CBIS TEST COMPREHENSIVE
QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 2024
Acquired brain injury (ABI) - ANSWER injury to the brain that is not hereditary, congenital, degenerative,
or induced by birth trauma
Traumatic Brain injury - ANSWER an alteration in brain function or other evidence of brain pathology
caused by an external force
Mild brain injury - ANSWER -AKA concussion
-brief or no loss of consciousness
-its presentation may demonstrate vomiting, lethargy, dizziness, and inability to recall what just
happened
Moderate brain injury - ANSWER -marked by unconsciousness for any period of time up to 24 hrs
-will have neurological signs of brain trauma (skull fractures with contusion or bleeding and may have
focal findings on and EEG/CT scan)
Severe brain injury - ANSWER marked by a period of loss of consciousness of 24 hrs or greater
Incidence/prevalence - ANSWER -13.5 million americans, 4.5% of population are living with brain injury
-TBI is a contributing factor to a third of all injury-related deaths in the US
-75% of TBI's that occur each year are mild TBI
-2.5 million people sustain a TBI yearly
Chronic conditions caused or accelerated by a TBI - ANSWER -aspiration pneumonia
-seizures
-septicemia
-circulatory problems
,Continuum of care - ANSWER -acute rehab
-post-acute rehab
-long term home and community
acute rehab - ANSWER -emergency department
-icu
-acute medical/surgical unit
-specialty neuro trauma polytrauma
post-acute rehab - ANSWER -comprehensive inpatient rehab hospital
-sub-acute rehabilitation
-transitional residential programming
Long term home and community - ANSWER -home
-snf
-long term residential programming
-outpatient and day treatment services
-home and community based services
-school and/or vocational rehab
standards for rehabilitation facilities - ANSWER -person centered practices that focus on their health and
safety
-a robust performance measurement, management, and improvement system that focuses on
continuous improvement of both clinical business practices
-delivery of quality services by competent ad well trained personnel
-accountability to persons served, payers, and regulators
Olmstead decision - ANSWER -in 1999 the supreme court ruled that the plaintiffs must be granted the
option to live in the community
,-uses title II of the american disabilities act to assert that states must administer their services,
programs, and activities "in the most integrated setting appropriate to the needs of qualified individuals
with disabilities"
-resulted in multiple federal and state initiatives that make living in the community a reality for more
persons with disabilities
TBI Model Systems of Care - ANSWER -established in 1987 by the US department of educations national
institute on disability and rehab research, which moved to the administration for community living in
2015 as the national institute on disability, independent living, and rehab research
-conducts prospective, longitudinal research to demonstrate the course of recovery and outcomes
following TBI at 16 centers
-maintains the model systems knowledge translation center
mTBI - ANSWER mild traumatic brain injury
-traumatically induced physiological disruption of brain function
-alteration of mental state (dazed, confused, difficulty answering questions, unclear thinking, unable to
describe what happened prior to or after injury)
mTBI incidence - ANSWER -represents 75% of all TBI's that occur in the US
-true incidence may be higher as 16-25% of those injured do not see medical care
mTBI symptoms - ANSWER
How to reduce disability from mTBI - ANSWER early intervention and management is the most effective
way to reduce disability
-rest and slow resumption of normal activities
PPCS - ANSWER persistent post-concussive symptoms
PPCS incidence - ANSWER 10-15% have slow or incomplete resolution of symptoms
PPCS treatment plan - ANSWER should:
, -begin asap
-be symptom focused
-be based off careful diagnosis
-emphasize both functional resolution and compensatory strategies
-provide an optimistic outlook and clear path for the patient to improve
-be multidisciplinary
CTE - ANSWER chronic traumatic encephalopathy
-rare and progressive degenerative condition
-DAI causes the release of Tau proteins and chronic inflammation
-still working to identify who is at risk for CTE after mTBI
-most do not develop CTE
_____________ and ___________ compose the CNS - ANSWER brain and spinal cord
brain - ANSWER -cerebrospinal fluid
-meninges
-composed of neurons (communicating) and glial (support/maintain neurons) cells
neurons communicate via __________ - ANSWER synapses
brain stem - ANSWER -three components (midbrain, pons, medulla)
-located at the top of the spinal column
-central point for all incoming and outgoing info and basic life functions
midbrain - ANSWER -smallest part of the brain stem
-involved in elementary forms of vision and hearing
-plays a pivotal role in alertness and arousal
QUESTIONS AND ANSWERS WITH
VERIFIED SOLUTIONS 2024
Acquired brain injury (ABI) - ANSWER injury to the brain that is not hereditary, congenital, degenerative,
or induced by birth trauma
Traumatic Brain injury - ANSWER an alteration in brain function or other evidence of brain pathology
caused by an external force
Mild brain injury - ANSWER -AKA concussion
-brief or no loss of consciousness
-its presentation may demonstrate vomiting, lethargy, dizziness, and inability to recall what just
happened
Moderate brain injury - ANSWER -marked by unconsciousness for any period of time up to 24 hrs
-will have neurological signs of brain trauma (skull fractures with contusion or bleeding and may have
focal findings on and EEG/CT scan)
Severe brain injury - ANSWER marked by a period of loss of consciousness of 24 hrs or greater
Incidence/prevalence - ANSWER -13.5 million americans, 4.5% of population are living with brain injury
-TBI is a contributing factor to a third of all injury-related deaths in the US
-75% of TBI's that occur each year are mild TBI
-2.5 million people sustain a TBI yearly
Chronic conditions caused or accelerated by a TBI - ANSWER -aspiration pneumonia
-seizures
-septicemia
-circulatory problems
,Continuum of care - ANSWER -acute rehab
-post-acute rehab
-long term home and community
acute rehab - ANSWER -emergency department
-icu
-acute medical/surgical unit
-specialty neuro trauma polytrauma
post-acute rehab - ANSWER -comprehensive inpatient rehab hospital
-sub-acute rehabilitation
-transitional residential programming
Long term home and community - ANSWER -home
-snf
-long term residential programming
-outpatient and day treatment services
-home and community based services
-school and/or vocational rehab
standards for rehabilitation facilities - ANSWER -person centered practices that focus on their health and
safety
-a robust performance measurement, management, and improvement system that focuses on
continuous improvement of both clinical business practices
-delivery of quality services by competent ad well trained personnel
-accountability to persons served, payers, and regulators
Olmstead decision - ANSWER -in 1999 the supreme court ruled that the plaintiffs must be granted the
option to live in the community
,-uses title II of the american disabilities act to assert that states must administer their services,
programs, and activities "in the most integrated setting appropriate to the needs of qualified individuals
with disabilities"
-resulted in multiple federal and state initiatives that make living in the community a reality for more
persons with disabilities
TBI Model Systems of Care - ANSWER -established in 1987 by the US department of educations national
institute on disability and rehab research, which moved to the administration for community living in
2015 as the national institute on disability, independent living, and rehab research
-conducts prospective, longitudinal research to demonstrate the course of recovery and outcomes
following TBI at 16 centers
-maintains the model systems knowledge translation center
mTBI - ANSWER mild traumatic brain injury
-traumatically induced physiological disruption of brain function
-alteration of mental state (dazed, confused, difficulty answering questions, unclear thinking, unable to
describe what happened prior to or after injury)
mTBI incidence - ANSWER -represents 75% of all TBI's that occur in the US
-true incidence may be higher as 16-25% of those injured do not see medical care
mTBI symptoms - ANSWER
How to reduce disability from mTBI - ANSWER early intervention and management is the most effective
way to reduce disability
-rest and slow resumption of normal activities
PPCS - ANSWER persistent post-concussive symptoms
PPCS incidence - ANSWER 10-15% have slow or incomplete resolution of symptoms
PPCS treatment plan - ANSWER should:
, -begin asap
-be symptom focused
-be based off careful diagnosis
-emphasize both functional resolution and compensatory strategies
-provide an optimistic outlook and clear path for the patient to improve
-be multidisciplinary
CTE - ANSWER chronic traumatic encephalopathy
-rare and progressive degenerative condition
-DAI causes the release of Tau proteins and chronic inflammation
-still working to identify who is at risk for CTE after mTBI
-most do not develop CTE
_____________ and ___________ compose the CNS - ANSWER brain and spinal cord
brain - ANSWER -cerebrospinal fluid
-meninges
-composed of neurons (communicating) and glial (support/maintain neurons) cells
neurons communicate via __________ - ANSWER synapses
brain stem - ANSWER -three components (midbrain, pons, medulla)
-located at the top of the spinal column
-central point for all incoming and outgoing info and basic life functions
midbrain - ANSWER -smallest part of the brain stem
-involved in elementary forms of vision and hearing
-plays a pivotal role in alertness and arousal
