MACE MACE Administration & Scoring 1 — Questions and Answers
Question 1: What does the acronym MACE stand for in military medicine?
- Military Acute Concussion Evaluation (Correct answer)
- Medical Assessment of Cranial Events
- Military Assessment of Cognitive Efficiency
- Medical Acute Concussion Examination
Correct answer: Military Acute Concussion Evaluation
MACE stands for Military Acute Concussion Evaluation, the standardized tool used by military medical personnel to screen for concussion.
Question 2: What is the total maximum score possible on the MACE cognitive (SAC) assessment?
- 25
- 30 (Correct answer)
- 40
- 20
Correct answer: 30
The MACE cognitive assessment (based on the SAC) has a maximum total score of 30 points across orientation, immediate memory, concentration, and delayed recall.
Question 3: How many words are used in the Immediate Memory word list on the MACE?
- 3
- 7
- 5 (Correct answer)
- 10
Correct answer: 5
The MACE uses a list of 5 words for the Immediate Memory trials, each scored for correct recall per trial.
Question 4: How many trials are administered during the Immediate Memory portion of the MACE?
- 2
- 4
- 3 (Correct answer)
- 5
Correct answer: 3
The Immediate Memory section uses 3 learning trials of the same 5-word list, yielding a maximum of 15 points.
Question 5: Which MACE score on the SAC is the cutoff considered positive for concussion?
- Less than or equal to 20
- Less than or equal to 25 (Correct answer)
- Less than or equal to 28
- Less than or equal to 23
Correct answer: Less than or equal to 25
A SAC score of 25 or below (≤25) is considered a positive screen for concussion on the MACE.
Question 6: Who is authorized to administer the MACE in a military setting?
- Only physicians and neurologists
- Any trained service member
- Trained medical personnel such as corpsmen, medics, PAs, and physicians (Correct answer)
- Commanding officers with first aid certification
Correct answer: Trained medical personnel such as corpsmen, medics, PAs, and physicians
The MACE is designed to be administered by trained military medical personnel including combat medics, corpsmen, physician assistants, and physicians.
Question 7: Which section of the MACE gathers information about the circumstances of the potential injury event?
- Neurological Exam
- Cognitive Assessment
- History (Correct answer)
- Delayed Recall
Correct answer: History
The History section of the MACE documents the mechanism of injury, LOC, amnesia, and other event-related details that contextualize the injury.
What does the acronym MACE stand for in military medicine?