared to the anterior drawer test for acute ACL ruptures due to reduced hamstring guarding.

Question 2

A football player reports shoulder pain after being tackled. The sulcus sign is positive. Which condition does this finding most suggest?

Accepted Answer

Inferior glenohumeral instability

Answer

A positive sulcus sign indicates inferior glenohumeral instability, seen as a depression below the acromion when traction is applied to the arm.

Question 3

An athlete presents with lateral knee pain that worsens with downhill running. Noble compression test is positive. What is the most likely diagnosis?

Accepted Answer

Iliotibial band syndrome

Answer

A positive Noble compression test (pain at 30° knee flexion with pressure over the lateral epicondyle) is diagnostic of IT band syndrome.

Question 4

Which grading scale is most appropriate for quantifying muscle strength during a clinical examination of an athlete?

Accepted Answer

Medical Research Council (MRC) scale

Answer

The MRC scale grades muscle strength from 0–5 and is the standard manual muscle testing tool in clinical evaluation.

Question 5

A basketball player complains of anterior knee pain that worsens with stair climbing. The Clarke's sign is positive. What does this suggest?

Accepted Answer

Patellofemoral pain syndrome

Answer

Clarke's sign (crepitus or pain with resisted quadriceps contraction while pressing the patella distally) suggests patellofemoral pain syndrome.

(SCS) Sports Clinical Specialist Practice Test

(SCS) Sports Clinical Specialist Practice Test

SCS Patient Assessment & Evaluation 2