CCSP Concussion Evaluation and Management 3

Question 1

Which balance assessment tool is incorporated into the SCAT5 and commonly used for objective sideline concussion evaluation?

Accepted Answer

Balance Error Scoring System (BESS)

Answer

The Balance Error Scoring System (BESS) is the standardized balance test incorporated into the SCAT5, assessing postural stability under six conditions.

Question 2

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?

Accepted Answer

What team did we play last week?

Answer

Maddocks questions assess sport-specific orientation; asking about recent game opponents tests short-term memory relevant to the sporting context rather than general orientation.

Question 3

Which medication class is generally CONTRAINDICATED in the acute phase of concussion management due to potential masking of symptoms?

Accepted Answer

NSAIDs

Answer

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.

Question 4

In pediatric concussion management, return to learn protocols should be initiated before return to sport protocols. What is the primary rationale?

Accepted Answer

School reintegration is less physically demanding and ensures cognitive recovery

Answer

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.

Question 5

Which physiological mechanism explains why a second concussion shortly after the first can be catastrophically more severe?

Accepted Answer

Loss of cerebrovascular autoregulation during neurometabolic vulnerability period

Answer

Second Impact Syndrome results from loss of cerebrovascular autoregulation during the neurometabolic vulnerability window, causing massive cerebral swelling and potentially fatal outcomes.

(CCSP) Certified Chiropractic Sports Physician Practice Test

(CCSP) Certified Chiropractic Sports Physician Practice Test

CCSP Concussion Evaluation and Management 3