CBIS PAPER ACTUAL QUESTIONS AND ANSWERS
SET A+
✔✔Cognitive Rehab - Restorative Approach - ✔✔*repeated exposure & repetition
through experience
*therapeutic exercise to re-establish/strengthen specific cog skills
✔✔Principles of Cognitive Rehab - ✔✔*tx of impairments must be hierarchical
*basic cognition skills first
*target attention, perception, categorization, abstract thinking, & memory
✔✔Stability Triangle - ✔✔
✔✔Extinction - ✔✔When a previously reinforced response no longer produces a
consequence, leading to an eventual decline in rate
✔✔continuous reinforcement - ✔✔the reinforcement of each and every correct
response
✔✔intermittent reinforcement - ✔✔reinforcement for some responses and not for others
✔✔Topography - ✔✔What a behavior looks like physically
✔✔Behavior TX Approach - ✔✔1) assess behavior
2) define target behavior
3) collect data
4) change behavior
✔✔Consequences - ✔✔4 types
✔✔Branches of Neuropsychology - ✔✔Experimental - intact/healthy brain
Clinical - brain with lesions
,✔✔dual diagnosis - ✔✔the client with both substance abuse and another psychiatric
illness
✔✔Axis I disorders - ✔✔Clinical disorders
*major depressive disorder is most common
✔✔Axis II - ✔✔Personality disorders and intellectual disabilities
✔✔Major Depressive Episode - ✔✔At least 2 wks which a person has loss of interest or
depressed mood accompanied by 4 additional symptoms:
Change in appetite, change in weight, decreased energy, feelings of worthlessness,
suicidal ideation
✔✔manic episode - ✔✔At least 1 wk where a person is noticeably elevated, expansive
or irritable mood and 3 additional symptoms: extremely amplified self-esteem, decrease
desire for sleep, grandiose ideas, distractibility, risky activities
✔✔bipolar I disorder - ✔✔One or more manic episodes
✔✔bipolar II disorder - ✔✔One or more depressive episode followed by one or more
hypomanic episode
✔✔cyclothymic disorder - ✔✔Chronic fluctuation mood disturbance including both
depressive and hypo manic states
✔✔Schizophrenia - ✔✔Disorder lasting for at least 6mo with minimum of a 1 month
phase of symptoms that include: delusions, hallucinations, incoherent speech, Catalonia
or avolition.
✔✔personality disorders - ✔✔23% of TBI pts
Organic personality disorder
✔✔Frontal Lobe Syndrome - ✔✔Symptoms of other psychiatric disorders including
depression, psychosis, mood disorders and other various conditions however the
patient does not recognize these conditions
* The difference between frontal lobe injury and regular depression is the patient's ability
to recognize and acknowledge the deficit
✔✔SUD interventions - ✔✔
✔✔Screens for SUD - ✔✔*AUDIT - alcohol use disorder identification test
*CAGE: yes or no questions
*CRAFFT: screen for adolescents
, *ASSIST: alcohol, smoking and substance use involvement screening test
✔✔Cranial Nerves - ✔✔
✔✔concomitant spinal cord injury - ✔✔Present of co-occurring spinal cord injury and
brain injury
*60% of SCI pt's
✔✔Visual Functions - ✔✔
✔✔Somatoagnosia - ✔✔Lack of awareness of body structure and body part
relationships
✔✔Meninges - ✔✔
✔✔Vestibular conditions - ✔✔*labrynththine concussion
*post-traumatic Ménière's disease
*basilar skull fx
*vestibular migraine
*perilymphatic fistula
*benign paroxysmal positional vertigo (BPPV)
*B vestibular hypofunction
*central vertigo
✔✔Olmstead Decision - ✔✔A ruling made by the US Supreme Court requiring the
provision of community based services with such services are available and not
opposed by the patient in question, As opposed to being institutionalized.
✔✔TBI model systems of care - ✔✔*16 centers in US
* developing and demonstrating a model system of care for persons with TBI
*Emphasizing continuity and Comprehensiveness of care
* maintaining a standardized national database for innovative analysis of TBI treatment
and outcomes
✔✔Peak Maturation Milepost - ✔✔Most brain maturation occurs from birth to 6 years.
Injury in that time frame may be the most devastating time for injury to occur
✔✔ages 3-5 - ✔✔*period of rapid brain growth
*perfecting ability to form images, use words, place things in serial order, beginning
problem solving
✔✔Ages 8-10 - ✔✔*sensory and motor systems maturing
*frontal executive systems begin accelerated development
*begin to perform operational functions
SET A+
✔✔Cognitive Rehab - Restorative Approach - ✔✔*repeated exposure & repetition
through experience
*therapeutic exercise to re-establish/strengthen specific cog skills
✔✔Principles of Cognitive Rehab - ✔✔*tx of impairments must be hierarchical
*basic cognition skills first
*target attention, perception, categorization, abstract thinking, & memory
✔✔Stability Triangle - ✔✔
✔✔Extinction - ✔✔When a previously reinforced response no longer produces a
consequence, leading to an eventual decline in rate
✔✔continuous reinforcement - ✔✔the reinforcement of each and every correct
response
✔✔intermittent reinforcement - ✔✔reinforcement for some responses and not for others
✔✔Topography - ✔✔What a behavior looks like physically
✔✔Behavior TX Approach - ✔✔1) assess behavior
2) define target behavior
3) collect data
4) change behavior
✔✔Consequences - ✔✔4 types
✔✔Branches of Neuropsychology - ✔✔Experimental - intact/healthy brain
Clinical - brain with lesions
,✔✔dual diagnosis - ✔✔the client with both substance abuse and another psychiatric
illness
✔✔Axis I disorders - ✔✔Clinical disorders
*major depressive disorder is most common
✔✔Axis II - ✔✔Personality disorders and intellectual disabilities
✔✔Major Depressive Episode - ✔✔At least 2 wks which a person has loss of interest or
depressed mood accompanied by 4 additional symptoms:
Change in appetite, change in weight, decreased energy, feelings of worthlessness,
suicidal ideation
✔✔manic episode - ✔✔At least 1 wk where a person is noticeably elevated, expansive
or irritable mood and 3 additional symptoms: extremely amplified self-esteem, decrease
desire for sleep, grandiose ideas, distractibility, risky activities
✔✔bipolar I disorder - ✔✔One or more manic episodes
✔✔bipolar II disorder - ✔✔One or more depressive episode followed by one or more
hypomanic episode
✔✔cyclothymic disorder - ✔✔Chronic fluctuation mood disturbance including both
depressive and hypo manic states
✔✔Schizophrenia - ✔✔Disorder lasting for at least 6mo with minimum of a 1 month
phase of symptoms that include: delusions, hallucinations, incoherent speech, Catalonia
or avolition.
✔✔personality disorders - ✔✔23% of TBI pts
Organic personality disorder
✔✔Frontal Lobe Syndrome - ✔✔Symptoms of other psychiatric disorders including
depression, psychosis, mood disorders and other various conditions however the
patient does not recognize these conditions
* The difference between frontal lobe injury and regular depression is the patient's ability
to recognize and acknowledge the deficit
✔✔SUD interventions - ✔✔
✔✔Screens for SUD - ✔✔*AUDIT - alcohol use disorder identification test
*CAGE: yes or no questions
*CRAFFT: screen for adolescents
, *ASSIST: alcohol, smoking and substance use involvement screening test
✔✔Cranial Nerves - ✔✔
✔✔concomitant spinal cord injury - ✔✔Present of co-occurring spinal cord injury and
brain injury
*60% of SCI pt's
✔✔Visual Functions - ✔✔
✔✔Somatoagnosia - ✔✔Lack of awareness of body structure and body part
relationships
✔✔Meninges - ✔✔
✔✔Vestibular conditions - ✔✔*labrynththine concussion
*post-traumatic Ménière's disease
*basilar skull fx
*vestibular migraine
*perilymphatic fistula
*benign paroxysmal positional vertigo (BPPV)
*B vestibular hypofunction
*central vertigo
✔✔Olmstead Decision - ✔✔A ruling made by the US Supreme Court requiring the
provision of community based services with such services are available and not
opposed by the patient in question, As opposed to being institutionalized.
✔✔TBI model systems of care - ✔✔*16 centers in US
* developing and demonstrating a model system of care for persons with TBI
*Emphasizing continuity and Comprehensiveness of care
* maintaining a standardized national database for innovative analysis of TBI treatment
and outcomes
✔✔Peak Maturation Milepost - ✔✔Most brain maturation occurs from birth to 6 years.
Injury in that time frame may be the most devastating time for injury to occur
✔✔ages 3-5 - ✔✔*period of rapid brain growth
*perfecting ability to form images, use words, place things in serial order, beginning
problem solving
✔✔Ages 8-10 - ✔✔*sensory and motor systems maturing
*frontal executive systems begin accelerated development
*begin to perform operational functions
