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A 20-year-old soccer player who collapsed after a goal kick reports weakness and nausea. He appears slightly confused. Examination reveals that he is not sweating. His skin is warm and dry. The outdoor temperature is 80 degrees F (26.6 degrees C) with a relative humidity of 80%. Management should consist of
a drink of water.
a sports drink with electrolytes.
placement in the reverse Trendelenburg position in a shaded area.
immersion in a warm water bath.
transportation to the emergency department.
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What is the most common cause of sudden cardiac death in otherwise healthy 20-30 year-old athletes?
Coronary artery disease
Ruptured aortic aneurysm
The use of EKG for routine pre-participation screening of youth athletes is not presently standard of care in the United States. With respect to this observation, all of the following statements are correct EXCEPT:
Echocardiography is used to confirm hypertrophic subaortic cardiomyopathy
History and physical examination are considered more cost-effective than EKG for screening
Athletes with a family history of sudden cardiac death should receive additional testing
Electrocardiography will result in a large number of false-positive results
Electrocardiography cannot detect potential causes for sudden cardiac death
A high school basketball player dies suddenly on the basketball court. An autopsy is most likely to find which of the following conditions to be the cause of death?
Hypertrophic obstructive cardiomyopathy
Mitral valve prolapse
Aortic root rupture
A 15-year-old asymptomatic male presents for a pre-participation high school physical for basketball. He has no personal or family history of asthma. He had two relatives who died while playing sports due to a medical problem that runs in his family. Which of the following tests would be most helpful in obtaining his diagnosis and preventing possible sudden death?
Pulmonary function test
An otherwise healthy 14-year-old male baseball pitcher goes into cardiac arrest after being struck in the chest by a batted ball. Commotio cordis is suspected. What is the most appropriate treatment?
Placement of a large gauge needle into the pericardial sac
Immediate Cardiac defibrillation