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Free BOC Practice Test (20 Questions)

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Free BOC Practice Test (20 Questions)

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BOC – Domain 1: Injury and Illness Prevention and Wellness Promotion 0%
BOC – Domain 1: Injury Prevention and Wellness Promotion 0%
BOC – Domain 1: Prevention and Wellness 0%
BOC – Domain 2: Examination, Assessment, and Diagnosis 0%
BOC – Domain 3: Immediate and Emergency Care 0%
BOC – Domain 4: Therapeutic Intervention 0%
BOC – Domain 5: Healthcare Administration and Professional Responsibility 0%

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Question 1 of 20

1. Question
1 point(s)

Category: BOC – Domain 1: Injury Prevention and Wellness Promotion

During the first two days of August preseason football camp in a humid climate, the ambient temperature reaches 88°F with 75% relative humidity. According to the NCAA and NATA heat acclimatization guidelines, what protective equipment and practice structure are permissible?

Helmets only, with either a single 3-hour practice or one 2-hour practice and one 1-hour walk-through.
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Full pads with a single 3-hour practice session.
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Helmets and shoulder pads, with two separate 2-hour full-contact practices separated by 1 hour.
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Full pads permitted if ice tubs and misting fans are accessible on the field.
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Question 2 of 20

2. Question
1 point(s)

Category: BOC – Domain 2: Examination, Assessment, and Diagnosis

A 19-year-old basketball player lands on an opponent’s foot, forcefully inverting and plantarflexing the ankle. On evaluation, the athletic trainer notes localized tenderness over the anterior talofibular ligament, mild swelling, no laxity on anterior drawer testing, and normal weight bearing. What is the clinical diagnosis?

Grade 2 lateral ankle sprain
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Syndesmotic ankle sprain
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Grade 1 lateral ankle sprain
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Subtalar joint dislocation
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Question 3 of 20

3. Question
1 point(s)

Category: BOC – Domain 2: Examination, Assessment, and Diagnosis

A football fullback is hit in the right upper quadrant of the abdomen during a goal-line collision. He complains of right upper abdominal guarding, nausea, and deep referred pain beneath his right scapula and right shoulder tip. What solid organ is injured?

Liver
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Spleen
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Stomach
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Pancreas
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Question 4 of 20

4. Question
1 point(s)

Category: BOC – Domain 3: Immediate and Emergency Care

An athletic trainer evaluates a severe epistaxis in a basketball player. After 10 minutes of direct pressure with the head in the sniffing position, bleeding continues briskly from the posterior nasopharynx. What is the appropriate management?

Recognize that anterior epistaxis originates from larger vessels, can cause airway compromise, and requires urgent medical referral/packing.
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Recognize that posterior epistaxis originates from smaller vessels, rarely causes airway compromise, and is managed with pressure alone.
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Recognize that posterior epistaxis originates from larger vessels, can cause airway compromise, and requires urgent medical referral/packing.
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Recognize that posterior epistaxis originates from larger vessels, can cause airway compromise, and is managed by observation on site.
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Correct

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Question 5 of 20

5. Question
1 point(s)

Category: BOC – Domain 4: Therapeutic Intervention

An athletic trainer treats a volleyball player with chronic patellofemoral pain. Which open-chain knee exercise places the greatest joint contact stress on the patellofemoral articulation and should be modified?

Seated active terminal knee extensions from 40 degrees to 0 degrees of full extension.
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Closed-chain mini-squats from 0 to 30 degrees.
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Straight leg raises with the knee locked in extension.
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Prone hamstring curls from 0 to 90 degrees.
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Question 6 of 20

6. Question
1 point(s)

Category: BOC – Domain 1: Prevention and Wellness

During preseason physical examinations, an athletic trainer identifies an athlete with Marfan syndrome. What specific musculoskeletal and cardiovascular features are characteristic of this genetic connective tissue disorder?

Tall, slender stature with disproportionately long limbs (arachnodactyly), pectus carinatum, joint hypomobility, and low risk of thoracic aortic aneurysm or dissection
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Tall, slender stature with disproportionately short limbs, pectus excavatum, joint hypermobility, and high risk of mitral valve stenosis without aortic involvement
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Tall, slender stature with disproportionately long limbs (arachnodactyly), pectus excavatum, joint hypermobility, and high risk of thoracic aortic aneurysm or dissection
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Short, stocky stature with disproportionately long limbs (arachnodactyly), pectus excavatum, joint hypermobility, and high risk of thoracic aortic aneurysm or dissection
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Question 7 of 20

7. Question
1 point(s)

Category: BOC – Domain 1: Injury and Illness Prevention and Wellness Promotion

A swimmer with well-controlled epilepsy (seizure-free for 2 years on medication) seeks clearance. What guidance is appropriate?

Clear with individualized precautions including supervised swimming and seizure action plan
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Clear with individualized precautions including unsupervised swimming and seizure action plan
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Clear with individualized precautions including supervised swimming, without a seizure action plan
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Restrict to supervised land-based training until the athlete is seizure-free for 3 full years
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Question 8 of 20

8. Question
1 point(s)

Category: BOC – Domain 1: Injury and Illness Prevention and Wellness Promotion

A youth soccer club with limited resources wants injury prevention but coaches resist ‘wasting’ practice time on warm-ups. The club has high ACL injury rates in U16 girls. What implementation strategy is most evidence-based?

Present the injury and cost data, require the FIFA 11+ as an additional 20-minute session after practice, mandate coach compliance without training, and review injury rates at the end of the year
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Integrate the FIFA 11+ into existing warm-up time for the boys' teams first to demonstrate success, then extend it to the U16 girls once coaches accept the added practice time involved
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Present the injury and cost data, integrate the FIFA 11+ into existing warm-up time (not additional time), train coaches in delivery, track compliance and injuries, and share success data — addressing the time barrier while building buy-in through evidence
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Present national injury data only, provide coaches with a video link to self-learn the FIFA 11+, and rely on voluntary compliance without tracking attendance or injury outcomes over time
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Question 9 of 20

9. Question
1 point(s)

Category: BOC – Domain 1: Injury and Illness Prevention and Wellness Promotion

An Athletic Trainer at a high school without a WBGT device must implement a heat policy for August football. What is the most appropriate approach?

Use the heat index from the National Weather Service as the sole long-term measure instead of WBGT, and implement NATA-based practice modifications without seeking a WBGT device
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Use on-site temperature and humidity readings taken by the coaching staff as an interim measure, and implement practice modifications based on the athletic trainer's perceived heat stress
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Postpone implementing any heat policy until a WBGT device is procured, and in the interim limit August football to non-contact drills without formal practice modifications
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Use the heat index from the National Weather Service as an interim measure while advocating for WBGT device procurement, and implement NATA-based practice modifications
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Correct

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Question 10 of 20

10. Question
1 point(s)

Category: BOC – Domain 2: Examination, Assessment, and Diagnosis

A basketball player felt a ‘pop’ in the posterior calf. The athletic trainer performs the Thompson (calf squeeze) test: squeezing the calf produces no plantarflexion. This finding most indicates which injury?

Achilles tendon rupture
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Gastrocnemius strain
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Tennis leg (plantaris rupture)
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Deep vein thrombosis
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Correct

Incorrect
Question 11 of 20

11. Question
1 point(s)

Category: BOC – Domain 2: Examination, Assessment, and Diagnosis

A study of the anterior drawer test reports: 80 TP, 20 FP, 20 FN, 80 TN. What are the sensitivity, specificity, and positive likelihood ratio?

SN 80%, SP 80%, LR+ 4.0
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SN 50%, SP 50%, LR+ 1.0
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SN 80%, SP 20%, LR+ 1.0
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SN 20%, SP 80%, LR+ 0.25
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Question 12 of 20

12. Question
1 point(s)

Category: BOC – Domain 2: Examination, Assessment, and Diagnosis

The Post-Concussion Symptom Scale (PCSS) rates 22 symptoms on a 0-6 scale. Its primary clinical use is which of the following?

Tracking symptom severity over time to guide management decisions
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Diagnosing concussion from a single score
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Determining the need for surgery
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Measuring IQ
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Question 13 of 20

13. Question
1 point(s)

Category: BOC – Domain 3: Immediate and Emergency Care

A high school basketball coach (no AT on site) observes a player take an elbow to the head, appear dazed, and miss a defensive assignment. Per best practice, the coach should:

Remove the player immediately and not allow return until evaluated by the team's athletic trainer at the next practice — 'when in doubt, sit them out'
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Remove the player immediately and not allow return until evaluated by an appropriate healthcare professional — 'when in doubt, sit them out'
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Remove the player for the remainder of the half and not allow return until evaluated by a parent or coach after the game — 'when in doubt, sit them out'
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Keep the player under sideline observation and not allow return until evaluated by an appropriate healthcare professional — 'when in doubt, sit them out'
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Correct

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Question 14 of 20

14. Question
1 point(s)

Category: BOC – Domain 3: Immediate and Emergency Care

A football coach plans two-a-days starting August 1st in Texas: full pads, 3-hour morning session, 2-hour afternoon session, day one. Per NATA heat acclimatization guidelines, what is wrong?

Only the total duration is wrong: two-a-days are permitted from day one if each session stays under three hours and full pads are introduced on day three
Correct Incorrect Correct answer

Nearly everything: acclimatization requires 10-14 days of graduated exposure, single practices ≤3 hours initially, no two-a-days in the first 5 days, and total practice time limits — this plan invites exertional heat stroke
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Only the equipment timing is wrong: single practices are allowed in full pads from day one, provided total practice time is capped during the first five days
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Only the August heat in Texas is the problem: the same two-a-day, full-pads schedule would be acceptable in cooler conditions without a graduated ramp-up period
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Correct

Incorrect
Question 15 of 20

15. Question
1 point(s)

Category: BOC – Domain 5: Healthcare Administration and Professional Responsibility

An athletic training clinic contracts with a cloud-based EMR vendor. Under HIPAA, the clinic must:

Execute a Business Associate Agreement only if the vendor will store PHI for more than one year — short-term cloud EMR contracts are exempt from the BAA requirement
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Execute a Business Associate Agreement (BAA) requiring the vendor to safeguard PHI — the clinic remains liable for its business associates' breaches
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Obtain the vendor's written assurance in its standard terms of service, which HIPAA accepts in place of a separate Business Associate Agreement for cloud services
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Require the vendor to sign a confidentiality pledge and obtain cyber insurance, while documenting that HIPAA places breach liability solely on the vendor itself
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Question 16 of 20

16. Question
1 point(s)

Category: BOC – Domain 5: Healthcare Administration and Professional Responsibility

CPT codes are used to:

Uniformly describe diagnoses and conditions treated — the AT selects codes capturing the injury or illness so procedures can be inferred from the claim
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Uniformly describe procedures and services for billing — the AT selects codes matching the skilled intervention actually provided
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Rank providers by the complexity of services billed — payers use the codes to compare practice patterns and to set reimbursement tiers among clinics
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Establish salary and productivity benchmarks for clinical staff — procedure volumes from the codes are the basis for compensation in sports medicine departments
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Question 17 of 20

17. Question
1 point(s)

Category: BOC – Domain 4: Therapeutic Intervention

A high school wrestler presents 6 hours post knee contusion with swelling and warmth. The Athletic Trainer selects cryotherapy over thermotherapy because:

Heat would increase blood flow and edema in the acute inflammatory phase
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Cold is more comfortable for all patients
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Heat is never used in athletic training
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Cold strengthens the joint capsule
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Question 18 of 20

18. Question
1 point(s)

Category: BOC – Domain 4: Therapeutic Intervention

For quadriceps strengthening post knee surgery, the Athletic Trainer sets the NMES on-off ratio to:

10 seconds on, 50 seconds off (1:5) to prevent fatigue
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Continuous on for 20 minutes
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1 second on, 1 second off
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Off only — NMES is passive
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Question 19 of 20

19. Question
1 point(s)

Category: BOC – Domain 4: Therapeutic Intervention

Before selecting a mobilization grade, the Athletic Trainer assesses irritability by considering:

Pain severity, night pain, response to activity, and time to calm symptoms
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Pain location, the specific joint involved, and the imaging findings for the affected shoulder
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The patient's age, body mass index, and the number of weeks since the original injury occurred
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Dominant side, sport position played, and whether symptoms occur during competition or practice
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Question 20 of 20

20. Question
1 point(s)

Category: BOC – Domain 4: Therapeutic Intervention

An Athletic Trainer distinguishes overtraining syndrome from functional overreaching in that overtraining:

Involves prolonged performance decline with physiological/psychological symptoms requiring extended recovery
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Involves a brief performance decline with mild fatigue that resolves completely within a few days of rest
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Is the planned goal of a training block, producing supercompensation after a short recovery period ends
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Causes performance decline in a single session only, with no psychological symptoms or systemic effects
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