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Post-concussion syndrome — SCE Neurology MCQ

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HardFunctional, Rehabilitation and DVLAPost-concussion syndromeSCE Neurology

After mild traumatic brain injury, headache, dizziness and concentration difficulty persist while neurological examination and CT remain normal. What management approach is most appropriate?

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Correct answer: A — Structured paced post-concussion rehabilitation with symptom education

The best answer is “Structured paced post-concussion rehabilitation with symptom education”. UK stroke guidance supports urgent vascular imaging and reperfusion selection, short-course dual antiplatelet therapy for eligible minor stroke or high-risk TIA, decompression for life-threatening swelling, and secondary prevention matched to mechanism. The alternatives “Repeated structural imaging despite stable normal examination”, “Strict bed rest until every symptom has fully resolved”, “Immediate discharge without symptom education or follow-up”, “Escalation to sedating medication before rehabilitation assessment” are clinically adjacent possibilities, but they do not match the defining chronology, localisation, physiology, investigation result or UK management sequence in this stem.

Reference: National Clinical Guideline for Stroke: acute care: https://www.strokeguideline.org/chapter/acute-care/