Tbi's (traumatic Brain Injury)

39 Questions  I  By Mrs Timbo
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Brain Quizzes & Trivia
This is based off of class notes and lectures. The creator of this quiz is not responsible for the accuracy of this quiz. Use as a study aid- not as a substitute. Good luuck Mrs T.

  
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  • 1. 
    Traumatic Brain Injury (TBI)
    • A. 

      Physical damage to some part of the brain due to a sudden force to the head.

    • B. 

      Physical damage to some part of the skull due to sudden force of the head.


  • 2. 
    True or false about Recovery of function "In clinical literature (such as professional journals), “good recovery” means that the person is able to resume normal life, even though there may still be minor impairments."
    • A. 

      True

    • B. 

      False


  • 3. 
    True or false about Recovery of function In research literature, a person (or lab animal) may be considered “recovered” if it is able to achieve a set goal.
    • A. 

      True

    • B. 

      False


  • 4. 
    True or false about recovery of function Some definitions of recovery of function focus on compensation, meaning that the person has switched to a different means of accomplishing tasks than they did prior to the TBI.
    • A. 

      True

    • B. 

      False


  • 5. 
    All but one of these is a theory of how brains recover...PICK THE STATEMENT THAT IS NOT A THEORY! 1. other regions of the brain “take over” functions of damaged areas 2. if one area is damaged, there are other areas remaining that also have the same capacity (redundancy) 3. if one area is damaged there are surgical procedures that may reconnect the axons in order to produce a response stimulus. 4. anatomical rearrangements and adjustments, such as collateral sprouting
    • A. 

      4

    • B. 

      2

    • C. 

      1

    • D. 

      3


  • 6. 
    How does the CNS react when it is damaged? (Pick 2)
    • A. 

      Actual cell death caused by the event

    • B. 

      Spasms throughout the peripheral branches

    • C. 

      Secondary shutdown of other neurons near the area of damage, or associated with the damaged area

    • D. 

      Numbness and tingling


  • 7. 
    How do neurons respond to injury? (Pick 2)
    • A. 

      When damage occurs in premature regions of the CNS, Those cells automatically repoduce and are replaced

    • B. 

      When damage occurs in mature regions of the CNS, that are made up mostly of cell bodies, those cells die and can’t be replaced

    • C. 

      If damage occurs primarily to axons, it is possible for processes to occur that can restore and regenerate connections (current focus of research: how to manipulate things in the brain to enhance this)

    • D. 

      If damage occurs primarily to dendrites, it is possible for processes to occure that can restore and regenerate


  • 8. 
    Factors that might affect recovery…
    • A. 

      GENDER, EXPERIENCE

    • B. 

      MEDICATIONS

    • C. 

      NATURE of the damage

    • D. 

      AGE

    • E. 

      All of the above


  • 9. 
    True or false "-size/extent of damage (relative to the area involved, meaning is the entire area or only a portion of the area involved)"
    • A. 

      True

    • B. 

      False


  • 10. 
    True or false: The AGE at the time of injury may possibly affect the nature of the deficits, and it is true that there are less deficits in younger persons.
    • A. 

      True

    • B. 

      False


  • 11. 
    True or false GENDER, Some evidence points that there is no differences in the make up of male and female brains, therefore this cannot affect recovery
    • A. 

      True

    • B. 

      False


  • 12. 
    True EXPERIENCE, such as specific training after injury, therapeutic intervention, and environmental enrichment may be factors
    • A. 

      True

    • B. 

      False


  • 13. 
    MEDICATIONS may aid in recovery (much research being done)
    • A. 

      True

    • B. 

      False


  • 14. 
    Some research suggests that if compensation is allowed, true recovery won’t happen
    • A. 

      True

    • B. 

      False


  • 15. 
    Research suggests that ______intervention is more effective than ____, and that more _____ therapy produces better outcomes.
    • A. 

      Early,Late,passive

    • B. 

      Early,Late,intense

    • C. 

      Late, early, intense

    • D. 

      Late, early, passive


  • 16. 
    True or false: More specific training can produce better outcomes
    • A. 

      True

    • B. 

      False


  • 17. 
    TBI Most common cause of death in people:
    • A. 

      Under the age of 50

    • B. 

      Under the age of 34

    • C. 

      Over the age of 34

    • D. 

      Over the age of 50


  • 18. 
    Another 50,000 ________.
    • A. 

      Left with chronic disablilty

    • B. 

      Die


  • 19. 
    Etiology of TBI's include
    • A. 

      MVA

    • B. 

      Assault

    • C. 

      Falls and accidents (other than auto)

    • D. 

      All of the above

    • E. 

      None of the above


  • 20. 
    MVA is the most common
    • A. 

      True

    • B. 

      False


  • 21. 
    More damaging causes the layers of the brain tissue to glide over each other causing shearing of connections between nerve fibers. (common in car accidents)
    • A. 

      Acceleration

    • B. 

      Rotation

    • C. 

      Decceleration


  • 22. 
    Types of injury Concussion
    • A. 

      Minor Jarring

    • B. 

      To specific area

    • C. 

      Gun shot wound

    • D. 

      Blow to the head with free movement of the head Causes cerebral contusion at point of impact

    • E. 

      More severe contusion in the area diametrically opposite to the point of impact – Example: Hit the ground in a fall with abrupt deceleration with brain moving along the jagged contours of the skull interior, and bounces of the skull on opposite side.


  • 23. 
    Penetrating
    • A. 

      Gun shot wound

    • B. 

      Minor jarring

    • C. 

      To specific area

    • D. 

      Blow to the head with free movement of the head Causes cerebral contusion at point of impact

    • E. 

      Deceleration with brain moving along the jagged contours of the skull interior, and bounces of the skull on opposite side.


  • 24. 
    Coup:
    • A. 

      Blow to the head with free movement of the head Causes cerebral contusion at point of impact

    • B. 

      Minor jarring

    • C. 

      Deceleration with brain moving along the jagged contours of the skull interior, and bounces of the skull on opposite side.

    • D. 

      Gun shot wound

    • E. 

      To specific area


  • 25. 
    All of the following are sypmtoms of: h/a and poor concentration 2. intolerance to alcohol 3. unsteady with sudden head movements 4. irritable/restlessness/nervousness 5. insomnia/depression/personality changes 6. impaired memory/fatigue easily
    • A. 

      Post concussion syndrome

    • B. 

      Post-head injury recovory


  • 26. 
    Name the stage for recovery: Loss of consciousness Tracheotomy/ Ventilator Feeding tube Dependent for all care Changes in muscle tone
    • A. 

      Stage 2

    • B. 

      Stage 1

    • C. 

      Stage 4

    • D. 

      Stage 3


  • 27. 
    Name the stage of OT intervention: Therapist may provide controlled stimulation (i.e. deep touch, pain, light touch, smell, kinesthetic) to asses if client is transitioning from coma to low level of arousal. Provide opportunities for purposeful responses Family Education Prevention strategies with ROM Skin integrity, management of tone
    • A. 

      Stage 1

    • B. 

      Stage 2

    • C. 

      Stage 4

    • D. 

      Stage 3


  • 28. 
    Name the stage of recovery: Low-arousal level –Spontaneous eye movement, visual tracking of objects or people for brief periods –Some type of purposeful response to stimulation
    • A. 

      Stage 1

    • B. 

      Stage 2

    • C. 

      Stage 3

    • D. 

      Stage 4


  • 29. 
    Name the stage for OT intervention: Therapist monitor muscluoskeletal condition, sensory and cognitive condition. Purposeful responses, one step commands or spontaneous attempts in basic occupational areas. i.e. washing face, combing
    • A. 

      Stage 1

    • B. 

      Stage2

    • C. 

      Stage 3

    • D. 

      Stage 4


  • 30. 
    Name the stage of recovery:  Posttraumatic Amnesia State ( PTA) – State of confusion and disorientation – Impaired attention – Loss of memory – Agitated, restless, OR lethargic – Uninhibited behaviors ( inappropriate)
    • A. 

      Stage 2

    • B. 

      Stage1

    • C. 

      Stage 3

    • D. 

      Stage 4


  • 31. 
    Name the stage for OT intervention: OTA assess which area client can perform vs how much assistance is needed. May need to break ADL tasks down to smaller steps Therapy focuses on basic occupational skills. Re-teaching ADLs working on attention and controlled motor skills Working on ROM/ Endurance other factors
    • A. 

      Stage 1

    • B. 

      Stage2

    • C. 

      Stage 3

    • D. 

      Stage 4


  • 32. 
    Name the stage of recovery: Postconfusional State –Impairments in higher level concentration and memory –Higher level cognitive skills impaired (reasoning, safety, judgment, problem solving, concentration) –May see agitation and inappropriate behaviors –OR little to no affect
    • A. 

      Stage 1

    • B. 

      Stage 2

    • C. 

      Stage 3

    • D. 

      Stage 4


  • 33. 
    Name the stage for OT intervention: Treatment focus: more complex ADLs (home and community) -Return or discover new occupatioanl activities to meet goals for education, work, leisure, social needs. -Transition to out-pt, home health with support of family/friends
    • A. 

      Stage 1

    • B. 

      Stage2

    • C. 

      Stage3

    • D. 

      Stage4


  • 34. 
    Parts of the Brain: which part of the brain is responsible for visal acuitiy
    • A. 

      Occipital lobe

    • B. 

      Parital lobe

    • C. 

      Frontal lobe

    • D. 

      Temporal lobe


  • 35. 
    Which part of the brain controls vital organs
    • A. 

      Cerebellum

    • B. 

      Brain stem

    • C. 

      Matardura

    • D. 

      The left hemisphere


  • 36. 
    What part of the brain allows our perceptual skills, color shape, sensation
    • A. 

      Frontal

    • B. 

      Occipital

    • C. 

      Parietal

    • D. 

      Temporal


  • 37. 
    Which part of the brain allows for our ability to hear, short term- working memory, sequencing skills, receptive language
    • A. 

      Temporal

    • B. 

      Occipital

    • C. 

      Parietal

    • D. 

      Frontal


  • 38. 
    Strokes, cvas brain tumors, anoxia are:
    • A. 

      Acquired brain injuries

    • B. 

      Traumatic brain injuries

    • C. 

      Closed head injuries

    • D. 

      Open head injuries


  • 39. 
    An example of a diffused head injury would be shaken baby syndrome.
    • A. 

      True

    • B. 

      False


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