CBIS Exam questions 2026 Exam
Questions and verified Answers
Nuerocognitive Issues Assoicated with Frontal Lobe - CORRECT ANSWERS Emotional control,
behavioral control, verbal expression, problem solving, decision making, social control, attention,
motivation
Acquired BI - CORRECT ANSWERS An injury to the brain that is not hereditary, congenital or
degenerative or induced by birth trauma
TBI - CORRECT ANSWERS An alteration in brain function or other evidence of brain
pathology, casused by an external force
Mild TBI Characteristics - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS Loss of consciousness >24 hours, 3-8 on the
GCS
Likelihood of Additional Injury - CORRECT ANSWERS 1 BI increases risk of 2nd by 3x and 2nd
BI increases risk of 3rd by 8x!
Most Frequent Cause of TBI - CORRECT ANSWERS Falls
How many people sustain a BI per year? - CORRECT ANSWERS 2.5 million. 81% visit ED, 16%
hsopitalized, 3% result in death
How many people are living with effects of a TBI? - CORRECT ANSWERS 13.5 million
Likelihood of BI by gender - CORRECT ANSWERS Men are 1.4x more likely than women
Most common cause of TBI and death by age - 75+ - CORRECT ANSWERS Falls!
Most common cause of TBI and death by age - 0-3 - CORRECT ANSWERS AHT!
Most common cause of TBI and death by age - 20-24 - CORRECT ANSWERS MVAs and
Firearms
Most common cause of TBI and death by age - 16-19 - CORRECT ANSWERS MVAs!
,CARF - CORRECT ANSWERS 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 - CORRECT ANSWERS Accreditation agency for hospital based programs,
may accompany CARF accreditation, ensures quality of services through requirements for accreditation
and surveys
Olmsted Decison - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS Traumatic intertial - brain moving inside
skull
Traumatic impact - head hits directly
Early Treatment for Mild TBI - CORRECT ANSWERS Relaxation techniques, rest, slow return
to normal activity, and reduction of normal activity if symptoms recur
Peristent Post Concussive Symptoms (PPCS) - CORRECT ANSWERS Symptoms of Mild TBI last
>1 month, occurs 10% of the time in Mild TBI cases
Chronic Traumatic Encephalopathy (CTE) - CORRECT ANSWERS 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 - CORRECT ANSWERS Bony shell that protects the brain, has bony prominences
inside which can worsen brain injury
Cerebral Spinal Fluid (CSF) - CORRECT ANSWERS Provides cushion to nerve tissue, produced
by ventricles (4) which also store and circulation CSF through the brain
Meninges - CORRECT ANSWERS 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 - CORRECT ANSWERS Nuerons communicate electrical impulses
throughout brain while Glial cells support and nourish Nuerons
Synapse - CORRECT ANSWERS 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 - CORRECT ANSWERS Sense of touch; differentiation of size,
color, and shape; visual perception; spatial perception
Functions of the Occipital Lobe - CORRECT ANSWERS Visual functions
Functions of the Frontal Lobe - CORRECT ANSWERS 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 - CORRECT ANSWERS Hearing functions, memory,
understanding language, organization and sequencing
Functions of the Brain Stem - CORRECT ANSWERS Breathing, HR, arousal, consciousness,
sleep/wake functions, attention, concentration
Transmits all sensory information from body to brain and movement signals from the brain to the body
Contains sensory centers for hearing, touch, taste, and balance
Even if the cerebral cortex is gravelly damaged, the brain stem can keep someone alive - or in a
vegetative state
Functions of the Cerebellum - CORRECT ANSWERS Balance, coordination, skilled motor
activity
Reticular Activating System (RAS) - CORRECT ANSWERS Part of the brain stem - collection of
nerve fibers that modulate changed in arousal, alertness, concentration, and biological rhythms
Can be turned down or up much like a light dimmer switch - i.e during a coma, it is turned down - if
turned down too much, can result in death
Medulla - CORRECT ANSWERS Part of the brain stem- responsible for basic living functions
such as breathing, HR, BP, swallowing, and vomiting
Pons - CORRECT ANSWERS Part of the brain stem- responsible for facial movements, facial
sensation, hearing and coordinating eye movements
Serves as a bridge between the cerebral cortex (thinking part of brain) and cerebellum (moving part of
brain)
Questions and verified Answers
Nuerocognitive Issues Assoicated with Frontal Lobe - CORRECT ANSWERS Emotional control,
behavioral control, verbal expression, problem solving, decision making, social control, attention,
motivation
Acquired BI - CORRECT ANSWERS An injury to the brain that is not hereditary, congenital or
degenerative or induced by birth trauma
TBI - CORRECT ANSWERS An alteration in brain function or other evidence of brain
pathology, casused by an external force
Mild TBI Characteristics - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS Loss of consciousness >24 hours, 3-8 on the
GCS
Likelihood of Additional Injury - CORRECT ANSWERS 1 BI increases risk of 2nd by 3x and 2nd
BI increases risk of 3rd by 8x!
Most Frequent Cause of TBI - CORRECT ANSWERS Falls
How many people sustain a BI per year? - CORRECT ANSWERS 2.5 million. 81% visit ED, 16%
hsopitalized, 3% result in death
How many people are living with effects of a TBI? - CORRECT ANSWERS 13.5 million
Likelihood of BI by gender - CORRECT ANSWERS Men are 1.4x more likely than women
Most common cause of TBI and death by age - 75+ - CORRECT ANSWERS Falls!
Most common cause of TBI and death by age - 0-3 - CORRECT ANSWERS AHT!
Most common cause of TBI and death by age - 20-24 - CORRECT ANSWERS MVAs and
Firearms
Most common cause of TBI and death by age - 16-19 - CORRECT ANSWERS MVAs!
,CARF - CORRECT ANSWERS 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 - CORRECT ANSWERS Accreditation agency for hospital based programs,
may accompany CARF accreditation, ensures quality of services through requirements for accreditation
and surveys
Olmsted Decison - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS Traumatic intertial - brain moving inside
skull
Traumatic impact - head hits directly
Early Treatment for Mild TBI - CORRECT ANSWERS Relaxation techniques, rest, slow return
to normal activity, and reduction of normal activity if symptoms recur
Peristent Post Concussive Symptoms (PPCS) - CORRECT ANSWERS Symptoms of Mild TBI last
>1 month, occurs 10% of the time in Mild TBI cases
Chronic Traumatic Encephalopathy (CTE) - CORRECT ANSWERS 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 - CORRECT ANSWERS Bony shell that protects the brain, has bony prominences
inside which can worsen brain injury
Cerebral Spinal Fluid (CSF) - CORRECT ANSWERS Provides cushion to nerve tissue, produced
by ventricles (4) which also store and circulation CSF through the brain
Meninges - CORRECT ANSWERS 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 - CORRECT ANSWERS Nuerons communicate electrical impulses
throughout brain while Glial cells support and nourish Nuerons
Synapse - CORRECT ANSWERS 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 - CORRECT ANSWERS Sense of touch; differentiation of size,
color, and shape; visual perception; spatial perception
Functions of the Occipital Lobe - CORRECT ANSWERS Visual functions
Functions of the Frontal Lobe - CORRECT ANSWERS 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 - CORRECT ANSWERS Hearing functions, memory,
understanding language, organization and sequencing
Functions of the Brain Stem - CORRECT ANSWERS Breathing, HR, arousal, consciousness,
sleep/wake functions, attention, concentration
Transmits all sensory information from body to brain and movement signals from the brain to the body
Contains sensory centers for hearing, touch, taste, and balance
Even if the cerebral cortex is gravelly damaged, the brain stem can keep someone alive - or in a
vegetative state
Functions of the Cerebellum - CORRECT ANSWERS Balance, coordination, skilled motor
activity
Reticular Activating System (RAS) - CORRECT ANSWERS Part of the brain stem - collection of
nerve fibers that modulate changed in arousal, alertness, concentration, and biological rhythms
Can be turned down or up much like a light dimmer switch - i.e during a coma, it is turned down - if
turned down too much, can result in death
Medulla - CORRECT ANSWERS Part of the brain stem- responsible for basic living functions
such as breathing, HR, BP, swallowing, and vomiting
Pons - CORRECT ANSWERS Part of the brain stem- responsible for facial movements, facial
sensation, hearing and coordinating eye movements
Serves as a bridge between the cerebral cortex (thinking part of brain) and cerebellum (moving part of
brain)
