CBIS EXAM WITH CORRECT
DETAILED SOLUTIONS
Nuerocognitive Issues Assoicated 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 death
How 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, depression, anxiety, agitation,
irritability, aggression, impulsivity
Primary causes of Mild TBI - correct answer ✔Traumatic intertial - brain moving
inside skull
Traumatic impact - head hits directly
Early Treatment for Mild TBI - correct answer ✔Relaxation techniques, rest,
slow return to normal activity, and reduction of normal activity if symptoms
recur
, Peristent Post Concussive Symptoms (PPCS) - correct answer ✔Symptoms of
Mild TBI last >1 month, occurs 10% of the time in Mild TBI cases
Chronic Traumatic Encephalopathy (CTE) - correct answer ✔Often cause by
repeated blows to the head, is a progressive, degenerative condition
characterized by broken nuerons which continually release tau protein cashing
dementia over time
Diffuse axonal injury -> tau protein release -> inflammation of the brain ->
progressive dementia
Define Skull - correct answer ✔Bony shell that protects the brain, has bony
prominences inside which can worsen brain injury
Cerebral Spinal Fluid (CSF) - correct answer ✔Provides cushion to nerve tissue,
produced by ventricles (4) which also store and circulation CSF through the brain
Meninges - correct answer ✔Pia Mater - molds around suclhi and gyri, deepest
layer
Arachnoid Mater - spiderweb-like, middle layer
Dura Mater - hard plastic, top layer
Nuerons vs Glial Cells - correct answer ✔Nuerons communicate electrical
impulses throughout brain while Glial cells support and nourish Nuerons
DETAILED SOLUTIONS
Nuerocognitive Issues Assoicated 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 death
How 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, depression, anxiety, agitation,
irritability, aggression, impulsivity
Primary causes of Mild TBI - correct answer ✔Traumatic intertial - brain moving
inside skull
Traumatic impact - head hits directly
Early Treatment for Mild TBI - correct answer ✔Relaxation techniques, rest,
slow return to normal activity, and reduction of normal activity if symptoms
recur
, Peristent Post Concussive Symptoms (PPCS) - correct answer ✔Symptoms of
Mild TBI last >1 month, occurs 10% of the time in Mild TBI cases
Chronic Traumatic Encephalopathy (CTE) - correct answer ✔Often cause by
repeated blows to the head, is a progressive, degenerative condition
characterized by broken nuerons which continually release tau protein cashing
dementia over time
Diffuse axonal injury -> tau protein release -> inflammation of the brain ->
progressive dementia
Define Skull - correct answer ✔Bony shell that protects the brain, has bony
prominences inside which can worsen brain injury
Cerebral Spinal Fluid (CSF) - correct answer ✔Provides cushion to nerve tissue,
produced by ventricles (4) which also store and circulation CSF through the brain
Meninges - correct answer ✔Pia Mater - molds around suclhi and gyri, deepest
layer
Arachnoid Mater - spiderweb-like, middle layer
Dura Mater - hard plastic, top layer
Nuerons vs Glial Cells - correct answer ✔Nuerons communicate electrical
impulses throughout brain while Glial cells support and nourish Nuerons
