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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 />

1.<br />

2.<br />

3.<br />

4.<br />

5.<br />

6.<br />

7.<br />

8.<br />

9.<br />

10.<br />

1.<br />

2.<br />

3.<br />

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 />

Interested in More CME and CE Credits<br />

Make sure you don't miss a single continuing education opportunity in our<br />

journal. We publish continuing education articles in every monthly issue.<br />

Subscribe to <strong>ADVANCE</strong> <strong>for</strong> <strong>NPs</strong> & <strong>PAs</strong> now by calling (800) 355-1088 or by<br />

clicking the Subscribe button at the top of the homepage <strong>for</strong> our website,<br />

www.advanceweb.com/NPPA.<br />

20 <strong>ADVANCE</strong> <strong>for</strong> NP & <strong>PAs</strong>

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