Quiz Over Traumatic Brain Injury

46 Questions | Total Attempts: 121

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Traumatic Brain Injury Quizzes & Trivia

TBI unit for Neuro PT. Includes Rancho, interventions.


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Questions and Answers
  • 1. 
    Which of the following best describes a subdural hematoma?
    • A. 

      Mostly venous blood, slower

    • B. 

      Life-threatening because bleeding into subarachnoid space where CSF housed

    • C. 

      "Talk and Die" syndrome with arterial blood

  • 2. 
    Every _____ someone has a TBI
  • 3. 
    Currently, ___% of the US population are living with problems from a TBI
  • 4. 
    How many people die each year from a TBI; how many TBIs occur a year?
  • 5. 
    ____ are____ times more likely to sustain a TBI
  • 6. 
    After the 1st brain injury, someone is ___ times more likely to suffer another. After the second, they are ___ times more likely to have even another.
  • 7. 
    The average number of people in WV who die as a result of TBI per year is ___.
  • 8. 
    Which of the following is not a risk factor for HO?
    • A. 

      Immobilization

    • B. 

      Coma > 1 week

    • C. 

      Presence of abnormal tone

    • D. 

      Local tissue trauma

  • 9. 
    Which of the following is the most common cause of TBI?     
    • A. 

      Transportation

    • B. 

      Firearm assaults

    • C. 

      Non-firearm assaults

    • D. 

      Falls

  • 10. 
    Which of the following is NOT a common age group in which TBI occurs?
    • A. 

      0-4

    • B. 

      15-19

    • C. 

      20-25

    • D. 

      > 75

  • 11. 
    Which type of skill fracture can often result in a CSF leak?
    • A. 

      Linear

    • B. 

      Depressed

    • C. 

      Comminuted

    • D. 

      Vault or basilar

  • 12. 
    Bruising of the mastoid processes and racoon eyes is termed:     
    • A. 

      Cushing's triad

    • B. 

      Battle sign

    • C. 

      Depressed fracture

    • D. 

      Yellow flag

  • 13. 
    Which is not a component of Cushing's triad?
    • A. 

      Hypertension

    • B. 

      Elevated ICP

    • C. 

      Bradycardia

    • D. 

      Respiratory irregularities

    • E. 

      Profuse sweating

  • 14. 
    What is the textbook presentation of an epidural hematoma?
    • A. 

      Immediate death

    • B. 

      Coma

    • C. 

      Brief LOC followed by lucidity

    • D. 

      Contralateral hemiparesis, ipsilateral pupillary dilation

    • E. 

      More than one of the above

  • 15. 
    What is the treatment for a subdural hematoma?
    • A. 

      Burr hole drainage

    • B. 

      Craniotomy

    • C. 

      Shunt placement

  • 16. 
    Which of the following is not true concerning a diffuse axonal injury?
    • A. 

      Shows up immediately on scans

    • B. 

      Is the worst type of TBI to have

    • C. 

      Extensions lesions are present in white tracts

    • D. 

      Occurs in almost 1/2 of the cases of severe head trauma

    • E. 

      Can lead to PVE and unconsciousness

  • 17. 
    LOC > 1 minute, confusion and PTA lasting 30 mins to 24 hours is which grade of concussion?     
    • A. 

      I

    • B. 

      II

    • C. 

      III

  • 18. 
    Normal ICP for a supine adult is:     
    • A. 

      20-25 mm hg

    • B. 

      30-35 mm hg

    • C. 

      7-15 mm hg

    • D. 

      1-5 mm hg

  • 19. 
    Which of the following lists correctly identifies prognostic indicators?
    • A. 

      PTA, retrograde amnesia > 1 week, coma > 2 weeks, storming

    • B. 

      PTA, retrograde amnesia > 2 weeks, coma > 1 week, storming

    • C. 

      PTA, retrograde amnesia > 2 weeks, coma > 2 weeks, storming

  • 20. 
    A scores less than ___ on the GCS indicates coma.
    • A. 

      5

    • B. 

      6

    • C. 

      7

    • D. 

      8

  • 21. 
    At this rancho level, responses are non-purposeful and random, there is difficulty learning new tasks, and verbalizations can be inappropriate.
    • A. 

      III

    • B. 

      IV

    • C. 

      V

    • D. 

      IV

  • 22. 
    At this Rancho level, the pt. is alert and oriented, able to recall and integrate past and present events. Is skilled in home and community.
    • A. 

      VI

    • B. 

      VII

    • C. 

      VIII

    • D. 

      IX

  • 23. 
    At this rancho level, there is generalized response to pain.
    • A. 

      I

    • B. 

      II

    • C. 

      III

    • D. 

      IV

  • 24. 
    At this Rancho level, the daily routine is automatic and robot-like. Judgment remains impaired and skills deteriorate in unfamiliar environments.
    • A. 

      IV

    • B. 

      V

    • C. 

      VI

    • D. 

      VII

  • 25. 
    Walking while finding change in your pocket uses which type of attention?     
    • A. 

      Selective

    • B. 

      Divided

    • C. 

      Alternating

    • D. 

      Sustained

  • 26. 
    Reduced alertness, disinterested, and slow responses is known as:           
    • A. 

      Stupor

    • B. 

      Delirium

    • C. 

      Obtundity

    • D. 

      Coma

  • 27. 
    The concept related to arousal that implies conscious knowledge of the internal and external environment is known as:     
    • A. 

      Alertness

    • B. 

      Awareness

    • C. 

      Oreintation

    • D. 

      Attention

  • 28. 
    One can be aroused, alert, and oriented without being aware.     
    • A. 

      True

    • B. 

      False

  • 29. 
    Primary motor cortex is located in which lobe?
    • A. 

      Frontal

    • B. 

      Parietal

    • C. 

      Occipial

    • D. 

      Temporal

  • 30. 
    Which of the following is not an executive function?     
    • A. 

      Personality

    • B. 

      Goal setting

    • C. 

      Planning

    • D. 

      Carrying out plans

    • E. 

      Performance evaluation

  • 31. 
    ________ is the uncontrollable repetition of a particular response.
    • A. 

      Perservation

    • B. 

      Repetition

    • C. 

      Perseveration

    • D. 

      Stupor

  • 32. 
    Damage to the ____ can lead to permanent coma.
    • A. 

      Hypothalamus

    • B. 

      Red nucleus

    • C. 

      Thalamus

    • D. 

      Cerebellum

  • 33. 
    _____ posturing is when all four extremities are in extension.
    • A. 

      Decerebrate

    • B. 

      Decoritcate

  • 34. 
    Which of the following is NOT true regarding HO?
    • A. 

      Incidence is 11-76%

    • B. 

      Occurs most commonly at the elbow

    • C. 

      Can be accompanied by low-grade fever and muscle guarding

    • D. 

      Is significant in 10-20% of adults with TBI

    • E. 

      Coma > 2 weeks is a risk factor

  • 35. 
    What is the best test to determine if HO is present?     
    • A. 

      Observation of painful, limited ROM

    • B. 

      Elevated serum alkaline phosphatase

    • C. 

      Radiograph

    • D. 

      Bone scan

  • 36. 
    Which of the following meds for muscle tone management works through presynaptic inhibition at the spinal cord level?     
    • A. 

      Dantrium

    • B. 

      BoTox

    • C. 

      Baclofen

    • D. 

      Diazepam

  • 37. 
    When placing a serial cast, you should always do so in which position?
    • A. 

      Maximal stretch

    • B. 

      Submaximal stretch

    • C. 

      Loose packed position

    • D. 

      Close packed position

  • 38. 
    Which rancho level is this: follows simple directions consistently, inconsistent orientation to time and place, goal-directed behavior with external input.
    • A. 

      V

    • B. 

      VI

    • C. 

      VII

    • D. 

      VIII

  • 39. 
    Sympathetic storming, also known as paroxysmal hypothalamic instability, is true of all of the following EXCEPT:
    • A. 

      A good indicator for recovery

    • B. 

      Usually occurs in individuals with a GCS of 3-8

    • C. 

      Exagerrated fight or flight response

    • D. 

      Hypertension, dystonia, sweating, alterations in consciousness

    • E. 

      Can be controlled by meds, such as sedatives

  • 40. 
    A good time to initiate therapeutic or oral feeds is:
    • A. 

      High level brain injury only

    • B. 

      Low level brain injury

    • C. 

      Moderate level brain injury

  • 41. 
    A pt. should be instructed in a OOB schedule and rest schedule when during rehab?
    • A. 

      When upright is tolerated.

    • B. 

      After two weeks of symptom monitoring

    • C. 

      Day one

    • D. 

      Before they go home

  • 42. 
    Which of the following goals is appropriate for someone with a low level brain  injury?
    • A. 

      Ambulate 150 ft with SW and min A.

    • B. 

      Tolerated stander for 2 min x 2 times/day.

    • C. 

      Follow directions to put on their sling consistently.

    • D. 

      O x 4 during all PT sessions.

  • 43. 
    What is the emphasis when treating someone with a moderate level brain injury?
    • A. 

      Upright

    • B. 

      Awareness

    • C. 

      Community re-integration

    • D. 

      Safe independence

  • 44. 
    What  is not a focus when developing a seating system?
    • A. 

      Correct flexible deformities first

    • B. 

      Accomodate fixed deformities

    • C. 

      Use a flexible seat to decrease support

    • D. 

      Focus on pelvis position

    • E. 

      Use gravity to counteract hypotonicity

  • 45. 
    In which Rancho level does behavior begin to become goal directed?
    • A. 

      II

    • B. 

      IV

    • C. 

      V

    • D. 

      VII

  • 46. 
    Rehabilitation should only focus on measurable impairments.     
    • A. 

      True

    • B. 

      False