CBIS FINAL EXAM GUIDE 2025 WITH CORRECTLY
VERIFIED ANSWERS |ALREADY A+
GRADED|GUARANTEED PASS
why is BI considered a silent epidemic? - Problems that arise from BI are not always
evident, it is not ID'd, and appropriate tx at the right time, dose, and frequency is not always
available
acquired BI - injury to brain that is not hereditary, congenital, hereditary, or induced by
birth trauma
Most common sx after BI - dizziness
Most common sx after mTBI - headache
primary injury - initial injury that classifies injury as traumatic or non
secondary injury - a cascade of events caused by the primary injury (excitotoxicity,
edema, apoptosis)
mild TBI - brief or NO LOC; vomiting, lethargy, dizziness, and amnesia to the event;
normal imaging GCS: 13-15
moderate TBI - LOC up to 24 hrs; neurological signs of brain trauma (ie skull fx with
contusion or bleeding) and may have findings on EEG or CT. GCS: 9-12
severe TBI - LOC >24 hours. May have abnormal imaging. GCS:3-8
% of TBIs that are mTBI - 75%
concussion - Mild TBI - mTBI): trauma induced alteration in mental status (dazed,
confused, disoriented); may/may not have LOC; amnesia of events immediately before/after;
local neurological deficits may / may not be transient; many are not tx in ED
TBI is the ____ most prevalent disability - second
Risk of injury after 1st mTBI and 2nd mTBI - 3x, 8x
ages of TBI due to falls - 0-4, >65
Commission for the Accreditation of Rehab Facilities (CARF) - Post acute BI programs
, Residential
Outpatient
Vocational
Home & community programs
Stroke & peds
Joint Commission on the Accreditation of Healthcare Organizations (JACHO) - Hospital
based programs
cost of TBI - Lost productivity + medical costs = $76.5 billion
Home & Community Based Waiver Program - Allows states (with approval) to try new
approaches to delivery of healthcare providing the costs dont exceed the cost of institutional
care
The Rehabilitation Act of 1973 - Set the foundation for vocational rehab system. a
federal/state supported system of services that assists persons with disabilities who are
pursuing meaningful careers
Olmstead Decision (1999) - Option for people to live in the community
Title II of ADA states that states have to administer their services, programs, and activities in the
most integrated setting appropriate to the needs of qualified individuals with disabilities
TBI Act of 1996 - Federal Legislation
"To expand efforts to identify methods of preventing TBI, to expand biomedical research efforts
or to minimize the severity of dysfunction as a result of such an injury, and to improve the
delivery & quality of services through the State Demonstration projects."
Single most important piece of legislature for peeps with BI.
life reduction expectancy in TBI - 7 years
Screening tools for TBI - ACE, TBIQ, ImPACT
when should mTBI initial sxs resolve by? - 2-4 weeks
what percent of people will experience persistent post concussive symptoms? - 10-15%
% of people with sleep disturbance after TBI - 70%
VERIFIED ANSWERS |ALREADY A+
GRADED|GUARANTEED PASS
why is BI considered a silent epidemic? - Problems that arise from BI are not always
evident, it is not ID'd, and appropriate tx at the right time, dose, and frequency is not always
available
acquired BI - injury to brain that is not hereditary, congenital, hereditary, or induced by
birth trauma
Most common sx after BI - dizziness
Most common sx after mTBI - headache
primary injury - initial injury that classifies injury as traumatic or non
secondary injury - a cascade of events caused by the primary injury (excitotoxicity,
edema, apoptosis)
mild TBI - brief or NO LOC; vomiting, lethargy, dizziness, and amnesia to the event;
normal imaging GCS: 13-15
moderate TBI - LOC up to 24 hrs; neurological signs of brain trauma (ie skull fx with
contusion or bleeding) and may have findings on EEG or CT. GCS: 9-12
severe TBI - LOC >24 hours. May have abnormal imaging. GCS:3-8
% of TBIs that are mTBI - 75%
concussion - Mild TBI - mTBI): trauma induced alteration in mental status (dazed,
confused, disoriented); may/may not have LOC; amnesia of events immediately before/after;
local neurological deficits may / may not be transient; many are not tx in ED
TBI is the ____ most prevalent disability - second
Risk of injury after 1st mTBI and 2nd mTBI - 3x, 8x
ages of TBI due to falls - 0-4, >65
Commission for the Accreditation of Rehab Facilities (CARF) - Post acute BI programs
, Residential
Outpatient
Vocational
Home & community programs
Stroke & peds
Joint Commission on the Accreditation of Healthcare Organizations (JACHO) - Hospital
based programs
cost of TBI - Lost productivity + medical costs = $76.5 billion
Home & Community Based Waiver Program - Allows states (with approval) to try new
approaches to delivery of healthcare providing the costs dont exceed the cost of institutional
care
The Rehabilitation Act of 1973 - Set the foundation for vocational rehab system. a
federal/state supported system of services that assists persons with disabilities who are
pursuing meaningful careers
Olmstead Decision (1999) - Option for people to live in the community
Title II of ADA states that states have to administer their services, programs, and activities in the
most integrated setting appropriate to the needs of qualified individuals with disabilities
TBI Act of 1996 - Federal Legislation
"To expand efforts to identify methods of preventing TBI, to expand biomedical research efforts
or to minimize the severity of dysfunction as a result of such an injury, and to improve the
delivery & quality of services through the State Demonstration projects."
Single most important piece of legislature for peeps with BI.
life reduction expectancy in TBI - 7 years
Screening tools for TBI - ACE, TBIQ, ImPACT
when should mTBI initial sxs resolve by? - 2-4 weeks
what percent of people will experience persistent post concussive symptoms? - 10-15%
% of people with sleep disturbance after TBI - 70%
