Certified Brain Injury Specialist (CBIS) 2026/2027 Test
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Exam coverage for the Certified Brain Injury Specialist (CBIS) Exam Guide - Part II focuses on
advanced brain injury knowledge, rehabilitation principles, functional outcomes, and
interdisciplinary approaches used in the care of individuals with acquired and traumatic brain
injuries. It emphasizes the practical application of brain injury concepts to assessment, treatment
planning, rehabilitation, community reintegration, and long-term support. The guide also addresses
the cognitive, behavioral, emotional, physical, and psychosocial consequences of brain injury and
strategies for promoting safety, independence, and quality of life.
What are the characteristics of a residential community program? - correct
answerresidential setting with community access; integrated comprehensive treatment for
those who cannot participate as outpatients and require 24 hour supervision/support
What are the characteristics of comprehensive holistic treatment? - correct answer-Day
programs; integrated, multi-modal rehabilitation; need for intensive services and benefit from
improved awareness
What are the characteristics of a home-based program? - correct answer-education,
telesupport, home-based therapeutic activity, availability of OP supplemental services; able to reside
at home and self-direct care
How often does TBI screening occur for military service members and veterans? - correct
answer-during post-deployment, periodic health assessments, and longitudinally
What is MEDEVAC? - correct answer-Medical Evacuation - evacuation on a dedicated medical
vehicle (air or ground ambulance) with a trained medical attendant on board
What is the process to determine medical fitness for continued duty? - correct
answerinvolves both a medical and a physical evaluation board; includes return to duty,
temporary disabled/retired list, separate from active duty, medically retire
What is the DVBIC? - correct answer-established in 1992, formerly known as the Defense and
Veterans' Head Injury Program); provides a program to enhance clinical quality, research, and
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education across the military brain injury treatment continuum, including development of BI rehab
through civilian partnership programs for model community reintegration of service members with
TBI
What is apoptosis? - correct answer-cell death
What is gliosis? - correct answer-Glial cell change due to damage
What percentage of peri, meno-, and post-menopausal women report symptoms similar to mTBI? -
correct answer-20%
Among those with mod-sev TBI, females were noted to have ____ times higher mortality rate and a
____ times higher rate of poor outcome compared to male survivors. - correct answer-1.3; 1.6
True or False: There is a number of studies that demonstrate a significant association between
female gender and post-TBI depression. - correct answer-True
True or False: When experiencing the same trauma, females are recognized to have lower rates of
PTSD than males in the general population and post-TBI. - correct answer-False; females are
recognized to have HIGHER rates of PTSD
How are vocational outcomes different between men and women post-TBI? - correct answer-While
nearly 23.6% of males return to work post TBI, only 4.4% of females due, suggesting clear difference
in outcomes by gender
What are some changes relating to intimacy/sexuality that may occur post-BI? - correct
answerdifficulties with sexual energy, desire and drive; reduction in sensation and orgasm; problems
with positioning/movement; changed body image/confidence; decreased ability to sexually satisfy a
partner; disinhibition and hypersexuality; bowel/bladder equipment, diminished capacity for sexual
ideation
What are primary causes of sexual dysfunction after TBI? - correct answer-neuroendocrine changes
+ hypothalamus and pituitary damage (~40-60% of pts)
What are secondary causes of sexual dysfunction after TBI? - correct answer-physical (spasticity,
ataxia, etc.), cognitive (attention, initiation, social communication, etc.), emotional/behavioral
(depression, dependency behaviors, apathy, etc.)
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What is benign neglect and how does it relate to LGBT populations? - correct answer-term coined to
describe the staff discomfort or inexperience in treating LGBT patients, impacted by heterosexism
and homophobia
What two issues may be more difficult for LGBT individuals post-TBI? - correct answer-Dating and
community reintegration
What are the four general domains of interpersonal intimacy? - correct answer-psychological,
emotional, operational, and shared
What is the P(A)LISSIT path for addressing sexual intimacy? - correct answer-Permission
(affirmation), limited information, specific suggestions, intensive therapy
What are the 4 Ts that affect sexual energy within marriage? - correct answer-time together, talking
together, trusting each other, and touching each other
What is vertical vs horizontal communication? - correct answer-What we say while up and about vs
what we say in bed
True or false: persons with disabilities, especially cognitive impairments, experience higher rates of
sexual abuse of all types. - correct answer-True
True or false: women with TBI reported a higher rate of sexual difficulty than men with TBI. - correct
answer-True
What are the 2 more sensitive predictors of sexual difficulties in women? - correct answer-endocrine
disorder and depression combined
What is multiculturalism? - correct answer-social-intellectual movement that promotes the value of
diversity as a core principle and insists that all cultural groups be treated with respect and as equals
Multicultural psychology - correct answer-the field that examines the impact of culture, race,
ethnicity, and gender on behaviors and thoughts and focuses on how such factors may influence the
origin, nature, and treatment of abnormal behavior