CCSP Concussion Evaluation and Management 2

Question 1

Which grading scale for concussion severity was officially retired by major sports medicine organizations in favor of individualized assessment?

Accepted Answer

Cantu Grading System

Answer

The Cantu and other traditional grading systems were retired because concussion severity cannot be accurately determined at sideline and must be assessed individually over time.

Question 2

A 16-year-old soccer player reports visual disturbances and photophobia after a head impact. Which cranial nerve is most likely implicated in the photophobia symptom?

Accepted Answer

Cranial Nerve III (Oculomotor)

Answer

Photophobia after concussion is primarily mediated by cranial nerve III (oculomotor), which controls the pupillary light reflex and is sensitive to light stimulation.

Question 3

In the context of concussion management, what does 'cognitive rest' primarily involve?

Accepted Answer

Limiting mentally demanding activities that worsen symptoms

Answer

Cognitive rest involves limiting activities such as reading, screen time, and mentally demanding tasks that exacerbate concussion symptoms, not necessarily complete isolation.

Question 4

Which neurotransmitter is primarily implicated in the ionic cascade following concussive injury, leading to the metabolic crisis?

Accepted Answer

Glutamate

Answer

Glutamate is massively released following concussive injury, activating NMDA receptors and triggering an ionic cascade that leads to the neurometabolic crisis.

Question 5

A high school football player is cleared for return to play after concussion. During what stage of the graduated return-to-sport protocol can he first participate in non-contact training drills?

Accepted Answer

Stage 4

Answer

Stage 4 (sport-specific exercise) of the graduated return-to-sport protocol is when non-contact training drills are introduced after aerobic and sport-specific activities.

(CCSP) Certified Chiropractic Sports Physician Practice Test

(CCSP) Certified Chiropractic Sports Physician Practice Test

CCSP Concussion Evaluation and Management 2