CBIS Test Quiz Exam GRADED A+ MOD 004
Questions & Answers 2023/2024 VERIFIED
* Glasgow Coma Scale (GCS) 3-8 correct answers Severe TBI; normal or abnormal structural imaging. LOC
over 24 hours, post traumatic amnesia over 7 days
* Glasgow Coma Scale 9-12 correct answers Moderate TBI; LOC over 30 minutes but less than 24 hours;
alteration of consciousness over 24 hours, post traumatic amnesia more than 1 day but less than 7 days
* Glasgow Coma Scale 13-15 correct answers Mild TBI; normal imaging; LOC 0-30 minutes, alteration of
consciousness up to 24 hours, post traumatic amnesia up to 1 day
* 3 parts of neuron correct answers Cell body
Axon
Dendrites
* 2.5 million TBIs correct answers 53,000 deaths (2%)
284,000 hospitalizations (11%)
2,214,000 ED visits (87%)
* Coup-contrecoup correct answers When the brain accelerates in one directions, it rebounds in the
opposite direction
* Acquired Brain Injury correct answers An injury to the brain that is not hereditary, congenital,
degenerative or induced by birth trauma
* Traumatic Brain Injury correct answers An alteration of brain function or other evidence of brain
pathology caused by an external force
* Incidence correct answers Rate or range of occurrence
* Prevalence correct answers Number of people with a given condition at a specific point in time
* What determines the effects of brain injury? correct answers Injury severity
Age at injury
Alcohol misuse
Domestic violence
,Service in military
Participation in sports
* Concussion correct answers Mild TBI caused by bump, blow or jolt to head that can change the way
the brain works (or a fall)
Can occur in any sport or recreation activity
Memory loss
May or may not lose consciousness
* 2.5 million people sustained TBI in 2010 correct answers
* Brain Stem correct answers Top of spinal column
Central point for all incoming and outgoing information and basic life functions
* Limbic System correct answers Emotions and basic feelings
* Frontal Lobe Damage correct answers Executive function/personality
Lack of control of behaviors, poor short term memory and working memory
* Broca's Area correct answers Located in lower portion of motor cortex (left frontal-temporal lobe)
Expression- production of speech
* Wernicke's Area correct answers Located in left temporal parietal area
Receptive- understanding of speech
* Risk of TBI after first injury correct answers 3x greater for 2nd injury
* Risk of TBI after second injury correct answers 8x greater for 3rd injury
* Alcohol and TBI correct answers 37%-51% of brain injuries
22% of drivers aged 15-20 involved in fatal MVAs had been drinking
56% not wearing seat belts
* Neurons correct answers Communicating cells
* Frontal Lobe correct answers Primary motor cortex and prefrontal cortex
Planning, organizing, problem solving, judgment, impulse control, decision making, working memory,
emotional control, motivation, verbal expression
* Occipital Lobe correct answers Visual stimuli processing
,Brain Injury in Prisons correct answers 2 million people in prisons have a brain injury not recognized,
diagnosed or treated
Female inmates convicted of violent crime are more likely to have sustained a pre crime TBI or other
form of physical abuse
Lost Productivity correct answers Loss of earning potential, payment of taxes and the re-investment of
earnings into the economy
Neurogenic Bladder correct answers Affected cerebral structures that control bladder storage and
emptying functions
Incontinence
Spasticity correct answers Increase in muscle tone resulting in abnormal motor patterns
Faster stretch = stronger spasm
Monitor for sedating effects of meds
Dura Mater correct answers Outer layer of meninges; heavy covering
Bleed in this area: subdural hematoma
Arachnoid Layer correct answers 2nd layer of meninges; similar to spider web
Bleed in this area: subdural hematoma
Pia Mater correct answers 3rd layer of meninges; molds around sulci and gyri of brain
Synapse correct answers Junction between cells
Action Potential correct answers Electrical impulse fired
Brain stem areas correct answers Medulla
Pons
Midbrain
Cerebellum correct answers Lower back section of brain
Coordinates, modulates and stores all body movement
Occipital Lobes correct answers Primary visual center
Visual cortex connected to eyes by optic nerves
Interprets visual info (recognize size, color, light, motion, dimensions)
Occipital Lobe Damage correct answers Visual-pereptual-motoric distortions
, Neuroplasticity correct answers Brain can adapt and reorganize due to environment around it or due to
cell death
Nervous system changes itself, forms new connections and creates new neurons to compensate for
injury or adapt to changes in environment
Restorative approach
Polytherapies correct answers The use of more than one treatment method in a combined therapeutic
approach; may provide better results
Plasticity correct answers A change in the expression of genes or proteins related to neuroplasticity
Constraint Induced Movement Therapy correct answers Contrain unaffected limb for first 2 weeks post
injury, plasticity in cortex opposite stroke is eliminated
Encourages greater use of impaired limb
Axonal Shearing correct answers Axons are twisted and disconnected; functional abilities diminished
Tension type Headache correct answers Bilateral head pain; tight hat or vice clamping around head
Tx with NSAIDs and low load craniocervical mobilization
Cervicogenic Headache correct answers Head pain generated from cervical spine
Can provoke headache through movement or manipulation of neck
Tx with manual therapies or nerve injections
Post-traumatic Migraine correct answers Episodes of headaches with different phases
Prodrome-> aura -> headache -> post drome
Typically unilateral, throbbing, stabbing or sharp pain
Tx with triptans, NSAIDs, dark room, quiet environment
Neuralgia correct answers Pain caused by damage to nerve or structural change in nerve
Standard Precautions correct answers Hand hygiene, PPE, respiratory hygiene, safe injection and disposal
of sharps, cleansing of equipment, isiolation
Awareness correct answers An individual's ability to receive and process information and use that
information to relate to an intentional way to the outside world
Regulated by higher cortical areas in cerebrum
Costs of Brain Injury correct answers Lost productivity
Insufficient or inappropriate diagnosis, treatment and care
