TBI Evaluation | Exam Revised Questions
1. What helps to predict recovery after TBI?: coma depth and length and post-traumatic
amnesia length
2. What does a longer and deeper coma indicate in terms of recovery?: poorer recovery
3. What is post-traumatic amnesia? What's it's relation to recovery?: patient is unable to store new
info and memories after TBI. INVERSELY related to level of recovery.
4. What does the Glasgow Coma Scale measure?: responsiveness by assigning a number in each
category to determine the total score
5. What are the categories in the Glasgow Coma Scale?: eye, verbal, motor responses
6. What does the score of 3-8 on the Glasgow Coma Scale indicate?: severe head injury
7. What does the score of 9-12 on the Glasgow Coma Scale indicate?: moderate head injury
8. What does the score of 13-15 on the Glasgow Coma Scale indicate?: mild head injury
9. What does the Greek word koma mean?: deep sleep
10.What is a coma?: prolonged period of unconsciousness in which the patient cannot be
aroused and there is no sleep-wake cycle
11.What kind of injury often causes a coma?: diffuse axonal injuries (cortex, white matter,
basal ganglia)
12.When do comas typically get resolved?: within 3-4 weeks of injury
13.What is a vegetative state?: patient's awareness of self and environment are presumed
absent
14.What is a minimally conscious state?: minimal but UNMISTAKABLE evidence of conciousness
15.What are considered responses to stimulation?: change in respiration rate, muscle tone,
facial expression, eyes, and voice
16.What is Ranchos Los Amigos Cognitive Scale used for?: identify stages of recovery
17.What are the early recovery stages of the RLACS?: patients need total assistance from
level 1-3
18.RLACS Level 1: no response to stimuli
19.RLACS Level 2: general response to stimuli
20.RLACS Level 3: Localized or inconsistent response to spoken command
21.What are the intermediate recovery stages of the RLACS?: patients need maximal assistance
from level 4-5
22.RLACS Level 4: confused, agitated
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, TBI Evaluation | Exam Revised Questions
23.RLACS Level 5: confused, unagitated and can follow simple commands
24.What may SLPs asses during Levels 4 and 5?: cognitive functions
25.RLACS Level 6: confused, appropriate, and consistently follows simple com- mands
26.What can SLPs begin to assess with in Level 6?: cognitive function with standard or non-
standardized tests
27.What are the later recovery stages of the RLACS?: Level 6-10
28.RLACS Level 7: patients need minimal assistance because they are now auto- matic and
appropriate
29.RLACS Level 8: patients need standby assistance because they are now pur- poseful and
appropriate in their actions
30.RLACS Level 9: patients may require standby assistance on request because they can
initiate their own actions and routines
31.RLACS Level 10: patient is modified independent because they can use strate- gies and
adjust to tasks
32.What is orientation?: awareness of self and appreciation of how one relates to others or the
environment
33.What is orientation to self?: patient's knowledge of who they are and who others are
34.What is orientation to place?: patient's knowledge of where they are
35.What is orientation to time?: patient's knowledge of when it is and the passage of time
36.What is orientation to circumstance?: patient's knowledge of what happened to them and
their current injuries
37.What standardized tests for TBI have orientation subtests?: Mini Mental Status Examination
and Galveston Orientation and Amnesia Test
38.What may agitated patients do?: harm themselves or others
39.What is alertness? (how assess): assessed through reaction time, visual tracking,
auditory localization
40.What is sustained attention?: ability to maintain cognitive dedication to a specific
repetitive or lengthy task
41.What is selective attention?: allocate attention to specific stimuli when other stimuli are
present
42.What is alternating attention?: shifting focus in response to changing require- ments
43.What is divided attention?: allocating attention to more than one set of stimuli
44.What is pre traumatic memory loss / retrograde amnesia?: loss of memory for events
immediately preceding injury
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1. What helps to predict recovery after TBI?: coma depth and length and post-traumatic
amnesia length
2. What does a longer and deeper coma indicate in terms of recovery?: poorer recovery
3. What is post-traumatic amnesia? What's it's relation to recovery?: patient is unable to store new
info and memories after TBI. INVERSELY related to level of recovery.
4. What does the Glasgow Coma Scale measure?: responsiveness by assigning a number in each
category to determine the total score
5. What are the categories in the Glasgow Coma Scale?: eye, verbal, motor responses
6. What does the score of 3-8 on the Glasgow Coma Scale indicate?: severe head injury
7. What does the score of 9-12 on the Glasgow Coma Scale indicate?: moderate head injury
8. What does the score of 13-15 on the Glasgow Coma Scale indicate?: mild head injury
9. What does the Greek word koma mean?: deep sleep
10.What is a coma?: prolonged period of unconsciousness in which the patient cannot be
aroused and there is no sleep-wake cycle
11.What kind of injury often causes a coma?: diffuse axonal injuries (cortex, white matter,
basal ganglia)
12.When do comas typically get resolved?: within 3-4 weeks of injury
13.What is a vegetative state?: patient's awareness of self and environment are presumed
absent
14.What is a minimally conscious state?: minimal but UNMISTAKABLE evidence of conciousness
15.What are considered responses to stimulation?: change in respiration rate, muscle tone,
facial expression, eyes, and voice
16.What is Ranchos Los Amigos Cognitive Scale used for?: identify stages of recovery
17.What are the early recovery stages of the RLACS?: patients need total assistance from
level 1-3
18.RLACS Level 1: no response to stimuli
19.RLACS Level 2: general response to stimuli
20.RLACS Level 3: Localized or inconsistent response to spoken command
21.What are the intermediate recovery stages of the RLACS?: patients need maximal assistance
from level 4-5
22.RLACS Level 4: confused, agitated
1/
, TBI Evaluation | Exam Revised Questions
23.RLACS Level 5: confused, unagitated and can follow simple commands
24.What may SLPs asses during Levels 4 and 5?: cognitive functions
25.RLACS Level 6: confused, appropriate, and consistently follows simple com- mands
26.What can SLPs begin to assess with in Level 6?: cognitive function with standard or non-
standardized tests
27.What are the later recovery stages of the RLACS?: Level 6-10
28.RLACS Level 7: patients need minimal assistance because they are now auto- matic and
appropriate
29.RLACS Level 8: patients need standby assistance because they are now pur- poseful and
appropriate in their actions
30.RLACS Level 9: patients may require standby assistance on request because they can
initiate their own actions and routines
31.RLACS Level 10: patient is modified independent because they can use strate- gies and
adjust to tasks
32.What is orientation?: awareness of self and appreciation of how one relates to others or the
environment
33.What is orientation to self?: patient's knowledge of who they are and who others are
34.What is orientation to place?: patient's knowledge of where they are
35.What is orientation to time?: patient's knowledge of when it is and the passage of time
36.What is orientation to circumstance?: patient's knowledge of what happened to them and
their current injuries
37.What standardized tests for TBI have orientation subtests?: Mini Mental Status Examination
and Galveston Orientation and Amnesia Test
38.What may agitated patients do?: harm themselves or others
39.What is alertness? (how assess): assessed through reaction time, visual tracking,
auditory localization
40.What is sustained attention?: ability to maintain cognitive dedication to a specific
repetitive or lengthy task
41.What is selective attention?: allocate attention to specific stimuli when other stimuli are
present
42.What is alternating attention?: shifting focus in response to changing require- ments
43.What is divided attention?: allocating attention to more than one set of stimuli
44.What is pre traumatic memory loss / retrograde amnesia?: loss of memory for events
immediately preceding injury
2/
