1. © BOC 2004 The candidate begins by reading the Opening Scene. The information in Section A should then be read. Next, the candidate should review all the choices provided in Section A. Problem Booklet Sample Problem I OPENING SCENE A volleyball player has injured her left ankle during practice. You have completed your evaluation, and you suspect a moderate second-degree lateral ankle sprain. Section A With the information you now have, what action(s) would you take to manage this condition? (Choose the actions that you believe are essential to the resolution of the situation.) Answer Booklet Sample Problem I 1.Tape the ankle securely and see if the athlete can finish. 2.Apply ice to the left ankle. 3.Have the athlete walk the injury off. 4.Write a note to excuse the athlete from classes tomorrow. 5.Apply a compression wrap to the injured ankle. 1. 2. 3. 4. 5. Ice is applied.** A wrap is applied.** After considering all the choices, the candidate must decide which items to select. In the answer booklet, the candidate rubs the the latent image over the blank area to the right of the item(s) selected.

2. © BOC 2004 The information obtained in Section A is to be used by the candidate in making decisions pertaining to Section B. The next step is to read Section B and review of all of the choices in the section. Problem Booklet Sample Problem I Section B Volleyball practice is over now, and you and the athlete are in the athletic training room. The amount of swelling has increased since you evaluated the injury, and the athlete cannot bear weight without pain. Indicate your actions at this time. (Choose only those actions that you have reason to believe are essential to the resolution of the case.) Answer Booklet Sample Problem I 6. Secure, measure, and instruct the athlete in the use of crutches. 7. Call the coach to tell her that the swelling in the ankle has increased. 8. Give the athlete a warm whirlpool treatment. 6. 7. 8. This is done.**

3. © BOC 2004 The athlete agrees to do this.** The athlete reports she is allergic to NSAIDs.** The information obtained in the previous sections should be used by the candidate in making decisions pertaining to Section C. The next step is to read Section C and review of all of the choices in the section. Problem Booklet Sample Problem I Section C The team physician sees the athlete and diagnoses the injury as a moderate second- degree lateral ankle sprain. The physician does not apply a splint or cast but instructs the athlete to continue using crutches as long as the weight bearing causes pain. The physician refers the athlete back to you for follow-up management. With the information you now have, what action(s) will you take? 9.Instruct the athlete to continue the ice treatments for the rest of the day until she goes to sleep. 10.Instruct the athlete to use a heating pad on her ankle while she sleeps. 11.Instruct the athlete to call the coach to tell her what the doctor said. 12Instruct the athlete to take OTC NSAIDs. Answer Booklet Sample Problem I 9. 10. 11. 12.

4. © BOC 2004 This slide provides the responses for all the possible choices in the sample problem. It should be noted that, in many cases, correct selections reveal useful information. However, it is also possible that a selection (whether correct or incorrect) will reveal information that is not useful. Explanation of Sample Problem Problem Booklet Sample Problem I 1.Tape her ankle securely and see if she can finish. 2.Apply ice to her left ankle. 3.Have the athlete walk the injury off. 4.Write a note to excuse her from classes tomorrow. 5.Apply a compression wrap to the injured ankle. 6.Secure, measure, and instruct the athlete in the use of crutches. 7.Call the coach to tell her about the athlete’s condition. 8.Give the athlete a warm whirlpool treatment. 9.Instruct the athlete to continue the ice treatments for the rest of the day until she goes to sleep. 10.Instruct the athlete to use a heating pad on her ankle while she sleeps. 11.Instruct the athlete to call the coach to tell her what the doctor said. 12. Instruct the athlete to take OTC NSAIDs. Answer Booklet Sample Problem I The athlete agrees to try to finish.** Ice is applied.** 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. This decision is noted.** A wrap is applied.** This is done.** The coach is not in her office** The whirlpool has been drained.** The athlete agrees to do this.** The athlete states she doesn’t have one.** The athlete doesn’t know the coach’s home number.** The athlete reports she is allergic to NSAIDs.**

5. © BOC 2004 The item by item weighting scale is as follows: >CI = Clearly Indicated (you must do it). These are items that are essential in solving the problem and/or failure to take such action has the potential for causing harm. CI’s are essential because competent ATCs would certainly perform the action in a real-life situation. >I = Indicated (it is Ok to do it). These are decisions that will help in solving the problem but are not absolutely essential and failure to take such action does not pose a significant threat of causing harm. >N = Neutral (it does not matter whether you do it or not). These actions could be taken or not without consequence. >C = Contraindicated (you should avoid doing it). These are decisions that are improper and will interfere with solving the problem, but do not pose a significant threat of causing harm. >CC = Clearly Contraindicated (you must avoid doing it). These are improper decisions that have a significant potential for causing harm. Scoring (continued) General Information

6. © BOC 2004 General Information Scoring (continued) Problem Booklet Sample Problem I 1.Tape her ankle securely and see if she can finish. 2.Apply ice to her left ankle. 3.Have the athlete walk the injury off. 4.Write a note to excuse her from classes tomorrow. 5.Apply a compression wrap to the injured ankle. 6.Secure, measure, and instruct the athlete in the use of crutches. 7.Call the coach to tell her about the athlete’s condition. 8.Give the athlete a warm whirlpool treatment. 9.Instruct the athlete to continue the ice treatments for the rest of the day until she goes to sleep. 10.Instruct the athlete to use a heating pad on her ankle while she sleeps. 11.Instruct the athlete to call the coach to tell her what the doctor said. 12. Instruct the athlete to take OTC NSAIDs. Answer Booklet Sample Problem I The athlete agrees to try to finish.** Ice is applied.** 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. This decision is noted.** A wrap is applied.** This is done.** The coach is not in her office** The whirlpool has been drained.** The athlete agrees to do this.** The athlete states she doesn’t have one.** The athlete doesn’t know the coach’s home number.** The athlete reports she is allergic to NSAIDs.** CC CI CC C CI N CC CI CC C N This slide provides the item by item weighting scale for the sample problem.