CBIS Exam Questions With 100%
Correct Answers
Acute Brain Injury - Answer An 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
2 Mechanisms
*trauma impact
* traumatic inertial forces
Non-traumatic brain injury - Answer Lack of O2, decreased nutrients to cells, exposure
to toxins, pressure from tumor or blockage or other neuro disorder
ABI Prevalence - Answer 2nd most prevalent disability in U. S.
* 13.5 million Americans
Children & TBI - Answer * non-accidental trauma cause of 80% of deaths in children
under 2yo
* 2/3 of children under 3yo that are abused have TBIs
*falls cause 1/2 of TBI in 0-14yo
domestic violence - Answer 67% of women in domestic violence had TBI symptoms
Mild TBI - Answer *concussion
*LOC > 30 min
*loss of memory >24hrs
*CGS 13-15
*normal CT or MRI
*any AMS at time of incident
Moderate TBI - Answer *LOC up to 24hrs
*neuro signs of brain trauma
* CGS 9-12
*may have focal findings on CT
Severe TBI - Answer *LOC <24hrs
,*GCS 3-8
Screens for TBI - Answer ACE - acute concussion eval
HELPS
WARCAT - warrior administered retrospective casualty assessment tool
TBIQ - traumatic brain injury questionnaire
ImPACT
OSU TBI ID
JCAHO (Joint Commission) - Answer The non-profit organization that assists healthcare
facilities by providing accreditation
3 year award
CARF (Rehabilitation Accreditation Commission) - Answer The Organization that
oversees the accreditation of brain injury programs
3 year award
TBI Act of 1996 - Answer Federal Legislation
"To expand efforts to identify methods of preventing TBI, to expand biomedical research
efforts or to minimize the severity of dysfunction as a result of such an injury, and to
improve the delivery & quality of services through the State Demonstration projects."
HRSA - Health Resources Services Administration - Answer Money to states to improve
integration services, establish policy & procedure financial support
CDC - Center for Disease Control - Answer Carries out projects to reduce incidence of
TBI
Rehabilitation act of 1973 - Answer Set foundation for state vocational rehab system, a
federal/state supported system of services which assists persons with disabilities who
are pursuing meaningful careers
Diffuse axonal injury - Answer Severe brain injury caused by extreme shearing forces
Persistent post concussive symptoms - Answer A complex disorder following a
concussion, lasting for weeks or months, consisting of symptoms such as headaches or
dizziness, Nausea, post Trumatic amnesia and GCS of 13/14
Must be diagnosed by neuropsychologist
Somatization - Answer The expression of psychological distress through physical
symptoms
, Chronic traumatic encephalopathy - CTE - Answer Rare, progressive, degenerative
condition of central nervous system that is seen and repetitive brain trauma Dementia,
memory loss, aggression, confusion, depression
Hebbian Learning - Answer Neurons that fire together, wire together
Experience independent learning - Answer " use it or lose it"
Synaptogenesis - Answer The process by which neurons form new connections
Disorders of consciousness - Answer Coma, Vegetative State, minimally conscious
state
Coma - Answer * no evidence of arousal
* no response to internal or extrnal stimuli
* May have reflexive response
* resolves in 2 to 4 weeks
Vegetative state - Answer Transition of severely brain damaged patients from a coma to
wakefulness without awareness Can be months to years in this state
Minimally conscious state - Answer condition in which someone has brief periods of
purposeful actions and speech comprehension
Emergence from DOC - Answer Requires at least one criteria:
* functional communication by verbal or gestural Y/N response
* functional use of 2 or more objects
Automatic dysfunction syndrome - Answer Episodes of: dystonia (abnormal muscle
tone), tachycardia, diaphoresis (sweating), hyperthermia, hypertension, tachypnea
(rapid breathing)
*occurs in 15%-33% of severe TBI
Sleep Complications - Answer Hypogenic hallucinations - vivid dream like auditory,
visual, or tactile sensations on experiences between sleep and wake
Cataplexy - feature of narcolepsy. Sudden loss of muscle tone. Consciousness remains
clear, memory not impaired and respirations intact
Immediate post Trumatic convulsions (seizures) - Answer LOC & involuntary
movements within seconds of impact
*can be asymmetrical, short period of AMS & retrograde amnesia
Early post Trumatic seizures - Answer *occurs within the first week
*results from primary direct effect of trauma
Correct Answers
Acute Brain Injury - Answer An 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
2 Mechanisms
*trauma impact
* traumatic inertial forces
Non-traumatic brain injury - Answer Lack of O2, decreased nutrients to cells, exposure
to toxins, pressure from tumor or blockage or other neuro disorder
ABI Prevalence - Answer 2nd most prevalent disability in U. S.
* 13.5 million Americans
Children & TBI - Answer * non-accidental trauma cause of 80% of deaths in children
under 2yo
* 2/3 of children under 3yo that are abused have TBIs
*falls cause 1/2 of TBI in 0-14yo
domestic violence - Answer 67% of women in domestic violence had TBI symptoms
Mild TBI - Answer *concussion
*LOC > 30 min
*loss of memory >24hrs
*CGS 13-15
*normal CT or MRI
*any AMS at time of incident
Moderate TBI - Answer *LOC up to 24hrs
*neuro signs of brain trauma
* CGS 9-12
*may have focal findings on CT
Severe TBI - Answer *LOC <24hrs
,*GCS 3-8
Screens for TBI - Answer ACE - acute concussion eval
HELPS
WARCAT - warrior administered retrospective casualty assessment tool
TBIQ - traumatic brain injury questionnaire
ImPACT
OSU TBI ID
JCAHO (Joint Commission) - Answer The non-profit organization that assists healthcare
facilities by providing accreditation
3 year award
CARF (Rehabilitation Accreditation Commission) - Answer The Organization that
oversees the accreditation of brain injury programs
3 year award
TBI Act of 1996 - Answer Federal Legislation
"To expand efforts to identify methods of preventing TBI, to expand biomedical research
efforts or to minimize the severity of dysfunction as a result of such an injury, and to
improve the delivery & quality of services through the State Demonstration projects."
HRSA - Health Resources Services Administration - Answer Money to states to improve
integration services, establish policy & procedure financial support
CDC - Center for Disease Control - Answer Carries out projects to reduce incidence of
TBI
Rehabilitation act of 1973 - Answer Set foundation for state vocational rehab system, a
federal/state supported system of services which assists persons with disabilities who
are pursuing meaningful careers
Diffuse axonal injury - Answer Severe brain injury caused by extreme shearing forces
Persistent post concussive symptoms - Answer A complex disorder following a
concussion, lasting for weeks or months, consisting of symptoms such as headaches or
dizziness, Nausea, post Trumatic amnesia and GCS of 13/14
Must be diagnosed by neuropsychologist
Somatization - Answer The expression of psychological distress through physical
symptoms
, Chronic traumatic encephalopathy - CTE - Answer Rare, progressive, degenerative
condition of central nervous system that is seen and repetitive brain trauma Dementia,
memory loss, aggression, confusion, depression
Hebbian Learning - Answer Neurons that fire together, wire together
Experience independent learning - Answer " use it or lose it"
Synaptogenesis - Answer The process by which neurons form new connections
Disorders of consciousness - Answer Coma, Vegetative State, minimally conscious
state
Coma - Answer * no evidence of arousal
* no response to internal or extrnal stimuli
* May have reflexive response
* resolves in 2 to 4 weeks
Vegetative state - Answer Transition of severely brain damaged patients from a coma to
wakefulness without awareness Can be months to years in this state
Minimally conscious state - Answer condition in which someone has brief periods of
purposeful actions and speech comprehension
Emergence from DOC - Answer Requires at least one criteria:
* functional communication by verbal or gestural Y/N response
* functional use of 2 or more objects
Automatic dysfunction syndrome - Answer Episodes of: dystonia (abnormal muscle
tone), tachycardia, diaphoresis (sweating), hyperthermia, hypertension, tachypnea
(rapid breathing)
*occurs in 15%-33% of severe TBI
Sleep Complications - Answer Hypogenic hallucinations - vivid dream like auditory,
visual, or tactile sensations on experiences between sleep and wake
Cataplexy - feature of narcolepsy. Sudden loss of muscle tone. Consciousness remains
clear, memory not impaired and respirations intact
Immediate post Trumatic convulsions (seizures) - Answer LOC & involuntary
movements within seconds of impact
*can be asymmetrical, short period of AMS & retrograde amnesia
Early post Trumatic seizures - Answer *occurs within the first week
*results from primary direct effect of trauma
