Concussion

Question 1

What does LOC stand for?

Answer 1

Loss of Consciousness

Question 2

The most important historical question to ask when evaluating an athlete with a concussion pertains to the _____?

Answer 2

History

Question 3

T/F: Concussions are cumulative

Answer 3

TRUE

Question 4

We spend a lot of time learning about concussions to prevent ________ from occurring.

Answer 4

Second impact syndrome

Question 5

T/F: ACSM guidelines are sometimes referred to as the Cantu Guidelines. We should use these guidelines.

Answer 5

FALSE

Question 6

Asymmetcial pupils are called ______________.

Answer 6

Anisicoria

Question 7

What tool do you need to use to identify if Anisicoria is a pathological problem?

Answer 7

Pen Light

Question 8

Select all of the following neurological findings used to evaluate a concussion. LOC, PTA, Amnesia, Length of coma, Pupil Irregularity, Grade of Concussion

Answer 8

LOC, PTA, Amnesia, Pupil Irregularity

Question 9

What is the last test you should perform prior to returning a concussion athlete to play?

Answer 9

Exercise

Question 10

T/F: There is no such thing as a minor concussion.

Answer 10

TRUE

Question 11

T/F: If you clearly observe the injury and the nergy of the impact is very minor, but a concussion still occurs this person should be sent to the ER.

Answer 11

TRUE

Question 12

T/F: Regarding SRC, young people DO NOT have the same treatment plans as adults.

Answer 12

TRUE

Question 13

A concussion can be defined as an immediate and transient loss of neuronal function secondary to ____.

Answer 13

trauma

Question 14

T/F: Concussion symptoms can last for months.

Answer 14

TRUE

Question 15

What percent of SRC resolve within 7-10 days without an intervention?

Answer 15

80%

Question 16

T/F: There are certain scenarios where a concussed individual can return to play the dat of the injury.

Answer 16

FALSE

Question 17

T/F: SRC is now considered treatable.

Answer 17

TRUE

Question 18

People with SRC that cannot remember events since the injury occurred are said to have ______amnesia.

Answer 18

Anterograde

Question 19

T/F: Sports Related Concusion (SRC) is oten defined as representing the immediate an transient symptoms of traumatic brain injury (TBI).

Answer 19

TRUE

Question 20

T/F: SRC may be caused either by a direct blow to the head, face, nexk or elsewhere on the body with an impulsive force transmitted to the head.

Answer 20

TRUE

Question 21

T/F: SRC may result in neuropathological changes, but the acute clinical signs and symptoms largely reflect a functional disturbance rather than a structural injury and as such, no abnormality is seen on standard structural neuroimaging studies.

Answer 21

TRUE

Question 22

T/F: SRC is an evolving injury in the acute phase, with rapidly changing clinical signs and symptoms, which may reflect the underlying physiological injury in the brain.

Answer 22

TRUE

Question 23

T/F: A key concept in sideline assessment is the rapid screening for a suspected SRC, rather than the definitive diagnosis of head injury. Players manifesting clear on-field signs of SRC (eg, loss of consciousness, tonic posturing, balance disturbance) should immediately be removed from sporting participation.

Answer 23

TRUE

Question 24

What is the third step of the Graduated return to sport (RTS) strategy?

Answer 24

Sport-specific exercise

Question 25

The standards of care direct that serial examinations for the SR patient in the acute setting occur every ___ minutes.

Answer 25

5

Question 26

T/F: Neuropsychological testing (impact for example) or assessment may be the sole basis of management decisions in SRC.

Answer 26

FALSE

Question 27

T/F: Studies using advanced neuroimaging techniques have demonstrated that SRC is associated with changes in brain structure and function.

Answer 27

TRUE

Question 28

T/F: Most consensus and agreement statements for managing SRC recommend that athletes rest until they become symptom-free. Accordingly, precribed rest is one of the most widely used interventions in this population. The basis for recommending physical and cognitive rest is that rest may ease discomfort during the acute recovery period by mitigating post-concussion symptoms and/or that rest may promote recovery by minimizing brain energy demands following concussion. (There is currently insufficient evidence that prescribing complete rest.)

Answer 28

TRUE

Question 29

T/F: SRCs can result in diverse symptoms and problems, and can be associated with concurrent injury to the cervical spine and peripheral vestibular system.

Answer 29

TRUE

Question 30

T/F: When pharmacotherapy is used to treat SRC, concussed athletes using a medication, who meet all other criteria to return, may reurn while taking a pharmacological agent/medication that is precribed for their SRC.

Answer 30

TRUE

Question 31

T/F: All athletes, regardless of level of participation, should be managed using the same management principles.

Answer 31

TRUE