CBIS EXAM ACTUAL EXAM /200 QUESTIONS AND
CORRECT ANSWERS (100% VERIFIED ANSWERS) |
ALREADY GRADED A+ (CERTIFIED BRAIN INJURY
SPECIALIST EXAM)
Nuerocognitive Issues Assoicated with Frontal Lobe - ANSWER: Emotional control,
behavioral control, verbal expression, problem solving, decision making, social
control, attention, motivation
Acquired BI - ANSWER: An injury to the brain that is not hereditary, congenital or
degenerative or induced by birth trauma
TBI - ANSWER: An alteration in brain function or other evidence of brain pathology,
casused by an external force
Mild TBI Characteristics - ANSWER: 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 - ANSWER: 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 - ANSWER: Loss of consciousness >24 hours, 3-8 on the
GCS
Likelihood of Additional Injury - ANSWER: 1 BI increases risk of 2nd by 3x and 2nd BI
increases risk of 3rd by 8x!
Most Frequent Cause of TBI - ANSWER: Falls
How many people sustain a BI per year? - ANSWER: 2.5 million. 81% visit ED, 16%
hsopitalized, 3% result in death
How many people are living with effects of a TBI? - ANSWER: 13.5 million
Likelihood of BI by gender - ANSWER: Men are 1.4x more likely than women
Most common cause of TBI and death by age - 75+ - ANSWER: Falls!
Most common cause of TBI and death by age - 0-3 - ANSWER: AHT!
Most common cause of TBI and death by age - 20-24 - ANSWER: MVAs and Firearms
Most common cause of TBI and death by age - 16-19 - ANSWER: MVAs!
,CARF - ANSWER: 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 - ANSWER: Accreditation agency for hospital based programs, may
accompany CARF accreditation, ensures quality of services through requirements for
accreditation and surveys
Olmsted Decison - ANSWER: 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 - ANSWER: 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 - ANSWER: 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 - ANSWER: Traumatic intertial - brain moving inside skull
Traumatic impact - head hits directly
Early Treatment for Mild TBI - ANSWER: Relaxation techniques, rest, slow return to
normal activity, and reduction of normal activity if symptoms recur
Peristent Post Concussive Symptoms (PPCS) - ANSWER: Symptoms of Mild TBI last >1
month, occurs 10% of the time in Mild TBI cases
Chronic Traumatic Encephalopathy (CTE) - ANSWER: 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 - ANSWER: Bony shell that protects the brain, has bony prominences
inside which can worsen brain injury
Cerebral Spinal Fluid (CSF) - ANSWER: Provides cushion to nerve tissue, produced by
ventricles (4) which also store and circulation CSF through the brain
Meninges - ANSWER: 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 - ANSWER: Nuerons communicate electrical impulses
throughout brain while Glial cells support and nourish Nuerons
Synapse - ANSWER: 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 - ANSWER: Sense of touch; differentiation of size,
color, and shape; visual perception; spatial perception
Functions of the Occipital Lobe - ANSWER: Visual functions
Functions of the Frontal Lobe - ANSWER: 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 - ANSWER: Hearing functions, memory,
understanding language, organization and sequencing
Functions of the Brain Stem - ANSWER: 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 - ANSWER: Balance, coordination, skilled motor activity
Reticular Activating System (RAS) - ANSWER: 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 - ANSWER: Part of the brain stem- responsible for basic living functions such
as breathing, HR, BP, swallowing, and vomiting
CORRECT ANSWERS (100% VERIFIED ANSWERS) |
ALREADY GRADED A+ (CERTIFIED BRAIN INJURY
SPECIALIST EXAM)
Nuerocognitive Issues Assoicated with Frontal Lobe - ANSWER: Emotional control,
behavioral control, verbal expression, problem solving, decision making, social
control, attention, motivation
Acquired BI - ANSWER: An injury to the brain that is not hereditary, congenital or
degenerative or induced by birth trauma
TBI - ANSWER: An alteration in brain function or other evidence of brain pathology,
casused by an external force
Mild TBI Characteristics - ANSWER: 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 - ANSWER: 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 - ANSWER: Loss of consciousness >24 hours, 3-8 on the
GCS
Likelihood of Additional Injury - ANSWER: 1 BI increases risk of 2nd by 3x and 2nd BI
increases risk of 3rd by 8x!
Most Frequent Cause of TBI - ANSWER: Falls
How many people sustain a BI per year? - ANSWER: 2.5 million. 81% visit ED, 16%
hsopitalized, 3% result in death
How many people are living with effects of a TBI? - ANSWER: 13.5 million
Likelihood of BI by gender - ANSWER: Men are 1.4x more likely than women
Most common cause of TBI and death by age - 75+ - ANSWER: Falls!
Most common cause of TBI and death by age - 0-3 - ANSWER: AHT!
Most common cause of TBI and death by age - 20-24 - ANSWER: MVAs and Firearms
Most common cause of TBI and death by age - 16-19 - ANSWER: MVAs!
,CARF - ANSWER: 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 - ANSWER: Accreditation agency for hospital based programs, may
accompany CARF accreditation, ensures quality of services through requirements for
accreditation and surveys
Olmsted Decison - ANSWER: 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 - ANSWER: 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 - ANSWER: 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 - ANSWER: Traumatic intertial - brain moving inside skull
Traumatic impact - head hits directly
Early Treatment for Mild TBI - ANSWER: Relaxation techniques, rest, slow return to
normal activity, and reduction of normal activity if symptoms recur
Peristent Post Concussive Symptoms (PPCS) - ANSWER: Symptoms of Mild TBI last >1
month, occurs 10% of the time in Mild TBI cases
Chronic Traumatic Encephalopathy (CTE) - ANSWER: 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 - ANSWER: Bony shell that protects the brain, has bony prominences
inside which can worsen brain injury
Cerebral Spinal Fluid (CSF) - ANSWER: Provides cushion to nerve tissue, produced by
ventricles (4) which also store and circulation CSF through the brain
Meninges - ANSWER: 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 - ANSWER: Nuerons communicate electrical impulses
throughout brain while Glial cells support and nourish Nuerons
Synapse - ANSWER: 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 - ANSWER: Sense of touch; differentiation of size,
color, and shape; visual perception; spatial perception
Functions of the Occipital Lobe - ANSWER: Visual functions
Functions of the Frontal Lobe - ANSWER: 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 - ANSWER: Hearing functions, memory,
understanding language, organization and sequencing
Functions of the Brain Stem - ANSWER: 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 - ANSWER: Balance, coordination, skilled motor activity
Reticular Activating System (RAS) - ANSWER: 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 - ANSWER: Part of the brain stem- responsible for basic living functions such
as breathing, HR, BP, swallowing, and vomiting
