CBIS Exam

CBIS Exam questions and explanations well elaborated 100% success. Acute Brain Injury - correct answers.An injury to the brain that is not hereditary, congenital, degenerative, or induced by birth trauma Traumatic Brain Injury - correct answers.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 - correct answers.Lack of O2, decreased nutrients to cells, exposure to toxins, pressure from tumor or blockage or other neuro disorder ABI Prevalence - correct answers.2nd most prevalent disability in U. S. * 13.5 million Americans Children & TBI - correct answers.* 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 - correct answers.67% of women in domestic violence had TBI symptoms Mild TBI - correct answers.*concussion *LOC 30 min *loss of memory 24hrs *CGS 13-15 *normal CT or MRI *any AMS at time of incident Moderate TBI - correct answers.*LOC up to 24hrs *neuro signs of brain trauma * CGS 9-12 *may have focal findings on CT Severe TBI - correct answers.*LOC 24hrs *GCS 3-8 Screens for TBI - correct answers.ACE - acute concussion eval HELPS WARCAT - warrior administered retrospective casualty assessment tool TBIQ - traumatic brain injury questionnaire ImPACT OSU TBI ID JCAHO (Joint Commission) - correct answers.The non-profit organization that assists healthcare facilities by providing accreditation 3 year award CARF (Rehabilitation Accreditation Commission) - correct answers.The Organization that oversees the accreditation of brain injury programs 3 year award TBI Act of 1996 - correct answers.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 - correct answers.Money to states to improve integration services, establish policy & procedure financial support CDC - Center for Disease Control - correct answers.Carries out projects to reduce incidence of TBI Rehabilitation act of 1973 - correct answers.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 - correct answers.Severe brain injury caused by extreme shearing forces Persistent post concussive symptoms - correct answers.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 - correct answers.The expression of psychological distress through physical symptoms Chronic traumatic encephalopathy - CTE - correct answers.Rare, progressive, degenerative condition of central nervous system that is seen and repetitive brain trauma Dementia, memory loss, aggression, confusion, depression Hebbian Learning - correct answers.Neurons that fire together, wire together Experience independent learning - correct answers." use it or lose it" Synaptogenesis - correct answers.The process by which neurons form new connections Disorders of consciousness - correct answers.Coma, Vegetative State, minimally conscious state Coma - correct answers.* no evidence of arousal * no response to internal or extrnal stimuli * May have reflexive response * resolves in 2 to 4 weeks Vegetative state - correct answers.Transition of severely brain damaged patients from a coma to wakefulness without awareness Can be months to years in this state Minimally conscious state - correct tion in which someone has brief periods of purposeful actions and speech comprehension Emergence from DOC - correct answers.Requires at least one criteria: * functional communication by verbal or gestural Y/N response * functional use of 2 or more objects Automatic dysfunction syndrome - correct answers.Episodes of: dystonia (abnormal muscle tone), tachycardia, diaphoresis (sweating), hyperthermia, hypertension, tachypnea (rapid breathing) *occurs in 15%-33% of severe TBI Sleep Complications - correct answers.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) - correct answers.LOC & involuntary movements within seconds of impact *can be asymmetrical, short period of AMS & retrograde amnesia Early post Trumatic seizures - correct answers.*occurs within the first week *results from primary direct effect of trauma *risk factors: severe TBI, depressed skull fx , penetrating head injury, sub dural hematoma, entercerebral hematoma, epidural hematoma, portable contusion