TBI

Question 1

after the first TBI, the risk for a 2nd TBI increases…

Answer 1

3 times

Question 2

after the 2nd TBI, the risk for a 3rd increases….

Answer 2

8 times

Question 3

insult to the brain, not of degenerative or congenital nature. Caused by external physical force

Answer 3

TBI

Question 4

head injury that is more diffuse in nature. Diffuse axonal injury

Answer 4

closed head injury

Question 5

visible injury to brain caused by specific force to head. Located to focal part of brain

Answer 5

open head injury

Question 6

6 phases of concussion recovery

Answer 6

1. rest
2. light aerobic/no resistance
3. sport specific ex
4. non-contact drills
5. full contact
6. game play

Question 7

concussion recovery time frame

Answer 7

1 week minimum w/ out symptoms

Question 8

physical changes associated w/ TBI (4) similar to SCI

Answer 8

1. paralysis (1 or both sides)
2. balance
3. spasticity
4. speech

Question 9

systemic changes associated w/ TBI (4)

Answer 9

1. incontinence
2. headache
3. seizures
4. vitals

Question 10

cognitive changes associated w/ TBI (4)

Answer 10

1. memory
2. concentration
3. reading/writing
4. organization

Question 11

behavioral/emotional changes associated w/ TBI (4)

Answer 11

1. egocentric
2. frustration/aggressive
3. no filter
4. depression

Question 12

8 stages of TBI recovery RLA

Answer 12

1. no response
2. generalized response
3. localized response
4. confused-agitated
5. confused-inappropriate
6. confused-appropriate
7. automatic-appropriate
8. purposeful-appropriate

Question 13

no response to external stimuli. Pt appears to be in a deep sleep

Answer 13

level 1: no response

Question 14

emerging signs of arousal. Reflexive, inconsistant response to stimuli. Eye opening

Answer 14

level 2: generalized response

Question 15

signs of awareness. responds to pain. blinks w/ light

Answer 15

level 3: localized response

Question 16

confused, aggressive, combative. Hyper alert and restless. Paranoid w/ hallucinations

Answer 16

level 4: confused agitated

Question 17

confused, agitated, highly distractable and needs constant re-direction. No new learning. Can communicate w/ old memories (sports, things they know) social automatic level.

Answer 17

level 5: confused inappropriate

Question 18

awareness of situation. Requires external cues to complete tasks. Max A w/ new learning. Confuses past and present

Answer 18

level 6: confused appropriate

Question 19

appears appropriate. Able to complete highly familiar tasks. Egocentric. Inappropriate social behavior

Answer 19

level 7: automatic appropriate

Question 20

handles multiple tasks in all environments. Socially appropriate. Acknowledges others’ feelings. May require breaks

Answer 20

level 8: purposeful appropriate

Question 21

level 1 =

Answer 21

no response

Question 22

level 2 and 3 =

Answer 22

decreased response

Question 23

level 4, 5 and 6 =

Answer 23

confused

Question 24

level 7 and 8 =

Answer 24

appropriate

Question 25

on the Glasgow Coma Scale (0-15), a coma is defined as...

Answer 25

8 or less

Question 26

PT phases for TBI (3)

Answer 26

1. minimally conscious phase (1-3) 2. structured phase (4-5) 3. community re-entry phase (6-8)

Question 27

ROM, WB, upright, airway management, family education

Answer 27

minimally conscious phase (1-3)

Question 28

"do whatever you can!", simple exercise, cognitive activities. NO NEW LEARNING

Answer 28

structured phase (4-5)

Question 29

balance, strength, safety, pt education, cognitive activities w/ specific areas of difficulty

Answer 29

community re-entry phase (6-8)

Question 30

Dilatin, phenobarbital, keppra

Answer 30

anticonvulsants

Question 31

ritalin

Answer 31

stimulants

Question 32

dantrium, baclofen, xanaflex

Answer 32

antispasticity

Question 33

ativan, xanax, zoloft

Answer 33

anti-anxiety

Question 34

haldol

Answer 34

antipsychotic

Question 35

seroquel, depakote, celexa, trazadone

Answer 35

mood stabilizers and sleep regulation