MACE Symptom Recognition & Monitoring 2

Question 1

What are the visual symptoms of concussion?

Accepted Answer

Blurred vision, double vision (diplopia), light sensitivity (photophobia), difficulty tracking moving objects, and visual field deficits

Answer

Concussion never affects vision

Answer

Only color blindness occurs

Answer

Only complete vision loss

Question 2

What balance and vestibular symptoms are associated with concussion?

Accepted Answer

Dizziness, vertigo, balance problems, motion sensitivity, and difficulty with rapid head movements

Answer

Concussion does not affect balance

Answer

Only severe TBI causes dizziness

Answer

Balance problems only occur in elderly patients

Question 3

How does physical exertion affect concussion symptoms?

Accepted Answer

Physical activity can temporarily worsen concussion symptoms (headache, dizziness, cognitive difficulties), which is why graded return-to-activity protocols are used

Answer

Exercise always helps concussion recovery

Answer

Physical activity has no effect on symptoms

Answer

Only extremely intense exercise affects symptoms

Question 4

What emotional and behavioral changes should be monitored after concussion?

Accepted Answer

Irritability, mood swings, anxiety, depression, decreased frustration tolerance, and personality changes

Answer

No emotional changes occur with concussion

Answer

Only anger is an emotional symptom

Answer

Emotional changes only occur with severe TBI

Question 5

What sleep disturbances are associated with concussion?

Accepted Answer

Difficulty falling asleep (insomnia), excessive sleepiness, fragmented sleep, altered sleep-wake cycles, and increased or decreased total sleep time

Answer

Concussion does not affect sleep

Answer

Only insomnia occurs

Answer

Only excessive sleepiness occurs

Question 6

When should a concussed service member be awakened during sleep for neurological checks?

Accepted Answer

Only when red flag symptoms were present at initial assessment or when the mechanism of injury suggests potential for more serious intracranial pathology

Answer

Every 15 minutes for 72 hours

Answer

Never interrupt sleep after concussion

Answer

Every hour for the first night