Concussion Management Re-Certification Exam 2020

Which of the following symptoms is not a commonly reported problem among patients who have had an mTBI and correlated to the Dizziness Handicap Inventory?

It is important to assess for functional limits of stability rather than just sensory organization testing in higher functioning, non-falling patients as their postural stability assessment may prove within normal limits.

While many patients in the SOT performed poorly on the vestibular assessment, which of the following was the highest deficit during LOS testing?

Nearly 65% of individuals who experience a concussion are children and adolescents. Literature has shown that many tend to get better on their own within the first 7-10 days. What percentage of patients persist with symptoms following a concussion?

In the Storey et al article, their research cohort looked at symptoms following a full course of physiotherapy for visuovestibular deficits. Which of these symptoms persisted the greatest even after their course of therapy (but still showed improvement)?

Which characteristic would lead you to believe a patient has a visual impairment instead of a visual dysfunction?

Your patient presents with loss of lateral tracking in their left eye following a significant car accident and subsequent mTBI. Based on the information provided, which of possible Impairment-Treatment combinations is most applicable for this patient?

Based on recent literature for patients with monocular vision deficits, it is appropriate to provide compensatory aids.

Which of the following characteristics of the Row et al article may have been a limiting factor in their inclusion criteria when it comes to validation of their postural stability assessments?

Nearly three-quarters of participants flowing through a concussion service were referred for a neck assessment due to their symptoms, necessitating the drive for a “full assessment” of anyone with a head injury.

Your patient arrives to the clinic following your initial evaluation and reports increased headaches and jaw pain. They state these are not new symptoms but are exacerbated. Based on the Kennedy et al article, which of these is the least likely contribution to their headache?

Which of the following are not a component of extrinsic risk factors associated with the recursive model of sports-related concussion etiology?

Your patient reports to therapy with complaints of ocular pain/strain and posterior “headaches” and worsened with cervical rotation. Red flags cleared, which of these would not be considered as a potential differential diagnosis for their headache?

A sequential approach to addressing headaches and cervical spine findings as an initial step of rehabilitation is appropriate.

Nearly half of pediatric concussion patients with convergence insufficiency resolved following tailored vestibular rehabilitation that included convergence training.

When discussing sleep regimen and hygiene to your patients, which of these were not recommended in the articles?

The Buffalo Concussion Treadmill Test’s parameters for rehab consists of exercising at 60% of the maximal heart rate achieved on the assessment for 3 days per week.

Your patient fell and graciously received a concussion three weeks ago and has been cleared for physical therapy. She reports 8/10 neck pain that lingers for 30min, dizziness with head movements, and significant difficulty performing her morning routine prior to work. Using a treatment-based approach for interventions and timeline-appropriateness, what category would she best fit in?

A patient who falls in the symptom management TBC, education that you may provide to her would not consist of:

Which of these extrinsic resilience factors play a role in recovery following a concussion?