CBIS Latest Questions Pack and Solutions (Top
Score A+)
• Acquired brain injury (ABI) -✓✓injury to the brain that is not hereditary, congenital,
degenerative, or induced by birth trauma
• Traumatic Brain injury -✓✓an alteration in brain function or other evidence of brain
pathology caused by an external force
• Mild brain injury -✓✓-AKA concussion
-brief or no loss of consciousness
-its presentation may demonstrate vomiting, lethargy, dizziness, and inability to recall
what just happened
• Moderate brain injury -✓✓-marked by unconsciousness for any period of time up to 24
hrs
-will have neurological signs of brain trauma (skull fractures with contusion or bleeding
and may have focal findings on and EEG/CT scan)
• Severe brain injury -✓✓marked by a period of loss of consciousness of 24 hrs or
greater
• Incidence/prevalence -✓✓-13.5 million americans, 4.5% of population are living with
brain injury
-TBI is a contributing factor to a third of all injury-related deaths in the US
-75% of TBI's that occur each year are mild TBI
-2.5 million people sustain a TBI yearly
• Chronic conditions caused or accelerated by a TBI -✓✓-aspiration pneumonia
-seizures
-septicemia
-circulatory problems
• Continuum of care -✓✓-acute rehab
-post-acute rehab
-long term home and community
• acute rehab -✓✓-emergency department
-icu
-acute medical/surgical unit
-specialty neuro trauma polytrauma
• post-acute rehab -✓✓-comprehensive inpatient rehab hospital
,-sub-acute rehabilitation
-transitional residential programming
• Long term home and community -✓✓-home
-snf
-long term residential programming
-outpatient and day treatment services
-home and community based services
-school and/or vocational rehab
• standards for rehabilitation facilities -✓✓-person centered practices that focus on their
health and safety
-a robust performance measurement, management, and improvement system that
focuses on continuous improvement of both clinical business practices
-delivery of quality services by competent ad well trained personnel
-accountability to persons served, payers, and regulators
• Olmstead decision -✓✓-in 1999 the supreme court ruled that the plaintiffs must be
granted the option to live in the community
-uses title II of the american disabilities act to assert that states must administer their
services, programs, and activities "in the most integrated setting appropriate to the
needs of qualified individuals with disabilities"
-resulted in multiple federal and state initiatives that make living in the community a
reality for more persons with disabilities
• TBI Model Systems of Care -✓✓-established in 1987 by the US department of
educations national institute on disability and rehab research, which moved to the
administration for community living in 2015 as the national institute on disability,
independent living, and rehab research
-conducts prospective, longitudinal research to demonstrate the course of recovery and
outcomes following TBI at 16 centers
-maintains the model systems knowledge translation center
• mTBI -✓✓mild traumatic brain injury
-traumatically induced physiological disruption of brain function
-alteration of mental state (dazed, confused, difficulty answering questions, unclear
thinking, unable to describe what happened prior to or after injury)
• mTBI incidence -✓✓-represents 75% of all TBI's that occur in the US
-true incidence may be higher as 16-25% of those injured do not see medical care
• mTBI symptoms -✓✓
• How to reduce disability from mTBI -✓✓early intervention and management is the
most effective way to reduce disability
, -rest and slow resumption of normal activities
• PPCS -✓✓persistent post-concussive symptoms
• PPCS incidence -✓✓10-15% have slow or incomplete resolution of symptoms
• PPCS treatment plan -✓✓should:
-begin asap
-be symptom focused
-be based off careful diagnosis
-emphasize both functional resolution and compensatory strategies
-provide an optimistic outlook and clear path for the patient to improve
-be multidisciplinary
• CTE -✓✓chronic traumatic encephalopathy
-rare and progressive degenerative condition
-DAI causes the release of Tau proteins and chronic inflammation
-still working to identify who is at risk for CTE after mTBI
-most do not develop CTE
• _____________ and ___________ compose the CNS -✓✓brain and spinal cord
• brain -✓✓-cerebrospinal fluid
-meninges
-composed of neurons (communicating) and glial (support/maintain neurons) cells
• neurons communicate via __________ -✓✓synapses
• brain stem -✓✓-three components (midbrain, pons, medulla)
-located at the top of the spinal column
-central point for all incoming and outgoing info and basic life functions
• midbrain -✓✓-smallest part of the brain stem
-involved in elementary forms of vision and hearing
-plays a pivotal role in alertness and arousal
• Pons -✓✓-rounded brainstem region between the midbrain and the medulla
-connects the cerebellum and the cerebral cortex
-essential for facial movement, facial sensation, hearing, and coordinating eye
movements
• Medulla -✓✓-merges with the spinal cord to create the base of the brain stem
-serves as a control center for involuntary reflexes such as breathing, heart rate, blood
pressure, swallowing, vomiting and sneezing
-involved in many basic living functions--injury here is life threatening
Score A+)
• Acquired brain injury (ABI) -✓✓injury to the brain that is not hereditary, congenital,
degenerative, or induced by birth trauma
• Traumatic Brain injury -✓✓an alteration in brain function or other evidence of brain
pathology caused by an external force
• Mild brain injury -✓✓-AKA concussion
-brief or no loss of consciousness
-its presentation may demonstrate vomiting, lethargy, dizziness, and inability to recall
what just happened
• Moderate brain injury -✓✓-marked by unconsciousness for any period of time up to 24
hrs
-will have neurological signs of brain trauma (skull fractures with contusion or bleeding
and may have focal findings on and EEG/CT scan)
• Severe brain injury -✓✓marked by a period of loss of consciousness of 24 hrs or
greater
• Incidence/prevalence -✓✓-13.5 million americans, 4.5% of population are living with
brain injury
-TBI is a contributing factor to a third of all injury-related deaths in the US
-75% of TBI's that occur each year are mild TBI
-2.5 million people sustain a TBI yearly
• Chronic conditions caused or accelerated by a TBI -✓✓-aspiration pneumonia
-seizures
-septicemia
-circulatory problems
• Continuum of care -✓✓-acute rehab
-post-acute rehab
-long term home and community
• acute rehab -✓✓-emergency department
-icu
-acute medical/surgical unit
-specialty neuro trauma polytrauma
• post-acute rehab -✓✓-comprehensive inpatient rehab hospital
,-sub-acute rehabilitation
-transitional residential programming
• Long term home and community -✓✓-home
-snf
-long term residential programming
-outpatient and day treatment services
-home and community based services
-school and/or vocational rehab
• standards for rehabilitation facilities -✓✓-person centered practices that focus on their
health and safety
-a robust performance measurement, management, and improvement system that
focuses on continuous improvement of both clinical business practices
-delivery of quality services by competent ad well trained personnel
-accountability to persons served, payers, and regulators
• Olmstead decision -✓✓-in 1999 the supreme court ruled that the plaintiffs must be
granted the option to live in the community
-uses title II of the american disabilities act to assert that states must administer their
services, programs, and activities "in the most integrated setting appropriate to the
needs of qualified individuals with disabilities"
-resulted in multiple federal and state initiatives that make living in the community a
reality for more persons with disabilities
• TBI Model Systems of Care -✓✓-established in 1987 by the US department of
educations national institute on disability and rehab research, which moved to the
administration for community living in 2015 as the national institute on disability,
independent living, and rehab research
-conducts prospective, longitudinal research to demonstrate the course of recovery and
outcomes following TBI at 16 centers
-maintains the model systems knowledge translation center
• mTBI -✓✓mild traumatic brain injury
-traumatically induced physiological disruption of brain function
-alteration of mental state (dazed, confused, difficulty answering questions, unclear
thinking, unable to describe what happened prior to or after injury)
• mTBI incidence -✓✓-represents 75% of all TBI's that occur in the US
-true incidence may be higher as 16-25% of those injured do not see medical care
• mTBI symptoms -✓✓
• How to reduce disability from mTBI -✓✓early intervention and management is the
most effective way to reduce disability
, -rest and slow resumption of normal activities
• PPCS -✓✓persistent post-concussive symptoms
• PPCS incidence -✓✓10-15% have slow or incomplete resolution of symptoms
• PPCS treatment plan -✓✓should:
-begin asap
-be symptom focused
-be based off careful diagnosis
-emphasize both functional resolution and compensatory strategies
-provide an optimistic outlook and clear path for the patient to improve
-be multidisciplinary
• CTE -✓✓chronic traumatic encephalopathy
-rare and progressive degenerative condition
-DAI causes the release of Tau proteins and chronic inflammation
-still working to identify who is at risk for CTE after mTBI
-most do not develop CTE
• _____________ and ___________ compose the CNS -✓✓brain and spinal cord
• brain -✓✓-cerebrospinal fluid
-meninges
-composed of neurons (communicating) and glial (support/maintain neurons) cells
• neurons communicate via __________ -✓✓synapses
• brain stem -✓✓-three components (midbrain, pons, medulla)
-located at the top of the spinal column
-central point for all incoming and outgoing info and basic life functions
• midbrain -✓✓-smallest part of the brain stem
-involved in elementary forms of vision and hearing
-plays a pivotal role in alertness and arousal
• Pons -✓✓-rounded brainstem region between the midbrain and the medulla
-connects the cerebellum and the cerebral cortex
-essential for facial movement, facial sensation, hearing, and coordinating eye
movements
• Medulla -✓✓-merges with the spinal cord to create the base of the brain stem
-serves as a control center for involuntary reflexes such as breathing, heart rate, blood
pressure, swallowing, vomiting and sneezing
-involved in many basic living functions--injury here is life threatening
