1. Overuse injuries are primarily caused by:
(A) Sudden trauma
(B) Repetitive microtrauma over time
(C) Genetic factors only
(D) Lack of nutrition
2. Which tissue is most commonly affected by repetitive forces?
(A) Tendons
(B) Teeth
(C) Heart
(D) Kidneys
3. Tendinitis results from:
(A) Acute fracture
(B) Overuse and repetitive loading
(C) Complete rupture
(D) Purely genetic changes
4. Stress fractures are due to:
(A) High single impact
(B) Accumulated repetitive forces below failure threshold
(C) Purely muscle weakness
(D) Sudden overload only
5. Plantar fasciitis is an example of:
(A) Overuse injury
(B) Acute sprain
(C) Vascular injury
(D) Nerve compression
6. Overuse injuries often involve:
(A) Inflammation
(B) Mechanical breakdown of tissue
(C) Degeneration
(D) All of the above
7. Which athletes are most prone to stress fractures?
(A) Runners
(B) Swimmers
(C) Cyclists
(D) Archers
8. Carpal tunnel syndrome may result from:
(A) Repetitive wrist movements
(B) Sudden trauma
(C) Lack of calcium
(D) Genetic deformity
9. Which of the following is a repetitive stress disorder?
(A) Tennis elbow
(B) Ankle sprain
(C) Hip dislocation
(D) Rib fracture
10. Common site of stress fractures in runners:
(A) Tibia
(B) Ulna
(C) Humerus
(D) Skull
11. Overuse injuries are best prevented by:
(A) Proper rest and recovery
(B) Ignoring pain signals
(C) Continuous training without breaks
(D) Excessive stretching only
12. Repetitive shoulder stress often causes:
(A) Rotator cuff injuries
(B) Hip dislocation
(C) Spinal fracture
(D) Patellar fracture
13. Which structure is prone to degeneration from repetitive forces?
(A) Cartilage
(B) Liver
(C) Pancreas
(D) Kidney
14. Shin splints are related to:
(A) Overuse of lower leg muscles
(B) Neck strain
(C) Wrist joint overload
(D) Spinal compression
15. Stress fractures occur when:
(A) Bone remodeling cannot keep up with repetitive stress
(B) Sudden overload happens once
(C) Calcium is absent in diet
(D) Nerves are compressed
16. Tennis elbow is medically termed:
(A) Lateral epicondylitis
(B) Medial epicondylitis
(C) Olecranon bursitis
(D) Ulnar fracture
17. Golfer’s elbow is also known as:
(A) Medial epicondylitis
(B) Lateral epicondylitis
(C) Ulnar neuropathy
(D) Biceps tendinitis
18. Which tissue fails first under repetitive compression?
(A) Cartilage
(B) Muscle
(C) Ligament
(D) Skin
19. Overuse of the Achilles tendon can cause:
(A) Tendinopathy
(B) Disc prolapse
(C) Shin splints
(D) Meniscus tear
20. The early symptom of repetitive stress injury is:
(A) Pain and stiffness
(B) Complete fracture
(C) Total immobility
(D) Skin ulcer
21. Overuse injuries are more common in:
(A) High-frequency, low-intensity activities
(B) Rare high-impact accidents
(C) Single forceful events
(D) Purely static positions
22. Microtears in tendon fibers due to overuse lead to:
(A) Tendinopathy
(B) Fracture
(C) Nerve block
(D) Dislocation
23. Which factor increases risk of repetitive injury?
(A) Poor biomechanics
(B) Training errors
(C) Muscle imbalance
(D) All of the above
24. Overuse injuries are most frequent in:
(A) Endurance sports
(B) Chess
(C) Painting
(D) Weight lifting only
25. The inflammatory response in repetitive injuries often turns into:
(A) Chronic degeneration
(B) Immediate healing
(C) Acute fracture
(D) Rapid strengthening
26. Which of the following is a hallmark of repetitive injury?
(A) Gradual onset of pain
(B) Sudden sharp pain
(C) Bone dislocation
(D) Joint laxity
27. Repetitive strain injuries in the workplace often affect:
(A) Wrists and hands
(B) Knees only
(C) Neck vertebrae
(D) Skull bones
28. Stress fractures are commonly diagnosed by:
(A) MRI or bone scan
(B) Blood test
(C) Ultrasound
(D) CT of lungs
29. Patellar tendinitis is commonly called:
(A) Jumper’s knee
(B) Runner’s knee
(C) Golfer’s knee
(D) Swimmer’s knee
30. Overuse of lumbar spine often results in:
(A) Spondylolysis
(B) Cervical fracture
(C) Hip bursitis
(D) Skull fracture
31. Which factor worsens repetitive force injuries?
(A) Lack of recovery time
(B) Proper warm-up
(C) Balanced training
(D) Good biomechanics
32. The main biological process affected by repetitive stress is:
(A) Tissue remodeling
(B) Nerve regeneration
(C) Fat metabolism
(D) Skin pigmentation
33. Stress fractures in military recruits are called:
(A) March fractures
(B) Jump fractures
(C) Compression fractures
(D) Fatigue breaks
34. Repetitive valgus forces in the elbow often injure the:
(A) Ulnar collateral ligament
(B) Radial collateral ligament
(C) Flexor tendons
(D) Median nerve
35. Overuse in swimmers often causes:
(A) Shoulder impingement
(B) Knee dislocation
(C) Shin fracture
(D) Elbow sprain
36. Gymnasts are prone to overuse injuries in the:
(A) Wrists
(B) Neck
(C) Skull
(D) Toes only
37. Chronic repetitive forces on cartilage can lead to:
(A) Osteoarthritis
(B) Osteoporosis
(C) Osteomyelitis
(D) Osteosarcoma
38. The balance between load and recovery is known as:
(A) Training load management
(B) Stress tolerance
(C) Overtraining index
(D) Muscle imbalance
39. Which hormone imbalance may worsen repetitive injuries?
(A) Cortisol excess
(B) Insulin excess
(C) Estrogen deficiency
(D) All of the above
40. Which factor in children predisposes to overuse injuries?
(A) Growth plates still open
(B) High calcium density
(C) Stronger tendons
(D) Low flexibility
41. Overuse injuries differ from acute injuries because they:
(A) Develop gradually
(B) Happen suddenly
(C) Are always fractures
(D) Are always dislocations
42. Which imaging is most sensitive for early stress injuries?
(A) MRI
(B) X-ray
(C) CT scan
(D) Ultrasound
43. Which intervention is most important in overuse injuries?
(A) Rest
(B) Surgery
(C) High training volume
(D) Ignoring pain
44. Stress fractures are most common in:
(A) Weight-bearing bones
(B) Upper limb bones
(C) Facial bones
(D) Vertebrae only
45. Which factor contributes to repetitive tendon overuse?
(A) Poor footwear
(B) Hard running surfaces
(C) Muscle imbalance
(D) All of the above
46. Which professional group suffers most from repetitive strain?
(A) Office workers using keyboards
(B) Farmers
(C) Divers
(D) Pilots
47. Chronic repetitive stress to the lumbar spine in adolescents may cause:
(A) Spondylolisthesis
(B) Osteoporosis
(C) Herniated disc only
(D) Rib fracture
48. Which sport commonly causes “runner’s knee”?
(A) Running
(B) Swimming
(C) Weightlifting
(D) Cycling only
49. Repetitive use injuries in drummers often affect the:
(A) Wrists
(B) Neck
(C) Spine
(D) Hips
50. The most effective prevention of overuse injury is:
(A) Proper training, rest, and technique
(B) Ignoring small pains
(C) Increasing load rapidly
(D) Only stretching without recovery