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JKO Military Acute Concussion Evaluation Version 2 (MACE 2)

Which of the following statements regarding the MACE 2 are correct? Select ALL that apply.

-The MACE 2 should be administered as close to the time of injury as possible.
-The MACE 2 is used in deployed and non-deployed environments.

It might be difficult for a Service Member to get all of the questions correct in the Orientation part of the Cognitive Exam. Which of the following is the correct procedure if a Service Member is having trouble answering any of the questions? Select the correct answer.

Mark the question as incorrect.

When administering the MACE 2, which one of the following factors should NOT be considered in the results of the MACE 2? Select the correct answer.

Gender of the Service Member

You have just evaluated Captain Ramsey for a potential concussion. The Service Member told you that he banged his head really hard on an open cabinet in his kitchen and he saw stars for a few seconds. Which of the following statements regarding this encounter is correct? Select the correct answer.

This would be a concussion because Captain Ramsey hit his head and experienced an alteration of consciousness.

Which of the following are common concussion symptoms? Select ALL that apply.

-Nausea/vomiting
-Memory problems
-Headache

Major Vega has just completed the MACE 2 with a Service Member. She will now document this encounter in the electronic medical records using the appropriate concussion codes. Why is it important that she completes this step after evaluating the Service Member? Select ALL that apply.

-The information can be used by other healthcare providers during the Service Member's follow-up visits.
-The data from accurate documentation and coding is used when making decisions regarding manpower.

Immediate memory is tested through the recall of a word list. There are six color-coded word lists to choose from. Which of the following statements about the word lists are correct? Select ALL that apply.

-Choose one color-coded list for immediate memory testing, and the same color-coded list for delayed recall testing.
-There are six color-coded lists to choose from to avoid memorization.

The Neurological Exam consists of a series of tests which assess eyes, speech, motor skills, and balance. Which statements below about the Neurological Exam are FALSE? Select the option that is False.

When testing grip strength, the medical provider should allow for differences in grip strength for dominant and non-dominant hands, which should be considered normal.

You are assessing a Service Member for a potential concussion using the MACE 2. You are now assessing concentration using the Cognitive Exam15A, Reverse Digits. Which of the following statements about Reverse Digits is correct? Select the correct answer.

Use the same color-coded list you used for Immediate Memory testing

If the Service Member has previously been given List A: Jacket, Arrow, Pepper, Cotton, Movie in Question 6: Immediate Memory, what score would you give them if they responded Arrow, Coat, Film, Nylon, Pepper for the Delayed Recall test? The maximum score that can be earned on the delayed recall test is 5. Select the correct answer.

2, since they matched two words exactly.

When administering the Convergence test as part of the Vestibular/Ocular-Motor Screening (VOMS), what distance, as a near point of convergence from the tip of the nose, would be considered normal? Select the correct answer.

4 centimeters

Why is it important for medical personnel to use the MACE 2 to identify concussion as soon as possible after a potentially concussive event occurs? Select the correct answer.

Early diagnosis and treatment can shorten the time it takes for a Service Member to return to duty.

When scoring the Service Member's orientation, which of the following is true? Select the correct answer.

To score Orientation, award one point for each correctly answered question. There are a possible 5 points.

When screening a Service Member for concussion using the MACE 2, which of the following statements is correct? Select the correct answer.

If Concussion Screening is negative, the MACE 2 evaluation can be stopped.

Which of the following statements about calculating the MACE 2 final score is correct? Select the correct answer.

Total score highlighting abnormal results should be documented in the Service Member's medical record.