Quiz 9

Question 1

You have a patient who has been admitted to the ER s/p a high velocity, penetrating traumatic brain injury. The PHI is most likely the result of what?

Answer 1

Rifle bullet (see power point presentation)

Question 2

Your patient with a PHI from a rifle bullet will likely experience this secondary consequence

Answer 2

Cerebral Edema

Question 3

Likely sources of infection related to the primary injury include

Answer 3

Introduction of foreign material to cerebrum

Question 4

The following are TBI risk factors

Answer 4

C and D

Question 5

Diffuse axonal injury

Answer 5

May lead to a vegetative state (B is false because diffuse axonal injury is common in acceleration injuries and is a result of stretching (not tearing) of the nerve axons

Question 6

Your new admit on the inpatient rehab floor is an 18 year old bilingual female who experienced a TBI secondary to sports injury. The medical records reveal that she was admitted to the ER with a “GCS of 3.” Based on your knowledge of the GCS, you know that

Answer 6

She was completely unresponsive when the GCS was administered (3 is the lowest score possible on the GCS. The patient described above was completely nonresponsive)

Question 7

You have a patient who was admitted with a new onset CVA of the L MCA resulting in profound deficits across all modalities. You decide to evaluate the patient using

Answer 7

Your informal language assessment notebook (the patient was described as a new onset CVA of the Left MCA… which is indicative of suspected aphasia and the most appropriate tool listed would be your informal language assessment notebook.

Question 8

You ask your patient in room #265, “Please tell me your name, today’s date, where we are, and why you are here.” You are assessing

Answer 8

Orientation (These parameters described above are the four elements of orientation.)

Question 9

The Rappaport Scale includes the following:

Answer 9

Simple one-step commands (Of the choices offered, this is the only correct response)

Question 10

True or False:
Although the time per level varies, patients progress through the Rancho Scale-Revised, beginning at the lowest level and progressing through the highest.

Answer 10

This is false because all patients do not progress through the Rancho Scale-Revised; many patients remain somewhere in the Rancho Scale)

Question 11

What are secondary consequences?

Answer 11

Cerebral Edema
Traumatic Hydrocephalus
Elevated Intracranial Pressure
Ischemic Brain Damage
Alterations in the Blood-Brain Barrier

Question 12

Primary consequences of nonacceleration injuries

Answer 12

related to deformation of the skull by the impact of the object striking the skull

Question 13

Majority of penetrating BI are caused by

Answer 13

missiles and fewer are caused by blunt instruments