SPECIALIST EXAM STUDY GUIDE
2026/2027 COMPLETE QUESTIONS WITH
VERIFIED CORRECT ANSWERS ||
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What is pseudobulbar affect - ANSWER✔neurologic condition in which people
are prone to sudden, unexpected, inexplicable, and often inordinate episodes of
crying or laughing
What factors influence the type and extent of behavioral difficulties an individual
may demonstrate after brain injury? - ANSWER✔site and severity of damage; pre-
injury characteristics of personality, intelligence, and learning style, and the current
environment
What is coma-emergent agitation? How long does it last? - ANSWER✔episode of
agitation that may occur as an individual emerges from coma that is usually brief,
lasting less than 10 days in duration
What is consequence-based programming? - ANSWER✔interventions focused on
learning; not indicated for individuals emerging from coma and demonstrating
agitation or confusion
, What is often the safest and most efficient technique for dealing with agitation in a
behavior-based manner? - ANSWER✔through environmental management, where
the focus is on offering a quiet, organized, and structured environment with limited
and carefully managed stimulation
What is the Stability Triangle? - ANSWER✔Is a construct which is useful when
identifying treatment priorities and establishing the treatment plan; contains the
following: establish medical stability, promote behavior stability, and develop a
stable activity plan
What is applied behavior analysis? - ANSWER✔the science of prediction and
change of socially significant behaviors
What is behavior? - ANSWER✔anything an individual does that can be measured,
NOT necessarily yelling/hitting/spitting/etc.
What is the goal of applied behavior analysis? - ANSWER✔to discover variables
that reliably influence behavior to either predict behavior change or promote
behavior change
Participation - ANSWER✔term used to described engagement in social roles -- a
critical component of the WHO-ICF biopsychosocial model
CHART-SF - ANSWER✔Craig Handicap Assessment and Reporting Techniques
- Short Form; objective assessment of a person's engagement in roles within
society; first made in 1992 and later revised in 1999
M2P2 (MPAI-4) - ANSWER✔Mayo Portland Adaptability Inventory-4
Participation Index; designed to track post-acute rehab outcomes of both children
and adults with TBI
,PART-O - ANSWER✔Participation Assessment with Recombined Tools-
Objective; developed by TBIMS, measures the frequency of engagement or level
of involvement in an activity
What are three outcome measures used in post-acute rehabilitation? -
ANSWER✔CHART-SF, MPAI-4, PART-O
What are three outcome measures used in acute rehabilitation? - ANSWER✔DRS,
Rancho Los Amigos Scale, FIM/FAM
What are five outcome measures used early after injury to gauge cognitive status?
- ANSWER✔GCS, GOAT, O-Log, CRS-R, AIS
community enfranchisement - ANSWER✔relatively new concept involving the
extend to which the person feels he or she has options and control over
participation, feels a part of the community, and feels valued
MCID - ANSWER✔minimal clinically important differences; relevant in
participation to evaluate effectiveness of interventions in controlled studies
Post-injury employment rates - ANSWER✔Reported at less than 10-40% post-
injury
"Gold standard" in measuring success in rehabilitation - ANSWER✔Return to
work
, Return to work risk factors - ANSWER✔more severe injury, older age at time of
injury, being male, lower levels of pre-injury educational or occupational status,
lack of social support, significant physical, psycho-social, or cognitive
impairments, being of a minority race, history of substance abuse
Return to work models - ANSWER✔supported employment, comprehensive
integrated day treatment, medical-vocational case coordination model
Comprehensive integrated day treatment model for RTW - ANSWER✔includes
individual and group therapies as well as vocational trials and supported
employment; developed by Prigatano and Ben-Yishay; demonstrated employment
rates as high as 50-85%
Vocational case coordination model to RTW - ANSWER✔Developed by Malec
and colleagues; services included in this model include early identification and
hospital-based vocational case coordination, early medical and vocational
rehabilitation interventions, work trials, employer education, temporary work
support, and supported employment; 80%+ of those receiving VCC were employed
in the community
Resource facilitation - ANSWER✔a partnership that helps people and
communities choose, get and keep information, services, and supports to make
informed choices and meet their goals; can reduce barriers and increase timely
access to resources to improve employment outcomes
Supported employment model to RTW - ANSWER✔emphasizes the use of a
vocational rehabilitation professional, known as an employment specialist or job
coach, to provide intensive individualized assistance to help him or her with
gaining and maintaining employment in a real job for real pay in the community