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Graduated return to sport — MRCEM SBA MCQ

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ModerateConcussionGraduated return to sportMRCEM SBA

A 21-year-old rugby player sustained a concussion three days ago. He is symptom free at rest and with light cycling, but symptoms recur during moderate running. What is the most appropriate return-to-play decision?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: EReturn to the previous asymptomatic stage and progress more slowly

Graduated return to sport should progress only if symptoms do not recur. Symptom exacerbation means the athlete should step back to the previous tolerated level. Contact training comes later and requires medical clearance.

Reference: BJSM Amsterdam concussion consensus 2023