5. Sports Medicine MCQs

A 35-year-old overhead athlete undergoes an MRI of the shoulder which reveals a type II SLAP tear and a paralabral cyst located in the spinoglenoid notch. Which isolated physical examination finding is most likely to be present?

Following an arthroscopic rotator cuff repair, a patient develops severe, global shoulder stiffness and pain out of proportion to the surgical intervention. Inflammatory markers are completely normal. What is the most effective initial management for this condition?

A 19-year-old college football player suffers a concussion during a game. He is symptom-free at rest 3 days later. Once the athlete is asymptomatic at rest, how many minimum days are required to complete the standard graduated return-to-play protocol before full-contact gameplay?

Which of the following anterior cruciate ligament (ACL) reconstruction graft choices is most uniquely associated with an increased risk of postoperative patellar fracture?

A 45-year-old male presents with weakness in external rotation and a massive, retracted posterosuperior rotator cuff tear. Retraction of the supraspinatus tendon medial to the glenoid rim is most likely to cause traction injury to the suprascapular nerve at which of the following anatomical locations?

A 25-year-old rugby player sustains a blow to the anteromedial aspect of his knee while it is fully extended and his foot is planted. Examination reveals a positive dial test at 30 degrees of knee flexion, but symmetric external rotation at 90 degrees compared to the contralateral side. Which structure is predominantly injured?

Second impact syndrome, a rare but often fatal complication following a premature return to play after a concussion, is primarily driven by which of the following pathophysiological mechanisms?

During a posterior cruciate ligament (PCL) reconstruction, the surgeon aims to anatomically reconstruct the anterolateral (AL) bundle. Which of the following accurately describes the tensioning pattern of the native AL bundle of the PCL?

A 28-year-old professional baseball pitcher presents with shoulder pain. MRI arthrography reveals a partial articular-sided supraspinatus tendon avulsion (PASTA) involving 60% of the tendon footprint. After failing nonoperative management, what is the most appropriate surgical treatment?

A 22-year-old female skier sustains a twisting injury to her knee. Radiographs reveal a small avulsion fracture of the lateral tibial plateau (Segond fracture). This radiographic finding is pathognomonic for a concomitant injury to which of the following structures?

Which of the following components of the Sport Concussion Assessment Tool 5 (SCAT5) is specifically designed to evaluate delayed recall?

During the physical examination of a patient with suspected rotator cuff pathology, the examiner performs the "belly-press" test. The patient is unable to maintain pressure on their abdomen without bringing their elbow posterior to the mid-coronal plane. This finding indicates weakness of which muscle?

A 24-year-old athlete sustains a knee injury. On examination, the dial test reveals increased external rotation of the tibia compared to the contralateral side at 30 degrees of knee flexion, but symmetrical external rotation at 90 degrees of knee flexion. This examination finding is most indicative of an isolated injury to which of the following structures?

During arthroscopic rotator cuff repair, an anatomic restoration of the footprint is desired. The normal supraspinatus footprint on the greater tuberosity has an average medial-to-lateral width of approximately:

A 16-year-old high school football player is diagnosed with a concussion after a helmet-to-helmet collision. According to the current Consensus Statement on Concussion in Sport, when is the athlete allowed to return to full competition?

A 55-year-old man presents with anterior shoulder pain and weakness. On examination, he is unable to hold his hand pressed against his abdomen when the elbow is brought anterior to the coronal plane. This finding (a positive Bear-hug or Belly-press test) is most sensitive for detecting a tear of which portion of the rotator cuff?

Second impact syndrome is a rare but potentially fatal complication occurring when a second concussive blow is sustained before full recovery from an initial concussion. The rapid mortality associated with this syndrome is primarily driven by:

A 22-year-old soccer player presents with a recurrent knee effusion and instability 4 months after an anterior cruciate ligament (ACL) reconstruction with bone-patellar tendon-bone autograft. What is the most common cause of early failure (within 6 months) following ACL reconstruction?