CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
f f f f f f
Bowel or bladder dysfunction due to DOC -
f f f f f f f
<<,Answersd>>>>incontinence, constipation, bowel irregulariti f f f
es, discomfort, infections (C Diff or UTI), hygiene and skin issues
f f f f f f f f f f
ADS - f
<<,Answersd>>>>Autonomic dysfunction syndrome; dystonia,
f f f f
agitation, tachycardia (rapid heart rate), diaphoresis (sweating), h
f f f f f f f f
yperthermia, hypertension, tachypnea (rapid breathing) f f f f
Incidence of ADS - <<,Answersd>>>>15- f f f f
33% of people with a severe TBI
f f f f f f
Deep tissue injury pressure sore -
f f f f f
<<,Answersd>>>>purple discoloration or blood-filled blister
f f f f f
Bladder and bowel care after a SC injury -
f f f f f f f f
<<,Answersd>>>>these are fine as long as injury is below where t f f f f f f f f f f
hese are controlled; bisacodyl suppository, digital stimulation; ar
f f f f f f f
eflexic bowel; toxic mega-colon
f f f
Areflexic bowel - f f
<<,Answersd>>>>no ability to control bowel reflexes; prone to c
f f f f f f f f f
onstipation and accidents f f
Treatment of bladder and bowel issues after a SC injury -
f f f f f f f f f f
<<,Answersd>>>>bathroom regimenl eat the right foods and get f f f f f f f f
enough fluids; need to prevent UTI's
f f f f f
, CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
f f f f f f
Leading cause of death for person with a SC injury -
f f f f f f f f f f
<<,Answersd>>>>renal disease f
Treatment for ADS - f f f
<<,Answersd>>>>environmental control, pharmacological inte
f f f f
rventions, pharmacologic neuromodulation (using medications t
f f f f f
o change arousal and awareness, like anti-
f f f f f f
depressants, dopaminergic agents, ADHD meds), treatment plan f f f f f f
ning
Neurobehavioral assessments of DOC - f f f f
<<,Answersd>>>>bedside neurobehavioral evaluations; let's th f f f f
e rater see what needs more improvement and what is doing well o
f f f f f f f f f f f f
ver time f
Mental practice - f f
<<,Answersd>>>>steps reviewed mentally before physically
f f f f f
Environmental influence on motor learning - f f f f f
<<,Answersd>>>>Open environment, versus closed f f f
Open versus closed environment -
f f f f
<<,Answersd>>>>the environment can change and has distracti
f f f f f f f
ons, versus the environment being the same with no distractions
f f f f f f f f f
Basic principles to enhance neuroplasticity -
f f f f f
<<,Answersd>>>>use it or lose it, salience, reward or feedback, u f f f f f f f f f
se it and improve it, age, environment, be specific,
f f f f f f f f
, CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
f f f f f f
transference, fun, repetition, interference, helping others, intensit
f f f f f f
y, patience
f
Medical complications with BI - f f f f
<<,Answersd>>>>hydrocephalus, spasticity, contractures, H f f f
O, vascular thrombus/emboli, obesity, pain, neurogenic bladd
f f f f f f
er
Hydrocephalus - f
<<,Answersd>>>>too much CSF in the ventricles; happens in
f f f f f f f f f
2/3 people with moderate to severe TBI; obstructive at times to
f f f f f f f f f f f
the brain; can be hydrocephalus ex-vacuo
f f f f f
Hydrocephalus ex-vacuo - f f
<<,Answersd>>>>after a TBI; neuronal loss and shrinking of bra
f f f f f f f f f
in tissue; normal pressure hydrocephalus (NPH) may develop
f f f f f f f
Treatment for hydrocephalus - f f f
<<,Answersd>>>>put in a shunt, with a catheter, and valve; over-
f f f f f f f f f f
drainage is possible which may cause headaches or hemorrhaging
f f f f f f f f
; under-
f
drainage is also possible, which lets hydrocephalus symptoms con
f f f f f f f f
tinue
Spasticity - f
<<,Answersd>>>>exaggerated tendon reflexes; faster move
f f f f f
ment means a stronger spasm; due to damage of the upper moto
f f f f f f f f f f f
r neuron; leads to weakness and lack of dexterity; increased mu
f f f f f f f f f f
scle tone, clonus f f
, CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
f f f f f f
Treatment for spasticity - f f f
<<,Answersd>>>>remove stressors that trigger it; antispasmodi
f f f f f f
c medications, physical and occupational therapy
f f f f f
Antispasmodic medications - f f
<<,Answersd>>>>can cause sedation; intrathecal baclofen (ITB
f f f f f f
)
ITB - f
<<,Answersd>>>>for severe spasticity, as a last resort; after a ye
f f f f f f f f f f
ar of trying other things; given directly into the spinal cord; better
f f f f f f f f f f f f
for lower extremity spasticity
f f f
What works best for upper extremity spasticity -
f f f f f f f
<<,Answersd>>>>Botox; given 3 months at a time f f f f f f
What ITB stops working out of nowhere with someone with spasti
f f f f f f f f f f
city issues? - f f
<<,Answersd>>>>serious side effects; hyperthermic, seizures;
f f f f f f
beware of MRI's f f
Treatment for contractures - f f f
<<,Answersd>>>>try to get back the range of motion, positionin
f f f f f f f f f
g, orthotics, antispasmodic medications, myotendinous lengthen
f f f f f
ing
Myotendinous lengthening - f f
<<,Answersd>>>>surgery to lengthen the tendons; cast afterwar
f f f f f f f
ds to cement the process
f f f f
f f f f f f
Bowel or bladder dysfunction due to DOC -
f f f f f f f
<<,Answersd>>>>incontinence, constipation, bowel irregulariti f f f
es, discomfort, infections (C Diff or UTI), hygiene and skin issues
f f f f f f f f f f
ADS - f
<<,Answersd>>>>Autonomic dysfunction syndrome; dystonia,
f f f f
agitation, tachycardia (rapid heart rate), diaphoresis (sweating), h
f f f f f f f f
yperthermia, hypertension, tachypnea (rapid breathing) f f f f
Incidence of ADS - <<,Answersd>>>>15- f f f f
33% of people with a severe TBI
f f f f f f
Deep tissue injury pressure sore -
f f f f f
<<,Answersd>>>>purple discoloration or blood-filled blister
f f f f f
Bladder and bowel care after a SC injury -
f f f f f f f f
<<,Answersd>>>>these are fine as long as injury is below where t f f f f f f f f f f
hese are controlled; bisacodyl suppository, digital stimulation; ar
f f f f f f f
eflexic bowel; toxic mega-colon
f f f
Areflexic bowel - f f
<<,Answersd>>>>no ability to control bowel reflexes; prone to c
f f f f f f f f f
onstipation and accidents f f
Treatment of bladder and bowel issues after a SC injury -
f f f f f f f f f f
<<,Answersd>>>>bathroom regimenl eat the right foods and get f f f f f f f f
enough fluids; need to prevent UTI's
f f f f f
, CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
f f f f f f
Leading cause of death for person with a SC injury -
f f f f f f f f f f
<<,Answersd>>>>renal disease f
Treatment for ADS - f f f
<<,Answersd>>>>environmental control, pharmacological inte
f f f f
rventions, pharmacologic neuromodulation (using medications t
f f f f f
o change arousal and awareness, like anti-
f f f f f f
depressants, dopaminergic agents, ADHD meds), treatment plan f f f f f f
ning
Neurobehavioral assessments of DOC - f f f f
<<,Answersd>>>>bedside neurobehavioral evaluations; let's th f f f f
e rater see what needs more improvement and what is doing well o
f f f f f f f f f f f f
ver time f
Mental practice - f f
<<,Answersd>>>>steps reviewed mentally before physically
f f f f f
Environmental influence on motor learning - f f f f f
<<,Answersd>>>>Open environment, versus closed f f f
Open versus closed environment -
f f f f
<<,Answersd>>>>the environment can change and has distracti
f f f f f f f
ons, versus the environment being the same with no distractions
f f f f f f f f f
Basic principles to enhance neuroplasticity -
f f f f f
<<,Answersd>>>>use it or lose it, salience, reward or feedback, u f f f f f f f f f
se it and improve it, age, environment, be specific,
f f f f f f f f
, CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
f f f f f f
transference, fun, repetition, interference, helping others, intensit
f f f f f f
y, patience
f
Medical complications with BI - f f f f
<<,Answersd>>>>hydrocephalus, spasticity, contractures, H f f f
O, vascular thrombus/emboli, obesity, pain, neurogenic bladd
f f f f f f
er
Hydrocephalus - f
<<,Answersd>>>>too much CSF in the ventricles; happens in
f f f f f f f f f
2/3 people with moderate to severe TBI; obstructive at times to
f f f f f f f f f f f
the brain; can be hydrocephalus ex-vacuo
f f f f f
Hydrocephalus ex-vacuo - f f
<<,Answersd>>>>after a TBI; neuronal loss and shrinking of bra
f f f f f f f f f
in tissue; normal pressure hydrocephalus (NPH) may develop
f f f f f f f
Treatment for hydrocephalus - f f f
<<,Answersd>>>>put in a shunt, with a catheter, and valve; over-
f f f f f f f f f f
drainage is possible which may cause headaches or hemorrhaging
f f f f f f f f
; under-
f
drainage is also possible, which lets hydrocephalus symptoms con
f f f f f f f f
tinue
Spasticity - f
<<,Answersd>>>>exaggerated tendon reflexes; faster move
f f f f f
ment means a stronger spasm; due to damage of the upper moto
f f f f f f f f f f f
r neuron; leads to weakness and lack of dexterity; increased mu
f f f f f f f f f f
scle tone, clonus f f
, CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
f f f f f f
Treatment for spasticity - f f f
<<,Answersd>>>>remove stressors that trigger it; antispasmodi
f f f f f f
c medications, physical and occupational therapy
f f f f f
Antispasmodic medications - f f
<<,Answersd>>>>can cause sedation; intrathecal baclofen (ITB
f f f f f f
)
ITB - f
<<,Answersd>>>>for severe spasticity, as a last resort; after a ye
f f f f f f f f f f
ar of trying other things; given directly into the spinal cord; better
f f f f f f f f f f f f
for lower extremity spasticity
f f f
What works best for upper extremity spasticity -
f f f f f f f
<<,Answersd>>>>Botox; given 3 months at a time f f f f f f
What ITB stops working out of nowhere with someone with spasti
f f f f f f f f f f
city issues? - f f
<<,Answersd>>>>serious side effects; hyperthermic, seizures;
f f f f f f
beware of MRI's f f
Treatment for contractures - f f f
<<,Answersd>>>>try to get back the range of motion, positionin
f f f f f f f f f
g, orthotics, antispasmodic medications, myotendinous lengthen
f f f f f
ing
Myotendinous lengthening - f f
<<,Answersd>>>>surgery to lengthen the tendons; cast afterwar
f f f f f f f
ds to cement the process
f f f f
