CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
Bowel or bladder dysfunction due to DOC -
<<,Answersd>>>>incontinence, constipation, bowel
irregularities, discomfort, infections (C Diff or UTI), hygiene
and skin issues
ADS - <<,Answersd>>>>Autonomic dysfunction syndrome;
dystonia, agitation, tachycardia (rapid heart rate), diaphoresis
(sweating), hyperthermia, hypertension, tachypnea (rapid
breathing)
Incidence of ADS - <<,Answersd>>>>15-33% of people with
a severe TBI
Deep tissue injury pressure sore - <<,Answersd>>>>purple
discoloration or blood-filled blister
Bladder and bowel care after a SC injury -
<<,Answersd>>>>these are fine as long as injury is below
where these are controlled; bisacodyl suppository, digital
stimulation; areflexic bowel; toxic mega-colon
Areflexic bowel - <<,Answersd>>>>no ability to control
bowel reflexes; prone to constipation and accidents
Treatment of bladder and bowel issues after a SC injury -
<<,Answersd>>>>bathroom regimenl eat the right foods and
get enough fluids; need to prevent UTI's
,CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
Leading cause of death for person with a SC injury -
<<,Answersd>>>>renal disease
Treatment for ADS - <<,Answersd>>>>environmental
control, pharmacological interventions, pharmacologic
neuromodulation (using medications to change arousal and
awareness, like anti-depressants, dopaminergic agents, ADHD
meds), treatment planning
Neurobehavioral assessments of DOC -
<<,Answersd>>>>bedside neurobehavioral evaluations; let's
the rater see what needs more improvement and what is doing
well over time
Mental practice - <<,Answersd>>>>steps reviewed mentally
before physically
Environmental influence on motor learning -
<<,Answersd>>>>Open environment, versus closed
Open versus closed environment - <<,Answersd>>>>the
environment can change and has distractions, versus the
environment being the same with no distractions
Basic principles to enhance neuroplasticity -
<<,Answersd>>>>use it or lose it, salience, reward or
feedback, use it and improve it, age, environment, be specific,
,CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
transference, fun, repetition, interference, helping others,
intensity, patience
Medical complications with BI -
<<,Answersd>>>>hydrocephalus, spasticity, contractures,
HO, vascular thrombus/emboli, obesity, pain, neurogenic
bladder
Hydrocephalus - <<,Answersd>>>>too much CSF in the
ventricles; happens in 2/3 people with moderate to severe
TBI; obstructive at times to the brain; can be hydrocephalus
ex-vacuo
Hydrocephalus ex-vacuo - <<,Answersd>>>>after a TBI;
neuronal loss and shrinking of brain tissue; normal pressure
hydrocephalus (NPH) may develop
Treatment for hydrocephalus - <<,Answersd>>>>put in a
shunt, with a catheter, and valve; over-drainage is possible
which may cause headaches or hemorrhaging; under-drainage
is also possible, which lets hydrocephalus symptoms continue
Spasticity - <<,Answersd>>>>exaggerated tendon reflexes;
faster movement means a stronger spasm; due to damage of
the upper motor neuron; leads to weakness and lack of
dexterity; increased muscle tone, clonus
, CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
Treatment for spasticity - <<,Answersd>>>>remove stressors
that trigger it; antispasmodic medications, physical and
occupational therapy
Antispasmodic medications - <<,Answersd>>>>can cause
sedation; intrathecal baclofen (ITB)
ITB - <<,Answersd>>>>for severe spasticity, as a last resort;
after a year of trying other things; given directly into the
spinal cord; better for lower extremity spasticity
What works best for upper extremity spasticity -
<<,Answersd>>>>Botox; given 3 months at a time
What ITB stops working out of nowhere with someone with
spasticity issues? - <<,Answersd>>>>serious side effects;
hyperthermic, seizures; beware of MRI's
Treatment for contractures - <<,Answersd>>>>try to get back
the range of motion, positioning, orthotics, antispasmodic
medications, myotendinous lengthening
Myotendinous lengthening - <<,Answersd>>>>surgery to
lengthen the tendons; cast afterwards to cement the process
Bowel or bladder dysfunction due to DOC -
<<,Answersd>>>>incontinence, constipation, bowel
irregularities, discomfort, infections (C Diff or UTI), hygiene
and skin issues
ADS - <<,Answersd>>>>Autonomic dysfunction syndrome;
dystonia, agitation, tachycardia (rapid heart rate), diaphoresis
(sweating), hyperthermia, hypertension, tachypnea (rapid
breathing)
Incidence of ADS - <<,Answersd>>>>15-33% of people with
a severe TBI
Deep tissue injury pressure sore - <<,Answersd>>>>purple
discoloration or blood-filled blister
Bladder and bowel care after a SC injury -
<<,Answersd>>>>these are fine as long as injury is below
where these are controlled; bisacodyl suppository, digital
stimulation; areflexic bowel; toxic mega-colon
Areflexic bowel - <<,Answersd>>>>no ability to control
bowel reflexes; prone to constipation and accidents
Treatment of bladder and bowel issues after a SC injury -
<<,Answersd>>>>bathroom regimenl eat the right foods and
get enough fluids; need to prevent UTI's
,CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
Leading cause of death for person with a SC injury -
<<,Answersd>>>>renal disease
Treatment for ADS - <<,Answersd>>>>environmental
control, pharmacological interventions, pharmacologic
neuromodulation (using medications to change arousal and
awareness, like anti-depressants, dopaminergic agents, ADHD
meds), treatment planning
Neurobehavioral assessments of DOC -
<<,Answersd>>>>bedside neurobehavioral evaluations; let's
the rater see what needs more improvement and what is doing
well over time
Mental practice - <<,Answersd>>>>steps reviewed mentally
before physically
Environmental influence on motor learning -
<<,Answersd>>>>Open environment, versus closed
Open versus closed environment - <<,Answersd>>>>the
environment can change and has distractions, versus the
environment being the same with no distractions
Basic principles to enhance neuroplasticity -
<<,Answersd>>>>use it or lose it, salience, reward or
feedback, use it and improve it, age, environment, be specific,
,CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
transference, fun, repetition, interference, helping others,
intensity, patience
Medical complications with BI -
<<,Answersd>>>>hydrocephalus, spasticity, contractures,
HO, vascular thrombus/emboli, obesity, pain, neurogenic
bladder
Hydrocephalus - <<,Answersd>>>>too much CSF in the
ventricles; happens in 2/3 people with moderate to severe
TBI; obstructive at times to the brain; can be hydrocephalus
ex-vacuo
Hydrocephalus ex-vacuo - <<,Answersd>>>>after a TBI;
neuronal loss and shrinking of brain tissue; normal pressure
hydrocephalus (NPH) may develop
Treatment for hydrocephalus - <<,Answersd>>>>put in a
shunt, with a catheter, and valve; over-drainage is possible
which may cause headaches or hemorrhaging; under-drainage
is also possible, which lets hydrocephalus symptoms continue
Spasticity - <<,Answersd>>>>exaggerated tendon reflexes;
faster movement means a stronger spasm; due to damage of
the upper motor neuron; leads to weakness and lack of
dexterity; increased muscle tone, clonus
, CBIS EXAM (2024-2025) QUESTIONS WITH ANSWERS |
Treatment for spasticity - <<,Answersd>>>>remove stressors
that trigger it; antispasmodic medications, physical and
occupational therapy
Antispasmodic medications - <<,Answersd>>>>can cause
sedation; intrathecal baclofen (ITB)
ITB - <<,Answersd>>>>for severe spasticity, as a last resort;
after a year of trying other things; given directly into the
spinal cord; better for lower extremity spasticity
What works best for upper extremity spasticity -
<<,Answersd>>>>Botox; given 3 months at a time
What ITB stops working out of nowhere with someone with
spasticity issues? - <<,Answersd>>>>serious side effects;
hyperthermic, seizures; beware of MRI's
Treatment for contractures - <<,Answersd>>>>try to get back
the range of motion, positioning, orthotics, antispasmodic
medications, myotendinous lengthening
Myotendinous lengthening - <<,Answersd>>>>surgery to
lengthen the tendons; cast afterwards to cement the process
