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

Certified Brain Injury Practice Test Flashcards

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
A compensatory approach to rehabilitation is based on...
the assumption that certain neurological damage cannot be fully recovered so strategies are developed to accommodate these limitations
26
Patient factors that should be considered when providing cognitive rehabilitation after a brain injury
emotional and behavioral control communication skills medical status
27
Factors that should be considered when designing cognitive rehabilitation services for individuals
Functional Abilities | Level of Awareness
28
The three primary areas that must be addressed in order for overall stability to be established and maintained. The stability triangle
Establish Behavior Stability Establish Medical Stability Establish Stable Activity Plan
29
Neuropsychology focuses on the interaction of
Behavior and the nervous system
30
An organic personality disorder (3 things) is...
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
Pseudobulbar affect is defined as...
an involuntary loss of control of emotional expression without triggers
32
Up to ___/___ of people receiving rehabilitation for TBI or treatment for substance misuse have a history of both TBI and substance misuse
2/3
33
___% of those over 16 entered brain injury rehab that were using illicit drugs
12% entering were using illicit drugs
34
__% of those over 16 entering brain injury rehab who were misusing alcohol
23% of those over 16 entering brain injury rehab who were misusing alcohol
35
Screening tools developed to assess Substance Use Disorders (SUD) C-A-C-S
CAGE AUDIT CRAFFT SBI
36
Which severity of TBI and substance use disorder (SUD) that benefits from screening for TBI, accommodations and linages in a substance use disorder setting?
Persons with Low Severity TI and High severity SUD
37
The set of factors that had evidence of causal relationships in long-term consequences of TBI
Penetrating TBI and unprovoked seizures
38
Predictive outcomes of cognitive and functional outcomes in older adults with TBI are dependent on...
Age at injury, pre-existing medical conditions, Medication use
39
The environmental model
- 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
4 critical components to facilitating and maintaining therapeutic relationships include
person-first language humaneness communication non-judgmental approaches
41
Iatrogenic is...
an Induced disease or problem caused by a physician, therapy or the medical setting itself
42
Tenets representative of a Person Centered Approach include...
Caregiver attitudes can help determine the outcome of the therapeutic process all people have the capacity for self-direction
43
The Biopsychological Model of human behavior takes the following factors into consideration (4 things)
biological cognitive-affective social-interpersonal cultural
44
Males have a return to work rate of nearly 24%, women have a return to work rate of __%
5%
45
Examples of acadenic accommodations that may be written into a 504 Accommodation Plan
Extended time on tests/assignments Note takers for lectures Dictation of written assignmetns or use of speech to text software preferential seating
46
IDEA stands for
Individuals with Disabilities Education Act
47
SBS/AHT causes
bleeding in the brain brain swelling bleeding in the eyes 70-85% of children who survive will have long term disabilities
48
Military families face...(4)
constant relocation repeated deployment shifting of emotional resources shifting of material resources
49
Family Centered Services emphasizes
The person with the brain injury and families are partners Care is comprehensive tailored to meet need and values of patient and family
50
Cognitive Behavioral therapy includes the following components....
Activating event, belief, consequence
51
When a blast injury occurs, and energized debris or explosive fragments impact the head or body, this is considered
a secondary blast injury
52
Primary combat related injuries include
falls blast events gunshot wounds
53
When selecting a service provider, the patient should review the following...
accreditation turnover rates care guidelines
54
The legal rights of an individual with a brain injury
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
State and Federal law mandate that the use of restraints
is a measure of last resort
56
The definition of validity is...
the degree to which an instrument actually measures what it is intended to measure
57
Who funds the TBI Model System?
The National Institute on Disability and Rehabilitation Research
58
Measures used in post-acute rehabilitation include
Functional INdependence Measure (FIM) and Glasgow Coma Scale
59
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?
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
List 4 components of the The Comprehensive Integrated Day Treatment Model
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
Supported Employment Model provides...(3 things)
``` A jobseeker function assessment Job development with a job coach (employment specialist) On the job support Case management Long-term follow-up ```
62
Predominant factors of care giver burden include
physical impairments | mobility impairments
63
Impairments in metacognition affect a person's
insight into their deficits
64
What is the stronger predictor of the cause of brain injury in children?
Age
65
The most brain maturation occurs during
0-5 years old
66
Male TBI outnumbers female TBI
2:1
67
DVT is the # cause of death in TBI beyond the first day of injury?
Third leading cause of death in TBI beyond the first day of injury
68
What are the Types of prophylaxis used for TBI
Prophylaxis can include medications, vena cava filters, and compression stockings

Certified Brain Injury Specialist (3 decks)

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