CBIS EXAM question with complete solution 2023/24

Neurocognitive Issues Associated with Frontal Lobe - correct answer Emotional control, behavioral control, verbal expression, problem solving, decision making, social control, attention, motivation Acquired BI - correct answer An injury to the brain that is not hereditary, congenital or degenerative or induced by birth trauma TBI - correct answer An alteration in brain function or other evidence of brain pathology, casused by an external force Mild TBI Characteristics - correct answer Brief or no loss of consciousness for 0-30mins, altered state of consciousness is most common and must be <24 hours, account for 75% of TBIs, 13-15 on the GCS, normal imaging, highest prevalence of maltreatment as 16-25% never seek care, often considered a concussion Moderate TBI Characteristics - correct answer Loss of consciousness for up to 24 hours, may appear on scans, skull fractures and bleeding are common, 9-12 on the GCS Severe TBI Characteristics - correct answer Loss of consciousness >24 hours, 3-8 on the GCS Likelihood of Additional Injury - correct answer 1 BI increases risk of 2nd by 3x and 2nd BI increases risk of 3rd by 8x! Most Frequent Cause of TBI - correct answer Falls How many people sustain a BI per year? - correct answer 2.5 million. 81% visit ED, 16% hsopitalized, 3% result in deathHow many people are living with effects of a TBI? - correct answer 13.5 million Likelihood of BI by gender - correct answer Men are 1.4x more likely than women Most common cause of TBI and death by age - 75+ - correct answer Falls! Most common cause of TBI and death by age - 0-3 - correct answer AHT! Most common cause of TBI and death by age - 20-24 - correct answer MVAs and Firearms Most common cause of TBI and death by age - 16-19 - correct answer MVAs! CARF - correct answer Accreditation agency for post acute BI programs, residential, outpatient, vocational, home and community, stroke and pediatric programs - ensures quality of services through requirements for accreditation and surveys Joint Commission - correct answer Accreditation agency for hospital based programs, may accompany CARF accreditation, ensures quality of services through requirements for accreditation and surveys Olmsted Decison - correct answer Supreme court case stimulated by two women living in a nursing home in Georgia for community inclusion - resulted in federal and state initiatives to improve and normalize community living Model Systems of Care 1987 - correct answer Resulted in research projects for TBI by the NIDDR, established rehab facilities to provide care and complete clinical research in the process Symptoms of Mild TBI - correct answer Headache, fatigue, seizures, nausea, numbness, poor sleep, light sensitivity, noise sensitivity, impaired hearing, blurred vision, dizziness, loss of balance, neurological abnormality, in attentiveness, decreased concentration, poor memory, impaired judgment, slow proccessing speed, executive dysfunction, de