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C2 - Traumatic Brain Injury > C2 - Traumatic Brain Injury > Flashcards

C2 - Traumatic Brain Injury Flashcards

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1
Q

What GCS Scoring indicates a Moderate Brain Injury?

A

9-12

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2
Q

Based on the Canadian CT Head Rule, Which of the following indicates a High Risk for Neurological Interventions?

a. Amnesia before impact of greater than or equal to 30 minutes
b. GCS of 15 after 3 hours of the injury
c. Age of 60 years old and below
d. Suspected open/depressed skull fracture with a GCS of <15 at 2 hours after injury

A

d. Suspected open/depressed skull fracture with a GCS of <15 at 2 hours after injury

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3
Q

This Develops when the brain accelerates against a fixed skull causing disruption of the cerebral parenchyma & blood vessels.

A

Countercoup

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4
Q

This refers to paralysis on the opposite side of the body that brain damage occurs in.

a. Uncal Herniation
b. Contralateral Hemiparesis
c. Ipsilateral Oculomotor Paralysis
d. Paraplegia

A

b. Contralateral Hemiparesis

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5
Q

What type of amnesia has the inability to form new memories after the injury?

a. Antegrade
b. Retrograde
c. Transient Global
d. Infantile

A

a. Antegrade

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6
Q

What type of diffuse axonal injury characterized by a temporary axonal disturbance

a. Mild concussion
b. Classic concussion
c. Post-concussive syndrome

A

a. Mild concussion

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7
Q

What type of diffuse axonal injury occurs after recovery and/or usually presents within a week to a year?

a. Mild concussion
b. Classic concussion
c. Post-concussive syndrome

A

c. Post-concussive syndrome

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8
Q

What type of diffuse axonal injury is characterized by a loss of consciousness but typically recovered within 30 minutes?

a. Mild concussion
b. Classic concussion
c. Post-concussive syndrome

A

b. Classic concussion

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9
Q

All of the following are recommendations in suctioning patients with traumatic brain injury EXCEPT:

a. Hyperoxygenation of the client
b. Pass the suction catheter for longer than 15 seconds
c. Minimize airway stimulation
d. Limiting the number of suction catheter passes.

A

b. Pass the suction catheter for longer than 15 seconds

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10
Q

Which of the following are signs of a head injury? Select all that apply.

  1. Battle’s sign
  2. Halo sign
  3. Hypoventilation
  4. Raccoon eyes
  5. Seizures
A
  1. Battle’s sign
  2. Halo sign
  3. Raccoon eyes
  4. Seizures
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11
Q

It may produce profound coma, severe derangement of axons, with cerebral swelling and ischemia.

a. Secondary brain injury
b. Severe diffuse axonal injury
c. Mild diffuse cerebral concussion
d. Traumatic brain injury

A

b. Severe diffuse axonal injury

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12
Q

It is caused by blunt, penetrating or blast mechanisms due to MVAs, falls, assault or sports injuries.

a. Secondary brain injury
b. Severe diffuse axonal injury
c. Mild diffuse cerebral concussion
d. Traumatic brain injury

A

d. Traumatic brain injury

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13
Q

An acute brain injury where it usually occurs due to biochemical effects of trauma on the brain and skull. It may be local or diffuse.

A

Primary Brain Injury

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14
Q

Any subsequent injury to the brain when a primary lesion usually occurs within a few hours or after the initial insult.

A

Secondary Brain Injury

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15
Q

All of the following are signs and symptoms of post-concussive syndrome, except:

a. Headache
b. Dizziness
c. Irritability
d. Tremor

A

d. Tremor

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16
Q

How many minutes can a patient with classic concussion manifesting loss of consciousness recover?

a. Within 10 minutes
b. Within 20 minutes
c. Within 30 minutes
d. Within 40 minutes

A

c. Within 30 minutes

17
Q

In an emergent situation, all are appropriate actions for a person who has head trauma while waiting for emergency medical help EXCEPT:

a. Keep the person still
b. Stop any bleeding
c. If the person is wearing a helmet, remove it
d. Watch for changes in breathing and alertness

A

c. If the person is wearing a helmet, remove it

18
Q

A mother with a 9-month-old baby is suspected for child abuse. She tells the nurse that she shakes her baby due to frustration when her baby won’t stop crying. What type of brain injury is the baby most likely to have?

a. Closed brain injury
b. Penetrating brain injury

A

a. Closed brain injury

19
Q

All except one is caused by traumatic brain injury

a. Falls
b. Drowning
c. MVA
d. Assault

A

b. Drowning

20
Q

What are the symptoms of traumatic brain injury?

I. Difficulty in balancing
II. Blurred vision
III. Headache
IV. Vomiting

a. I, II, III, IV
b. I and III only
c. II and IV only
d. I, II, III

A

a. I, II, III, IV

C2 - Traumatic Brain Injury (1 decks)

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