CONCUSSION IN SPORT EXAM QUESTIONS

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CONCUSSION IN SPORT EXAM QUESTIONS

Actual Qs and Ans Expert-Verified Explanation

This Exam contains:

-Guarantee passing score -72 Questions and Answers -format set of multiple-choice -Expert-Verified Explanation

Question 1: Prognostic factors (e.g. history, comorbidities, etc.)

Advice YOU give the athlete Athlete's willingness/ability to follow advice

Answer:

Complications - Post-concussive syndrome (PCS) Question 2: The only means for athlete to return to practice/play is for he/she to be evaluated and cleared by MD, DO, or CN with concussion training

Answer:

Suggested concussion management

Question 3: Relatively quick and easy

Quick assessment of 4 neurocognitive domains:

• Orientation to time
• Immediate memory with word recall
• Concentration
• Delayed recall

Key is comparison to athlete's own pre-participation baseline

Answer:

Administration of SAC - Orientation

Question 4: LOC for >1 min or PTA for >24 hrs

PCSS >7 days

Answer:

Grade III - American Academy of Neurology

Question 5: Recognition of injury

Assessment of symptoms Assessment of cognitive function Assessment of cranial nerve function Assessment of balance

Answer:

SCAT Question 6: Goal was to get every individual involved in athletics to become more proactive in identifying and treating athletes with signs and symptoms of concussion

Answer:

State of Tennessee sports concussion law in 2013

Question 7: Controversial

• commonly used grading systems

Cantu Colorado Medical Society American Academy of Neurology

Answer:

Grade I - Cantu

Question 8: Transient confusion with amnesia

No LOC PCSS resolve >15 min

Answer:

Grade III - Cantu

Question 9: ?8 indicates coma or severe TBI

9-12 indicates moderate brain injury 13-14 indicates mild brain injury

Answer:

Why image?

Question 10: Any LOC

Answer:

Post-Traumatic Amnesia

Question 11: Emotional lability

Irritability Sadness/depression Anxiety/nervousness -helps to know the athlete

Answer:

Sleep Disturbance Question 12: Recite increasingly long series of numbers and ask athlete to recite list in reverse order "I am going to read you a string of numbers and when I am done, you repeat them back to me backwards, in reverse order of how I read them to you. For example, if I say 7-1-9, you would say 9-1-7." Ask athlete to recite months of the year in reverse order

Answer:

Administration of SAC - Delayed recall

Question 13: LOC

Clear confusion or disorientation Balance/motor incoordination Needs help getting off field/court Stumbling, slow movts Loss of memory Blank or vacant look

Answer:

Concussion Management - When it's not so easy

Question 14: Ask athlete a series of 5 questions regarding time, day, date, etc.What month is it?What is the date today?What is the day of the week?What year is it?What time is it right now?Aimed at establishing athlete's awareness and orientation to time

Answer:

Administration of SAC - Immediate memory Question 15: Supporting Athletes, Families, and Educators to Protect the Lives of Athletic Youth Legislation introduced to Congress in February 2015 to promote safety in youth sports Recognizes PT's as health care professionals qualified to make return-to-play decisions for youth sports concussions Has not been enacted

Answer:

Treatment

Question 16: Clinical reaction time

Gait/balance assessment Oculomotor screening Neuropsychological assessment -gold standard -clinical neuropsychologist trained in concussion

Answer:

Diagnosis

Question 17: concussion symptoms lasting >3 wks

Memory/concentration deficits Personality change Mood swings Headache Fatigue Dizziness Impaired sleep Visual disturbances Berlin expert consensus-persistent symptoms >10-14 days in adults; >4 wks in children

Answer:

Complications - Second impact syndrome