Soccer Players TItle Text: Concepts of Athletic Training, Fourth Edition Authors: Ronald P. Pfeiffer and Brent C. Mangus
TItle Text: Concepts of Athletic Training, Fourth Edition
Student Resources

Test your understanding of the key concepts and procedures covered in the text by questioning what you, as an athletic trainer, would do in each of these scenarios.

Chapter Scenario
1 - 1 A father asks you about the most common injuries in girl’s basketball because he has read that females seem to have a much higher risk of injuries to their anterior cruciate ligaments. What would you tell him?
1 - 2 A mother, whose 14-year-old son plays club tennis, asks you to advise her on how she can assist her son in avoiding overuse injuries to the rotator cuff in the shoulder or involving the elbow (tennis elbow).
2 - 1 A public high school principal contacts you for advice on how she can go about hiring an athletic trainer to provide medical coverage for the athletes in her school’s interscholastic sports program. What would you tell her?
2 - 2 A local physician asks you about the types of services that a BOC-certified athletic trainer could provide to athletes. What would you tell him?
3 - 1 You are working as an athletic trainer at a small high school in rural Nebraska and the head girls’ basketball coach, who was just hired out of college, asks you to explain potentially negligent actions by coaches that can result in litigation. What would you tell her?
3 - 2 A friend and fellow athletic trainer tells you she is planning on moving to the state of North Dakota to take a position at a sports medicine clinic located in Bismarck. She asks you if you know what, if any, state regulation of the practice of Athletic Training exists in North Dakota?
4 - 1 You are working as an athletic trainer at a large metropolitan high school located in the Detroit area. Your Athletic Director has asked you to explain to him the options available to student athletes regarding pre-season physical evaluations. What would you tell him? What are the advantages and disadvantages of each?
4 - 2 The starting quarterback on your high school’s football team asks your opinion of the best form of pre-game stretching, especially for the muscles in his legs. What would you advise?
5 - 1 The parents of a 14-year-old female tennis player come to you asking for advice regarding the effects competitive stress may have on their daughter. What would you tell them?
5 - 2 You are the athletic trainer at a local junior college and the coach of the cross-country team asks you for advice about things she can do to prevent eating disorders on her team. What would you advise her to do?
6 - 1 You are an athletic trainer at a high school and are asked by a football player (defensive lineman) about what you recommend regarding protein consumption on a daily basis during the season. What would you recommend?
6 - 2 You are an athletic trainer at a high school and are asked by a football player (middle linebacker) about any adverse effects associated with the ergogenic aid creatine. What would you tell him?
7 - 1 You are the athletic trainer at the high school level and while at JV girls’ volleyball practice an athlete runs into the practice gym screaming for you to go render first aid to an injured player on the varsity team that is playing next door in an adjacent gym. You run into the gym and note that a player is lying on the floor under the net, not moving and appears to be unconscious. What do you do next?
7 - 2 You are teaching a sports first aid class to student athletic trainers at a local high school and one of your students asks you to describe the steps in the physical examination process. What would you tell her?
8 - 1 A coach asks you for advice regarding what she should do for acute sprains and strains, should they occur while she and her team are on a three-day road trip to participate in a high school girls’ softball tournament. What would you advise her to do for treatment of acute injuries?
8 - 2 A parent asks you to explain the difference between steroidal and non-steroidal anti-inflammatory drugs. What would you tell the parent?
9 - 1 A football player on your high school team has just completed a tackle on the running back; however, after the tackle, he does not get up and appears to be unconscious. You run out onto the field and when you get there the athlete is attempting to sit up, and is apparently conscious and is able to converse with you. You ask him if he recalls being knocked out and he says that he thinks he was. Assuming he has suffered a concussion, based on this information, what level of concussion may he have sustained?
9 - 2 You are working as an athletic trainer at a high school basketball tournament and a player is jabbed in the eye with a finger while attempting an offensive rebound. He struggles to the bench covering his injured eye with his hands. You reach him and ask that he allow you to examine his eye. He reports that he can see with the eye but that his vision is extremely blurry and that it is very painful. In addition, you note there appears to be blood in the anterior chamber of the eye. What do you conclude based on these signs/symptoms and injury history and what is the appropriate first aid for this injury, if any?
10 - 1 A football player on your high school team, a running back, is tackled hard in a game with a cross-town rival. The opponent’s helmet is driven squarely into your player’s right thoracic region. The running back gets up slowly and is holding his right thoracic area with his left hand and is obviously struggling to get to the sideline. He is in considerable pain. You reach him and ask him immediately about his condition—he reports that on impact he felt something crack in his ribs, has painful respiration, and the region of impact is extremely painful to touch. What is the likely injury in this situation and what is the appropriate first aid?
10 - 2 An athlete on your boys’ basketball team appears to have suffered a low back injury while making a rebound during practice. He is lying on the floor and reports that it is painful to move. He reports having felt something “tear” in his low back region but also indicates that he has no pain or numbness radiating into his buttocks or legs. What is the appropriate first aid for this athlete?
11 - 1 You are an athletic trainer working for a sports medicine clinic and you are providing medical coverage for a local bicycle race (Criterium). During the race there is a crash and one of the riders appears to be injured as she is sitting up but has her right hand covering her left clavicular region and is obviously in considerable pain. You evaluate the injury and note severe deformity of the clavicle along with swelling and discoloration and the rider reports she felt a snap when she crashed. What would you conclude and what is the appropriate first aid for this injury?
11 - 2 One of the pitchers on your high school baseball team has been complaining of post-game and practice shoulder pain for the past several days. Specifically his pain appears to be located over the scapular region and it is aggravated when you ask him to bring his arm back, as in the cocking phase of the overhand throw. On palpation you note that he is point tender deep in, or perhaps under, the deltoid muscle. What would you conclude based on this information? What would you recommend to this athlete?
12 - 1 A member of your high school tennis team comes to you complaining of an extremely sore elbow, especially on the outside of her elbow. She just returned from a major tournament where she played a greater number of sets and matches than she ever had before. On examination you note that she has pain in the region of the lateral humeral epicondyle that becomes worse immediately after participation. She also states that the pain sometimes radiates into the muscles on the forearm, specifically the extensor/supinator group. The lateral epicondyle also appears to be swollen. What would you conclude based on this information? What would you recommend to this athlete?
12 - 2 A member of your boys’ high school basketball team, a guard, just injured his finger when attempting to catch a pass on a fast-break. The ball apparently hit the finger on the tip and the player states that he felt or heard something snap or pop on impact. On evaluation you note a deformity in that the distal interphalangeal (DIP) joint of the middle finger on his right hand is in a slightly flexed position and he is unable to extend the joint. You also note that he has point tenderness on the dorsal surface of the base of the distal phalanx directly over the site of the insertion of the extensor digitorum tendon. Based on this history and findings, what would you conclude? What first aid treatment would you recommend?
13 - 1 A 16-year-old male sprinter on the track team comes to you and tells you he is having great difficulty breathing during his warm-up and as he explains his problem, you can see he is in a great deal of pain and having a difficult time breathing. He does not indicate that any traumatic event has occurred, so there is no reason to expect a rib fracture or other physical damage. What advice should you give him?
13 - 2 One of your coaches comes to you and tells you he is having severe abdominal pain (lower right quadrant) and he explains that he has been nauseous for the past hour. You take his temperature and he has an elevated temperature. What should you do at this point?
14 - 1 One of the high school basketball players comes to see you on Monday morning and tells you she was tubing on the snow over the weekend and fell off the tube once, landing on a rock on her stomach. She is complaining of point tenderness on her right hip bone, and it is painful to cough, laugh, or put any strain on the abdominal muscles. If she is point tender on the anterior hip, what might be her injury and how can it be cared for at this point?
14 - 2 A 15-year-old soccer player complains of stomach pain and a strange feeling in his groin. He indicates that he did not get hit in the stomach or groin and has been sitting in class before coming to practice. You ask him to examine his testicles and tell you if one is larger than the other. When he does a self-examination, he complains of extreme pain and a lump in his scrotum. What should you do?
15 - 1 An athlete gets kicked in the quadriceps muscle during the first half of a soccer match. At half time, you examine the athlete’s injury. The athlete has a difficult time extending his leg from the knee and complains of tightness in the muscles of the thigh. The athlete wants to play in the second half, what should you do?
15 - 2 A volleyball player comes to you and tells you they have been having pain in their knee during practice and games. They cannot pinpoint the location of the pain, but tell you they purchased a neoprene knee brace at the drug store and wanted to know if you thought they should use it to help with their knee pain.
16 - 1 A female basketball player was told by her doctor to use an ankle brace to help provide stability to her ankle during practice and games. The player wants to know if taping her ankle is better than using a brace.
16 - 2 A soccer player gets kicked very hard on his shin guard and it breaks the shin guard resulting in blunt trauma to his lower leg. After the match, you apply ice to the lateral leg and tell him to ice and elevate the leg for 20 minutes every hour. Later that evening he complains of numbness and tingling in his foot and an inability to quickly dorsiflex his foot. What should you tell him at this point?
17 - 1 A member of the wrestling team at your high school comes to you before practice and shows you a skin lesion on his upper right thigh, laterally near the greater trochanter. The lesion is brownish-red and elevated, itches, and is scaling. There is no discharge such as pus that would be typical of a bacterial type infection. Based on this history and findings, what would you conclude? What would you recommend?
17 - 2 A recreational runner who recently ran in a major marathon visits your sports medicine clinic. She is complaining of what appears to be a skin lesion, consisting of a small, thickened area of skin, on the bottom of her right foot, just under the ball of her foot (distal head of the 1st metatarsal). On closer inspection, you find the following: she claims the area is painful when walking or running and the lesion appears to have a tiny dark red dot within it. Based on this history and findings, what would you conclude? What would you recommend?
18 - 1 During two-a-days football practice at your high school one of your players (defensive lineman) is sent to you by the defensive line coach for an evaluation as he has been unable to perform the practice drills correctly for the past few minutes. Its 86 degrees Fahrenheit and approximately 75% humidity. During your questioning of the athlete, you note the following: he complains of having a dry mouth, being thirsty, having a headache and of being extremely fatigued. He also reports that he has not been drinking fluids consistently during the first hour of practice. Based on this history and findings, what would you conclude? What would you recommend?
18 - 2 You’re an athletic trainer employed by a sports medicine clinic that is providing medical coverage for a 10 k fun-walk/run being held in late March in northern Michigan. The day of the race is cloudy, 48 degrees, windy with light rain. About 30 minutes into the run you receive a call on the emergency radio that a participant (walker) has stopped along the course and is need of medical attention. When you arrive you find the participant (older adult male) to be shivering severely, displaying poor motor control, slurred speech and mental confusion. Based on this history and findings, what would you conclude? What would you recommend?
19 - 1 A member of the women’s gymnastics team indicates that she has been suffering from an upper respiratory infection (URI) for the past several days. She has a competition the next day and wants your advice regarding her ability to participate. She reports having no problems with excessive fatigue, balance or strength. What would you tell her and her coach?
19 - 2 A high school wrestler at your school has been diagnosed with infectious mononucleosis. He has had the infection for approximately two weeks. His parents ask you to explain to them how his illness will be managed with respect to his participation in wrestling for the current season as the season is approximately half over. What would you tell his parents?
20 - 1 A parent of a 12-year-old male soccer player asks you to give him some advice regarding strength training for his son in the off-season. Specifically he wants to know if squats are dangerous and if not, how they should be done. What would you tell him?
20 - 2 The mother of a freshman athlete approaches you and asks if you can explain the diagnosis her daughter just received from the doctor. The daughter was diagnosed with a “physis fracture.” Can you tell the mother what has happened and about the prognosis?