Question 1

A person whose Glasgow Coma Score was a 10 would be classified as a having a

Accepted Answer

A) concussion. 
B) mild head injury. 
C) moderate head injury. 
D) severe head injury. 
A) concussion. 
B) mild head injury. 
C) moderate head injury. 
D) severe head injury. C

Question 2

The most common cause of traumatic brain injuries in the young adult population is

Accepted Answer

A) violence and assaults. 
B) motor vehicle accidents. 
C) falls. 
D) sports injuries. 
A) violence and assaults. 
B) motor vehicle accidents. 
C) falls. 
D) sports injuries. B

Question 3

Post-traumatic amnesia in a patient with a traumatic brain injury (TBI)refers to

Accepted Answer

A) the time between the injury and the time when the patient is able to remember ongoing events. 
B) an inability to remember the details of the injury that resulted in the TBI. 
C) an inability to remember the details of one's life prior to injury. 
D) how long a person can remember a fact or detail once presented the information. 
A) the time between the injury and the time when the patient is able to remember ongoing events. 
B) an inability to remember the details of the injury that resulted in the TBI. 
C) an inability to remember the details of one's life prior to injury. 
D) how long a person can remember a fact or detail once presented the information. A

Question 4

Sensory stimulation programs for patients in coma or persistent vegetative state

Accepted Answer

A) have not been proven to be effective in enhancing recovery. 
B) are contraindicated as patients may become overstimulated. 
C) should be completed at least three times per day to be effective. 
D) should incorporate only visual and auditory stimulation. 
A) have not been proven to be effective in enhancing recovery. 
B) are contraindicated as patients may become overstimulated. 
C) should be completed at least three times per day to be effective. 
D) should incorporate only visual and auditory stimulation.

Question 5

A primary focus of treatment with patients who are functioning at level VII of the Rancho Los Amigos Levels of Cognitive Functioning Scale is to

Accepted Answer

A) transition the patient from wheelchair mobility to ambulation. 
B) allow the patient to return to sports. 
C) assist the family in understanding of the patient's physical limitations and dependent handling techniques prior to discharge. 
D) integrate cognition,behavior and functional training to allow the patient to function in less structured settings. 
A) transition the patient from wheelchair mobility to ambulation. 
B) allow the patient to return to sports. 
C) assist the family in understanding of the patient's physical limitations and dependent handling techniques prior to discharge. 
D) integrate cognition,behavior and functional training to allow the patient to function in less structured settings.

Question 6

Which of the following statements is true?

Accepted Answer

A) A patient with declarative memory deficits is unable to learn new motor skills. 
B) A patient with declarative memory deficits will be able to learn motor skills only after he is able to verbalize the steps involved in their completion. 
C) Repetitive practice of motor skills may result in improved performance even in patients with declarative memory deficits. 
D) Repetitive practice of cognitive skills is essential to improve performance of motor skills. 
A) A patient with declarative memory deficits is unable to learn new motor skills. 
B) A patient with declarative memory deficits will be able to learn motor skills only after he is able to verbalize the steps involved in their completion. 
C) Repetitive practice of motor skills may result in improved performance even in patients with declarative memory deficits. 
D) Repetitive practice of cognitive skills is essential to improve performance of motor skills.

Question 7

Which of the following is true with regard to the role of the family of a patient with a TBI during active rehabilitation?

Accepted Answer

A) Families should not be involved in the day-to-day care of the patient because of the risk that they will get burned out prior to the patient's discharge. 
B) Families should become involved in many therapeutic activities such as ROM,positioning,and sensory stimulation programs. 
C) Families should assume primary responsibility for the patient's care as they will be expected to do it at home. 
D) Husbands/wives should not be expected to be involved in caretaking activities,as this may be detrimental to their marital relationship. 
A) Families should not be involved in the day-to-day care of the patient because of the risk that they will get burned out prior to the patient's discharge. 
B) Families should become involved in many therapeutic activities such as ROM,positioning,and sensory stimulation programs. 
C) Families should assume primary responsibility for the patient's care as they will be expected to do it at home. 
D) Husbands/wives should not be expected to be involved in caretaking activities,as this may be detrimental to their marital relationship.

Question 8

Which of the following statements is not true with regard to intracranial pressure (ICP)?

Accepted Answer

A) Normal ICP is between 4 and 15 mm Hg. 
B) Ventricular drainage can be used to treat elevated ICP. 
C) Elevated ICP is treated by positioning the head elevated to approximately 30º. 
D) Elevated ICP is treated with supine positioning and sedating medications. 
A) Normal ICP is between 4 and 15 mm Hg. 
B) Ventricular drainage can be used to treat elevated ICP. 
C) Elevated ICP is treated by positioning the head elevated to approximately 30º. 
D) Elevated ICP is treated with supine positioning and sedating medications.

Question 9

Decorticate rigidity results in sustained positioning in

Accepted Answer

A) upper extremity flexion and lower extremity extension. 
B) upper extremity extension and lower extremity flexion. 
C) flexion of both the upper extremities and lower extremities. 
D) extension of both the upper extremities and lower extremities. 
A) upper extremity flexion and lower extremity extension. 
B) upper extremity extension and lower extremity flexion. 
C) flexion of both the upper extremities and lower extremities. 
D) extension of both the upper extremities and lower extremities.

Question 10

Patients with severe traumatic brain injuries may be at risk for contracture formation due to

Accepted Answer

A) hyperkinesis. 
B) seizures. 
C) abnormal tone and posture. 
D) vascular instability. 
A) hyperkinesis. 
B) seizures. 
C) abnormal tone and posture. 
D) vascular instability.

Question 11

Which of the following is true with regard to diffuse axonal injury in patients with traumatic brain injuries?

Accepted Answer

A) It is characterized by a widespread shearing of axons. 
B) It occurs when increased intracranial pressure from edema results in axonal damage. 
C) It correlates with a positive prognosis. 
D) It is characterized by focal neuronal injury. 
A) It is characterized by a widespread shearing of axons. 
B) It occurs when increased intracranial pressure from edema results in axonal damage. 
C) It correlates with a positive prognosis. 
D) It is characterized by focal neuronal injury.

Question 12

A patient who is functioning at a level III on the Rancho Los Amigos Levels of Cognitive Functioning Scale demonstrates

Accepted Answer

A) failure to respond to all stimuli. 
B) an inconsistent response to stimuli. 
C) a localized response to stimuli. 
D) full response to all stimulation with agitation. 
A) failure to respond to all stimuli. 
B) an inconsistent response to stimuli. 
C) a localized response to stimuli. 
D) full response to all stimulation with agitation.

Question 13

Which of the following is true with regard to positioning of patients with severe brain injuries and low response levels.

Accepted Answer

A) Patients with severe brain injuries should not be positioned up in a wheelchair until they demonstrate good head control. 
B) Patients with severe brain injuries should be positioned in a standard wheelchair as soon as they are medically stable. 
C) Patients with severe brain injuries should be positioned up in a wheelchair as soon as medically stable,but may require a tilt-in-space for positioning and head support. 
D) Patients with severe brain injuries should be positioned up in a bedside chair,but not a wheelchair. 
A) Patients with severe brain injuries should not be positioned up in a wheelchair until they demonstrate good head control. 
B) Patients with severe brain injuries should be positioned in a standard wheelchair as soon as they are medically stable. 
C) Patients with severe brain injuries should be positioned up in a wheelchair as soon as medically stable,but may require a tilt-in-space for positioning and head support. 
D) Patients with severe brain injuries should be positioned up in a bedside chair,but not a wheelchair.

Question 14

When working with a patient with TBI who is confused and agitated,the physical therapist should

Accepted Answer

A) restrain the patient at all times; safety is the number one priority. 
B) challenge the patient to learn new skills; the agitation is often the result of boredom. 
C) be prepared with numerous activities as the patient will have a limited attention span. 
D) vary the treatment every day; the patient responds best to change. 
A) restrain the patient at all times; safety is the number one priority. 
B) challenge the patient to learn new skills; the agitation is often the result of boredom. 
C) be prepared with numerous activities as the patient will have a limited attention span. 
D) vary the treatment every day; the patient responds best to change.

Question 15

Which of the following is true with regard to the physical therapy examination of the confused and agitated patient?

Accepted Answer

A) The physical therapy examination should be structured with an systematic examination of strength,active and passive ROM,and sensation. 
B) Physical therapy examination and intervention should be delayed until the patient is no longer agitated. 
C) The physical therapy examination may consist of primarily observation during functional activities until the patient is able to cooperate. 
D) The physical therapy examination should focus on cognitive skills,as this is the patient's primary impairment at this point in recovery. 
A) The physical therapy examination should be structured with an systematic examination of strength,active and passive ROM,and sensation. 
B) Physical therapy examination and intervention should be delayed until the patient is no longer agitated. 
C) The physical therapy examination may consist of primarily observation during functional activities until the patient is able to cooperate. 
D) The physical therapy examination should focus on cognitive skills,as this is the patient's primary impairment at this point in recovery.

Question 16

Behavioral changes commonly seen after TBI typically include

Accepted Answer

A) aggression,sexual disinhibition,euphoria,passivity. 
B) sexual inhibition,anxiety,depression,apathy. 
C) anxiety,extreme self-consciousness,paranoia,depression. 
D) emotional disinhibition,apathy,low frustration tolerance,aggressive disinhibition. 
A) aggression,sexual disinhibition,euphoria,passivity. 
B) sexual inhibition,anxiety,depression,apathy. 
C) anxiety,extreme self-consciousness,paranoia,depression. 
D) emotional disinhibition,apathy,low frustration tolerance,aggressive disinhibition.

Question 17

The Glasgow Coma Scale examines

Accepted Answer

A) motor skills,sensory integrity,and cognition. 
B) extremity movement,head movement,and eye movement. 
C) eye opening,verbal response,and motor response. 
D) responses to pain,temperature,and touch. 
A) motor skills,sensory integrity,and cognition. 
B) extremity movement,head movement,and eye movement. 
C) eye opening,verbal response,and motor response. 
D) responses to pain,temperature,and touch.

Question 18

Which of the following statements is true with regard to serial casting in patients with TBI?

Accepted Answer

A) It is contraindicated until patients are at least functioning at a Rancho level V. 
B) Its commonly used in the upper extremity but not the lower extremity because it prevents weightbearing and standing activities. 
C) Evidence supports that it can be used to improve PROM and tone. 
D) It is contraindicated in confused patients. 
A) It is contraindicated until patients are at least functioning at a Rancho level V. 
B) Its commonly used in the upper extremity but not the lower extremity because it prevents weightbearing and standing activities. 
C) Evidence supports that it can be used to improve PROM and tone. 
D) It is contraindicated in confused patients.

Question 19

A therapist is treating a patient with TBI and limited recovery.During the treatment sessions the patient flexes his leg whenever the therapist stretches out the plantar flexors.The nursing staff reports that they have seen the patient pulling at his NG tube.His mother reports that she thought he squeezed her hand last night when she asked him to.This patient would be best categorized at what level of the Rancho Los Amigos Levels of Cognitive Functioning scale?

Accepted Answer

A) Level I 
B) Level II 
C) Level III 
D) Level IV 
A) Level I 
B) Level II 
C) Level III 
D) Level IV

Exam 22: Traumatic Brain Injury

A person whose Glasgow Coma Score was a 10 would be classified as a having a

The most common cause of traumatic brain injuries in the young adult population is

Post-traumatic amnesia in a patient with a traumatic brain injury (TBI)refers to

Sensory stimulation programs for patients in coma or persistent vegetative state

A primary focus of treatment with patients who are functioning at level VII of the Rancho Los Amigos Levels of Cognitive Functioning Scale is to

Which of the following statements is true?

Which of the following is true with regard to the role of the family of a patient with a TBI during active rehabilitation?

Which of the following statements is not true with regard to intracranial pressure (ICP)?

Decorticate rigidity results in sustained positioning in

Patients with severe traumatic brain injuries may be at risk for contracture formation due to

Which of the following is true with regard to diffuse axonal injury in patients with traumatic brain injuries?

A patient who is functioning at a level III on the Rancho Los Amigos Levels of Cognitive Functioning Scale demonstrates

Which of the following is true with regard to positioning of patients with severe brain injuries and low response levels.

When working with a patient with TBI who is confused and agitated,the physical therapist should

Which of the following is true with regard to the physical therapy examination of the confused and agitated patient?

Behavioral changes commonly seen after TBI typically include

The Glasgow Coma Scale examines

Which of the following statements is true with regard to serial casting in patients with TBI?

Clinical Decision Making

Influence of Psychosocial Factors on Rehabilitation

Influence of Values on Patient Care: Foundation for Decision Making

Vital Signs

Examination of Sensory Function

Musculoskeletal Examination

Examination of Coordination

Examination of Motor Function: Motor Control and Motor Learning

Electromyography and Nerve Conduction Velocity Tests

Examination of Gait

Examination of Functional Status and Activity Level

Examination of the Environment

Strategies to Improve Motor Function

Locomotor Training

Chronic Pulmonary Dysfunction

Heart Disease

Vascular,lymphatic,and Integumentary Disorders

Stroke

Multiple Sclerosis

Amyotrophic Lateral Sclerosis

Parkinsons Disease

Traumatic Spinal Cord Injury

Vestibular Disorders

Amputation

Arthritis

Burns

Chronic Pain

Cognitive and Perceptual Dysfunction

Neurogenic Disorders of Speech and Language

Orthotics

Prosthetics

The Prescriptive Wheelchair

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