Certified Brain Injury Specialist Exam MP
4 Ts - correct answer Elements affecting sexual energy
within a marriage.
Time together; talking together; trusting each other; touching each other
hippocampus + - correct answer associated with memory function, susceptible to oxygen loss
Mortality rate after TBI + - correct answer -reduced life expectancy of 7 years
-1.5x more likely to die as compared to un-injured
504 Plan
Section 504 of the
Rehabilitation Act of 1973 - correct answer A written plan developed by a general
education school committee outlining
accommodations to be made by a K-12 or
post-secondary school that receives federal
funds for a student with a disabling condition
that substantially limits a major life activity.
Chronic Traumatic Encephalopathy (CTE) + - correct answer Also known as dementia pugilistica,
refers to a condition, diagnosed after death, relative to multiple concussions caused by
significant force. A progressive degenerative disease that is most often sustained by athletes
participating in contact sports, where it is sometimes termed punch drunk. May also be
observed in domestic violence victims or abused children who have sustained numerous blows
to the head. It begins very slowly with deterioration in concentration, attention, memory,
judgment, and insight, occasionally accompanied by dizziness and headaches. Severe symptoms
of eventually show symptoms of Parkinsonism, including disturbed coordination, slowed gait,
slurred speech, masked facies, difficulty swallowing and tremors.
Acquired Brain Injury (ABI) + - correct answer An injury to the brain that is not hereditary,
congenital, degenerative, or induced by birth trauma (occurs after birth)
-2nd most prevalent disability in the US
,Traumatic Brain Injury (TBI) + - correct answer an alteration in brain function, or other evidence
of brain pathology, caused by an external force
1. involving impact to the head
2. involving inertial forces which affect the brain
-TBI is a contributing factor to 1/3 of all injury-related deaths in the USrikj
Closed injuries + - correct answer Can cause brain lacerations and contusions, or intracerebral
hemorrhage within the brain causing focal injuries. i.e. coup-countercoup, and/or diffuse injury
resulting from tearing or shearing of axons i.e. Diffuse axonal injury (DAI)
ex: blast related, assaults, falls, MVA, sports incidents
Open injuries + - correct answer Breach of the skull or a breach of the meninges. These injuries
often result in focal injuries (such as epidural or SDH, or ICH) or penetrating injury
i.e. gunshot wound, stabbing, fall, MVA, sports incident
Traumatic Inertial injuries & causes + - correct answer injury to the brain not caused by impact
but as a result of inertial forces, such as acceleration-deceleration forces. Results in coup-
countercoup injuries
ex: falls, assaults, MVA, sports, shaken baby, gunshot, workplace injury, domestic violence, child
abuse, blast injury
Coup - countercoup Injury + - correct answer Dual impacting of the brain into the skull; coup
injury occurs at the point of impact; countercoup injury occurs on the opposite side of impact,
as the brain rebounds
Non- traumatic brain injury & causes + - correct answer damage to the brain caused by internal
factors, such as oxygen or nutrient deprivation to brain cells, exposure to toxins, pressure from
a tumor or blockage, or other neurological disorder
ex: stroke, infectious disease, seizure disorders, electric shock, tumors, toxic exposure,
metabolic disorders, neurotoxic poisoning, lack of oxygen
, Primary injury vs secondary injury + - correct answer Primary: primary damage and mechanical
damage
Secondary: cascade of pathophysiological events including: impaired blood flow, tissue damage,
metabolic imbalance, membrane permeability, necrosis, apoptosis, intracellular break down,
free radical generation, cell death
Risk for 2nd and 3rd TBI + - correct answer 2nd: estimated 3x greater risk
3rd: estimated 8x greater risk
Who had highest rate of TBI from falls? + - correct answer 0-4 y/o and 75 y/o and older
Concussion + - correct answer mTBI
-trauma induced alteration in mental status (dazed, disoriented, confused)
-may or may not involve LOC
-Can result in loss of memory for events immediately before or after trauma
-can result in local neurological deficits and may or may not be transient
Mild TBI (mTBI) + - correct answer Can have either brief or no loss of consciousness and its
presentation may demonstrate vomiting, lethargy, dizziness, and inability to recall what just
happened. - aka concussions
-75% of all TBIs that occur in the US
-any period of LOC
-any loss of memory before or after event
-aly alteration in mental state at the time of the injury
Moderate TBI + - correct answer Will be marked by unconsciousness for any period of time up
to 24hours, will have neurological signs of brain trauma, including skull fractures with contusion
or bleeding, and may have focal findings on an electroencephalograph (EEG)/computed
tomography (CT) scan.
Normal or abnormal structural imaging; LOC >30min and <24 hr; AOC >24 hr severity based on
other criteria; PTA >1 and <7 days; GCS = 9-12
4 Ts - correct answer Elements affecting sexual energy
within a marriage.
Time together; talking together; trusting each other; touching each other
hippocampus + - correct answer associated with memory function, susceptible to oxygen loss
Mortality rate after TBI + - correct answer -reduced life expectancy of 7 years
-1.5x more likely to die as compared to un-injured
504 Plan
Section 504 of the
Rehabilitation Act of 1973 - correct answer A written plan developed by a general
education school committee outlining
accommodations to be made by a K-12 or
post-secondary school that receives federal
funds for a student with a disabling condition
that substantially limits a major life activity.
Chronic Traumatic Encephalopathy (CTE) + - correct answer Also known as dementia pugilistica,
refers to a condition, diagnosed after death, relative to multiple concussions caused by
significant force. A progressive degenerative disease that is most often sustained by athletes
participating in contact sports, where it is sometimes termed punch drunk. May also be
observed in domestic violence victims or abused children who have sustained numerous blows
to the head. It begins very slowly with deterioration in concentration, attention, memory,
judgment, and insight, occasionally accompanied by dizziness and headaches. Severe symptoms
of eventually show symptoms of Parkinsonism, including disturbed coordination, slowed gait,
slurred speech, masked facies, difficulty swallowing and tremors.
Acquired Brain Injury (ABI) + - correct answer An injury to the brain that is not hereditary,
congenital, degenerative, or induced by birth trauma (occurs after birth)
-2nd most prevalent disability in the US
,Traumatic Brain Injury (TBI) + - correct answer an alteration in brain function, or other evidence
of brain pathology, caused by an external force
1. involving impact to the head
2. involving inertial forces which affect the brain
-TBI is a contributing factor to 1/3 of all injury-related deaths in the USrikj
Closed injuries + - correct answer Can cause brain lacerations and contusions, or intracerebral
hemorrhage within the brain causing focal injuries. i.e. coup-countercoup, and/or diffuse injury
resulting from tearing or shearing of axons i.e. Diffuse axonal injury (DAI)
ex: blast related, assaults, falls, MVA, sports incidents
Open injuries + - correct answer Breach of the skull or a breach of the meninges. These injuries
often result in focal injuries (such as epidural or SDH, or ICH) or penetrating injury
i.e. gunshot wound, stabbing, fall, MVA, sports incident
Traumatic Inertial injuries & causes + - correct answer injury to the brain not caused by impact
but as a result of inertial forces, such as acceleration-deceleration forces. Results in coup-
countercoup injuries
ex: falls, assaults, MVA, sports, shaken baby, gunshot, workplace injury, domestic violence, child
abuse, blast injury
Coup - countercoup Injury + - correct answer Dual impacting of the brain into the skull; coup
injury occurs at the point of impact; countercoup injury occurs on the opposite side of impact,
as the brain rebounds
Non- traumatic brain injury & causes + - correct answer damage to the brain caused by internal
factors, such as oxygen or nutrient deprivation to brain cells, exposure to toxins, pressure from
a tumor or blockage, or other neurological disorder
ex: stroke, infectious disease, seizure disorders, electric shock, tumors, toxic exposure,
metabolic disorders, neurotoxic poisoning, lack of oxygen
, Primary injury vs secondary injury + - correct answer Primary: primary damage and mechanical
damage
Secondary: cascade of pathophysiological events including: impaired blood flow, tissue damage,
metabolic imbalance, membrane permeability, necrosis, apoptosis, intracellular break down,
free radical generation, cell death
Risk for 2nd and 3rd TBI + - correct answer 2nd: estimated 3x greater risk
3rd: estimated 8x greater risk
Who had highest rate of TBI from falls? + - correct answer 0-4 y/o and 75 y/o and older
Concussion + - correct answer mTBI
-trauma induced alteration in mental status (dazed, disoriented, confused)
-may or may not involve LOC
-Can result in loss of memory for events immediately before or after trauma
-can result in local neurological deficits and may or may not be transient
Mild TBI (mTBI) + - correct answer Can have either brief or no loss of consciousness and its
presentation may demonstrate vomiting, lethargy, dizziness, and inability to recall what just
happened. - aka concussions
-75% of all TBIs that occur in the US
-any period of LOC
-any loss of memory before or after event
-aly alteration in mental state at the time of the injury
Moderate TBI + - correct answer Will be marked by unconsciousness for any period of time up
to 24hours, will have neurological signs of brain trauma, including skull fractures with contusion
or bleeding, and may have focal findings on an electroencephalograph (EEG)/computed
tomography (CT) scan.
Normal or abnormal structural imaging; LOC >30min and <24 hr; AOC >24 hr severity based on
other criteria; PTA >1 and <7 days; GCS = 9-12
