PANCE Blueprint Neurology - All Smarty PANCE Neurology lesson sets combined (Smarty PANCE) (Latest 2023 / 2024) Actual Questions and Answers 100% Correct

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1. What is a concussion? Answer: Injury to the body or head that results in a force to thebrain, it can be accompanied by transient loss of consciousness; but not always. 2. Concussion vs. Mild TBI... Answer: The term "concussion" is often used in the medical literature as a synonym for mild traumatic brain injury (mild TBI or mTBI). Mild TBI,or concussion has a GCS of 13 to 15 3. What are the symptoms of a concussion? Answer: Headache, dizziness (feeling off balance), confusion, retrograde/antegrade amnesia, and blurred vision. Symptomstypically resolve within 7 to 10 days postinjury. 4. What are the indications for CT scan of the head in a patient with a suspected concussion? Answer: Use validated clinical decision rules (such as the PECARNdecision tool) to determine if imaging is warranted - No routine imaging of pediatricpatients with mTBI. Indicationsfor CT scan include prolonged loss of consciousness(>1 minute), persistent headache, altered mental status, repeated episodes of vomiting postinjury, history of repeated head injury/severe mechanism, or signs onphysical examination of basilar skull fracture. 5. What percent of CT scans in mild TBI are abnormal? Answer: Approximately 10 per-cent of CT scansin mildTBI are abnormal,showing mild subarachnoid hemorrhage,subdural hemorrhage, or contusions. MRI is more sensitive than CT scan, showingabnormalities in approximately 30 percent of patients with normal CT scans 6. What is the acute management of patients with concussion? Answer: Rest, symptomatic treatment (for headaches and nausea), no contact sports, and decreased exposure to technology (television, cellular phones, computers, and electronic games).Athletesshould be symptom free while atrest and exercise before returning to sports activities. Many states have laws requiring the patient be reevaluated and cleared before starting sports activities, and at times a stepwise progress for returning to activities is followed. 7. Athletes who suffer a concussion during their activity resume their activity the same day after normal physical exam and imaging findings? Answer: Any child or adolescent with a suspected sport-related concussion should be removed from further competition that day. If a concussion is diagnosed,the athlete should not return to play until a full recovery is evident. 8. Patients with concussion should be admitted to the hospital if their Glasgowcoma scale is less than ? Answer: Patients with concussion should be admitted to thehospital if their Glasgow coma scale is less than 15 [Show More]

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