CBIS Practice Exam Questions & Answers 2024/2025

CBIS Practice Exam Questions & Answers 2024/2025 Acquired Brain Injury (ABI) - ANSWER-injury that occurs after birth and includes injuries caused by external physical forces and those caused by internal insults to the brain Traumatic Brain Injury (TBI) - ANSWER-Alternation to brain function caused by external forces What are the 4 types of acquired brain injury? - ANSWER-1. traumatic impact- open 2. traumatic impact- closed 3. traumatic inertial - DAI 4. non-traumatic injuries coup-countercoup injury - ANSWER-with a blow to the head, the initial contusion/ laceration will occur beneath point of impact (coup) and then occur on the contralateral to the site of initial impact (countercoup) Why is brain injury called the "silent epidemic"? - ANSWER-Many deficits caused by brain injury can be invisible (not immediately apparent) What are primary injuries? - ANSWER-the INITIAL damage to the brain as a result of a traumatic event examples: -laceration -contusion -torn blood vessels -acceleration/deceleration (coup/contracoup) -foreign object penetration What are common secondary injuries? - ANSWER-1. hydrocephalus 2. edema 3. hypoxia intracranial hemorrhages Mild LOC may last how long? - ANSWER-brief of no LOC Moderate LOC may last how long? - ANSWER-LOC up to 24 hours Severe LOC may last how long? - ANSWER-LOC greater than 24 hours List 5 risk factors for brain injury - ANSWER-1. Age (15-19, 20-24, 65+) 2. alcohol use 3. military action 4. domestic violence 5. prisons 6. sport-injury Age Groups with Highest Rates of Brain Injury due to Falls - ANSWER-(0-4 years old) 50% of all TBIs (65+ years old) 61% of all TBIs Age Group with Highest Rate of Death from TBI - ANSWER-Adults 75+ years old Highest Rates of Death from TBI (all causes) - ANSWER-Adults 75+ years old Highest Rates of Death from TBI (Firearms) - ANSWER-Adults 20-24 years old and Adults 75+ years old Percentage of Children with TBI from Physical Abuse - ANSWER-67% (0-3 years old) Highest Rate of TBI from MVAs - ANSWER-Adults 20-24 years old Highest Rates of TBI Deaths from MVAs - ANSWER-Teenagers 16-19 years old Is the progression along the continuum of care linear? - ANSWER-No, due to risk factors, comorbidities, medical complications, treatment options, funding, etc. Who establishes standards for rehabilitation facilities? - ANSWER-Commission on Accreditation of Rehabilitation Facilities (CARF) Olmstead Decision - ANSWER-Requires states to administer services, programs, and activities, in the most integrated setting appropriate to the needs of individuals with disabilities. - increased opportunities for federal and state initiatives that make community living more accessible What agency funds the TBI Model Systems? - ANSWER-US Dept of Health and Human Services Why is TBIMS data important? - ANSWER-increases understanding of recovery and outcomes of TBI via longitudinal studies What is meant by disease-causative and disease- alternative? - ANSWER-Brain injuries due not maintain a static state. TBI can both cause disease or accelerate disease down the road. Chronic progressive conditions. These 4 conditions cause individuals with brain injury to be at an increased risk of death (4 reasons) - ANSWER-1. seizures 2. pneumonia 3. respiratory problems 4. circulatory problems Name 2 neurological conditions associated with brain injury - ANSWER-1. epilepsy 2. Alzheimer's - CTE Name 3 neuro-endocrine disorders associated with brain injury - ANSWER-1. Growth Hormone insufficiency 2. Hypothyroidism (low thyroid function) 3. Gonadotropin deficiency P-A-D (meninges) - ANSWER-1. pia mater 2. arachnoid 3. dura mater What are the 3 parts of a neuron? - ANSWER-1. cell body 2. axon 3. dendrites What is the function of the blood brain barrier? - ANSWER-Ensures that harmful substances cannot pass through the membrane and harm the brain Synaptic cleft - ANSWER-Area for which neurotransmitter can cross from cell to cell when action potentials are triggered Medulla - ANSWER-Controls involuntary functions (HR, BP, swallow) Injury to this area can threaten life immediately Pons - ANSWER-Enables thinking part of brain to work with the movement part of the brain Consequences of injury can cause loss of ability to coordinate/ control body movements Midbrain - ANSWER-seeing and hearing functions, alertness and arousal Consequences of injury to this area can cause damage BP, sleep/wake cycle, breathing function - can lead to DOC injury Continues...