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CME/CE: Neurology<br />
Concussion • NPPA24<br />
Questions<br />
1. The leading cause of concussion<br />
in the U.S. civilian population is:<br />
a. Assaults<br />
b. Falls<br />
c. Motor vehicles accidents<br />
d. Being struck by something<br />
2. Reasons <strong>for</strong> not receiving care<br />
after a concussion include which of<br />
the following<br />
a. Multiple injuries have occurred<br />
b. Lack of outward physical signs<br />
c. Unaware of the need to seek care<br />
d. All the above<br />
3. Mechanism of injury in mild TBI<br />
includes:<br />
a. Cerebral vascular accident<br />
b. Acceleration/deceleration in a<br />
rapid and <strong>for</strong>ceful way<br />
c. Blast overpressure wave<br />
d. Both B & C<br />
4. Which statement is most<br />
accurate in describing diagnostic<br />
criteria <strong>for</strong> a concussion<br />
a. You can diagnose a concussion<br />
based on the symptoms.<br />
b. A loss of consciousness must<br />
accompany a blow or jolt to the<br />
head.<br />
c. A blow or jolt to the head<br />
that causes any alteration of<br />
consciousness.<br />
d. None of the above<br />
5. Why is education to prevent a<br />
repeat head injury important<br />
a. The postconcussive patient may<br />
have slowed reaction time.<br />
b. Repetitive injury may lead to<br />
longer lasting symptoms.<br />
c. Multiple concussions may lead to<br />
changes in brain pathology.<br />
d. All of the above<br />
6. Diagnosis of concussion is made<br />
using which of the following<br />
a. History of the event<br />
b. Brain imaging<br />
c. Focused neurologic exam<br />
d. Evaluation by biomarkers<br />
7. Appropriate examination of the<br />
patient who has had a concussion<br />
includes:<br />
a. A focused neurologic exam<br />
b. Focused vision exam<br />
c. CT of the head<br />
d. Both A & B<br />
8. The most effective treatment <strong>for</strong><br />
a concussion is:<br />
a. Patient education about expected<br />
recovery<br />
b. Management of headache<br />
c. Management of sleep disorders<br />
d. Management of memory issues<br />
9. When prescribing medication<br />
to a postconcussive patient, the<br />
following applies:<br />
a. It is important to start low and<br />
go slow.<br />
b. The patient will not require<br />
medication.<br />
c. Medications should be started at<br />
the highest possible dosing.<br />
d. Start with multiple medications<br />
at one time.<br />
10. The following specialists may<br />
be considered when caring <strong>for</strong> the<br />
postconcussive patient:<br />
a. Optometry<br />
b. Neurology<br />
c. Occupational therapy<br />
d. All the above<br />
Evaluation<br />
1. The educational objectives were<br />
achieved.<br />
a. strongly disagree<br />
b. disagree<br />
c. neutral<br />
d. agree<br />
e. strongly agree<br />
2. Based on what you learned in<br />
this article, will you make changes<br />
in your practice<br />
a. yes<br />
b. no<br />
If yes, please describe the changes<br />
you intend to make: _____________<br />
_______________________________<br />
What barriers to change do you<br />
anticipate ______________________<br />
_______________________________<br />
What strategies or mechanisms will<br />
you apply to overcome these barriers<br />
_______________________________<br />
_______________________________<br />
3. The in<strong>for</strong>mation in the article<br />
was fair, balanced, free of<br />
commercial bias and supported by<br />
scientific evidence.<br />
a. yes<br />
b. no<br />
If no, describe the nature of the issue:<br />
_______________________________<br />
Registration & Answer Form<br />
Physician Assistant Instructions:<br />
To obtain CME credit, send the completed answer <strong>for</strong>m and registrant in<strong>for</strong>mation<br />
to Wayne State University School of Medicine, Attn PA, University Health Center<br />
9A, 4201 Saint Antoine St., Detroit, MI 48201. Include a check <strong>for</strong> $10 payable to<br />
Wayne State University School of Medicine. Or fax the completed <strong>for</strong>m and credit card<br />
in<strong>for</strong>mation to (313) 577-7554. Note: Discover and American Express NOT accepted.<br />
Test takers who earn a passing score will receive a CME certificate by mail. For<br />
questions about CME, call Wayne State University at (313) 577-1453. CME <strong>for</strong>m must<br />
be postmarked or received within 6 months of the last day of the month of this issue.<br />
Nurse Practitioner Instructions:<br />
To obtain CE contact hours, take this test online at www.advanceweb.com/NPPA and<br />
receive instant test results and a printable CE certificate upon passage. Or fax the<br />
completed <strong>for</strong>m and credit card in<strong>for</strong>mation to (610) 278-1426. Or send the completed<br />
answer <strong>for</strong>m and registrant in<strong>for</strong>mation to Merion Matters CE Program <strong>for</strong> <strong>NPs</strong>, 2900<br />
Horizon Dr., King of Prussia, PA 19406. Include a check <strong>for</strong> $10 payable to Merion<br />
Matters. This activity is eligible <strong>for</strong> CE credit <strong>for</strong> 2 calendar years after publication.<br />
Concussion August 2012<br />
Test NPPA24<br />
Evaluation<br />
A B C D A B C D A B C D E<br />
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Registrant In<strong>for</strong>mation (Please print)<br />
Subscriber No. (see mailing label) ____ ____ ____ ____ ____ ____ ____ ____ ____<br />
Required <strong>for</strong> Florida <strong>NPs</strong>: License No. ___________________________________________<br />
E-mail Address ______________________________________________________________<br />
Name ______________________________________________________________________<br />
Address ❏ Work ❏ Home ___________________________________________________<br />
City ____________________________________ State ______ Zip Code _______________<br />
Phone No. ❏ Work ❏ Home _________________________________________________<br />
Payment: $10<br />
❏ For <strong>PAs</strong>: Check Payable to Wayne State University<br />
❏ For <strong>NPs</strong>: Check Payable to Merion Matters<br />
❏ For <strong>PAs</strong> or <strong>NPs</strong>: Credit Card No. ________________________ Exp. Date___________<br />
Cardholder Name ________________________________________________________<br />
Signature _______________________________________________________________<br />
❏ American Express (<strong>NPs</strong> only) ❏ Visa ❏ MasterCard ❏ Discover (<strong>NPs</strong> only)<br />
Statement of Completion<br />
I attest to having completed the CME/CE activity.<br />
Signature _____________________________________________ Date _________________<br />
Profession ❏ Nurse Practitioner ❏ Physician Assistant<br />
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