Download CBIS Exam Review Predictor: Comprehensive Guide to TBI and Neurological Function and more Quizzes Nursing in PDF only on Docsity!
CBIS EXAM REVIEW PREDICTOR
EXAM 90 QUESTIONS WITH DETAILED
VERIFIED ANSWERS ALREADY
GRADED A+ JUST RELEASED!!
"Which of the following is not part of the Home and Community-Based waiver programs? A. Homemaker services B. Personal care C. Adult day
D. All of the above - CORRECT ANSWER=> D. All of the above"
"Match the following: A. Rehabilitation Act of 1973 B. Olmsted Decision C. TBI Act of 1996 D. TBI Mod Systems E. Set the stage for funding of surveillance research on TBI, effectiveness research, and improvising systems of care. F. Conducts prospective, longitudinal research to demonstrate the course of recovery and outcomes following TBI G. Typically contract with private brain injury service providers
H. People should be allowed to live in the least confining setting that they qualify - CORRECT
ANSWER=> A, G
B, H
C, E
D, F"
"Those that have survived a TBI have a reduced life expectancy by how many years? A. 5 B. 6 C. 7
D. 8 - CORRECT ANSWER=> C. 7"
"What percent of TBIs are considered to be Mild? A. 50%
B. 65%
C. 75%
D. 85% - CORRECT ANSWER=> C. 75% (may be higher due to lack of reporting)"
"True or False?
A mild TBI can be defined as any alteration in mental state - CORRECT ANSWER=> True"
"Additional issues that arise post mild TBI are all of the following except: A. Metabolic alterations B. Diffuse atonal injury C. Massive release of neurotransmitters glutamate D. Dilation of vessels that impacts neurological function (constriction)
E. All of the above - CORRECT ANSWER=> D. Dilation of vessels that impacts neurological function
(constriction)" "Common symptoms after a mild TBI are all of the following except: A. Fatigue B. Blurred vision C. Headaches D. Balance problems E. Changes in behavior
F. All of the above - CORRECT ANSWER=> F. All of the above"
"True or False? Post-concussion syndrome and Persistent Post-concussion syndrome refer to symptoms that persist
weeks or months after TBI. - CORRECT ANSWER=> True"
"True or False?
The correct order for the meninges (inner to outer) is Pia mater, Dura mater, Arachnoid. - CORRECT
ANSWER=> False; Dura mater, Arachnoid, Pia mater (DAP)"
"Match: A. Pia mater B. Dura mater C. Arachnoid D. Spider web E. Tough mother
F. Tender matter - CORRECT ANSWER=> A, F
B, E
C, D"
"Term: Midbrain - CORRECT ANSWER=> -Smallest part
The left hemisphere is involved in intuition - CORRECT ANSWER=> False
a. left- linear, verbal/analytic, logical, right side of body, speaking, reading, writing b. Right- holistic, visual spatial, intuitive, left side of body, music, art, shapes" "Term: Primary motor cortex
Location, controls/ function, injury - CORRECT ANSWER=> Location: curves over top of head
C/F: voluntary movement Injury: causes weakness or paralysis on the opposite side of the body" "Term: Pre-frontal cortex
Location, c/f, injury - CORRECT ANSWER=> L: front of head
C/F: evaluates options, predicts outcomes and decides the best course of action, influences ability to learn from consequences. I: causes difficulty making decisions, organizing and prioritizing, initiating and inhibiting actions, controlling emotions and interacting socially" "Term: Temporal Lobe
Location, c/f, injury - CORRECT ANSWER=> L: each side around the ear
C/F: memory, language, hearing I: auditory. Processing, new learning, understanding, storing, and retrieving new information." "Term: Brocca's Area
Location, c/f, injury - CORRECT ANSWER=> L: Left frontal-temporal
C/F: speech production I: language expression is impaired. Speaks haltingly with few words." "Term: Wernicke's Area
Location, c/f, injury - CORRECT ANSWER=> L: left frontal-temporal
C/F: speech comprehension I: language comprehension is impaired. Speaks fluent moly but does not make sense" "Term: Occipital Lobe
Location, c/f, injury - CORRECT ANSWER=> L: back of head
C/F: visual processing, interpret visual information, recognition of size, color, light, motion, dimensions, etc. I: cortical blindness, agraphia, field cuts, movement agnosia, visual agnosia"
"Term: Parietal Lobe primary sensory cortex
Location, c/f, injury - CORRECT ANSWER=> L: 'headband' across top of head
C/F: sensation and perception: responds to touch, temperature and pain, processes sensory information. I: difficult identifying sensation: location, type, temp, pain, movement" "Term: Parietal Lobe somatosensory Cortex
Location, c/f, injury - CORRECT ANSWER=> L: 'headband' across top of head
C/F: sensory input integration, spatial awareness and perception- awareness of body parts in space. I: agraphia, acalculia, anosognosia, aphasia, impaired attention, neglect, left-right disorientation." "True or False?
The spinal cord receives messages from the brain through afferent nerve tracts. - CORRECT ANSWER=>
False, efferent" "List symptoms in each category:
Central Cord Syndrome - CORRECT ANSWER=> -cervical area
-incomplete injury -often result of a fall -present as weak/numb UE -often B/B incontinence" "List symptoms in each category:
Brown-sequard syndrome - CORRECT ANSWER=> -only one side of SC is injured
-loss of pain and temp in same side -paralysis and loss of touch on opposite side" "List symptoms in each category:
Anterior cord syndrome - CORRECT ANSWER=> -loss of muscle control
-loss of pain and temp -no loss of proprioception -no loss of touch sensation" "List symptoms in each category:
Posterior cord syndrome - CORRECT ANSWER=> -strength intact
-no proprioception below level of injury" "Describe/ Define mechanisms of injury:
"True or False? Cardiopulmonary issue involves possible ventilator and/or medications abs are usually only the result of
secondary damage from TBI - CORRECT ANSWER=> False (pg. 98)"
"True or False?
Dysautomia or 'autonomic storming', usually resolves in early recovery - CORRECT ANSWER=> True"
"The following are examples of musculoskeletal earlier complications except: A. Hyperreflexia B. Contracture C. Spasticity D. Heterotopic Ossification E. Osteoporosis
F. All of the above - CORRECT ANSWER=> E. Osteoporosis (chronic or late effect)"
"How does a urinary tract infection effect therapy participation? A. Decreased level of alertness B. Increased agitation C. Pain D. Fever E. All of the above
F. None of the above- no effect - CORRECT ANSWER=> E. All of the above"
"Nutrition after brain injury is complicated by A. Availability of food B. Safety awareness C. Restraints
D. Lack of utensils - CORRECT ANSWER=> B. Safety awareness"
"Match phases of swallowing: A. Oral preparatory/ oral stage B. Pharyngeal phase C. Esophageal phase D. Includes movement of the bolus past the epiglottis, through the pharynx and past the upper esophageal sphincter E. Mastication, bolus formation, and propulsion of the bolus into the pharynx
F. Bolus moves through the esophagus toward the lower esophageal sphincter - CORRECT ANSWER=>
A, E
B, D
C, F"
"What percentage of severe TBIs has difficulty with swallowing? A. 65% problems at oral phase B. 73% problems at the pharyngeal phase C. 84%
D. 90% - CORRECT ANSWER=> D. 90% problems with swallowing"
"What percentage of brain injuries has difficulties with libido, arousal and sexual performance? A. 30-40% B. 30-50% C. 50-60%
D. 40-60% - CORRECT ANSWER=> D. 40-60%"
"Pressure sores can be prevents by which of the following? A. Keeping skin clean and dry B. Changing positions C. Keeping pt in a supine position with decreased pressure on honey areas D. Teach them to move independently in w/c E. A and B F. C and D G. All
H. None - CORRECT ANSWER=> E. A and B"
"Match stages of pressure ulcers A. Stage I B. Stage II C. Stage III D. Stage IV E. Unstageable F. Deep Tissue Injury G. Intact skin w/ non-Blanche me redness of a localized area usually over a bony prominence H. Full thickness tissue kiss in which actual depth of the ulcer is completely obscured by slough and/or eschar in the wound bed. I. Full thickness tissue loss. Subcutaneous fat may be visible but bone, tendon or muscle are not exposed. J. Partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, w/o slough. K. Purple or maroon localized area of discolored intact skin or blood-filled blister due to damage of underlying soft tissue from pressure and/or shear. L. Full thickness tissue loss with exposed bone tendon or muscle. Often includes undermining and
tunneling. - CORRECT ANSWER=> A, G
B, J
b. Neuropathic pain associated with primary lesion of dysfunction, medications include topical agents, opioids, tramadol, lyrica, anticonvulsants and antidepressants, tricyclics, trigger point injections, nerve blocks, epidural steroids."
"Study Headaches (Q53) - CORRECT ANSWER=> Q53 of guide"
"True or False? The order of stages for a migraine are:
Aura- Prodome- Headache- Postdrome - CORRECT ANSWER=> False (pg. 123)"
"Headache symptoms include all of the following EXCEPT: A. Character- sensation and intensity B. Onset- pattern to timing C. Location- where does it start? does it radiate? D. Duration- and frequency E. Exit- what action is taken to reduce headache?
F. Relief- what reduces headache? - CORRECT ANSWER=> E. Exit-what action is taken to reduce
headache C.O.L.D.E.R. character, onset, location, duration, EXACERBATION-what intensifies the headache, relief." "Match motor learning principles A. Cognitive B. Associative C. Autonomous D. How to succeed E. What to do F. How to do it G. Learner begins to apply and self-monitor performance of task H. Learner acquires knowledge to perform task
I. Learner consistently self-regulates and makes corrections to successfully perform task. - CORRECT
ANSWER=> A,E,H
B,F,G
C,D,I"
"Risk factors for treatment of hydrocephalus include all EXCEPT: A. Headaches B. Brain bleed C. Fever D. Neck stiffness
E. Change in level of alertness F. Dysphasia
G. All - CORRECT ANSWER=> F. Dysphasia"
"List correct treatment options with the following conditions: Spasticity and Heterotrophic Ossification Bank: Oral Antispasmotics NSAIDS Neurotoxins
Intrathecal Baclofen Pump Therapy Surgery - CORRECT ANSWER=> Spasticity- oral antispasmotics,
intrathecal baclofen pump, neurotoxins, therapy Heterotrophic Ossification- NSAIDS, surgery" "Rate of vascular thrombosis embolism for individuals with multi system or major trauma exceeds: A. 45% B. 50% C. 55%
D. 60% - CORRECT ANSWER=> B. 50%"
"Pulmonary embolism is the ______ leading cause of death in those who survived the first day post brain injury. A. 1st B. 2nd C. 3rd
D. 4th - CORRECT ANSWER=> C. 3rd"
“Why is Brain Injury considered the silent epidemic? - CORRECT ANSWER=> Many problems that result
from a brain injury are not always readily apparent. a. The effects of the brain injury (BI), such as changes in thinking, may not be readily apparent to an outside observer b. Negative consequences occur when the general public and medical providers do not recognize the effect of BI: i. Problems at work/ school ii. Changes in personal relationships iii. Legal problems iv. Homelessness" "True or False?
Brain Injury is frequently not identified. - CORRECT ANSWER=> True"
"What percent of women who suffer domestic violence also have TBIs? A. 64% B. 67% C. 70%
D. 72% - CORRECT ANSWER=> B. 67%"
"True or False? TBI signs and symptoms frequently go undiagnosed in the community, sports, prisons, military, children
and domestic violence. - CORRECT ANSWER=> True"
"True or False?
Progress along the continuum of care only goes in one direction - CORRECT ANSWER=> False"
"What are the 2 national accreditation agencies? - CORRECT ANSWER=> CARF, Joint Commission"
"Annual cost of TBI (medical and lost productivity) are estimated at A. 75.6 million B. 76.5 million C. 75.6 billion
D. 76.5 billion - CORRECT ANSWER=> D. 76.5 billion"
