Deck 19: Traumatic Brain Injury

Question 1

Which of the following is a sympathetic nervous system response that is MORE likely to be present after traumatic brain injury?

A)Increased heart rate
B)Decreased blood pressure
C)Slowed respiration rate
D)Hypothermic state

Answer 1

A

Question 2

A patient with traumatic brain injury appears to have relatively intact visual fixation and visual pursuit and does not withdraw from noxious stimulus,but rather localizes to it.What is the MOST appropriate classification of the state of alteration of consciousness for this patient?

A)Minimally conscious state
B)Comatose state
C)Vegetative state
D)Ozymandias state

Answer 2

A

Question 3

Which of the following neuromuscular patient presentations are LEAST likely to be seen as a direct result of a traumatic brain injury?

A)Upper and lower extremity paresis
B)Chorea form movements
C)Abnormal tone
D)Abnormal gait patterns

Answer 3

B

Question 4

What is the MOST likely classification of the altered state of consciousness for a patient with traumatic brain injury who presents with a completely nonfunctional arousal system;no auditory,visual,cognitive,or communicative function;and is ventilator dependent?

A)Neurogenic reserve state
B)Vegetative state
C)Minimally conscious state
D)Comatose state

Question 5

Which of the following is the MOST important protocol for preventing common secondary impairments for patients in comatose or vegetative states after brain injury?

A)Eliminate the use of tilt-in-space wheelchairs to enable proper positioning in rigid-frame chairs.
B)Position lower extremities in full extension whenever possible while in bed.
C)Encourage plantarflexion of the foot by serial casting.
D)Reposition patients every 2 hours to decrease likelihood of skin breakdown.Chapter 19: Traumatic Brain Injury

Question 6

What is the MOST appropriate term to describe brain tissue damage from a cascade of biochemical,cellular,and molecular events;hypoxia;edema;and increased intracranial pressure?

A)Secondary brain injury
B)Primary brain injury
C)Concomitant brain injury
D)Exposure brain injury

Question 7

A patient with a recent severe traumatic brain injury has no purposive cognitive or communicative engagement but occasionally smiles or cries.What is the MOST appropriate classification of altered state of consciousness if the patient manages basic cardiorespiratory and homeostatic functions,tracking some of the physical therapist's movements in the room,but is not able to reliably execute purposive movement of muscle groups?

A)Minimally conscious state
B)Comatose state
C)Vegetative state
D)Cortical reactivation state

Question 8

The Glasgow Coma Scale is the most widely used clinical scale that measures levels of consciousness and helps define and classify the level of brain injury sustained.Which of the following is NOT a traditional scoring component of this scale?

A)Eye opening response
B)Motor response
C)Length of post-traumatic amnesia
D)Verbal response