QUESTIONS WITH DETAILED VERIFIED ANSWERS
(100% CORRECT ANSWERS) / ALREADY GRADED A+
**2 types of acquired brain injury - ANSWERTraumatic and non-traumatic
*2 mechanisms of TBI - ANSWERtraumatic impact (involving impact to the head) and
traumatic inertial (non-contact brain injury)
*2 sub-categories of impact injury - ANSWERopen injury (penetrating, skull fracture
meninges breach), closed (non-penetrating)
*Closed brain injury: can cause 2 things, examples - ANSWER-can cause brain
lacerations/contusions, or intracerebral hemorrhage causing focal injuries, diffuse
axonal injury
Examples: blast related, assaults, falls, MVA, Sports
*Open brain injury - ANSWER-breach of the skull or the meninges
-hematomas, hemorrhage, infections
-Examples: gunshot, stabbing, falls, MVAs, sports
*traumatic inertial injury: definition, example - ANSWERnon-impact force resulting in
injury
common example is rapid acceleration of brain in skull followed by rapid deceleration
diffuse axonal injury, white matter lesion, hemmorhage
-examples: falls, MVA, Sports
*non-traumatic brain injury: definition, examples - ANSWERdamage via internal forces,
such as lack of O2 or nutrients to the brain
white matter lesions, hemmorahge
examples: stroke, neurotoxic poisoning, hypoxia, infections, tunmors
incidence rates of TBI: 3, death, hospital, ED - ANSWERdeath:2%
hospital: 11%
ED visit: 87%
how much of US pop living with BI - ANSWER13.5 million
4.5 % of pop
*primary vs secondary injury - ANSWERprimary: initial, mechanical damage
secondary: "cascade" pathophysiological processes, delay non-mechanical processes
determining effects of brain injury (7) - ANSWERinjury severity
,age of injury
alcohol misuse
DV
Service in military
participation in sports
if had injury previously
*mild TBI: definition, may demonstrate (5) - ANSWERbrief or no loss of consciousness
vomiting
lethargy
dizziness
unable to recall what just happened
*moderate TBI: definition, signs of (2)* - ANSWERunconsciousness of any period up to
24 hours, neuro signs of brain trauma (skull fractures with contusion or bleeding, focal
findings, in instrumental testing)
*severe TBI - ANSWERPeriod of loss of consciousness greater than 24 hours
most likely group to sustain a TBI (3) - ANSWERolder adolescents age 15-19 yo, young
adults age 2-24 yo, older adults age 65 or older
*patterns of TBI for ages: ED visists kids vs adults, non-accidental trauma, age patterns
for falls vs MVA vs gunshot - ANSWERTBI-related ED visits 92.7% kids, 59.7% of
adults
non-accidental trauma is cause of 80% deaths for head trauma cases of children under
2 yo
18% TBI related emergencies are children 0-4 yo
Fall-related TBI highest among over 75 yo
MVA highest 15-24
gunshot 20-24 yo and 75 yo
risk of second injury is how many time greater after 1st? 3rd injury after 2nd? -
ANSWER3x
8x
% of prison pop with TBI - ANSWER25-87%
significant factor in recidivisim
*mortality and TBI - ANSWER2X more likely to die, reduction of life expectancy by 7
years
*TBI and neurologic disorders:3 - ANSWEREpilepsy
alzheimers disease
CTE
, *TBI and neuroendocrone disorders: % - ANSWERpituitary gland dysfunction,
growth hormone distrubance,
low thyroid dysfunction,
gonadotrophin deficiency
30% of mod to severe tbi
*TBI and incontinence - ANSWERneurogenic bladder
frequent UTIs
*TBI and psychiatric disease - ANSWERincreased risk of developing numerous
psychiatric disorders
*TBI and musculoskeletal dysfunction - ANSWERspasticity
*TBI and skeletal dysfunction: % - ANSWERHeterotrophic ossification: new bone
formation in soft tissue planes of surrounding joints
will lead to abnormal bony fusions
30%
costs of brain injury: amount, reason (2) - ANSWERreduced or lost productivity
inappropriate diagnosis and tx
76 billion
olmstead decision - ANSWERsupreme court ruling to give individuals with disabilities
cost-effective community-based services
rehab act of 1973 - ANSWERVocation services, help to find meaning
% of epilepsy TBI accounts for - ANSWER5
CT and MRI: what are they, used to look for (2) - ANSWER3d images of the brain
use to look for symmetry of the brain
asymmetrical or abnormal presence of blood
CT imagaing - ANSWERused to determine if skull fracture has occured, blood clots, etc
DTI (what is, comes from, can ID) - ANSWERDiffusion tensor imaging. Comes from
MRI, major tracts of brain can be identified
Functional MRI - ANSWERPerson performs task when the scanner is on so active brain
regions can be viewed
CNS, CSF - ANSWERCentral nervous system
with brain, allow person to move and act
cerebrospinal fluid: cushion of protection