Question 1

What is the most important cause of increased intracranial pressure (ICP)after head trauma?

Accepted Answer

A)  increased cerebrospinal fluid production 
B)  hypertension 
C)  hypotension 
D)  increase in blood volume 
A)  increased cerebrospinal fluid production 
B)  hypertension 
C)  hypotension 
D)  increase in blood volume D

Question 2

Compression of the midbrain secondary to intracranial hypertension would lead to which of the following?

Accepted Answer

A)  pupillary dilation 
B)  lateral gaze palsy 
C)  bradycardia 
D)  decerebrate posturing 
A)  pupillary dilation 
B)  lateral gaze palsy 
C)  bradycardia 
D)  decerebrate posturing D

Question 3

After a severe concussion,a football player has difficulty with visual-spatial processing.Where did this lesion most likely occur?

Accepted Answer

A)  left side cortical area 
B)  right side cortical area 
C)  amygdala area 
D)  brainstem 
A)  left side cortical area 
B)  right side cortical area 
C)  amygdala area 
D)  brainstem B

Question 4

According to the American Academy of Neurology,resolution of concussion symptoms or mental status abnormalities that occur for longer than 15 minutes result in what grade concussion?

Accepted Answer

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

Question 5

Which of the following is not true regarding heterotopic ossification (HO)?

Accepted Answer

A)  HO usually appears 4 to 12 weeks after the injury. 
B)  Usually the first sign of HO is loss of range of motion around a joint. 
C)  HO is not associated with TBI. 
D)  There is erythema, swelling, and pain with movement of the affected joint. 
A)  HO usually appears 4 to 12 weeks after the injury. 
B)  Usually the first sign of HO is loss of range of motion around a joint. 
C)  HO is not associated with TBI. 
D)  There is erythema, swelling, and pain with movement of the affected joint.

Question 6

The incident of traumatic brain injury (TBI)peaks at three different age ranges.Which of the following is not a peak age range for TBI?

Accepted Answer

A)  1 to 2 years 
B)  15 to 24 years 
C)  30 to 45 years 
D)  elderly population 
A)  1 to 2 years 
B)  15 to 24 years 
C)  30 to 45 years 
D)  elderly population

Question 7

Which of the following would not be associated with frontal lobe pathology?

Accepted Answer

A)  loss of verbal fluency 
B)  left quadriceps atrophy 
C)  slowed speed of cognitive processing 
D)  depression 
A)  loss of verbal fluency 
B)  left quadriceps atrophy 
C)  slowed speed of cognitive processing 
D)  depression

Question 8

Damage to what area of the brain stem would lead to an inappropriate gag reflex?

Accepted Answer

A)  medulla 
B)  vestibular nucleus 
C)  pons 
D)  Edinger-Westphal nucleus 
A)  medulla 
B)  vestibular nucleus 
C)  pons 
D)  Edinger-Westphal nucleus

Question 9

What is the lowest possible score for a patient on the Glasgow Coma Scale?

Accepted Answer

A)  0 
B)  1 
C)  2 
D)  3 
A)  0 
B)  1 
C)  2 
D)  3

Question 10

Posttraumatic aneurysms of what artery can be associated with delayed and sometimes lethal massive nose bleed?

Accepted Answer

A)  middle cerebral artery 
B)  anterior cerebral artery 
C)  internal carotid artery 
D)  posterior cerebral artery 
A)  middle cerebral artery 
B)  anterior cerebral artery 
C)  internal carotid artery 
D)  posterior cerebral artery

Question 11

What is the primary imaging modality for the initial diagnosis and management of the head injured person?

Accepted Answer

A)  magnetic resonance imaging (MRI) 
B)  positron emission tomography (PET) scan 
C)  computed tomography (CT) scan 
D)  plain film radiograph 
A)  magnetic resonance imaging (MRI) 
B)  positron emission tomography (PET) scan 
C)  computed tomography (CT) scan 
D)  plain film radiograph

Question 12

The PTA is beginning treatment for a TBI client in the intensive care unit.The patient has a chest tube secondary to hemothorax.Which of the following is a correct statement regarding management of the chest tube during treatment?

Accepted Answer

A)  The drainage tube should be kept below the level of the chest at all times. 
B)  The drainage tube should be kept at the level of the chest at all times. 
C)  The drainage tube should be kept above the level of the chest at all times. 
D)  Patients with a chest tube should not receive intervention from the PTA. 
A)  The drainage tube should be kept below the level of the chest at all times. 
B)  The drainage tube should be kept at the level of the chest at all times. 
C)  The drainage tube should be kept above the level of the chest at all times. 
D)  Patients with a chest tube should not receive intervention from the PTA.

Question 13

Contusions of the brain are most likely to occur with which type of blow?

Accepted Answer

A)  frontal 
B)  lateral 
C)  occipital 
D)  inferior 
A)  frontal 
B)  lateral 
C)  occipital 
D)  inferior

Question 14

Which of the following is true regarding TBIs?

Accepted Answer

A)  When the injury is a result of a missile wound, the size of the missile will determine the extent of the damage. 
B)  A contrecoup injury is frequently worse than the initial injury. 
C)  There is always a loss of consciousness with TBI. 
D)  In order for fatal damage to occur, there will be a contusion in the brain. 
A)  When the injury is a result of a missile wound, the size of the missile will determine the extent of the damage. 
B)  A contrecoup injury is frequently worse than the initial injury. 
C)  There is always a loss of consciousness with TBI. 
D)  In order for fatal damage to occur, there will be a contusion in the brain.

Question 15

Which of the following is not a side effect of medications used to control spasticity?

Accepted Answer

A)  hypertension 
B)  weakness 
C)  lethargy 
D)  drowsiness 
A)  hypertension 
B)  weakness 
C)  lethargy 
D)  drowsiness

Question 16

Damage to which cranial nerve would lead to a failure of the eye to abduct when the head is passively turned away from the side of the lesion?

Accepted Answer

A)  abducens nerve 
B)  trochlear nerve 
C)  oculomotor nerve 
D)  trigeminal nerve 
A)  abducens nerve 
B)  trochlear nerve 
C)  oculomotor nerve 
D)  trigeminal nerve

Question 17

Damage to what structure in the brain would most likely lead to ataxic breathing?

Accepted Answer

A)  diencephalon 
B)  pontine 
C)  medulla 
D)  pons 
A)  diencephalon 
B)  pontine 
C)  medulla 
D)  pons

Question 18

What level of the Rancho Los Amigos Scale of Cognitive Functioning would be characterized by a client with the following signs and symptoms? The client reacts specifically but inconsistently to stimuli.Responses are directly related to the type of stimulus presented.The client follows simple commands in an inconsistent delayed manner such as closing the eyes or squeezing the hand.

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

Question 19

What is the correct term for a patient who expresses one thought after another in disconnected or unrelated sequences using rambling speech after traumatic brain injury?

Accepted Answer

A)  excessive verbal output 
B)  inappropriate topic selection 
C)  inappropriate word choice 
D)  tangential verbal output 
A)  excessive verbal output 
B)  inappropriate topic selection 
C)  inappropriate word choice 
D)  tangential verbal output

Question 20

After traumatic brain injury,elevation of intracranial pressure (ICP)of more than ___________ is a significant predictor of poor outcome.

Accepted Answer

A)  5 mm Hg 
B)  10 mm Hg 
C)  15 mm Hg 
D)  20 mm Hg 
A)  5 mm Hg 
B)  10 mm Hg 
C)  15 mm Hg 
D)  20 mm Hg

Exam 22: Traumatic Brain Injury

What is the most important cause of increased intracranial pressure (ICP)after head trauma?

Compression of the midbrain secondary to intracranial hypertension would lead to which of the following?

After a severe concussion,a football player has difficulty with visual-spatial processing.Where did this lesion most likely occur?

According to the American Academy of Neurology,resolution of concussion symptoms or mental status abnormalities that occur for longer than 15 minutes result in what grade concussion?

Which of the following is not true regarding heterotopic ossification (HO)?

The incident of traumatic brain injury (TBI)peaks at three different age ranges.Which of the following is not a peak age range for TBI?

Which of the following would not be associated with frontal lobe pathology?

Damage to what area of the brain stem would lead to an inappropriate gag reflex?

What is the lowest possible score for a patient on the Glasgow Coma Scale?

Posttraumatic aneurysms of what artery can be associated with delayed and sometimes lethal massive nose bleed?

What is the primary imaging modality for the initial diagnosis and management of the head injured person?

The PTA is beginning treatment for a TBI client in the intensive care unit.The patient has a chest tube secondary to hemothorax.Which of the following is a correct statement regarding management of the chest tube during treatment?

Contusions of the brain are most likely to occur with which type of blow?

Which of the following is true regarding TBIs?

Which of the following is not a side effect of medications used to control spasticity?

Damage to which cranial nerve would lead to a failure of the eye to abduct when the head is passively turned away from the side of the lesion?

Damage to what structure in the brain would most likely lead to ataxic breathing?

What is the correct term for a patient who expresses one thought after another in disconnected or unrelated sequences using rambling speech after traumatic brain injury?

After traumatic brain injury,elevation of intracranial pressure (ICP)of more than ___________ is a significant predictor of poor outcome.

Introduction to Concepts of Pathology

Problems Affecting Multiple Systems

Injury, Inflammation, and Healing

The Immune System

Infectious Disease

Oncology

The Integumentary System

The Endocrine and Metabolic Systems

The Cardiovascular System

The Hematologic System

The Respiratory System

The Hepatic, Pancreatic, and Biliary Systems

Introduction to Pathology of the Musculoskeletal System

Genetic and Developmental Disorders

Infectious Diseases of the Musculoskeletal System

Musculoskeletal Neoplasms

Bone, Joint, and Soft Tissue Diseases and Disorders

Introduction to Central Nervous System Disorders

Infectious Disorders of the Central Nervous System

Degenerative Diseases of the Central Nervous System

Stroke

Traumatic Spinal Cord Injury

Cerebral Palsy

The Peripheral Nervous System

Behavioral, Social, and Environmental Factors Contributing to Disease and Dysfunction

The Psychosocial-Spiritual Impact on Health Care

Environmental and Occupational Medicine

The Gastrointestinal System

The Renal and Urologic Systems

Central Nervous System Neoplasms

Epilepsy

Headache

The Male Genital or Reproductive System

The Female Genital or Reproductive System

Vestibular Disorders

Laboratory Tests and Values

Filters