Buttaro: Primary Care, A Collaborative Practice, 5th Ed.
Chapter 22: Preparticipation Sports
Physical Test Bank
Multiple Choice
QUESTIONS AND ANSWERS
1. During a pre-participation sports physical, the examiner notes a difference in strength
of the patient’s radial and femoral pulses with the femoral pulses being weaker. What
will the provider do?
a. Evaluate for orthostatic hypotension
b. Obtain Doppler studies of lower extremity circulation
c. Reassure the patient that this is a normal finding
d. Refer the patient for a cardiologic exam
ANS: D
Differences in strength between radial and femoral pulses may indicate coarctation of the
aorta and should be evaluated by a cardiologist. This finding does not indicate orthostatic
hypotension. The likelihood of decreased circulation is low in a young athlete. REF: Physical
Examination
2. An overweight adolescent who takes metformin has type 2 diabetes with a HgA1c of
8.5% and asks about sports participation. What will the provider recommend?
a. Losing weight prior to initiating sports participation
b. Participation in strenuous sports to help with weight loss
c. Referral to the endocrinologist for sports clearance
d. Switching to insulin therapy prior to participation
ANS: C
Patients with poorly controlled diabetes should be referred to a specialist prior to
Chapter 22: Preparticipation Sports
Physical Test Bank
Multiple Choice
QUESTIONS AND ANSWERS
1. During a pre-participation sports physical, the examiner notes a difference in strength
of the patient’s radial and femoral pulses with the femoral pulses being weaker. What
will the provider do?
a. Evaluate for orthostatic hypotension
b. Obtain Doppler studies of lower extremity circulation
c. Reassure the patient that this is a normal finding
d. Refer the patient for a cardiologic exam
ANS: D
Differences in strength between radial and femoral pulses may indicate coarctation of the
aorta and should be evaluated by a cardiologist. This finding does not indicate orthostatic
hypotension. The likelihood of decreased circulation is low in a young athlete. REF: Physical
Examination
2. An overweight adolescent who takes metformin has type 2 diabetes with a HgA1c of
8.5% and asks about sports participation. What will the provider recommend?
a. Losing weight prior to initiating sports participation
b. Participation in strenuous sports to help with weight loss
c. Referral to the endocrinologist for sports clearance
d. Switching to insulin therapy prior to participation
ANS: C
Patients with poorly controlled diabetes should be referred to a specialist prior to
