AMA Journal of Ethics®

Illuminating the art of medicine

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AMA Journal of Ethics®

Illuminating the art of medicine

Virtual Mentor. July 2004, Volume 6, Number 7.

Test Questions

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Test Questions: Medicine in Sports and Fitness

Medicine in Sports and Fitness

1.

According to the case commentaries in this issue of Virtual Mentor, pediatricians and family physicians who see child (preteen) sports enthusiasts in their practices should:

A. Closely monitor the weight, growth, and social adjustment of the youngsters.
B. Rely on the patient's parents' judgment because very little research exists about how much training is too much for youngsters.
C. Discourage parents from allowing prepubescent children to concentrate on a single sport.
D. Reassure parents that too much exercise is better for young children than too little.

2.

A case commentary in this issue suggests that physicians who are asked by young athletes about use of anabolic androgen steroids should:

A. Warn the athlete before he or she discloses any information that you have a duty to inform his or her parents, the coach, and, possibly, the law.
B. Take advantage of the athlete's trust and enter into a frank discussion of the risks and benefits of anabolic androgen steroid use.
C. Come to a personally satisfying ethical judgment about use of anabolic androgen steroids and advise the patient accordingly.
D. B and C.

3.

An adult patient who restricts her diet and maintains a demanding exercise schedule comes to the office requesting an EKG for "dizziness." The physician's professional response should be:

A. Consent to the EKG in order to satisfy the patient that her heart is okay (or is not okay) and use that information to introduce the discussion of her lifestyle.
B. Introduce a discussion of the patient's eating and exercising habits first.
C. Refer the patient for psychiatric evaluation.
D. Begin with a thorough history and physical as a springboard to discussion of nutrition and the physical effects of exercise.

4.

The following signs of anabolic steroid use can be observed upon physical exam:

A. Elevated blood pressure
B. Acne
C. Dilated pupils
D. All of the Above
E. A and C.
F. A and B.

5.

An important message documented by the court case of the ex-pro football player who sued his former team doctors is:

A. Athletes should see private physicians in addition to the team doctors when injured.
B. Not disclosing an athlete's full condition and its implications to him or her may constitute fraud.
C. It is not necessary to prove to the court that the team physicians were consciously aware of their concealment.
D. If the initial injury occurs when the play is in college, the pro team physicians are not culpable.

6.

Study findings from the Institute for Preventative Sports Medicine suggests that physicians have a professional role in:

A. Advocating for changes in sports equipment such as breakaway bases, lighter soccer balls, padded goal posts, and sturdier chest protectors.
B. Insisting on preparticipation exams.
C. Encouraging parents to monitor practice sessions, especially in hot weather.
D. Exposing false marketing claims by manufacturers of sports equipment.
E. All of the above.
F. A and B.

7.

In a study comparing ethical decisions of team physicians with those of non-physician ethicists, Bernstein, Perlis, and Bartolozzi found:

A. Greatest agreement between the groups on questions about respect for patient autonomy.
B. Significant variation in the answers within each group
C. Agreement between the 2 groups that physicians should advocate for outlawing boxing.
D. Little correlation between the answers of the 2 groups.

8.

Based on articles in this issue of Virtual Mentor, physicians who serve as team doctors:

A. Have a professional responsibility to follow their athlete patients after those individuals leave the team.
B. Have a professional responsibility to perform the treatment the athlete asks for, even when that treatment may not be in his or her best interest over the long term.
C. Have a professional responsibility to perform the treatment the athlete asks for, even when the coach and manager ask for a different treatment.
D. Confront an inherent conflict of interest between their employer's (team owner, manager, coach) interests and those of their player patients.

9.

According to the author of this month's Op-Ed article, physicians who treat athletes have a professional responsibility to:

A. Talk to their athlete patients about whether their sports aspirations appear realistic, in the physician's view.
B. Develop a Sports Medicine Code of Ethics.
C. Speak out about gratuitous violence in sports.
D. Recognize their special role in controlling doping in sports.
E. All of the above.
F. C and D.

10.

Characterizing obesity and sedentary lifestyle as an epidemic, Manson et al, place some fault for this public health concern on the medical profession. Which of the following is not seen as a failure of the profession:

A. A lack of emphasis on how to diagnose and treat weight problems in patients.
B. Not establishing conclusive diagnostic tests to determine healthy weight in a patient.
C. Giving in to pressure from managed care organizations to see more patients daily but devote less time to them individually.
D. Not recognizing that exercise and nutrition counseling is under a physician's purview.

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