UPDATED, CLINICALLY SHARPENED,
EXAM-READY
Screens for TBI - THE CORRECT ANSWER-ACE - acute concussion eval
HELPS
WARCAT - warrior administered retrospective casualty
assessment tool
TBIQ - traumatic brain injury questionnaire
ImPACT
OSU TBI ID
JCAHO (Joint Commission) - THE CORRECT ANSWER-The non-profit
organization that assists healthcare facilities by providing
accreditation
3 year award
CARF (Rehabilitation Accreditation Commission) - THE CORRECT
ANSWER-The Organization that oversees the accreditation of
brain injury programs
3 year award
TBI Act of 1996 - THE CORRECT ANSWER-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 - THE CORRECT
ANSWER-Money to states to improve integration services,
establish policy & procedure financial support
CDC - Center for Disease Control - THE CORRECT ANSWER-Carries
out projects to reduce incidence of TBI
Rehabilitation act of 1973 - THE CORRECT ANSWER-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 - THE CORRECT ANSWER-Severe brain injury
caused by extreme shearing forces
Persistent post concussive symptoms - THE CORRECT ANSWER-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 - THE CORRECT ANSWER-The expression of
psychological distress through physical symptoms
,Chronic traumatic encephalopathy - CTE - THE CORRECT ANSWER-
Rare, progressive, degenerative condition of central nervous
system that is seen and repetitive brain trauma
Dementia, memory loss, aggression, confusion, depression
Hebbian Learning - THE CORRECT ANSWER-Neurons that fire
together, wire together
Experience independent learning - THE CORRECT ANSWER-" use it or
lose it"
Synaptogenesis - THE CORRECT ANSWER-The process by which
neurons form new connections
Disorders of consciousness - THE CORRECT ANSWER-Coma,
Vegetative State, minimally conscious state
Coma - THE CORRECT ANSWER-* no evidence of arousal
* no response to internal or extrnal stimuli
* May have reflexive response
* resolves in 2 to 4 weeks
Vegetative state - THE CORRECT ANSWER-Transition of severely brain
damaged patients from a coma to wakefulness without
awareness
Can be months to years in this state
, Minimally conscious state - THE CORRECT ANSWER-condition in
which someone has brief periods of purposeful actions and
speech comprehension
Emergence from DOC - THE CORRECT ANSWER-Requires at least one
criteria:
* functional communication by verbal or gestural Y/N response
* functional use of 2 or more objects
Automatic dysfunction syndrome - THE CORRECT ANSWER-Episodes
of: dystonia (abnormal muscle tone), tachycardia, diaphoresis
(sweating), hyperthermia, hypertension, tachypnea (rapid
breathing)
*occurs in 15%-33% of severe TBI
Sleep Complications - THE CORRECT ANSWER-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) - THE CORRECT
ANSWER-LOC & involuntary movements within seconds of impact
*can be asymmetrical, short period of AMS & retrograde
amnesia
Early post Trumatic seizures - THE CORRECT ANSWER-*occurs within
the first week