Questions and 100% Correct Answers
(Verified Pass)
• Acquired BI -✓✓An injury to the brain that is not hereditary, congenital or
degenerative or induced by birth trauma
• TBI -✓✓An alteration in brain function or other evidence of brain pathology,
casused by an external force
• Mild TBI Characteristics -✓✓Brief or no loss of consciousness for 0-30mins,
altered state of consciousness is most common and must be <24 hours, account for
75% of TBIs, 13-15 on the GCS, normal imaging, highest prevalence of
maltreatment as 16-25% never seek care, often considered a concussion
• Moderate TBI Characteristics -✓✓Loss of consciousness for up to 24 hours, may
appear on scans, skull fractures and bleeding are common, 9-12 on the GCS
• Severe TBI Characteristics -✓✓Loss of consciousness >24 hours, 3-8 on the GCS
• Likelihood of Additional Injury -✓✓1 BI increases risk of 2nd by 3x and 2nd BI
increases risk of 3rd by 8x!
• Most Frequent Cause of TBI -✓✓Falls
• How many people sustain a BI per year? -✓✓2.5 million. 81% visit ED, 16%
hsopitalized, 3% result in death
• How many people are living with effects of a TBI? -✓✓13.5 million
• Likelihood of BI by gender -✓✓Men are 1.4x more likely than women
• Most common cause of TBI and death by age - 75+ -✓✓Falls!
• Most common cause of TBI and death by age - 0-3 -✓✓AHT!
,• Most common cause of TBI and death by age - 20-24 -✓✓MVAs and Firearms
• Most common cause of TBI and death by age - 16-19 -✓✓MVAs!
• CARF -✓✓Accreditation agency for post acute BI programs, residential,
outpatient, vocational, home and community, stroke and pediatric programs -
ensures quality of services through requirements for accreditation and surveys
• Joint Commission -✓✓Accreditation agency for hospital based programs, may
accompany CARF accreditation, ensures quality of services through requirements
for accreditation and surveys
• Olmsted Decison -✓✓Supreme court case stimulated by two women living in a
nursing home in Georgia for community inclusion - resulted in federal and state
initiatives to improve and normalize community living
• Model Systems of Care 1987 -✓✓Resulted in research projects for TBI by the
NIDDR, established rehab facilities to provide care and complete clinical research
in the process
• Symptoms of Mild TBI -✓✓Headache, fatigue, seizures, nausea, numbness, poor
sleep, light sensitivity, noise sensitivity, impaired hearing, blurred vision,
dizziness, loss of balance, neurological abnormality, in attentiveness, decreased
concentration, poor memory, impaired judgment, slow proccessing speed,
executive dysfunction, depression, anxiety, agitation, irritability, aggression,
impulsivity
• Primary causes of Mild TBI -✓✓Traumatic intertial - brain moving inside skull
Traumatic impact - head hits directly
• Early Treatment for Mild TBI -✓✓Relaxation techniques, rest, slow return to
normal activity, and reduction of normal activity if symptoms recur
• Peristent Post Concussive Symptoms (PPCS) -✓✓Symptoms of Mild TBI last >1
month, occurs 10% of the time in Mild TBI cases
, • Chronic Traumatic Encephalopathy (CTE) -✓✓Often cause by repeated blows to
the head, is a progressive, degenerative condition characterized by broken nuerons
which continually release tau protein cashing dementia over time
Diffuse axonal injury -> tau protein release -> inflammation of the brain ->
progressive dementia
• Define Skull -✓✓Bony shell that protects the brain, has bony prominences inside
which can worsen brain injury
• Cerebral Spinal Fluid (CSF) -✓✓Provides cushion to nerve tissue, produced by
ventricles (4) which also store and circulation CSF through the brain
• Meninges -✓✓Pia Mater - molds around suclhi and gyri, deepest layer
Arachnoid Mater - spiderweb-like, middle layer
Dura Mater - hard plastic, top layer
• Nuerons vs Glial Cells -✓✓Nuerons communicate electrical impulses throughout
brain while Glial cells support and nourish Nuerons
• Synapse -✓✓A junction between the axon of one neuron and the dendrite of
another, allows for passing of communication fro, nueron to neuron
• Functions of the Parietal Lobe -✓✓Sense of touch; differentiation of size, color,
and shape; visual perception; spatial perception
• Functions of the Occipital Lobe -✓✓Visual functions
• Functions of the Frontal Lobe -✓✓Planning; organizing; problem solving;
working memory; impulse control; decision making; personality; behavior;
initiation; anticipation; self-monitoring; motor planning; emotions; awareness of
abilities; attention; concentration; mental flexibility; speaking - all executive
functions
• Functions of the Temporal Lobe -✓✓Hearing functions, memory, understanding
language, organization and sequencing