Concussion Flashcards
What does LOC stand for?
Loss of Consciousness
The most important historical question to ask when evaluating an athlete with a concussion pertains to the _____?
History
T/F: Concussions are cumulative
TRUE
We spend a lot of time learning about concussions to prevent ________ from occurring.
Second impact syndrome
T/F: ACSM guidelines are sometimes referred to as the Cantu Guidelines. We should use these guidelines.
FALSE
Asymmetcial pupils are called ______________.
Anisicoria
What tool do you need to use to identify if Anisicoria is a pathological problem?
Pen Light
Select all of the following neurological findings used to evaluate a concussion. LOC, PTA, Amnesia, Length of coma, Pupil Irregularity, Grade of Concussion
LOC, PTA, Amnesia, Pupil Irregularity
What is the last test you should perform prior to returning a concussion athlete to play?
Exercise
T/F: There is no such thing as a minor concussion.
TRUE
T/F: If you clearly observe the injury and the nergy of the impact is very minor, but a concussion still occurs this person should be sent to the ER.
TRUE
T/F: Regarding SRC, young people DO NOT have the same treatment plans as adults.
TRUE
A concussion can be defined as an immediate and transient loss of neuronal function secondary to ____.
trauma
T/F: Concussion symptoms can last for months.
TRUE
What percent of SRC resolve within 7-10 days without an intervention?
80%
T/F: There are certain scenarios where a concussed individual can return to play the dat of the injury.
FALSE
T/F: SRC is now considered treatable.
TRUE
People with SRC that cannot remember events since the injury occurred are said to have ______amnesia.
Anterograde
T/F: Sports Related Concusion (SRC) is oten defined as representing the immediate an transient symptoms of traumatic brain injury (TBI).
TRUE
T/F: SRC may be caused either by a direct blow to the head, face, nexk or elsewhere on the body with an impulsive force transmitted to the head.
TRUE
T/F: SRC may result in neuropathological changes, but the acute clinical signs and symptoms largely reflect a functional disturbance rather than a structural injury and as such, no abnormality is seen on standard structural neuroimaging studies.
TRUE
T/F: SRC is an evolving injury in the acute phase, with rapidly changing clinical signs and symptoms, which may reflect the underlying physiological injury in the brain.
TRUE
T/F: A key concept in sideline assessment is the rapid screening for a suspected SRC, rather than the definitive diagnosis of head injury. Players manifesting clear on-field signs of SRC (eg, loss of consciousness, tonic posturing, balance disturbance) should immediately be removed from sporting participation.
TRUE
What is the third step of the Graduated return to sport (RTS) strategy?
Sport-specific exercise
The standards of care direct that serial examinations for the SR patient in the acute setting occur every ___ minutes.
5
T/F: Neuropsychological testing (impact for example) or assessment may be the sole basis of management decisions in SRC.
FALSE
T/F: Studies using advanced neuroimaging techniques have demonstrated that SRC is associated with changes in brain structure and function.
TRUE
T/F: Most consensus and agreement statements for managing SRC recommend that athletes rest until they become symptom-free. Accordingly, precribed rest is one of the most widely used interventions in this population. The basis for recommending physical and cognitive rest is that rest may ease discomfort during the acute recovery period by mitigating post-concussion symptoms and/or that rest may promote recovery by minimizing brain energy demands following concussion. (There is currently insufficient evidence that prescribing complete rest.)
TRUE
T/F: SRCs can result in diverse symptoms and problems, and can be associated with concurrent injury to the cervical spine and peripheral vestibular system.
TRUE
T/F: When pharmacotherapy is used to treat SRC, concussed athletes using a medication, who meet all other criteria to return, may reurn while taking a pharmacological agent/medication that is precribed for their SRC.
TRUE
T/F: All athletes, regardless of level of participation, should be managed using the same management principles.
TRUE