Rosh Internal Medicine Boost Practice Exam

What is the most appropriate advice for a patient requesting to return to rugby after experiencing a concussion?

1. Can return as headaches after a concussion are expected

2. Can return as subsequent concussions increase resilience

3. Cannot return as the patient is currently symptomatic

4. Cannot return due to criteria for chronic traumatic encephalopathy

The correct answer is: Cannot return as the patient is currently symptomatic

The most appropriate advice for a patient requesting to return to rugby after experiencing a concussion is that the patient cannot return as they are currently symptomatic. This recommendation is grounded in the established guidelines for concussion management, which emphasize the significance of symptom resolution before allowing an athlete to resume contact sports. After a concussion, individuals may experience a range of symptoms, including headaches, dizziness, confusion, and difficulty concentrating. It is crucial to prioritize the patient’s health and safety by ensuring that these symptoms have fully resolved before considering a return to play. Engaging in physical activities, particularly those involving contact, while still symptomatic can lead to further injury or prolong recovery time. In the context of this decision, returning to play when symptomatic can increase the risk of experiencing a second concussion, complicating recovery and possibly leading to more severe complications in the long term. Therefore, monitoring for symptom resolution before discussing a return to rugby is vital to protect the patient’s cognitive health and overall well-being.