Board of Certification for the Athletic Trainer (BOC) Practice Test

An athlete experiences significant swelling in the lower leg. Which condition would require immediate evaluation?

1. Contusion

2. Fracture

3. Sprain

4. Strain

The correct answer is: Fracture

The need for immediate evaluation in cases of significant swelling in the lower leg often points to a fracture. Fractures can result in complications such as improper healing or damage to surrounding structures, including nerves and blood vessels. The immediate evaluation allows for the appropriate imaging (like X-rays) and intervention to address the injury properly, which minimizes the risk of long-term complications. Contusions, sprains, and strains, while they can cause swelling and pain, typically do not carry the same level of urgency concerning potential complications as fractures do. While they still require evaluation, the nature and severity of a fracture make it critical to assess right away, ensuring the athlete receives the proper care to promote healing and functionality.