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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
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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