SCD
Let's Get Physical
PEDs/Specialties
You Cannot Pass
Lit Review
100

The most frequent cause of sudden death in athletes is

hypertrophic obstructive cardiomyopathy (HOCM)

100

What is tennis elbow?

lateral epicondylitis

100

At what age can kids start weightlifting safely?

8 years old

100

This skin condition prevents you from participation in sports.

Active skin lesions (HSV, MRSA)

100

This children's movie follows a dog who is skilled at all different kinds of sports.

Air Bud

200

This is the second most common cause of sudden death in athletes

Coronary artery anomalies

200

What is the most sensitive and specific routine/cost effective test for cardiac abnormalities in preparticipation physicals?

ECG.


94% sensitivity for ECG vs 20% for history and 9% for physical)

200

What are some risk factors for overtraining, overuse injuries, and burnout?

endurance training, high volume events (weekend tournaments, year round sports participation), not taking days off, increasing volume more than 10% each week, not warming up

200

This "megaly" prevents you from getting involved in sports, ew, cooties!

Splenomegaly

200

This children's movie depicts a group of kids who plays baseball together, "You're Killing me Smalls"

The Sandlot

300

How many people have HOCM? (Answer formatted 1 out of ***)

1 in 500

300

Does HOCM get louder or softer with Valsalva? What about when squatting?

Louder, Louder.

AHA recommends auscultation with both standing and sitting

300

What are the side effects of anabolic steroids?

Premature physeal closure, hypogonadism, gynecomastia, acne, hair loss, increased aggression, cardiomyopathy

300

This spinal abnormality commonly found in Down's Syndrome patients is a contraindication to sports participation

Atlanto-axial instability

300

This movie starts Michael Jordan and the Looney Tunes centered around basketball

Space Jam

400

What questions are involved in history taking to evaluate risk of SCD? (10)

FHx (i.e any unexplained death prior to 30, arrythmias, HOCM) History of heart murmur, palpitations, syncope, near syncope, HTN, easy fatigue, dyspnea, exertional chest pain

400

Describe Marfanoid Habitus

Key features include a long arm span that is greater than height, joint hypermobility, and certain skeletal and facial characteristics like a high-arched palate and a sunken or protruding breastbone

400

How much muscle gain do you get from performance enhancing drugs vs a routine structured resistance training?

20% from anabolic steroid use (adults), 30% from just working out

400

This BP range prevents you from being involved in sports

5mmHg above the 99th percentile in age prevents heavy lifting and high-static components

400

A self-centered Minnesota lawyer is sentenced to community service coaching a rag tag youth hockey team.

The Mighty Ducks

500

This performance enhancing drug increased your risk of SCD

Steroids, Caffeine

500

Little League elbow, also known as

medial epicondylar apophysitis

500

What percentage of middle and high schoolers use anabolic steroids?

3-7%

500

How long does an athlete have to be without fever to return to play? What about for skin lesions?

24 hours w/o antipyretics. 48 hours with no open lesions, and no new lesions.

500

When a Jamaican sprinter is disqualified from the Olympic Games, he enlists the help of a dishonored coach to start the first Jamaican Bobsled Team.

Cool Runnings