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100

A basketball player reports lateral ankle pain after an inversion mechanism. During your special tests, the anterior drawer test shows excessive motion with a soft end‑feel, while the talar tilt test into inversion is negative. Which structure is MOST likely injured?

A. Calcaneofibular ligament

B. Anterior talofibular ligament

C. Deltoid ligament

D. Syndesmotic ligaments

B. Anterior talofibular ligament

100

According to the NATA Position Statement on Dietary Supplements, which factor most strongly determines whether a supplement poses a contamination risk?

A. Whether the product is classified as a food or drug by the FDA

B. The supplement’s cost relative to competitors

C. The manufacturing and third‑party certification practices used

D. The number of ingredients listed on the product label

C. The manufacturing and third‑party certification practices used

100

Prior to continuous ultrasound treatment what should you tell the athlete to expect to feel?

A. A mild muscle contraction 

B. No sensation 

C. A mild sensation of warmth 

D. An intense sensation of warmth

C. A mild sensation of warmth 

100

You are providing care at a cross-country meet at the end of August. One of the runners crosses the finish line and collapses. You are concerned about exertional heat illness. At what core body temperature (rectal) should you assume and begin treatment for exertional heat stroke? 

A. 100 

B. 101 

You are providing care at a cross-country meet at the end of August. One of the runners crosses the finish line and collapses. You are concerned about exertional heat illness. At what core body temperature (rectal) should you assume and begin treatment for exertional heat stroke? 

A. 100 

B. 101 

C. 104 

D. 106

D. 106

C. 104 

100

Which is not considered a Bloodborne Pathogen?

A. Hepatitis A

B. Hepatitis B

C. Hepatitis C

D. HIV

A. Hepatitis A

200

An athlete reports radiating pain down the posterior leg that increases with lumbar flexion. During your evaluation, the Straight Leg Raise (SLR) test reproduces their symptoms and valsalva is positive

Based on common athletic training evaluation principles, what condition is MOST consistent with these findings?

A. Lumbar facet joint dysfunction
B. Hamstring strain
C. Lumbar disc herniation with nerve root involvement
D. Sacroiliac joint sprain

C. Lumbar disc herniation with nerve root involvement

200

Which scenario most clearly exceeds the legal scope of practice for an athletic trainer in most U.S. states?

A. Assisting an athlete with proper use of a prescribed epinephrine auto‑injector

B. Administering OTC acetaminophen under a standing order

C. Dispensing a prescribed oral antibiotic provided by a team physician

D. Educating an athlete about potential side effects of a prescribed medication

C. Dispensing a prescribed oral antibiotic provided by a team physician

200

Which modality is contraindicated on a 3-day old finger injury that is swollen, warm and point tender?

A. Paraffin bath 

B. Ice immersion 

C. Therapeutic laser 

B. Nonthermal ultrasound

A. Paraffin bath 

200

Which of the following is NOT a component of the Glasgow Coma Scale? 

A. Physical response 

B. Motor response 

C. Verbal response 

D. Eye response

A. Physical response

200

Which GI structure is most directly affected when NSAIDs inhibit prostaglandin synthesis?

A. Gastric mucosal barrier integrity

B. Lower‑esophageal sphincter tone

C. Pancreatic enzyme secretion

D. Ileal bile salt absorption

A. Gastric mucosal barrier integrity

300

During a cervical and upper‑quarter screen, an athlete reports numbness to the little finger and medial border of the hand, with weakness in finger abduction. Which structure is MOST likely involved?

A. C6 nerve root

B. Radial nerve

C. Median nerve

D. Ulnar nerve


D. Ulnar Nerve

300

During prolonged aerobic exercise, which pharmacokinetic change is most likely to alter the effectiveness of an orally administered medication?

A. Increased splanchnic blood flow enhances drug absorption

B. Decreased hepatic metabolism prolongs drug half‑life

C. Increased renal blood flow accelerates drug clearance

D. Redistribution of blood flow away from the GI tract delays absorption

D. Redistribution of blood flow away from the GI tract delays absorption

300

Which of the following iontophoresis medications will support the treatment of inflammation?

A. Lidocaine 

B. Epinephrine 

C. Dexamethasone 

D. Acetic Acid

C. Dexamethasone 

300

Which finding most clearly contraindicates the use of an oropharyngeal airway in an unresponsive athlete?

A. Snoring respirations

B. Absent gag reflex

C. Suspected cervical spine injury

D. Spontaneous purposeful movement

D. Spontaneous purposeful movement

300

This is a sign/red flag for Lupus Disease

A. Lupus Sign

B. V Rash

C. Malar Rash

D. Roscea

C. Malar Rash

400

Which group of special tests is MOST appropriate for assessing a suspected rotator cuff impingement?

A. Hawkins‑Kennedy test, Neer test, Painful Arc test

B. Yergason test, Speed’s test, Ludington’s test

C. Drop Arm test, External Rotation Lag test, Lift‑off test

D. Apprehension test, Relocation test, Surprise/Release test

A. Hawkins‑Kennedy test, Neer test, Painful Arc test

400

Which mechanism best explains why frequent use of systemic corticosteroids may impair musculoskeletal healing in athletes?

A. They increase fibroblast proliferation, leading to disorganized scar tissue

B. They inhibit collagen synthesis and reduce local inflammatory signaling

C. They accelerate osteoblastic activity, weakening bone remodeling

D. They increase vascular permeability, causing excessive edema

B. They inhibit collagen synthesis and reduce local inflammatory signaling

400

Which of the following conditions would be a contraindication for a grade III or grade IV joint mobilization?

A. Joint effusion 

B. Pain 

C. Hypermobile joint 

D. Joint adhesions

A. Joint effusion 

400

During a football game, an athlete remains supine after a collision and reports bilateral hand tingling but no neck pain. They can move all extremities. Which principle should guide the athletic trainer’s next action?

A. Absence of neck pain rules out cervical injury

B. Neurologic symptoms alone warrant full spinal motion restriction

C. Ability to move extremities indicates no spinal instability

D. Tingling is likely peripheral and does not require immobilization

B. Neurologic symptoms alone warrant full spinal motion restriction

400

Based on the NATA Position Statement: Preventing and Managing Sports-Related Dental and Oral Injuries, what is the critical time window to replant a tooth after an avulsion?

A. 2-3 minutes

B. 1 hours

C. 5-10 minutes

D. 12 hours

C. 5-10 minutes

500

A 27‑year‑old runner reports posterior heel pain that worsens with running uphill and when wearing firm‑backed shoes. On examination: There is a bony prominence on the posterosuperior calcaneus, Swelling and irritation are present over the retrocalcaneal bursa, Pain increases with shoe pressure on the heel, Achilles tendon flexibility is normal.

What is the most likely differential?

A. Retrocalcaneal bursitis

B. Achilles tendinopathy

C. Haglund’s deformity

D. Os trigonum

C. Haglund’s deformity


500

What is the name of these warnings on prescribed medication issued by the FDA?

A. Prescription Warnings

B. White Box Warnings

C. Black Box Warnings

D. Contraindications

C. Black Box Warnings

500

Which Swedish massage technique is used to remove edema from an extremity after a subacute injury?

A. Friction 

B. Tapotement 

C. Effleurage 

D. Petrissage

C. Effleurage 

500

A baseball player collapses seconds after being struck in the chest by a pitch. There is no palpable pulse, and the athlete is unresponsive. Which physiologic event most accurately explains this collapse?

A. Myocardial contusion causing acute pump failure

B. Aortic rupture from blunt chest trauma 

C. Coronary artery spasm leading to sudden ischemia

D. Ventricular fibrillation triggered during the vulnerable repolarization phase


D. Ventricular fibrillation triggered during the vulnerable repolarization phase

500

A 20‑year‑old collegiate soccer player sustains a head-to-head collision. They do not lose consciousness and walk off the field independently. Ten minutes later, they report “feeling fine” and complete a brief symptom checklist with zero symptoms. However, when you administer a dual‑task gait assessment, their gait speed decreases significantly compared to baseline, and their cognitive task accuracy drops by 35%. Which of the following is the most accurate interpretation of these findings?

A. The athlete does not currently meet the diagnostic criteria for concussion because symptoms have resolved and no loss of consciousness occurred.

B. The absence of symptoms and normal subjective report suggest the athlete’s deficits are likely related to fatigue rather than concussion pathology.

C. Objective dual‑task impairment is consistent with ongoing neurologic dysfunction, and the athlete should be treated as having a concussion despite symptom resolution.

D. Dual‑task testing is not sensitive to concussion-related deficits, so additional neuroimaging is required to confirm the diagnosis.

C. Objective dual‑task impairment is consistent with ongoing neurologic dysfunction, and the athlete should be treated as having a concussion despite symptom resolution.

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