Sara, a 27-year-old woman with no significant past medical history, presents with confusion and a brief loss of consciousness following a minor car accident. What is the most definitive indication that Sara has suffered a concussion?
She experiences headaches that last for several weeks after the incident.
Sara remembers every detail of the accident.
A CT scan shows no cerebral edema.
Sara's Glasgow Coma Scale score is 15.
The Correct Answer is C
A. Headaches are a common symptom of concussion but are not the most definitive indication since it can occur due to other causes.
B. Sara remembering every detail of the accident does not exclude the possibility of a concussion, as some people may have intact memory despite having a brain injury.
C. This indicates that there is no swelling or bleeding in the brain, which is a hallmark of concussion.
D. While a GCS score of 15 suggests normal neurological function, it is not as definitive as a CT scan in ruling out cerebral edema or other brain injuries.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Assessing the size and shape of the testicles can be part of a genital examination but is not the primary reason for asking David to bear down.
B. Asking David to bear down increases intra-abdominal pressure, making it easier to detect hernias in the inguinal ring and canal.
C. Checking for the presence of lumps in the scrotum may be part of the examination but is not the primary reason for asking David to bear down.
D. Evaluating the character and distribution of pubic hair is not related to detecting hernias and is not the primary reason for asking David to bear down.
Correct Answer is C
Explanation
A. Tonsillitis presents with sore throat, difficulty swallowing, and inflamed tonsils, but it is not typically associated with ear pain, tenderness behind the ear, or a history of recurrent ear infections.
B. Allergic rhinitis typically presents with nasal congestion, sneezing, and itchy, watery eyes, but it does not cause chronic ear pain or tenderness behind the ear.
C. Chronic ear pain, tenderness behind the ear, and a history of recurrent ear infections suggest dysfunction of the Eustachian tube, which can lead to fluid accumulation and pressure changes in the middle ear.
D. Labyrinthitis presents with vertigo, nausea, and hearing loss, which are not mentioned in Susan's symptoms.
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