CBIS (CERTIFIED BRAIN INJURY SPECIALISTB) NEWEST
EXAM LATEST 2024/2025 WITH ACTUAL QUESTIONS
AND CORRECT VERIFIED (DETAILED)
ANSWERS/ALREADY GRADED A+100%
5-10 years post-injury, what are the predominant factors relating to disability? -
✔✔ANSW✔✔..cognitive, behavior, and personality changes rather than physical
changes
Are hypnotic and benzodiazepine-like compounds indicated for long-term use in treating
insomnia? - ✔✔ANSW✔✔..No -- adverse effects including impaired cognitive
functioning, reduced daytime alertness, hallucinatory behavior, sleepwalking and altered
sleep architecture have been observed
Damage to what areas may result in incontinence? - ✔✔ANSW✔✔..damage to the
spinal cord, pudendal nerve, and sacral nerve roots
Following a brain injury, a person will require at least ____% more calories than he/she
needed prior. - ✔✔ANSW✔✔..40%
Following depression, what is the second most prevalent brain injury in the US? -
✔✔ANSW✔✔..TBI/Stroke/Epilepsy, estimated at 13.5 million Americans
How are pressure ulcers staged? - ✔✔ANSW✔✔..from 1-4 with severity and tissue
destruction increasing with each stage
How can contractures be prevented? - ✔✔ANSW✔✔..early mobilization ROM
exercises, proper positioning, orthotics, anti-spasticity meds
How can long term memory be split up? - ✔✔ANSW✔✔..Explicit (semantic = words,
ideas, concepts & episodic = personal experiences) and implicit (procedural =
skills/tasks)
How can pressure sores be prevented? - ✔✔ANSW✔✔..keeping skin clean and dry,
changing position every 2 hours, and using pressure-reliving devices including specialty
mattresses, cushions, and TIS wheelchairs
,How can someone be screened for metabolic syndrome? - ✔✔ANSW✔✔..regular
medical screenings including weight/abdominal girth measurements, serial blood
pressure readings, blood work
How do neurons communicate with each other? - ✔✔ANSW✔✔..the sending neuron
releases neurotransmitters across a synapse to the receiving neuron via electrical and
chemical messengers
How does brain injury affect processing? - ✔✔ANSW✔✔..through the anatomic or
physiologic disruption of white matter tracts in the brain; diffuse axonal injury is often
associated with deficits in information processing speed
How does obesity/weight affect brain injury patients? - ✔✔ANSW✔✔..many individuals
are in a poor nutritional state following injury; mobility impairments can impact body's
ability to burn # calories being consumed
How does the left hemisphere process information? - ✔✔ANSW✔✔..in a logical and
linear manner, which helps a person better understand and use language
How does the right hemisphere process information? - ✔✔ANSW✔✔..in a holistic and
spatial sense (shapes, faces, music, art)
How have beliefs changed re: DOC patients since the 50s? - ✔✔ANSW✔✔..pts used to
not be considered viable candidates for rehab given the belief that the brain was a
physiologically static structure; now, we have better techniques to understand
neuroplasticity within DOC population and their ability to recover
How is a coma state described? - ✔✔ANSW✔✔..no behavioral evidence of arousal, no
voluntary response to internal/external stimuli; reflexive responses may be observed; no
discernible sleep/wake cycle noted; usually resolves in 2-4 weeks
How is a migraine different from a headache? - ✔✔ANSW✔✔..migraines tend to occur
as episodes of headaches that may have different phases; typically 4 phases
(predrome, aura, headache, postdrome)
How is a vegetative state described? - ✔✔ANSW✔✔..complete absence of behavioral
evidence for awareness of self and environment, with preserved capacity for
spontaneous or stimulus-induced arousal; responses to stimuli are generalized, non-
specific in nature, and are not purposeful; sleep/wake cycle observed; eye-opening
observed however no visual pursuit; may persist for years without measurable
improvement in the person's neurobehavioral presentation
How is edema caused? - ✔✔ANSW✔✔..interruption of homeostasis in interstitial
osmolarity/extracellular fluid
, How is goal-setting different in persons with DOC vs traditional rehab candidates? -
✔✔ANSW✔✔..goals are based on responses to stimuli, tolerance for stimuli/activity,
risk management, and caregiver development; person is not able to participate in the
goal-setting process; person is a passive participant in therapeutic activity; person does
not have volitional control over responses or functioning
How many Americans are living with long-term disabilities secondary to brain injury? -
✔✔ANSW✔✔..5.3 million
How many vertebrae are in the spinal cord? - ✔✔ANSW✔✔..33, joined together with
discs and ligaments
How might light therapy benefit TBI patients with sleep disturbance? - ✔✔ANSW✔✔..it
may reduce fatigue and daytime sleepiness, improve mood, and possibly, aspects of
attention
How much does the brain weigh? - ✔✔ANSW✔✔..~ 3lbs
How soon do mTBI symptoms usually resolve? - ✔✔ANSW✔✔..2-4 weeks
In mod-severe brain injury, what % of individuals experience hydrocephalus? -
✔✔ANSW✔✔..2/3
In severe TBI, approx what percentage of patients had swallowing impairment revealed
via VFSS? - ✔✔ANSW✔✔..up to 90%
Injury to what brain regions may sleep disturbance be attributed to? -
✔✔ANSW✔✔..suprachiasmatic nucleus, hypothalamus, midbrain, and ARAS
Instead of injury severity, what are stronger predictors of post-injury outcome in older
adults with TBI? - ✔✔ANSW✔✔..age of injury, pre-existing medical conditions, and
medication use
More than 60% of individuals with BI will experience a UTI within ____ weeks of their
injury. - ✔✔ANSW✔✔..6 weeks
MRSA infections are typically a product of poor... - ✔✔ANSW✔✔..hygiene, including
poor hand washing by care providers and repeated use of soiled clothing
The combination of what two concepts are critical to TBI tx strategies? -
✔✔ANSW✔✔..neuroprotection (preservation of neuronal functioning and structure) and
neuroplasticity (ability of the brain to change its structure and function)
