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Sport-related concussion assessment — MRCEM SBA MCQ

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HardConcussionSport-related concussion assessmentMRCEM SBA

A cyclist with concussion has improving headache after 36 hours and no red flags. Which recovery advice is most appropriate?

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Correct answer: AUse relative rest then symptom-limited activity

The best answer is “Use relative rest then symptom-limited activity”. Current concussion guidance favours 24–48 hours of relative rather than absolute rest, followed by gradual symptom-limited physical and cognitive activity. Prolonged complete inactivity can delay recovery. Return to activities with risk of head impact requires a staged protocol and clinical clearance; worsening neurological symptoms require urgent reassessment rather than routine progression.

Reference: British Journal of Sports Medicine: Amsterdam 2022 concussion consensus statement: https://bjsm.bmj.com/content/57/11/695