AT BOC Domain I Exam 2025 Injury and
Illness Prevention and Wellness
Promotion
Which of the following is considered an intrinsic risk factor?
A. Being a female high school athlete
B. Practicing when the temperature is 85°F and the humidity is 85%
C. Running on a cross country wooded trail
D. Using an inflatable bladder football helmet
E. Participating in a contact sport CORRECT ANSWER: A: Intrinsic factors are directly
related to the athlete and include factors such as age, gender, and physical stature. Extrinsic
factors relate to the environment, equipment, type of activity, and amount of exposure to injury.
Osteoporosis is a condition that predominantly affects older women. Which of the following
prevention strategies would provide the most significant impact?
A. Moderate swimming and increased vitamin C intake
B. Weight-bearing activities and increased calcium intake
C. Maintaining 10% body fat and using a minimal resistance stationary bike
D. Increased electrolytes and use of nonsteroidal anti-inflammatory medication
E. Avoidance of physical activity and dairy products CORRECT ANSWER: B: Increased
weight bearing and increased calcium intake enhance bone strength, therefore decreasing the risk
of developing osteoporosis and bone weakness. Weight-bearing activities apply stresses to the
bones, resulting in an increase in compressive load tolerance.
An athlete demonstrates limited passive dorsiflexion at the pre-participation screening. Which of
the following factors is most likely restricting this motion?
A. Strength of the posterior tibialis muscle
B. Strength of the peroneal muscles
C. Flexibility of the toe extensor muscles
,D. Flexibility of the Achilles tendon complex
E. Strength of the anterior tibialis muscle CORRECT ANSWER: D: Passive motion is used
to assess noncontractile structures and flexibility of contractile tissues being put on stretch. When
the ankle joint is passively dorsiflexed, the ankle joint plantar flexors are put on stretch.
You are the athletic trainer at a high school that sponsors 22 sports. There are approximately 500
athletes. For this high school, which pre-participation examination format is the most effective
and efficient?
A. Provide a station-based examination with the assistance of multiple medical and health-care
professionals before the start of each sport season (i.e., fall, winter, spring).
B. Provide individual examinations with the assistance of five family practice physicians
stationed in individual examination rooms.
C. Provide a station-based examination with the assistance of multiple medical and health-care
professionals in the summer before the start of the school year.
D. During the summer months, schedule individual appointments for each athlete with the team
physician.
E. Require each athlete to obtain on his or her own a physical examination through a licensed
health-care provider. CORRECT ANSWER: A: This method of examination scheduling
would allow for the highest quality and most individualized up-to-date information for each
athlete.
A soccer team will be playing on synthetic turf during an upcoming 2-day tournament. What
injuries should you be most prepared to treat during this tournament?
A. Abrasions and turf toe
B. Concussions and arch sprains
C. Contusions and ankle sprains
D. Tibial fractures and concussions
E. Blisters and hamstring strains CORRECT ANSWER: A: While the research does not
conclusively indicate synthetic surfaces are more likely to cause injuries compared with natural
surfaces, both abrasions and turf toe (hyperextension of first metatarsophalangeal joint) seem to
occur more frequently in athletes using synthetic surfaces.
Which of the following people should be included in a worksite ergonomic risk assessment?
,A. Worker's direct supervisor, stockholders in the company, and risk management coordinator
B. Worker, director of human resources, and athletic trainer
C. Facility nurse, director of human resources, and athletic trainer
D. Worker, athletic trainer, and occupational therapist
E. Safety engineer, risk management coordinator, and director of facility security CORRECT
ANSWER: D: An ergonomic assessment is an evaluation of the employee's interaction with a
workstation environment. In addition to adjusting workstation settings and making
recommendations to the employee, this assessment may include recommended work breaks as
well as stretching and strengthening exercises. The most qualified workplace employees should
conduct this assessment, make recommendations, and construct the report.
Which of the following bloodborne pathogens is most commonly contracted by health-care
workers?
A. Hepatitis C virus (HCV)
B. Human papillomavirus (HPV)
C. Human immunodeficiency virus (HIV)
D. Hepatitis D virus (HDV)
E. Hepatitis B virus (HBV) CORRECT ANSWER: E: An estimated 8,700 health-care
workers contract hepatitis B virus (HBV) each year. However, healthcare workers who have
received the hepatitis B vaccine and subsequently developed immunity to the virus are at very
little risk for developing the infection when exposed.
Which of the following conditions would disqualify a student athlete from participation in
football?
A. Absence of one kidney
B. Mild hypertension
C. Inguinal hernia
D. Controlled epilepsy
E. Sickle cell trait CORRECT ANSWER: A: Absence of a paired organ disqualifies athletes
from participation in contact/collision sports.
, Which of the following potential causes of sudden cardiac death is caused by an extrinsic risk
factor?
A. Hypertrophic cardiomyopathy
B. Long QT syndrome
C. Commotio cordis
D. Myocarditis CORRECT ANSWER: C: Extrinsic risk factors are risk factors that occur
external to the body and result in injury, such as the blunt force sustained in commotio cordis
Which of the following could you incorporate into your pre-participation examination to gather
baseline concussion data?
A. Vital sign assessment
B. Upper quarter screening
C. Glasgow Coma Scale
D. SCAT5 (Sport Concussion Assessment Tool) CORRECT ANSWER: D: SCAT (Sport
Concussion Assessment Tool) is a standardized method for establishing baseline concussion
data.
What is the purpose of including a wellness screening as part of the pre-participation
examination?
A. To disqualify the athlete from participation
B. To determine if the athlete is engaging in healthy or unhealthy behaviors and lifestyle habits
that pose a threat to wellness
C. To screen for health maintenance, personal hygiene, and potential for infectious diseases
D. To assess physical maturity in order to protect young, physically undeveloped athletes
CORRECT ANSWER: B: Wellness screening includes questions about diet, rest, exercise,
stress management, and weight control as well as alcohol, drug, and tobacco use.
Which of the following would be an intrinsic risk factor for exertional heatstroke?
A. High ambient temperature and humidity
B. Minimal access to fluids before and during participation
C. High muscle mass-to-body fat ratio
Illness Prevention and Wellness
Promotion
Which of the following is considered an intrinsic risk factor?
A. Being a female high school athlete
B. Practicing when the temperature is 85°F and the humidity is 85%
C. Running on a cross country wooded trail
D. Using an inflatable bladder football helmet
E. Participating in a contact sport CORRECT ANSWER: A: Intrinsic factors are directly
related to the athlete and include factors such as age, gender, and physical stature. Extrinsic
factors relate to the environment, equipment, type of activity, and amount of exposure to injury.
Osteoporosis is a condition that predominantly affects older women. Which of the following
prevention strategies would provide the most significant impact?
A. Moderate swimming and increased vitamin C intake
B. Weight-bearing activities and increased calcium intake
C. Maintaining 10% body fat and using a minimal resistance stationary bike
D. Increased electrolytes and use of nonsteroidal anti-inflammatory medication
E. Avoidance of physical activity and dairy products CORRECT ANSWER: B: Increased
weight bearing and increased calcium intake enhance bone strength, therefore decreasing the risk
of developing osteoporosis and bone weakness. Weight-bearing activities apply stresses to the
bones, resulting in an increase in compressive load tolerance.
An athlete demonstrates limited passive dorsiflexion at the pre-participation screening. Which of
the following factors is most likely restricting this motion?
A. Strength of the posterior tibialis muscle
B. Strength of the peroneal muscles
C. Flexibility of the toe extensor muscles
,D. Flexibility of the Achilles tendon complex
E. Strength of the anterior tibialis muscle CORRECT ANSWER: D: Passive motion is used
to assess noncontractile structures and flexibility of contractile tissues being put on stretch. When
the ankle joint is passively dorsiflexed, the ankle joint plantar flexors are put on stretch.
You are the athletic trainer at a high school that sponsors 22 sports. There are approximately 500
athletes. For this high school, which pre-participation examination format is the most effective
and efficient?
A. Provide a station-based examination with the assistance of multiple medical and health-care
professionals before the start of each sport season (i.e., fall, winter, spring).
B. Provide individual examinations with the assistance of five family practice physicians
stationed in individual examination rooms.
C. Provide a station-based examination with the assistance of multiple medical and health-care
professionals in the summer before the start of the school year.
D. During the summer months, schedule individual appointments for each athlete with the team
physician.
E. Require each athlete to obtain on his or her own a physical examination through a licensed
health-care provider. CORRECT ANSWER: A: This method of examination scheduling
would allow for the highest quality and most individualized up-to-date information for each
athlete.
A soccer team will be playing on synthetic turf during an upcoming 2-day tournament. What
injuries should you be most prepared to treat during this tournament?
A. Abrasions and turf toe
B. Concussions and arch sprains
C. Contusions and ankle sprains
D. Tibial fractures and concussions
E. Blisters and hamstring strains CORRECT ANSWER: A: While the research does not
conclusively indicate synthetic surfaces are more likely to cause injuries compared with natural
surfaces, both abrasions and turf toe (hyperextension of first metatarsophalangeal joint) seem to
occur more frequently in athletes using synthetic surfaces.
Which of the following people should be included in a worksite ergonomic risk assessment?
,A. Worker's direct supervisor, stockholders in the company, and risk management coordinator
B. Worker, director of human resources, and athletic trainer
C. Facility nurse, director of human resources, and athletic trainer
D. Worker, athletic trainer, and occupational therapist
E. Safety engineer, risk management coordinator, and director of facility security CORRECT
ANSWER: D: An ergonomic assessment is an evaluation of the employee's interaction with a
workstation environment. In addition to adjusting workstation settings and making
recommendations to the employee, this assessment may include recommended work breaks as
well as stretching and strengthening exercises. The most qualified workplace employees should
conduct this assessment, make recommendations, and construct the report.
Which of the following bloodborne pathogens is most commonly contracted by health-care
workers?
A. Hepatitis C virus (HCV)
B. Human papillomavirus (HPV)
C. Human immunodeficiency virus (HIV)
D. Hepatitis D virus (HDV)
E. Hepatitis B virus (HBV) CORRECT ANSWER: E: An estimated 8,700 health-care
workers contract hepatitis B virus (HBV) each year. However, healthcare workers who have
received the hepatitis B vaccine and subsequently developed immunity to the virus are at very
little risk for developing the infection when exposed.
Which of the following conditions would disqualify a student athlete from participation in
football?
A. Absence of one kidney
B. Mild hypertension
C. Inguinal hernia
D. Controlled epilepsy
E. Sickle cell trait CORRECT ANSWER: A: Absence of a paired organ disqualifies athletes
from participation in contact/collision sports.
, Which of the following potential causes of sudden cardiac death is caused by an extrinsic risk
factor?
A. Hypertrophic cardiomyopathy
B. Long QT syndrome
C. Commotio cordis
D. Myocarditis CORRECT ANSWER: C: Extrinsic risk factors are risk factors that occur
external to the body and result in injury, such as the blunt force sustained in commotio cordis
Which of the following could you incorporate into your pre-participation examination to gather
baseline concussion data?
A. Vital sign assessment
B. Upper quarter screening
C. Glasgow Coma Scale
D. SCAT5 (Sport Concussion Assessment Tool) CORRECT ANSWER: D: SCAT (Sport
Concussion Assessment Tool) is a standardized method for establishing baseline concussion
data.
What is the purpose of including a wellness screening as part of the pre-participation
examination?
A. To disqualify the athlete from participation
B. To determine if the athlete is engaging in healthy or unhealthy behaviors and lifestyle habits
that pose a threat to wellness
C. To screen for health maintenance, personal hygiene, and potential for infectious diseases
D. To assess physical maturity in order to protect young, physically undeveloped athletes
CORRECT ANSWER: B: Wellness screening includes questions about diet, rest, exercise,
stress management, and weight control as well as alcohol, drug, and tobacco use.
Which of the following would be an intrinsic risk factor for exertional heatstroke?
A. High ambient temperature and humidity
B. Minimal access to fluids before and during participation
C. High muscle mass-to-body fat ratio
