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A high school football player suffers a blow to the head on a kick-off return. He does not have any loss of consciousness but only complains initially of a headache. His symptoms resolve quickly. Which of the following involves the most appropriate side-line management of the player's injury?
Return to play as symptoms have resolved
Test delayed recall of either 5 or 10 words
Return to play in 24 hours if no return of symptoms after sport specific exercise
Assess concentration by counting forward by 5's
Assess balance by having athlete hop on alternating feet
Select Answer to see Preferred Response
In which of the following situations is it appropriate to allow the athlete to return to play on the same day?
15-year-old American Football player develops a headache with no further symptoms after being tackled to the ground and parents sign a waiver giving permission for him to play
21-year-old baseball player collides with another player while sliding head-first into second base and has five minutes of right upper extremity pain, paresthesias, and deltoid weakness
23-year-old college soccer player sustains a hit to the head from a long kick with 15 seconds loss of consciousness
16-year-old American Football player who strikes a player head-first can't remember the last play he was injured on but parents agree to sign consent for him to play
18-year-old African American baseball player is hit in the head with a 95 mph fastball with immediate nausea and diplopia, but normal neuropsychologic testing
Which of the following is a computer-based neurocognitive test that assesses the users attention, memory, and processing speed?
Immediate Post-Concussion Assessment and Cognitive Testing battery (ImPACT)
Standardized Assessment of Concussion (SAC)
Sport Concussion Assessment Tool (SCAT)
Sport Concussion Assessment Tool II (SCAT-2)
Safe Concussion Outcome Recovery & Education (SCORE)
Second impact syndrome (SIS) after head injury is characterized by which of the following?
Gradual progression of neurologic symptoms
Preventable by restricting return to play until symptom-free
Excellent prognosis for full recovery
Rarely involves brain stem compromise
CT rarely shows brain edema
An athlete who sustains a head injury should be removed from competition for each of the following findings EXCEPT:
Symptoms lasting more than 15 minutes
Recurrence of symptoms with exertion
History of prior concussion
Low baseline neuropsychological testing