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Certified Brain Injury Specialist > Certified Brain Injury Practice Test > Flashcards

Certified Brain Injury Practice Test Flashcards

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1
Q

List 4 major causes of acquired brain injury.

A

Hypoxia
Falls
Gunshots
DIffuse Axonal Injury

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2
Q

Why is brain injury often called the silent epidemic?

A

Issues resulting from a brain injury are not always immediately apparent

Brain injury is not always diagnosed correctly

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3
Q

True or False?

A secondary etiology of brain injury is hydrocephalus.

A

True

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4
Q

What type of injury has the highest incidence rate of TBI?

A

Falls

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5
Q

Accredited programs must demonstrate compliance with what 3 things?

A

Quality Standards
Performance Standards
Licensing Requirements

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6
Q

What is the most common symptom of mTBI?

A

Headache

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7
Q

What is the most common physical symptom of TBI?

A

DIzziness/ loss of balance

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8
Q

When do symptoms associated with mTBI occur and resolve?

A

Symptoms occur almost immediately and often resolve in 2-4 weeks.

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9
Q

What would a CT image determine?

A

Allow us to see swelling
brain hemorrhage
use x-ray beam to create a new image
Allow us to see a foreign object

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10
Q

Neuroplasticity is the ability of the nervous system to

A

change itself
form new connections
create new neurons
increase synapses

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11
Q

What are the two best treatment strategies for TBI?

A

Neuroprotection and neuroplasticity

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12
Q

A past assumption of prognosis for a Disorders of Consciousness that is now considered false is…

A

that neurons, once damaged, do not repair or recover

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13
Q

Arousal is maintained by the…

A

Reticular activating systems (RAS), a collection of primitive structures and nerve pathways in the brain

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14
Q

What type of post traumatic event is not typically termed or treated as epilepsy?

A

Immediate post-traumatic convulsions

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15
Q

What is the incidence of Deep vein thrombosis (DVT)?

A

Incidence is as high as 54% after TBI

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16
Q

Sleep disorders after TBI is reported in what %?

A

Reported in 30-70% of individuals with TBI.

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17
Q

4 things that persistent fatigue after a brain injury can contibute to…

A

engagement in day to day tasks
energy at work
concentration at school
social interaction

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18
Q

Psychological fatigue is associated with what?

A

stress, anxiety and depression
prolonged mental activity
decreased motivation

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19
Q

If a person presents with complaints of fatigue after a brain injury, the clinician should assess possible factors that may contribute including

A

attention and processing speed
mood
medication
sleep disturbances

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20
Q

Women with brain injuries are at an increased risk for

A

earlier onset of menopause

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21
Q

Medications after brain injury can increase an individual’s risk of…

A

can increase an individual’s risk for falling

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22
Q

Some of the most common neurologic complication of brain injury are:

A

seizure
headache
chronic pain

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23
Q

Individuals with a spinal cord injury are at risk for

A

increased mortality and morbidity

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24
Q

Individuals who incur a Spinal Cord Injury

A

more than half also incur a brain injury

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25
Q

A compensatory approach to rehabilitation is based on…

A

the assumption that certain neurological damage cannot be fully recovered so strategies are developed to accommodate these limitations

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26
Q

Patient factors that should be considered when providing cognitive rehabilitation after a brain injury

A

emotional and behavioral control
communication skills
medical status

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27
Q

Factors that should be considered when designing cognitive rehabilitation services for individuals

A

Functional Abilities

Level of Awareness

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28
Q

The three primary areas that must be addressed in order for overall stability to be established and maintained. The stability triangle

A

Establish Behavior Stability
Establish Medical Stability
Establish Stable Activity Plan

29
Q

Neuropsychology focuses on the interaction of

A

Behavior and the nervous system

30
Q

An organic personality disorder (3 things) is…

A

is a disorder that can include apathy, affective lability, uncontrolled emotions and aggression

is a post-injury diagnosis of personality disorder for individuals living with TBI

Is a disorder characterized by a change in personality from pre-injury personality

31
Q

Pseudobulbar affect is defined as…

A

an involuntary loss of control of emotional expression without triggers

32
Q

Up to ___/___ of people receiving rehabilitation for TBI or treatment for substance misuse have a history of both TBI and substance misuse

A

2/3

33
Q

___% of those over 16 entered brain injury rehab that were using illicit drugs

A

12% entering were using illicit drugs

34
Q

__% of those over 16 entering brain injury rehab who were misusing alcohol

A

23% of those over 16 entering brain injury rehab who were misusing alcohol

35
Q

Screening tools developed to assess Substance Use Disorders (SUD)

C-A-C-S

A

CAGE

AUDIT

CRAFFT

SBI

36
Q

Which severity of TBI and substance use disorder (SUD) that benefits from screening for TBI, accommodations and linages in a substance use disorder setting?

A

Persons with Low Severity TI and High severity SUD

37
Q

The set of factors that had evidence of causal relationships in long-term consequences of TBI

A

Penetrating TBI and unprovoked seizures

38
Q

Predictive outcomes of cognitive and functional outcomes in older adults with TBI are dependent on…

A

Age at injury, pre-existing medical conditions, Medication use

39
Q

The environmental model

A
  • rehabilitation addresses both the physical and social environments of the individual
  • philosophy behind the development of supported living and supported employment
  • can cause, define, and exaggerate disability
40
Q

4 critical components to facilitating and maintaining therapeutic relationships include

A

person-first language
humaneness
communication
non-judgmental approaches

41
Q

Iatrogenic is…

A

an Induced disease or problem caused by a physician, therapy or the medical setting itself

42
Q

Tenets representative of a Person Centered Approach include…

A

Caregiver attitudes can help determine the outcome of the therapeutic process
all people have the capacity for self-direction

43
Q

The Biopsychological Model of human behavior takes the following factors into consideration (4 things)

A

biological
cognitive-affective
social-interpersonal
cultural

44
Q

Males have a return to work rate of nearly 24%, women have a return to work rate of __%

A

5%

45
Q

Examples of acadenic accommodations that may be written into a 504 Accommodation Plan

A

Extended time on tests/assignments
Note takers for lectures
Dictation of written assignmetns or use of speech to text software
preferential seating

46
Q

IDEA stands for

A

Individuals with Disabilities Education Act

47
Q

SBS/AHT causes

A

bleeding in the brain
brain swelling
bleeding in the eyes
70-85% of children who survive will have long term disabilities

48
Q

Military families face…(4)

A

constant relocation
repeated deployment
shifting of emotional resources
shifting of material resources

49
Q

Family Centered Services emphasizes

A

The person with the brain injury and families are partners
Care is comprehensive
tailored to meet need and values of patient and family

50
Q

Cognitive Behavioral therapy includes the following components….

A

Activating event, belief, consequence

51
Q

When a blast injury occurs, and energized debris or explosive fragments impact the head or body, this is considered

A

a secondary blast injury

52
Q

Primary combat related injuries include

A

falls
blast events
gunshot wounds

53
Q

When selecting a service provider, the patient should review the following…

A

accreditation
turnover rates
care guidelines

54
Q

The legal rights of an individual with a brain injury

A

are the same as for any citizen

may be exercised by a legal representative if the individual is unable to exercise those rights, as determined by state law

55
Q

State and Federal law mandate that the use of restraints

A

is a measure of last resort

56
Q

The definition of validity is…

A

the degree to which an instrument actually measures what it is intended to measure

57
Q

Who funds the TBI Model System?

A

The National Institute on Disability and Rehabilitation Research

58
Q

Measures used in post-acute rehabilitation include

A

Functional INdependence Measure (FIM) and Glasgow Coma Scale

59
Q

The supported employment model emphasizes the use of a…rehabilitation professional, known as an employment specialist or job coach, to provide…

What are four barriers for return to employment?

A

Individualized assistance to help patient gain and maintain employment.

Four barriers for return to employment are:
If there was a cognitive impairment
The age at time of injury
Minority status
Pre-injury educational status
60
Q

List 4 components of the The Comprehensive Integrated Day Treatment Model

A

Comprehensive Integrated Day Treatment Models are authorized under state vocational rehab plans

They use both individual & group therapy in a day tx model

They incorporate a vocational trial
They provide supported employment

61
Q

Supported Employment Model provides…(3 things)

A 
A jobseeker function assessment
Job development with a job coach (employment specialist)
On the job support
Case management
Long-term follow-up
62
Q

Predominant factors of care giver burden include

A

physical impairments

mobility impairments

63
Q

Impairments in metacognition affect a person’s

A

insight into their deficits

64
Q

What is the stronger predictor of the cause of brain injury in children?

A

Age

65
Q

The most brain maturation occurs during

A

0-5 years old

66
Q

Male TBI outnumbers female TBI

A

2:1

67
Q

DVT is the # cause of death in TBI beyond the first day of injury?

A

Third leading cause of death in TBI beyond the first day of injury

68
Q

What are the Types of prophylaxis used for TBI

A

Prophylaxis can include medications, vena cava filters, and compression stockings

Certified Brain Injury Specialist (3 decks)

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