CCSP Concussion Evaluation and Management 5

Question 1

Which demographic group has the LONGEST average recovery time following sports-related concussion?

Accepted Answer

Adolescent female athletes

Answer

Adult male athletes over 25

Answer

Collegiate male athletes

Answer

Masters-level athletes over 40

Question 2

What is the recommended initial management approach for an athlete with persistent dizziness and balance problems 2 weeks post-concussion?

Accepted Answer

Refer for vestibular physical therapy

Answer

Extend complete rest until symptoms fully resolve

Answer

Prescribe meclizine for symptomatic relief indefinitely

Answer

Perform cervical manipulation immediately

Question 3

During pre-participation concussion baseline testing, which factor most significantly reduces the validity and utility of computerized neurocognitive tests?

Accepted Answer

Poor athlete effort or intentional sandbagging

Answer

Testing athletes early in the morning

Answer

Testing within 48 hours of intense practice

Answer

Using a group testing format

Question 4

An athlete with known anxiety disorder sustains a concussion. Why is this comorbidity clinically significant for concussion management?

Accepted Answer

Pre-existing anxiety is associated with prolonged recovery and symptom amplification

Answer

Anxiety disorders cause false-positive concussion symptom reporting

Answer

Anxious athletes cannot perform reliable baseline testing

Answer

Anxiety medications accelerate neurometabolic recovery

Question 5

Which finding on the Sport Concussion Assessment Tool 5 (SCAT5) would most strongly support a diagnosis of concussion in a sideline evaluation?

Accepted Answer

BESS total errors significantly elevated above baseline

Answer

Total symptom score of 3 out of 132

Answer

Maddocks score of 4 out of 5 correct

Answer

SAC total score of 28 out of 30

Question 6

A chiropractic sports physician evaluating a wrestler finds cervical spine pain and limited range of motion along with concussion symptoms post-impact. What is the MOST appropriate initial management priority?

Accepted Answer

Rule out cervical spine injury before any concussion-specific management

Answer

Immediate cervical manipulation to restore joint mobility

Answer

Administer the SCAT5 immediately to quantify concussion severity

Answer

Apply ice to the cervical spine and begin concussion protocol simultaneously

Question 7

Which statement best describes the current evidence on sub-symptom threshold aerobic exercise in early concussion management?

Accepted Answer

Sub-threshold aerobic exercise initiated early promotes recovery and reduces prolonged symptoms

Answer

Complete rest until asymptomatic is superior to early aerobic exercise

Answer

Aerobic exercise should be avoided for at least 2 weeks post-concussion

Answer

High-intensity interval training accelerates neurometabolic recovery