AlIswcrs

'::.\�<;:lr:�UlI.1

.1Il PIH� ;li:�d<;, ,� ';::q1'11:1 JlIl<;".::'J:':'I::" !Il

:::HlOJlno C�uru5;:JIlJ ::<;;::""1>; ,io :nu='p

-!,\3 'J:::IS':::UlUI IS;![ 'If I III UOJttfOJ 10

_"rIIflUla UO rr.pu:aUtuu�::1J ::q Ur.J '''1.1

-J:lY:: �"IJ1'!�q'"liil::lM'U('N UlIOJ,' <;Iql

UI r=Jl"F'1l1 :(1 Allr.n,," 10111'11'0 ..... rlArJ;;'

-lwud 'Ill :;l<;'!:'l:l'(:) 01 'pr.ltlddl'! 11�ql

ui <;'T10!1f1I!J ::q Jllrtoqo; W.l;'lu�5 U! <;';)!:'

-urua::Jd ,1S!J fr., 11J!t1'l ;SOIl!. '3 '''1' Of

I

'S::<;IIT!J

UtJUIUI(J� 'JOlt! ;lIP. ',.{t/l'''t10,\Hlo!pJrJ

Jl1IUOJU;U,.\'!/;O <;,;:�::ur. UPUOJO:J �IIUIP.

-lIIUIII'! <;;r '_fJn<;, '<;':J!lllr.Ullllt1qr. lr.ll11':fUIS

atl!A[J;pun '�ar. <;'!III J;PUll ':)1111 'I'

'<;J!

-IJr:IP:::WO�q p'lUJUllqr.)O UO�I.J;:l.1I1X' 01

/I::,'"" puod:;::J 'AI!f!qrl.'W! ;l'1ur. IU:::'lX:::

"UUI/1PUUJ ";'1' JU "" ." 'U ':) 'H T

'IU;:!='

-!J;P :1Jp. <;':::101<; UL';� II:::IIM P�I'Il<;qr. S!

U01! p:ns;3u! 1'�IOI)O UO!UOOOJU J:lI�J3

V '::::::110;) PU!? e;ll AQ P�I!q!qU! 5! UO�I

..wosq;; .� U!UIRJ!A)O :l�u::ls;Jd :lql U!

rue WJOJ snOlJ�) ;111 U! r�qJosqr. J'IJ�

S! 1I '5:lJJnos J:ltIlO ur.ql (UOJ! IU�r.I()

11:::W !l10l) P'QJosqr. l;:U;q 5! UOJI ''1 .t

.:J.�<:<

)Ol!')EL\\ I! le �)e$un P::J;:P!$UOJ '{Ifr.J:

-u::a;! :JO!IP:x1tu0.J 'l;l'I::WOUU;lfl pJr.p

• ums 'a' ItW'''' p;Jn$R::W SI;I ::Jnl!!J-:Utu::1

:l41 U!!41 J;)MOI ,{lqRJ:P!SUO, ::q ,(R1U

11 'SS::115 le:l4 )0 1�!1 ::ql )0 JOJe:,,!pu!

J�n1;4 If S! PU!! '1UnO�Je OIU! ...... Ol)J!e

pur: .(IIP!Wnll S::lJ'l :lJllIr.J;dIU:ll. ;(IOID

QI"f( ]:3,," :ltlL '$$:)11$ Ir.;:l' 01 ;iupnq!JI

-uo::) I:;J�I :'.I!J !mlr.:IUUOJ!AU:l ::lIlt )0 :lUO

AtOll �I "-:;,':UJOUU::11I JW!purHs If'lI(,'I'\

p:lJmill::w • .: 1;JIllIIJ:dW::11tV ';sll'l:1 'f

Compiled by V,. J()i1ll/�t.Jr.ermall.

"-------------

.•.- --------------

-

SportsllMeclicine QUiZl1 ,

(l'If,ft;/J/t I. ,'Ihlelk COIIII"1filion CUll.

dUCfcd it( .1rnhicnt lcltll'er:tlure.l; (lf

2rC.1lcr 111:\11 2R'C c:uric.'I" .,,, ,,":u::.:epl­

.,1111' high ri,'ik of he:tl.inducctl injury.

TRUE or "ALSE?

fJ'UJlir", 1. With rC2ard ICl iron <tb­

.,mr1iull rmlll [lIC gi1l;lf�,illlt:"sli"allr:lcl...

A. if i!' e:re:llcr <ts hacm 11I<t1l as 11(:11­

/mcrn iro�l.fl II i.l; !!rc:1tcr ill Ihc rcn'ic lh.1/1 the rcr:

rDl:.C: ronll.

c. f' i ... inhibiled hv ';ilalllill C.

D. Jr i!: prfllllolcd ';y Il'a or cofrce.S. II is proportiunal Lt) the JIIIOi."lIt of

iron ingested.

Question J. A hyperprtJll:ltillg p:lticflt

willl whic!l o( Ihe followilUl: comlitiolls

i.c: likely to benefit (rom corrective or­Illulics?

A Recurrenl :J.t1kle sprnill.'! .

O. r!alll:u f.1.'iciili.c:. .­

C. �lediJllibi:J.l sUes:'i syndrullIe (.'!hin

.'iplillLS) .

D. Pale!lc[e:ncral pain.

E. Tibialis poste�ior tcndiniti ....

t,2fle!it;,m .1. rUf .'iuhjC:':Ic; i1!?.'::d l1lore

tllan 40 year.....l;uduell deaih durillg

.'il'mt i!: mo!:t commonly due 10 is­

chilemic heart diseasc. TRUE orfALSE7

Qlltst;on 5. E:\crci.'ic ill I'rCtillt1l1CY ...

A. Should not � conductcd ill cO!uli­

liulI.'! of hi2h he:tt :rlld InllllidilV !x7':;lU.'ie

of the dallgers of hypclthcnnia to the(oc!u.o;.

B. Is relatively COnUi1illUicated in prim­

igr:1VicJa.

C. ShuulcJ be nOIl-wcj�ht-lJc:lrilJg:.

D. I H."oclllletl with a definite ill-

crc:1 cd illcide�ce of :nlvcr.'ie outcomc,:•

.'ifl(:h :1.'i low hiflhwciglll.

E. I.l; :l ll.'icful �IlC:1I1.'i of I'r('vClllillC c.'(.

cC.'i.l;ivc weight gni" :lIId IIl1lilll:lillilll:lhc JIIolhcr'� .sclf-c.IliICCfll. •

i:.:.

:. ..• �. ',-, ,', • ': i, _ ••

.-\nswers::qj:::l:f',.:

. �;�:_;. : Q:uslion 1. Heterolopic ossilic:uion

.�: of :,b: lnterosseous tr.e:nbrJI1e foilow.

',' . ing 1 syr.desmosis sprJ.in of tb: a.nk1e

" . ::U:-:::S J ?oor p�ognosis. T:\UE ar ..�::. F.J.l..SE? ' ,

.. :;.� � Q:usrion 2. With reguu to di:I�tes

<j/ me!litus :Ind sport,".which of the

';; fcilowing st.Jtements ar: correc:?

", ,�. '. A. Inte:lIIit:�i1t ac�vilY is Jcvisable

.' -:} to'minimise a.rl"'e� 'ef�ec:.s on blood..::::sugu contro!. ,�" •.�-i- ... ; . - " .

.'�'�: :.:."-;B. Wc:ight.lifung �_contraindic3led"I. ;;.in nuny diabetics. ';::�'.�;"<, I,. .'

l;':�'::: :�:C."An e:<.rra dose' of shorhlcling

("'[ insuli:' should be �s:e:ed :ll1 ho,,:.i' �.�. -ar so Defore exe:c�;',,-:;,.':' '�.,

i �:;�':'.:D. Spon :.s .ln unnecessary risk. with :\ r�a'few.:.c:1ef�. for diabetics. . ::, -:: .

; ':.;',�"::E._\!usC!e :.:ptake oi g!uc�� �1::::Z.i.::...;; es dt.:..."';.ng e;'ter::ise in,c..:ep-e:1ce:1t ol JIlY

(�y" dfe:� of insulin. -.

�.�):.':� Q�e!:ion 3. \Vhic:l of Ule followingI':..F Stale::;.:::llS cor:::r.Iing ruplur: �i tr.e ..

" , ;, .-\c:-.il.!es tendon ue tI'ue? .

/. ;:..��_' .!A<r:'e pat:::!! !nai feel :I.s if th�y _'t�. '-Ne:: ;ulon the leg by someuun:z.. ,:-•.

\t.{..::.�, .. :� .. Tn.e p�ti�.:t �..�_�e_�o s:i'1�.!J.�'-..�the:.r:ces.�' :"..... .,'_.:

I'.' ' c. .... def.::: Os, U5:t:.lJy palpabie in me...... te:ldcn.: " .... -�.� :,': -. .

I,:..:";'D' Squee:;ng meealf muse:e pra- ..:'�:�dl:c:s;:ainandcrejJitus:'�:'" '.' ::.

:��rl�_E;- �urge:,:/. is ��}...:��ia�ed fa� S�>7-2,_ W�K.S 3fte:- lIlJury.-', .1..,":-' . ';....

.'i�f};: QueslioIJ -I. An<1bolic sleroids im.':;'

I'.�, pro .... e x...fonn<lIlce in' e::dunnc: sports: .>:,;��.neE or F.... LSE? .li' H; ... " ..: '..1.��tf::}-Q:.Jtstion 5. Exe..•.dse.on 1 hee cay' .

.:-:.:... will ::l.�!y ..-esclt in sweatloss of more .

I.s [haro ,�ne .!il:.��,':':!!2ur.TReE or: ):::" �:W7.?'�':";' �,,'"��"����I�Q. .. ", :'.

.;:-tV-IU! ie.!O .(q ':0) p;ll�su;d

.u.:aJ .\(::l::(<1u.:O.:' � jouue= SSol'J;lle,� " '.

;0 ;j2J S!UJ. ';S;:J;X; SnOlaa!,�: 3u;.mp' t

ll:r:aw'C S�41 S;U;!l ;:..a.[1 ':0 OMI ;q .{(

'�S�;I UE.:' SSCI lE;,\\S ;0 �le(f ';s[e:f 'S

.p'4'!Iqe!

'); u;:.q ;,\cq si.:ods ;:UE.,mPU:l'U! sl!i I•;u;q u:;l"'old ON 'iĴU!lU�d5 Ol ,aU!II\OJ41 �.!

01 jU!I)!1 WOJ) 's:.:ads ':;/rtod u! :;lJuew: I

.;aJ.I;d :lM)Jdw! tJ1 p:IO:JJ1J ,{UIU;U;j' I;

'l't.C'U 'J2 SP!OJ;lS :l!l0q2Uv' '��i�d. '7;' �"I.,' 'uap '.

'�;l '4: JO �!E'c.:;1 ;m:e WOJ) ?:u!,B':qo

;;;: lllns;.: IS;S: '(lS;1 .spuowwlS) x;U

_",;::..o:;d m.\\ :ooJ i�:XCU e ;l1!1..[/'1\ '�suOOs .,

. ;; ou ;:r.pOJC m." SIl.[1 ;Jntcru e uL. i

':s;llel!.\ � S! J{l:: =41 JU!2;;nbs ;ll!tL-"(\ ,,:

':..:rndru JO IS:ll 12:�U![J Jood il 5! s�.l�; I

=�l uo ;'IUE:S Ol .�!I!q1J :lU ':J 'v" 'f

T'S':!Zalo�w:P!d; ;11..[1 01j?:-!30I0I.P.\sd :1.11 lUOJ} 3'U!3UlU 'J!1:;q-g

.1p'UOU ;lil1.I! � :l!l;qe!p =41 U! Sl!J�U�

£�� uodS ';S!:.l;X; 3u!Jnp p;S'S':lJJ;p

;;2 sp;;u U�[I1SUI '=�l;.qe!p :ll.[l u; mOJ;a

'!';!P � .{ew :lS�:l;X:l =�.Jl;was! J;:4IO

;JU;!, 3U!1)!I.14.5'!;.� ;ju!Jnp S;lSp ;:Jns

.�;Jd poom 'O!I;q'l!�p It U! :l3eucul Ol

.!;!se; S! ;lS!:U;X; ;lq2IJ!p�d 'l1JIna;�

';SIC) :.It! SIU;W;n?1S J:1..[lO II ..... '3 'r

.0>1""'1.1

:c;: '''Uplp��''l !i1.JodS 10 I.wnor UIJ!.J�tUV

'lu;Wt!'3!{ S;10;SSOJ:lIU! :ql ja UO!l

.?;V�sso";o :U:U:::!OI:"':P =41,(q p;:IJ;)

-.:11 1!J�!P_l:.'i:�'��H��X? S! �oollno WJ:l1'3UOr"'J;lAOJ�()J':'.¥.0[S �; .(IlU;nb;lJJ

\C!eJCs "sows;pu.(, 'I'u'" ."'l':l 'l ,',;": ..��I """r........."Aib-�.:� ..�_v�•. \:4.-; "l'

... ..-...;\c"."L••;.:...-c�" �''''''''''''•.''.'W'II�

:S?r�Rj�e�.?x.Er��2�� �F��E!��.;� !

k"-;�''''''''7T'' �._----

Qluslian J, R:Jpture of the reet us

iemoris in the :hi2h of .l!1 JLhle�c should

nermJJly be :reJ(Cd ccnser'Jlively ..... ilhslte�ching and slIengrhe:ting of :he re�

mJining qUJdricei's muscle, TRUE or

f..\LSE?

Question 2. The athlere wilh heat

suok:: '00 (choose one or more comple�

(ions)

A. May have skin whieh feels eool

Jnd dr.'

B. Has a eore lemperalure of 39.

�O.5'C

C. HJ5 Jn lXiIIou:' temperJ1Ure of

gre:lter than 38"C

0, Is usu:lIly alen Jnd (hirsty

E, Is usually pJle Jnd swe:lty Answer,:

Qlustiall J. An :tnkfe ,�pr:tin Ihree

mOnlhs previously. followed by severaJ

minor episodes of inst3bility in rhe in.

tervening months, is like!)' to require

lre:lfmenl wilh.,.

1\, ReSI <llolle

il. P�ly�iollle:':lpy. with -:mphasis 011

u!tr;t�oulld :tnd :ncbili!';:[ion!'

C. Physicthe:'Jpy. with emph:lsis on

proJ:rioc�pri'le ��ex:ses JI1d 13ping fer

sport

D, Surgic:\l recons:ructioll of the lat�

eral lig:\1T1enl eomple.'C

E, Bone se:ln for a probable lalar

dcme fl.lcrure

'UOWUIOJlln �! ,umqr.S!p "1Il�

�JnllhlJ UOPU::l1 ;I/1.I! u!!:!d JO J;)�I"J ll!1':1

-qu !:1r!J U! slU;�It=d ,(U'E!�� '3S1'v.,'i .S'

'J.II!:!I ;l'1I OI

b'1 ;"11 )! .(lmqr.Jr.Ir.d 'lu:W;:P.ld;;J ."UIl

.1°11..1° ;;;:IUr.UWIU! �41 411"'" �Jr.d'II(l�'\'uo�wJnp S!41 )0 ;;�pJ;l,(;;l ':01 ::I:""Ir. ..

�;!;::J .':11111 JO ;JT: S;,\!:r�'p,,;' 'Snal, 't

';lrH:e.!j �"!llr

Jr!!r.l • JO \lI!Fq!S'S'cd ;UI iS;jSuS PlI"I,,,"

;UIIl JO pO�J::::d illlI ;0; '{lI!!qeo:SU! "r.�11

J;ll/It'J ',s;uJ;ps pu� u!cd JO ,.wOl�I'1 7.

.umIs 10J au!dm pill! jU�U!l!ll;l dhp,r.lXl

.pdOJU jU!S�S;:lIdltl; );'1.:'l;X; JO tlll:.:5

-{)JU l'" OI 11;1,.... puotl<;';;J 1I!''r\ Sl:�..:J�' :'1 itr.­lU::lJJlI:'�J ;0 ,,(I!1ofr.w 1S'tt.\ ;�.!. ,I 'f

el/Its/ian 4, In choosing a nuid re�

plJcemen[ for �:tercise o( less Ih:111 two

hours duration. lhe ,theoretical differ�

e:lC� tx'[wee:1 plain W:ller Jnd sports

drinks :lre o( little irnporl:lllce: the JIlI.

Icte's personal 1:Lllile preferc:u;e is IlIe

best eriterion, Ti\UE OI' FALSE?

',;::'Jul!Iswn:JI;':" .llJJ

U! ::JJlIIr!J::dW;lJ ;./OJ JO JU;w;>�Il"",�I;1i!' ,,;: ::lIQr.!I::1Jun .(pl;ldlUO� ;Jr. "aul

-pr.;lJ ;Jnlp..:;dw.l ,{Jr.mxe rtm IC.!( I 'J

o!)°t)r ueql nUl'?"i ,!

.(lIn"�J p:Jns\?;w ,'2 �JnteJ;dw:1 :"'llJ

'�"fn.\UOJ ,(ew pUll' ';:I!XE'II!' 'p::Jsn"10:'

.(/I'2n<:n �lJn ,(::IlU. .tu"tu�lI:;w 3UII!' "",

;1'11 jP ;)J11I!�J t!' OI ;:lnr ,'.lp PUr! 100:11.":11Ar.U! ünfUI l2;:q �J;'l ... ;s 1I11,'r\ S;ll:"flpr.

',{w;':,'<\S' pur. ::llr.d (nr.nsl1 ;I!tl/\\ ':t",' o(

QIltstion 5. Ruprure of the long: he:K1 of

Ihe biceps i� a debilit:lling complic3�

lion of shoulder fendinilis in an older

palienl. TRUE Dr FALSE?

'�unus :ilJltlum( III S'uwul:'lI11'd

�I!P JI'J Jlr.d:u ;;)In:m OI tl? ... Iä' ;q ppltlll"t1fl!Il'.l::JIHSlI0.:J 'llIl1ldtuü l,!T!tIl �I/I

:i'U!::t1 1I10lUOJ :lpSlllll "pr.nh ;ql JU �1!1lI

�JOFI' �1I1 'tuSI/S ,(lnul!'uwns Sl ..("I(ur

Sl,!1 tllO.1J{J!l!q.c�!P lW;I'�UO" '�11 '10., j

.1.0 ,\fJrll l'j'.J,J

Queslioo J. P,in 'lJIU liglllneso in U>e

i'J()SIc::"ior lhigh ar bullock lhal comc:s

'"'0 ..... ilh nlOning i� lI�u:llly due (0 an

'O:'.Jr� or -:!m":nic le:1r or Olle Or lhe ham.

,tmlg mw:dc�. TRUE nr r:,\l.5E7

C)lIe�liull 1. LJlc:r:l1 cl'ic.:olldvlilis ar

:Ilt: �i1:'fl'� (Jclll1i� clbow)... •". \1:11111:, in ... o/ve."lhc urigrn artile

':�Icr.,pr ::JIIII r:1diilli� hlevi.'l.

U. U"u;'lIy C:lU"C" 1111II/Iill,! Slirrllc�"

:lIllll1lJlI ":Iill ill the �"'O::IlI11C .•C: Is. a(ren .'ccUlnp:lllic�1 by jlarc.s.

lliC ... rae 1111ilt: rOrC:ll1ll or 'Nri."!.

D C:1u,e:-i rain \Alllen ... h:lk illll hamls

pr !Umin2 on l:lp�. •

E. \Vherc due In 1(,lIlli!;, i ... ortcn

c:Jusc:d hy �rr"r" or �Iylc nr equir;"lIIe:nl.

Que.o;tinn J. C:l<:C:.<: n( IIIV lr:'ill�,"i.<:.

"U)ll ill Cl .. IlaU .�pOlI ha,.c hecn úocu­

l1lC!lled lII:lllY liHlc.".l RlIE nr FALSE"!

Cllle... liofl�. 'SkicT." tlll/mh' i�:

..\. All injury til lhe Ulll:lr coll:Her:l1

iig;Il11�:J1 or lhe thumb.

O. ;\ bw CUlIllllon ill ."flOII." such <:IS

roller."K:lrillg ,11llJ ic�sk;llillg.

C. All X'r:'w Jiíl211(l.',;i�.

D. USll:1l1y ire:llc:.J .I;llrgil.::l!ly.r:. 1\ bcni�ll cU/1úitiol1 c�cc:pt in elite

�k ier.".

f)lICo;lioll :. \villi rc,"pecllll the: diet

ni ,:Iil': �lIdtui111Ce :1lhlctc .. �UC� H

rri,1rhkle-;'

. '\ ..l'rr'lór1 il1t.lk�5 rcqllircd are up Io

[l .• e Inl1e� lllllo;e or seJelll:lry .mbjecl�.

B. Carhl.,hydr:lle� should 1IIú'C: up

(li)- JCY'''" or dnily ener�v ill(:1ke.

C. SI1:láing illlrai�lillg i.'l ullwi:-e.D Chronic ,1�liurn or 1'01:l1;l;:;lJIn de­

picliol1 are "igniiic3nt �'.. sibililie:s.

E. O:lily ",,!"'i�hilla ;<11 :1 :lll erreC"tive

Cl':lle�:, III 1I11l11ih)r rehytfr:1lil'rl.

Answers:

.RlIlIl��:;''''' {prr ". tl=nc; l;::�;;'Ir.JIS

1:'1111" plJ� prp .�l.il:-:,:Jl;: ;lJlllh::J .(J!llI

CW:lI:"IPI' JO tlllllll;'l\."lHI pUr" 11?;'JMl;:

III {p"" 1c;1'1 ;'IJI'! ":I.(jOJIJ;Jp pu ... J:;lll'! ......

p', ":'1l1�lIl1!nh J;;Jlll .Ull�IJ!I'HII1J ;'JIll

nr.,!l J;'Jq;l�'1 (fltlr.::I.I!II;J�" lUll JIlr.lJ01ut"'11.oltl :'nT! "'lI:::U1�Jlnh;'JJ Ul:l1OJÚ 'lffnOlll

_p'! 'P'lItl:;'lC;C;;) tlOIlIl;::.<hlll1;'l I'U'If �Ultl!r.Jt

511�Jl1r �tlllr.;'I ;:I1�tlI (.(r.P/I'�J1COOI")

�;:II;:JlIIT' ;lC;;lljl JO li1U:ml::lJ!nh::lJ .(3J;I

-n;: qi1lq :;au•. ;:IF.J!".<qoqJr.J ll! 1f5!1l I;llr

I" l;:;'JJlllh:ll l;:lJOI$ tl�;inJ.(15 fi'u�qc;�u;llú�

JlIlC' RlIIUlf'IUlr.�� ':f(1'fi .S' 1I11!lqn{)1l�,tl�'1 \1:':.��1r.F'1;':1 ;1JnU!'1J

:'ll:'lldlllll.l :'! JO IlO'I" :l�r.Il11�(i ..\I!I!IP!

'''!P 1l1l�JlJ�uii!$ � �! plll"! Ilrl�;)J (r.1U 'd�l;j11:-111<1 I" ;l1l1'1l'!H1 !ll c:r. rl;'ln" '1;";'1)1" ll'':!''

-T!J ni (lIl!qrn�tl� �1I1(lJlf,l .. (lI'!JllllClIr.llP.

lU;JllIljJf!IIf'!';U <:11 i1U!lU:).\;JJÚ '''!$OJ

.f1:1ll0dr. JOJJllpl'l" ;;Il1 ;lPIC;lllfl l'::dl.11!.l\R'lll!rlo;!�1 I'P(UI":1q :lql JO rll� ;:�.IJ :lIP

ul lI11PJ(r!ur ;lJnldru ;JP1UtllO: � 1l'!'1I

1.ll'!J :)qllJl l;:;q <l::ur.::ljHlfilS <:ll ':J��I" lC'l

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---------.- ..• _ .. -

I . Sports /1

Medicine Quiz,

(lutSfio1l 1. Ulrtlllil: kllC'': puin in

J<.lolesc:nt� nlilY he due 10:

A. Osteochomlrilis dissecJ.ns.

8. Slipped c'piL:l1 femor:l1 epiphysis.

C. Brodie's Jbsce...s.

D. InflalTl1T1alory joinl dise:lSe.

E. Osteogenic �arcoma.

QUlstion Z. In patienU with �.ler­

c:se.induced <lsthrn,]:

A Tnere is muc!! less physiologicJI

Jdapt:llion (0 Jercbic lrJining (ie. less

ir.cr�JSe in work cJpacity and o�ygen

uplake) ihan in non-asthmalics.

8. The threshold for .. «eise.jn.

duc:d .uthma is unaffecled by aerobic

training.

C. Onset af 3n altack is lypical!y

wiuun 60 seconds uf !larting exercise.

D. An illl;'lcK is rol!uweti hy.1 r,[r:le­

lory periol1 of 3rt 110l/r or llIore. in

which e.te�ic;c is ulllikcfy !olrigger :1lI­

Ol"er ;,11:ld.

E. Prcmedic<l'iull Wilh illil"led corti.

co.',lcrnid 15 minI/les !Jdnre cH:n:i.�e i.o;

:t userllf Slr:llegy to prC'lcnl ,111 :tlt:'lt:1(,.

e.'(eept UUrTng e.'(erci�e.

C. 1.0; suggesled by rccurn:nt 1;lIeml

knee pain accompanied by the de\'c1.

opmen! of � lump.

D. Is .o;uggestetf by poill( lcnucrncss

over the laICrtlllihi:'l! pl:JlCilU.

C. Frequcnlly re.'='�II1fI,= 10 modilic.1.

lion or Iraining. cOllplecl wilh lhe lil­

ting ar on.hoties ir intfic:Jletf.Question J. Org;wic cnlllJ:'otlnt.h.

such as L-cJmiline anti brJlIc!Jed<hain

amino acids. have neen [ound 10 sig­

nific3nlly boosr alhletic per[on"3nc�.

anu t1'leir 10 ..... eost amJ lack n( side ef.

fects make !hem illeJI. ell1ic:ll, tlielJry

supplemenlS. TRUE or FM...>E7

Question .J. Evcrl Ihirt1-Jegre�

Jcrornioc!aviculilr joiu! ,=prain.o; '..".. iil

u!'ually acllie\'e J relurn ta [ulJ aClivity

wilh conservalive lrealment. TRUE ar

FALSE7

Question 5. I1iolibial band [riction

syndrome ...

A. Is most common jn nJl1ner!i.

H. 15 [requenlly 8SYlllptomalic.

.tll:I<.lUJd ;141 l�lJU.J 01 p:lJ!nh�J '=! IVolfl

IfT� �1 ..(P.W �J:qwP., pUP. "II!I' ;P"P�:I

"1 'äU�U!t!J1 SU!,.(m:>ow pUB SJ!ur.q.J:llU

oQIl.l 100) l'11'UlJouQB 5upJ;.uo,) '�IU(lJP

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PIIlOM dwnl !! JO :;l;:,u;S;;IJd '41. .�.)::lrU'1

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QUe3lion 1. ln the management of

rrostbile '"

A. The early development of large

bulla,: !fler l''l:warTning i.s a bad prog.

nostic sign.

8. The .ffected part should be �­

wanned as soon as possible.

C. E:1rly ùebriùemenl i, indicaled for

lissue which c1inically i.s necrotic.

D, Mummilicalion and sponl.aneQus

,mpulalion of Ihe dead tissue DCcurs

o'lcr 1-2 monlh,�.

E. Rubbing Ù,e arfccled part is one

userul meJIl! of �wa.rrrting,

Question 2. In lesling the integrily of

the ulnar collateral ligament of the

thumb ('skier's thumb'), a radiaJ Slre.o;3

should be lpplied by the e.aminer witll

tlle met.carpophaJangeaJ joint in full

o."en,ion. TIl.UE or FALSE7

Question J. By vinue of Iheir cf­

rct:1.c: on erylhnlpoie.e;i!>. plasma voillme

,1Jl1! cyl(}(:hrollle en7.yme�. anaholic

C:lt'Illiu.c; ill1pfllvC pcrronll:Ulcc in .C:l'ttrls

,"ch as IrÎ;llhloll. which require CIl­

dllr:lllc:, ;le; lill/ch ;l.e: in powcr .e;porls

'llch ,1.C: 'Ncighl.liflillg.

'RUE or F.\UiE?

ILueslinn .1. fil delermilling whcn a

l'l'I�rfmllcr rn:ly,arely resllme p/:lying

1(lcr ."wrrcring .1 COllcw,sion, impOrlall1

f:1c:nr.> 10 cnlJ.',iucr are:

.'\. Dur:Hi(llI or Io.'\..'i ur cOI'lsciuu ... ncc:.'i.

n. Ili.,'ory or previf)us concu....c:ioll:'<.

C. Resolulion of abnormalilies un

j>�:••. hnl1lelric leqling,

::- ::EG

E. 1J�lr:uilll1 of jlIJ.<;l-lrnulII:uic ,1rHIlC.

� 1;1

C)ue.lôlÎll/l 5, /\ 'pUlIlp !JUlllp' i.e; Ille

C;Plnlllflll Il:lmc for:

i\. Ruplurctl long hc�ù of bicer.,.

n. RllplurCll pct:l(lf;lli.� lT1<1jor.

r:. IV,i.'l g'"gl;"" in a cycii.'l,/) nllllifll1.

E. SUI'I:Iliei,11 IClroc:J.!cane:li bur ... i.

'"

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Answers: 'slq3lOM

,(.\,,;q 41!," 3U:U!'!Jl {poq-r.>ddn 3U!Op<1.0'11 01 �I;'FJ� ,(1��Jlq S� ':I;JUVlp:msk, 10 ,(OU::::nI!JLlUJ )0 JU!!, .(WJ.X

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Ct1mpi1�d b, or )01tfl ,tc.unrUI'II.

SportsMedicine Ouiz

Que:stion 1. ln :1 palienl who has suf­

fcrcd J. Ir:JUmalic k.nee disloc�lIiun. any

v:l�clll:Jr impainnent will u5u311y re .

..olve wilhin eight hours o( rt:cJucriul1

of Ihe joint JJ1d invesfigation is ooly

neces.<;aq if lhis ra.its to occur. TRUE

or FALSE?

.-

Questiun 2. Jn assessing whclhcr :t

�pon or e.tercise is c:lUsing ongoing

ú:un:lge 10 J pë1tienl's musculoskclefaJ

injury. whelher rhis be ostcoarthrilis of

Ille hip or lenJlis elbow, stiffnes... and

p:lin thc day aflcr is pmbably a heucr

illtlic3lur tJl:lI1 p:lill uurillg lJlC ;lc;livity.

TRUE or FALSE7

Question 3. F3C:Ors oflcn .1SS0daleú

wirh mcnstruaJ dysfunction in femaJc

alhlele.s indude:

A. Low body mass inde.t.

B. wfe menarche.

C. Ltrge weight fJuc:uation.

D. EJling disorders.

E. AJrilue.fe lr.lining.

Queslion 4. Fe:llures of Lyme di,­

eze include:

A. Inrective ago:nt is a spirochete

lrJI1smilled by mosquito bite.

D. High rever.

c. Re!JtiveIy painJess :l1000-arthritis

in J weight.beJJing joi.nt

. D. Splenomeg3Jy.

E. Myoc:mlitis.

Question 5. OSleolysis of lhe disl.u

em.l o( thc cJavicle is mosf fikcly to be

IlCen in;

A. Di51ance swimmers.

O. Rc!imJ rugby rorwank

c. f,:brile orienleefS or backpackcrs.

D. Weighl-liflers.

E. SC'.Jba divers with hislory of de­

compression sickness.

."n/l(J,J Y.Jt /lfl"l "Il .", ,.

Slr.' r .ff""l ':llIp

.lr:l!\, IJflds)n lr.uJnof 1r..')IU!I.) ;'l_'lI:'lJ:Jp�

.UO!'"I

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-qcud UMOU�-lI;1M l! �� '.,ÂSlr.d Juq:;lIP

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;l41 U! ;IhJ:W .reUl" ;lqI JO lU:;llUdr.J1U3

'O 's

Wl

QUe:';tion I. In a patic:nt with bilatc:r.

al par� inlc:rarticularis dc:[ecrs of L5.

risk (actors (or the dc:velopmc:m of pro­

gressivc: slipping, or spondylolisthc:sis.

indudc::

A. Adole�cent a2e,

B. Genc:ralised Ilgamentous l:uity.C. Thc: prc:sencc: of symptoms.

D. Antc:rior sacral oslc:ophyrc: on X­

r3Y,

E, Blood group O,

Question 2, A footb311er who h3S

sustained a "burner" (neur:;.praxia of

the bnlchiaJ plexus or its l'OOts) will fre,

quently compJain of bilate."1l! 21m pain,

TRUE or FALSE?

'£L-99I:I:( '(661"UP

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ou 's:;l!pnJs }O 'pm!llnw l! :l1!dS;lG

'3Sì\-':! 't

Question 3, Hypertrophic caroiomy­

opalhy is the most common identiti­

able cardiac abnormaIity associated

with sudden death in apparently fit ath­

letes younger than 30.

TRlJE or FaJse?

'i:Q'6rr:(:£ '£6fi1 ';1111'

.!�I\: J,JodS JO rrtunOf 1'C'J!U!lJ :;'U::lJ::ll::l�

'3mU'£

Question 4. Epidemiol :l�;caJ stud.

ies in the US cJearly demo,':I:7!.[e ihe

efficacy of kne: braces in dinunishing

the incidence and sc:veritv of m:dial

coJlateral Iigamc:nt injuries in Ameri­can fOOlb311,

TRUE or FALSE?.S=Tl� '£661 ':;mp

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'Al!l!q!�,od

':;:Il�l �tj: 01 Ut:F'!U!!=' �l.fl U:;lIC Plnot:[�

S��l ;l41 JO wre J;ll.l10 ;l41 U: 5W01dw";s

Je' ;;'U;lS;Jd ;q1 pue '..unfu! pJO;' I�:l!"

..:;� WOJ; p;qs�n5tl!IS!p � ol Sp:r.lu lr

'punoJ8 ;llfl JO lu:;luoddo ut:

l!=u�it! ;;Plnolfs ;;l(jdn :141 JO IJr.dw! ,(q

r;lU!T:1Sn, 5! S100J Sl! JO snx:lld IC!4='T:JQ

:;lq1 JO Â.mfu! UOP:JP.J1 UOWWO:> S!tU..

'3S1'o':! .Z

08 ;lllcd WOJJ SJ;)MSUY

Question S. A cyclisl whc com�

pJains O( paresthesiac: ovc:r the Jitl\e fin .

ger of onc: hand. is mosl likc:ly s;J(ic:ring

rrom:

A. A cervical di� lesion.

B. Thoracic outlel syndrome.

C. Ulnar ner\'e c:ntrapment 81 the

elbow,

D. Ulnar nerve entrapmenf al :he

wriSl.

E, A slIess fr3clure of the hook of

Lhe hamale.

.��.!.I�T�'

'�MI '�U!:')!P:'ll'\ SUOO!' "! S':t!lI!D :::l:ltl:'U:lJ;lM

.�U!4:l1r: ..... tSQW ;141

!::�u Slli:;l�ICd ;UnJr.UlW! ,(1lr.1;:l1;�S

'poog "! sllnrr. U!SUO�<:

.'1 P;It'I;lJ'�lJods JOJ �oOllno :;llf.L

'::J pur 8 ''0'"

ill z!nb 8U!81peW�J _.' .,,�.H9_9_S... :

Answers on page 68

'I( 23 July 199.'

�i*fí'iT¥'jrl-;��"I�l'; I

";u!ds .."gqwnllJ,J

,�;uql ::t¡1 JO �Sa';s;p i,UU1!'UU;n;q:JS

JO ,c5p; ¡e:J!aOIO!p�l ;41 JO ;UO ;18

i;:11011 i.POWtpS 'u;td lU;IS�SlxJ 41!''I\

P;:lT!!:::'fJSS1: ;� 4:�''l\ pl.Ie '.(,.mrt.'l :u;wd'�

IP-J;lI€¡ � 3U! ..... OIlOJ ;nlN ;'141 JO l�unã

12J:;¡RI ;tp U! dOI;";P \lllJ 40!�M. ;nSS�1

1P.�.,OUÁS la snOJq!.) JO iS"BW '2 i! UO!S;I

P!OJS!U-;W ;ttL 'tÚ!I!q?lSU! JO ;:JU;.UnO

';J 41!1I\ �l11!:-OSS'B puv j:p[nOlf9 ;ql JO

uupr.:O¡S!P JO�;]t.rn Áq p;sneo 'P!OU;l13

'lInq .ljl LUOl) wruq1!1 P!OU;IS lDU;)

•ur. :1lfl JO 3U!dd�S � S! UO!S;I Ui'=1tffiH

:ll/.L 'lU;W2âJl 5141 ;0 upuds 01 I;nb

-;s �J"I'U ! '�lr.1 ;lf1 JO :u;W'2'â![ [lU;'IIP.¡

-IOJ ¡C'!P;tU;41 jO U!ã�o ;14112 u0!1eolj

."Iro ja ,n"'j' sl uOIS'1 'P'!1S-!uW'l'¡::d �IU. ";;p¡nOlis;t[1;o uO!l'exn¡qns JO

!!OII?:OIS!P 3u�np P!OU;lã ;411sU!eâr.

uo�ss:;ldwoo ..(q ¡nSili!'J P�4 1�;Wnt{

"I' ja "o¡uod • ja (:;U!u,n.u) m¡;p

, sl UO,,'[ 'qo'S-II!H 'tU .3'a'a .�"tI!eu;Jun s! tm:s ;lUoq JO nil"l

"tj p�l=;l;p u:nJo Sl q:':!4M lt'!S�ruq\tro'l. �Rll jO �Otrn::lJlt:sPJ rtl::;'U¡:' �lU

'U0!l:MSUO�J lJV' rtnsn::41 lO) ;'.1;W

'�J!nb;;.l a S! ÁJ�ruew ¡E¡::!dlS )2 'dnoJâ

;58 S!l{1 U! ;urudru lJ ......mn trel{1 S!SOU

-JOJd J;n;.q i s;�: I! 'S:llt!{U l{1/I\OJâ

;'11 01 awnUl lnóql!M p-nnp;)J Á(

-!PC:.lJ .'IJ1l!J S! ;Jm:� S!l{1 sy 's1U;!ltd

�uno,( tn sm= l.JY 'l{l ,(q ,tn<!s re!q�

J0!J::IUit ;'n JO UO!S¡nA\{ '3'O'a "£

';hp::npoJW;lUnOJ Á'p�

-J:lU;¡'J 5! ;tU�X; ;l!scxldo;l{1 01 �U!O¡J

';US!l!!) '!UOltp )0 ;Jnre;J UOWWQJ

es! ,53U!41 SU!OpJ;,\o. Jl!4/n -;lOS!!

'P.J J!U0JttJ UI l1nS;J 10U s�p �OPJ;41'

II - s;s-ettd tÚ;hO::r..J ptrn Sll!peOI1.fl0q

5';"IOI\U1 8UM� IrtJss;:Y.)0S ':J'Y -¡'s!scu3v!p l::::uIO:J ;l{1 OI p;;t .(UllW

-lOU U!,¥>. 'lu::fJud "4110 ,ÚO¡S!4 3U!Uods

PUlI dS; ;li1l{1� SU!II;M9 pln Ss;w;p

'U;1 JO ;I!! ;tp JO U0!1'1fS�£ll'::<)( tOJ�:J

',!q!1 ¡;¡"P 'l{l ja Sllll',(wo;¡so o!"anp

P"' '!lIU!PU'¡ 'n�uol '!OOIl.q JOxoU

'(""'''P ',"AOS) '!1",(qdod. re'UBO.prJ 'S!l!SJnq �U;:Jli:<l.n�J d;;p .pnp

.UI '!1!U!PU:1 "lI!qoy J!uonjO O!W!W

,<ew 4J!q:"" 'U"P!puo:) .3nll� 'I

Question 1. Chronic Achilles ten­

dinilis CJ11 re:Idily be confused with a

numbe:- of oUter chronic musc:.liosk�le­

taJ condilions which occur in (he sarne

region. TRUE or FALSE?

Question 2. Chronic fat¡"'!ue in alh-le�es: •

A. H;lS generally simiiJr C:1Uses to

f:Higue in non-al1uetes.

B. Is usuaJly due to conditicns suc:t

JS J.!1aemia for which ¡ab lests 3J"'e diag­

nostic.

C. U,uJlly responds 'o IifeSlyle

changes.

D Frequently requires total res[ to

ac;,ieve a cure.

Question 3. Anterior cruciat: lip­

m;:n[ (ACL) rupture in the kne� ma...

be accompanied by X-ray changes.\Vith respec: [o these. which of !.he fcl­

lowing st.1tements are correct?

A. A vulsion of the anterior [ibiJI

spine cJl":"ies J peor prognosis.

B ..-\vt;Jsion or J frJ'!me:lt af ia::::-:¡J

tibia! plJte:1U is palhognõmcnic ot" AC:"TUoture.

'e. Os:eochonc!rJI loase bodies arecommen sequelae of ACL ruprure.

D. Open epiphysis comraindicate

Jtalldard AeL recolUtI'Ucticll.

E. MRI :l.nd bone sean have sho\l,:n

osseous injur¡ with ACL rupture is

more common than is e ... ident on plain

X-ny.

Question 4. Which of ti,e follo",in.

is not JSsoci:ued with shoull!er lnsu:bilicy?

A. Hill.Sach, lesion.

B. PelJegrini-Stieda lesion.

C. Sankan ¡esion.

D. Meniscoid iesioll.

E. Schmorl', node.

Answers

Compiltd bI Dr John AcbrTn41f.

Australian Doctor 83

------- ------------

Quesllon l. The development of

;upr:lSpin:Hu-, lencJillilis. Of impinge­

j mt:nt lynurome, of UIC shoulder i.s con­

I triblJl�d 10 by:

I A. The shape of the 3cromion.i B. Recent Qveruse of lhe snoulder.

,!I C. Recent Irauma 10 the shoulder.)Uch -15 in .l fall from a Iree.

, D. A re-:enllayorr {rulO exercise.

! E. Rece�1 commencement of regu-l, lar s'''imming.

QlJestlon 2. To oblain her recom- .....

I menJed daiJy caJcium inL1ke of 800mg, '

3 ''','man of child-be:uing age would

neen 10 consurne:

A five glasscs of whole miJk.

B.llm:: gl�s�es of �kilTl milk.

C. 5Qg of chee'e.

D. lWO 2rxJg Illh!\ IIf fruit yoghun

�lltl a gla."" of wllflle lI1ilk.

E. 2511g nf ,";1rdjllc�.I. Ali of Ihe aoovc. \Vhiic ir1l..li .. idu:11

v�ri;lIiOIl,o; iII hOl1y ::111:\101":-' c:m prct.Ji ....

fX1<;� lu dCVc!I'PIllCf1( of l!li.., COIl1,"OIl

rn.1blern. :lhllomlilllllll�c.::JI:lr conlml of

:/1:.: �11t)uldcr i." prulmbly rh� ulIuedy­

;ruZo C;lll�C iII 1110 .. 1 CO:-"C"". ilencc. ;1IIy­

II1;ug '.vhich :c"tlll.<; ifl (;Ili;'.ll.: cr il1iril.,.

liplI ll( d,,'uldcr rI1u.":c1c". �r�diic:tll:.

!he rolalol' Ctllf. C:J..l1 CtJfll�:t'tlle.

()'le<;tifll1 J. \Vilh fC.C;PCt.:t 10 IlJe pre.

.,crtfloll nf 1i\ICf<l1 lig;mlcl1l injuries

I' -i'::lim') nf l.he <luklc iII �l'u115 .'iuch <l�

i{'o! hnll :'\ml IICI bnll:

.. \. T;lring reUllCc.<: the ri�k of spr:lin

h:.- 75':''''.

£3. Br;H"::S ;ue yer y crrective bu( e;\­

pcn�ive.

C. t' npropriale rchnhililntion "ner a

�pri1'" ': the mo.,l fl11Pfll1l\11( rll:ctor III

pr-,;.,-t:l"i�:: a rccurrCIl(;c.

D. T;\ping is frcc of ,'iii/c effcct.c;.

E. rhy<:ic:'ll e.'C:Hllilli1lioll C;ln c3.'iily

llk:lllfy tlio!,e iUlklt-" 'alli.<:k',

2. B.D.E. Skim rnilk conlain.<: ;1<::

tlIuch cnkiUlI\ J.'i whuie mrlk.:mu thrc'"

!!Il't�.�e' i.'1 CI1t'tll:!.h. 111i, i.'1 ::quivnlellt II'

il'.()� .,[ dlc:::se�

J. C ollly, T"pillg pn.I';\hly rcduL.....;

Ihe ri,.. k of .<:I'rai". hUI 11,,1 111 the t!cc.rc"

�I.IlCU. 11 t,;:m "I�o c:H1.<:e �lill irrit.lIipII

,mu lheorelic:llly lII:1y prctlispu�c I"

(}ther il1iuric!i: lJy lill1ilill!: mlJvemcnll,r

the �lIkic and mlll;tl;lr jl';1l15. Oraccs :II"

l.:he.:Jp COIl1I':ucIIIO rcg."i:tr I:lp;ng. h"I

1'( IIllrrl'V('!l cr(Ct.:l;\'C:1C�". SIl:"ccp,il.i f

itv 10 :ll1klc: (!'r:lin,,, ;<: l'u,h:1bly JctL".

,,;iltcd lII11tC hv IIItl(clc :111.1 1'(l'l'ri'''l(,;I'I'.live (:II.:lp, � 11.,;:111 II\' liL:'1I11e"loll<: (:11

tor.�. :lnd thc.<:c C:l;,fllll c:'I!i:ily bc :1

5essr.:-L1.

flue.'ililln .t. Willl rC'g:ml 10 ','ikicr',l

Ihl/mh' (uhl:1r coll:J1craJ Jig::lJncl1( in­

jllry), :'111 X.r:'ly i.'i :'III illll'tJrlilfll par111f

ac;<:c<::-',11l2 :'III bUlllliwlf C:l�e� because:

,\. "l1;c ptC.O:CIlt:C of c:llcilic:lrioll iIIIhc fic:uf1CIlI"llgcc<:IS a dlfOllic tJegcn­

("1:lIi.;,: It',1r v.;hidl i!i: 11111 RIIICIl:1hle ltl

'illrgit::11 :cjmir.

B. Thc jl()(ilioll o( :1l1y hony (rng­

ItICllt :1\'IlI.c;CtI fnJl1l litI: hn,<:c of 11le "(0'-::­

irn:1ll'lJnl:1ru C:111 hC:1II irnpor1n"t ifl(li�

catl'r nf the rJegrcc of tli!i:I"nccll1cnl of

lhc ji\:?:lll1Cf11.

C. ..\(.<:ocinlcd fr:1ClUrC :'II Ihe h35C of

the pro.1.:irnal phiJlall;( may involve

e:1Ough of Uu: joinl .'iurface 10 wafrnnt

open reuuction il!1tf inlemallix3tion.

D. Stress yiews are vil31 in assessing

LJlis injury. . ..

E. Fraclure of IIIe IIook of lhe ha.

matc is a cornlt1OI1 accompaniment.

.t. n.e. "'[0<:1 ."ur1.:':""O: do nul fi, .. 1

mC.<:!i: vicw� tl.c;eflll. :1:" ll;cy ;}uu rUJlhi,":10 the c1ink:ll c'(;'lllllllaril'll.

Th(' rhycici:1n :lut1 Sfl""�I1,,'dicinf'. llj" '.

:U:): (,9.7R.

:SJa,rtSu\"

TI

Ii

I

\l,

r!r,

i

i

Question 1. In iliIIed lwlds. diag'

nastie wtr:lSOWld i.s verj successfuJ in

de:nenstr:lting pathology in ehronie

tcndinous !esicns such 3S Achilles te.'1.

dinitis md rol3tor euff leus cf the

shoulder. 1RUE or FALSE1

Question 2. The low �e:lC"j wilh

which posterior cruci3.tc ligament

(PeL) reconsrructive suroe=)' is carried

out �t1ects:

A. The relative inmquenc-j of !'CLinjury. ..

B. Relatively goad prognosis for

eontinued sport participation afu:r !'CL

injUrj. .:

c. The ll:Clmieal dülic-.lily of !'CL

. suroerj.

D. The dülicuity of diagnosing this

injury.

E. The !'CL's c::1pacity for spont:>­

neous he.iling.

Questioo 3. Fae.ors �nsible for

mainl:lining tbe subility of tbe shoolder

(g!enohwoenJ) joint include:

A. Negative iotra:artic-.liat pr==

(the .S'jtinge' e!feet).

B. 1':=:0: of an iIolxt c:util:l;i::ous

labrwo.

C. Compr=ive dfec: or :ct:ller::-.lif

ar:d long h=l or biceps. .

D. Ligaments and c::1psule.

E. Progressive in= in tltie!<nc:ss

of articular e:utilage from the= to

the rim of the glCloid foss:>. .

Q,�..•stiOD 4.Thc golfer who com­

pl3iJ,' o,';>ain d=;> in tbe wrist er ulnarside of _,e h.wl afu:r • poorly timed

strake. ind who !los teoderness d""p in

the hypolhenar emincnce. roquires x­

rays includiog more !han standard

views. 1RUE er FALSE1

.JOJ�Oa uOf/o.JJsnv OL

Questioo S.Wearing • mouthguanl

in collision sports significantly reduCd

Ibe risk of eoru:ussion .. well .. dent:>l

injury. TRUE or FAl.S�7

".

,.. �:;�r.-:S ΡΟrtsΠ: ; .:, ,

MedicineQuiz /1 ..(2ueslion Ι. Ob"IJc/cs 10 Illc i"Iro­

(JIICtiUI1. οΓ :f[e:::i,l,; IC$IiIIg proc:uurcs

fur doI'Ing ιιι .oφQrt incIuιlc:

Λ. L.1Ck ο( irI(omI:1IioII ref!rιrιJillg

IIOnl1aI IdJ1gc.s σΓ ωαχJ /C'/c:Is ΓΟΓ 50111: ;ιJnIgs. . Ι :

il. De!a),'cd στ ρrΟ/Οt1gι:u efΓec!s οΓ ι50111(: ιJrug'i. 1

c. Corιlinuing uc';eJopIncnt ο[ IIew i(JrJgs. '

1). '.lIe Γ:ιc: [/1.11 tfIc IfIIcrnaIiOII.llOI):mpIc CnmπιίΙΙe::: C!lartc:- prc-.:!UUC.!m:::1U:](Ory tesIinιz.

Ε. L1Ck ο[ ca,;se:ISU5 15 Ιο ιlι: ίdeafSCrccIling j'!mgram.

fllleslίun !. ΙVυιrr.Ρ:υkίllsυπ.WI,ίι.syndrCIne:

" Α. CJΠ be rulcιl ου! υΥ] IIOm\aJ �I- ΙIlIg [CG. Ι

Ο. C,1USe� laC!ΙΥc:ιrdί;ι �"IliCJI C:t11 bcIJfCvcrncι.J ...... ί'll <ligu.,iII.

C I� ,1η ]I'.�olυιι: COnlf3irIιliC3tiLIIl 10SIrCIIUOIJ.'i �'terci.'i�.

υ. ι.. ιIυ� {Q I/re rr:.'iC�lCe οΓ :ιπ ,1C.

cC.'i,')ory aIr:oVC:1Iric:JΙar cοπuucιiοn

Ρί1III\.... ί1Υ.

[Ξ. DυΓίπ; �;:ιi.ι:;c(jcs cΓ ίί1c!lνCί1nJi:ι\\,ίιl IJ!;uall:: �roJι;c: J QHS c�"ψle\οΓ ιlοπη.11 '.\. ίιίιΙι.

'lIIe.'iIilln J. ηΗ: )OI1C.O:; (racΙUrc i.'i:

Λ. ι\ fr:1c:ure οΓ 111ι: base U( IlIc tίfιllItιeΙ;:ιt:\1.Ι:;"'Ι

Ο. r\ (rat';'JΓc ..JisIOCJIiCΙI οΓ ΙΙIΙ: (υ�.an!l.

C. Λ cοlιψrcs.ι:;iοl1 fr;ιcωre οΓ ι/ιι::IΙΙJlI1ι:r:ιΙ IIC:1II.

Ο. Λπ avulsioll (r;ιcιure of ιllc aIlIC.ΓίΟΓ ιίΙlίί1Ι oψillC.

ε. Λιι aνΙJωοn fr;ιcιure of tJle iUllcri­ΟΓ il1Cerior ilinc .φίπι:.

(}lJestiυn 4. OSleOCll0l1cJriIis cJίs.ι:;c.C:1II!; ί.ι::::

Λ. Λ bcnign gro\\l111 <1isonJcr arfccI.iI11; Ιccη;ιi& RI/I/Clc.oι.

D. Λ corIιJition \\lllicJI occtJrs only ϊllU1C: k,l1ce.

C. Ιn 111ι: kIIC: ΙΙ:; rc!;ιιί\'c!γ bcnign ίlltlK'''e yυunger ΙΙΙΜ 15. .

Ο. ι\ CQlnInon C:Ιusc σΓ lυose lxxIic,o:;ίιι 111ι: kllee.

Ε. Μαι:;ι COllllnOfl 011 111Ι: lnleral ίI�­

rc�f οΓ Ι'ΙΙ: πl�ιJί3' fCfllcrnJ conιJyIe υΓΙΙιc knc::.

Ι. Λ.IJ,Ι:.�,

2. Ιλ£Ξ. lJigO.'till. like ver:lpaInii .111<1

Ilίl:ί;Ιlcrη. i!; corΙIΓ:ιίπιJicaιed in WP\Vr.eC:1u.';c it nffct:l.'I: IIUnlIaI ΛV conιJuc.

11011 l11nre 111:111 ίι ιJucs COl\dUctiOl1 ίll

ΙΙ1Ι: ;ΙCCC!;SΙΗ)' ι};lιll\ν;ΙΥ. 11le premaιure

νe:ltΓicul;ιr eχcίι;ιιίuπ c3u�eιJ by IΙιι:

r:ιιfιwaΥ ΙΠ<ΙΥ πο! ;ιrrecΙ l11e restingECG. ηπι! (111)' 1:ιe ιJetcctι:.J 011 e!e-.:tro-­

rIIysiolog.ic sItIιJie5. eg. in ::ιs:S οΓ ιτ.ίr:ιctnry p;ιγu�YΙ:;IΠ:11 Iilch)'c�rdl:1.

Tht rll!�ici:ιn Alld SpIιrI'1mtdlc:nr. 1992.

�ΙΙ�7:ΙI:Ί.19

λ Λ. I1 Ιι:ι.c; .1 ίZ-rc:1I IerlιJeηcy 10 11011­

υl1ίοll aIIιJ ί� CIuiIe ιJiStillCt (Γο/η ιΙιι:

mure COll1/II(1I1 :ινΙΙI!'ίίυιι οΓ ιΙIι: .ι;ιylυίιJ

prL'C!:.'I.' οΓ ΙΙΗ: rιfιlι I1lelaι:ιτs:ι1'

.( C.Ο.£Ξ. O�IcoclloII(lrili.� ιJίs.c;ec:ιlls

Ι, IIIc I!<HI1C g;vcl1 Ι" a coIIιJition οΓ ΙIII­

ccrι;ιίll ;ιeιj0l"�y wllcreiII :ι COiII-Iςi7.eι.J

I1ic:.:e οΓ :ιrιίΙ;IΙ!:lΓ C:lr1il:1�e willt ίl 5111:111

ιιι:ιrgίll ο( III1tlcrlyiog bul1e UCCUIIIC:\

lοοι:;e :11111 111:IΥ eVCIII4:1I1Y ure:ιk (rce

ίιιιυ tlle juilII. Uy (;ΙΓ 111Ι: joint IIIΟ!'ίΙ

COII1/1101l1)' ;ι((ct.:lcIΙ is ιΙιe knee. but IΙIΙ:

corHJiIiOII m.IY occur ίπ ΟΙΙΙΙ:Γ jυi/IIS

�ιtt.:JI .1S IIIC e!llo"v. 11le (WQ mο!'ίΙ cretJί.hle (Ileoric'i ΓΟΓ ίι." ;,ctiology blaιlle ν:ι.'i­

cular and trJlIlnilIiC c:ιuses. Ιη aιJulI5 ίι

cause5 signifίcant mοrbidίΙΥ a5 e:ven

with earIy deIcction. n:.sulU οΓ .surgic31

replaceJl1ent οΓ ιJIι: fragment ΜΙ:: poor.

,nd th. d.fecI I.ft ίη 111. >ιtίoυl" ,ur.

face: is l::ιrge ίΓ ιhc fngmenI is ποl re.pIaced. LΠ yuunger ροιί.ηι, Iher. ί,mllc/, grealcr ροl.ηιί./ for ,ροηιοηουυ,

heaJing υΓ lu1ee, Ι..,ίυη, befure ,epara.

ιίοη OCCUΓ:\.

C""',, Ιη SporL! M<dkIn,. 1991. 10:3:569.

93.

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