Concussion Management Practice Exam

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• If the normal near point convergence distance is 3-4 inches, what is the recovery distance range?
• Which guidelines included slight modifications to the recommended stages of return-to-play progression?
• Define post-concussion syndrome and its typical time course.
• Which scenario would most strongly prompt MRI over CT in concussion workup?
• There is ___ abnormality on standard structural neuroimaging studies (CT or MRI).
• In concussion management, MRI is preferred over CT in which scenario?
• Which symptom is commonly associated with sleep disturbance following concussion?
• In the American Academy of Neurology concussion grading, which grade corresponds to transient confusion with no loss of consciousness and concussion symptoms lasting more than 15 minutes?
• The ability to switch focus from a distance object to a near target is called?
• Which groups are more likely to sustain a concussion and take longer to recover than adults?
• What is considered the #1 predictor of protracted recovery after a concussion?
• Which statement reflects the early stance on concussion grading being retrospective rather than prospective?
• Which option reflects the cognitive criterion among the four listed recovery accomplishments?
• Is it true that a concussion is usually diagnosed by neuroimaging tests such as CT scan or MRI?
• Which term is sometimes used to describe the cumulative effect of repeated concussions?
• What is a symptom-limited exercise test and how does it influence RTP?
• What criteria should be met before medical clearance for RTP is given?
• Why is a second concussion before full recovery dangerous?
• Why is a neck screen performed in concussion assessment?
• Which statement about King Devick paper tests is accurate?
• What is the treatment emphasis for cervicogenic post-concussion syndrome?
• Which statement about youth concussion risk and recovery is supported by the information?
• Which components are assessed in the SCAT5 concussion assessment tool?
• How does a history of migraines influence concussion management?
• What is the term for the ability to focus on a stationary object while the head is moving?
• The Window of Opportunity refers to the first how many weeks after a concussion?
• The ability to bring the two eyes together and maintain fusion on a single image is called?
• Which of the following is commonly included in a Return-to-Learn plan for concussion recovery?
• Near point convergence testing measures distance between pen and eye. The normal distance is what?
• What is Return-to-Learn in concussion management?
• Which of the following is a pro of C3 Logix testing?
• Reading eye movements are a combination of fixations and which type of eye movements?
• After how long should light aerobic activity typically begin if the athlete remains symptom-free?
• Where are King Devick paper tests stored?
• What is the purpose of including imaging results in the concussion event documentation?
• Cantu Grade 1 corresponds to No Loss of Consciousness and Post-Traumatic Amnesia < 30 minutes, with post-concussion symptoms 15-30 minutes.
• What is regarded as the most important component of a concussion management program?
• Second Injury Event time window is dangerous because it occurs before the first has fully healed; which outcome best describes this?
• Cantu Grade 2 corresponds to Loss of Consciousness < 1 minute or post-traumatic amnesia 30 min.- 24 hrs.
• Which statement best describes the relationship between imaging and concussion diagnosis as described in the material?
• Which population requires pediatric-specific assessment tools and school-based Return-to-Learn plans?
• Which stage is the final stage of the standard Return-to-Play progression?
• There is significant overlap between concussion symptoms and mood disorders.
• Should a parent awaken a child with a concussion who falls asleep at least every two hours?
• What is the purpose of vestibulo-ocular screening (VOMS) in concussion assessment?
• Who are key stakeholders in a student-athlete’s Return-to-Learn and RTP planning?
• Which term describes the quick eye movements used to shift gaze between objects?
• Describe the standard Return-to-Play progression after a concussion and the criterion for advancing stages.
• Do helmets translate to a reduction in concussion incidence?
• Which statement about neuroimaging in concussion management is true?
• Which concept describes a critical period after concussion when prompt management improves outcomes?
• Second Impact Syndrome is best described as what outcome after a second head injury before full recovery?
• If not appropriately treated, a patient who sustains concussion is ____ times more likely to sustain a second.
• Which of the following is a limitation of the King Devick test?
• Near point convergence testing measures distance between which two items?
• What is the role of the cervical spine exam in concussion assessment?
• Involuntary movement of the eyes at end of range eye movements is called?
• What is subsymptom threshold training and its rationale?
• What is second-impact syndrome and why is it critical?
• What is the recommended analgesic approach in the acute concussion period?
• What is the biggest barrier to mass balance testing?
• How is exercise intensity capped during subsymptom threshold training?
• How do age and sex influence concussion symptom burden and recovery duration?
• During injury, potassium leaves the cell and calcium enters; which statement correctly describes ion movement?
• Which category of post-concussion syndrome is defined by persistence of neurochemical changes after injury?
• Which of the following is a symptom of binocular dysfunction?
• Near point convergence testing recovery distance is what?
• Phase 2 cervical strengthening includes which elements?
• Most concussions result in a brief loss of consciousness.
• Which statement about Cantu grading is true?
• If red flags are present during concussion evaluation, what action is recommended?
• There is no abnormality on standard imaging studies (CT or MRI) after concussion.
• Is a direct blow to the head required to sustain a concussion?
• What should clinicians document when recording a concussion event?
• How should RTP progression be monitored across stages?
• Which of the following is an indication for a CT scan in concussion assessment?
• Reading eye movements are best described as a combination of which two components?
• Which memory impairment is associated with recognition of a concussion?
• These sweeping eye movements allow us to track objects smoothly.
• Why is hydration monitoring included in concussion recovery?
• Phase 1 cervical strengthening includes which exercise?
• What is considered the best initial management for recovery from a concussion?
• Why is clinician-guided decision-making critical in RTP?
• What is baseline concussion testing (e.g., ImPACT, SCAT5) used for?
• Which guidelines first introduced treatment guidelines and return-to-play recommendations for concussion management?
• What is the purpose of graded exertion testing in return-to-play decisions?
• What steps should be taken after a suspected concussion when returning from practice?
• Which components should guide return-to-play decisions?
• Concussion often occurs without any direct impact or blow to the head; this is described as an ________ injury.
• What should be avoided in concussion event documentation?
• How do the return-to-play days compare for athletes who come out immediately after a concussion versus those who try to play through it?
• Which of the following is a red flag requiring urgent evaluation for possible brain injury?
• Which statement is not supported by the concussion information?
• During Stage 3, which activity is prohibited?
• Which tools are commonly used for pediatric concussion assessment?
• What are general recommendations for hydration and nutrition during concussion recovery?
• Which is NOT typically considered a concussion RTP guideline source?
• BDNF stands for which of the following?
• Maximum time from head trauma with loss of consciousness to symptom onset in post-concussion syndrome?
• Concussion symptoms overlap significantly with symptoms of which type of disorders?
• How has concussion grading evolved in modern practice?
• Which stage corresponds to return to normal game play?
• How many symptoms are needed for post-concussion syndrome?
• The American Academy of Neurology grade for transient confusion with no loss of consciousness and concussion symptoms lasting less than 15 minutes is which number grade?
• Which condition is a progressive degenerative disease of the brain found in athletes with a history of repetitive brain trauma?
• ImPACT testing is not recommended for which population?
• Which two requirements are highlighted by the concussion management and awareness act?
• What is the aim of subsymptom threshold training?
• Which of the following is an advantage of the King Devick test?
• What best describes the overall approach to return-to-play decisions in concussion management?
• What is the role of follow-up after a concussion event?
• Which statement best describes chronic traumatic encephalopathy (CTE)?
• Concussion results in the rapid onset of short-lived impairment of neurologic function that typically resolves spontaneously in a _________ fashion.
• Which sign indicates concussion is worsening and requires re-evaluation, particularly if headaches intensify?
• Is loss of consciousness required for a concussion diagnosis?
• A limitation of the Cantu grading system is that it did not show how long it would take to recover.
• When in doubt about returning to play after a suspected concussion, what should you do?
• All reported SIS cases have occurred in athletes younger than how many years?
• Which statement is NOT a pro of the King Devick test?
• Which of the following is not an emergency sign warranting immediate medical attention following a head injury?
• Who must authorize starting stage and how many days per stage?
• What is the objective of Rehab Stage 1?
• Under what circumstances is neuroimaging ordered beyond the initial field assessment?
• What is an appropriate approach to return-to-play after a concussion?
• How can clinicians differentiate concussion from a cervical spine injury on initial assessment?
• In rehab, which option describes the stage four objective?
• Which mechanism is commonly described for sports-related traumatic brain injury?
• When is vestibular rehabilitation indicated after concussion?
• Which symptom is associated with oculomotor dysfunction?
• Before returning to normal game play, a patient must pass which sequence of assessments?
• How many days of rest are recommended before contact day?
• Which guidelines introduced the simple versus complex classification based on recovery time (> 10 days)?
• What is the first action required on the field if concussion is suspected?
• An energy crisis after concussion is described as resulting from hypermetabolism in combination with which change?
• Which of the following is an absolute indication to go to the Emergency Department after a concussion?
• What is the primary difference in concussion management for pediatric athletes compared with adults?
• In concussion management, Return-to-Learn and Return-to-Play plans should be coordinated and involve which stakeholders?
• Following a second head impact, autoregulation fails for which two components, increasing the risk of edema and brain herniation?
• The neurological exam for concussion focuses on which area?
• ImPACT testing has been criticized for omitting other concussion effects; it primarily provides which type of information?
• Which organizations publish widely used concussion guidelines for RTP?
• How long is the King Devick test typically performed?
• How does symptom provocation during SCAT5 inform RTP decisions?
• Which imaging modality provides better soft tissue detail and may be preferred when CT is negative but symptoms persist?
• What is the Balance Error Scoring System (BESS) used for in concussion assessment?
• Which rehab stage involves progression to more complex training drills and non-contact practice, with the objective of exercising, coordinating, and managing cognitive load?
• In what formats can the King Devick test be administered?
• What cognitive-communication strategies help a student returning to school?
• In acute concussion management, which statement about imaging is correct?
• During concussion, the brain's autoregulatory mechanisms protect against swelling by limiting which parameter?
• Which item is the fourth accomplishment listed for concussion recovery?
• Which imaging modality is primarily used acutely when intracranial injury is suspected?
• How does a history of prior concussions influence current management?
• Who should clear an athlete to return to play after a concussion?
• The quick eye movements we make from one object to another are called?
• What are common neck-related symptoms in post-concussion syndrome?
• Concussion is a ______ disturbance rather than structural injury.
• Which factor is associated with neuroplasticity and may be targeted to support concussion recovery?
• Which two conditions combine to produce the energy crisis after concussion?
• A concussion is equivalent to which type of brain injury?
• The ability of both eyes to look at a target is called?
• What sleep-related recommendations are commonly advised during concussion recovery?
• CTE is a progressive degenerative disease of the brain.
• What is the role of neuroimaging findings in guiding RTP decisions?
• Each rehabilitation stage is separated by at least how many hours?
• Which of the following is a con of ImPACT testing?
• What is a core principle of RTP guidelines?
• What is Return-to-Learn and why is it important?
• Which symptom is commonly reported in post-concussion syndrome?
• Which guideline set explicitly prohibits same-day return-to-play?
• What is the primary risk management reason for addressing red flags after concussion?
• What is a key difference between SCAT5 and pediatric SCAT5?
• Which computer-based neurocognitive test evaluates attention/concentration, memory/recall, processing speed and reaction time?
• What does neurocognitive testing (e.g., ImPACT) contribute to concussion management?
• What is the primary purpose of collecting neurocognitive baseline data prior to injury?
• Which rehab stage involves full contact practice after medical clearance?
• Which of the following is commonly included in the physical exam for concussion patients?
• What does the 'six-stage progression' refer to?
• If symptoms recur during the return-to-play progression, what is the recommended management?
• Vestibulocular PCD involves which systems?
• Cervical strengthening should not be performed on which condition?
• Which is a limitation of C3 Logix testing?
• Which of the following is NOT among the four accomplishments we want in concussion recovery?
• Which item is a key pro of ImPACT testing that aids clinical decision making?
• Which guidelines stated no simple/complex distinction, no grading scheme, no same-day return-to-play, and that all concussions should be treated?
• The brain's autoregulatory mechanism protects against swelling by limiting which parameter?
• In concussion recovery, which group tends to take the longest to recover before returning to play?
• AAN Grade 1 concussion is associated with symptoms lasting less than how many minutes?
• Returning to play before full recovery increases the risk of additional concussions.
• Which of the following is NOT listed as a risk factor for post-concussion syndrome?
• How many rehabilitation stages are described in the program?
• In the AAN concussion grading, which grade is defined by any loss of consciousness?
• Phase 1 cervical strengthening consists of which type of exercises?
• Balance testing is the most challenging with the labor-intensive nature being the biggest barrier to ________.
• What does CTE stand for?
• Concussions can be cumulative in athletes that return to play before fully recovered.
• In Rehab Stage 2, which activity is allowed?
• Cantu Grade 3 corresponds to Loss of Consciousness > 1 minute, Post-traumatic amnesia > 24 hrs, or signs and symptoms < 1 week.
• Which sign indicates concussion is worsening and requires re-evaluation?
• Which description best matches Rehab Stage 1?
• How can sleep disturbances be managed in concussion recovery?
• What is the aim of treatment for vestibulocular PCD?
• Vestibulocular post-concussion syndrome involves vestibular and binocular problems. Which disorder name corresponds to this description?
• All reported cases of SIS have occurred in athletes younger than how many years?
• The King Devick test primarily evaluates which domain?
• Headaches can initially be treated with which over-the-counter medication?
• Stage 3 focuses on which type of exercise?