Concussion Evaluation and Management Flashcards
7 cards from real CCSP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Concussion Evaluation and Management flashcards as text
Which balance assessment tool is incorporated into the SCAT5 and commonly used for objective sideline concussion evaluation?
Answer: Balance Error Scoring System (BESS)
The Balance Error Scoring System (BESS) is the standardized balance test incorporated into the SCAT5, assessing postural stability under six conditions.
A chiropractor suspects a concussion in an athlete who had no loss of consciousness but reports headache and 'feeling foggy.' Which Maddocks question would be most appropriate to assess orientation?
Answer: What team did we play last week?
Maddocks questions assess sport-specific orientation; asking about recent game opponents tests short-term memory relevant to the sporting context rather than general orientation.
Which medication class is generally CONTRAINDICATED in the acute phase of concussion management due to potential masking of symptoms?
Answer: NSAIDs
NSAIDs (and aspirin) are generally avoided in the acute phase due to risk of intracranial bleeding and potential to mask symptoms that guide clinical decision-making.
In pediatric concussion management, return to learn protocols should be initiated before return to sport protocols. What is the primary rationale?
Answer: School reintegration is less physically demanding and ensures cognitive recovery
Return to learn is prioritized first because academic reintegration is less cognitively demanding than sport and serves as a functional checkpoint for cognitive recovery before physical exertion.
Which physiological mechanism explains why a second concussion shortly after the first can be catastrophically more severe?
Answer: Loss of cerebrovascular autoregulation during neurometabolic vulnerability period
Second Impact Syndrome results from loss of cerebrovascular autoregulation during the neurometabolic vulnerability window, causing massive cerebral swelling and potentially fatal outcomes.
A 22-year-old basketball player completes all stages of the graduated return-to-sport protocol without symptoms. Who should provide final medical clearance for full return to contact sport?
Answer: Licensed physician or authorized healthcare provider
Final medical clearance from a licensed physician or authorized healthcare provider is required before an athlete returns to full contact sport following concussion.
The King-Devick Test primarily assesses which aspect of concussion-related dysfunction?
Answer: Saccadic eye movement speed and accuracy
The King-Devick Test measures saccadic eye movements by timing the speed and accuracy of reading single-digit numbers, which is impaired following concussive injury.