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CBIS Exam (202 – 2025) With Complete Solution
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CBIS Exam (202 – 2025) With CompleteSolution
AcutesBrainsInjurys-
sAnsinjurystosthesbrainsthatsissnotshereditary,scongenital,sdegenerative,sorsinducedsbysbirthst
rauma
TraumaticsBrainsInjurys-
sAnsalterationsinsbrainsfunction,sorsothersevidencesofsbrainspathology,scausedsbysansexternals
force
2sMechanismss
s*traumasimpact
s*straumaticsinertialsforces
Non-traumaticsbrainsinjurys-
sLacksofsO2,sdecreasedsnutrientsstoscells,sexposurestostoxins,spressuresfromstumorsorsblocka
gesorsothersneurosdisorder
ABIsPrevalences-s2ndsmostsprevalentsdisabilitysinsU.sS.s
*s13.5smillionsAmericans
Childrens&sTBIs-s*snon-accidentalstraumascausesofs80%sofsdeathssinschildrensunders2yo
*s2/3sofschildrensunders3yosthatsaresabusedshavesTBIs
*fallsscauses1/2sofsTBIsins0-14yo
domesticsviolences-s67%sofswomensinsdomesticsviolenceshadsTBIssymptoms
MildsTBIs-s*concussion
*LOCs>s30smin
*losssofsmemorys>24hrs
*CGSs13-15
*normalsCTsorsMRI
*anysAMSsatstimesofsincident
ModeratesTBIs-s*LOCsupstos24hrs
*neurossignssofsbrainstraumas
*sCGSs9-12
*mayshavesfocalsfindingssonsCT
SeveresTBIs-s*LOCs<24hrs
*GCSs3-8
ScreenssforsTBIs-sACEs-sacutesconcussionseval
,HELPS
WARCATs-swarriorsadministeredsretrospectivescasualtysassessmentstool
TBIQs-straumaticsbrainsinjurysquestionnaires
ImPACT
OSUsTBIsID
JCAHOs(JointsCommission)s-sThesnon-
profitsorganizationsthatsassistsshealthcaresfacilitiessbysprovidingsaccreditation
3syearsaward
CARFs(RehabilitationsAccreditationsCommission)s-
sThesOrganizationsthatsoverseessthesaccreditationsofsbrainsinjurysprogramss
3syearsaward
TBIsActsofs1996s-sFederalsLegislations
"TosexpandseffortsstosidentifysmethodssofspreventingsTBI,stosexpandsbiomedicalsresearchseff
ortssorstosminimizesthesseveritysofsdysfunctionsassasresultsofssuchsansinjury,sandstosimproves
thesdeliverys&squalitysofsservicessthroughsthesStatesDemonstrationsprojects."
HRSAs-sHealthsResourcessServicessAdministrations-
sMoneystosstatesstosimprovesintegrationsservices,sestablishspolicys&sproceduresfinancialssup
port
CDCs-sCentersforsDiseasesControls-sCarriessoutsprojectsstosreducesincidencesofsTBI
Rehabilitationsactsofs1973s-
sSetsfoundationsforsstatesvocationalsrehabssystem,sasfederal/statessupportedssystemsofsservi
cesswhichsassistsspersonsswithsdisabilitiesswhosarespursuingsmeaningfulscareers
Diffusesaxonalsinjurys-sSeveresbrainsinjuryscausedsbysextremesshearingsforces
Persistentspostsconcussivessymptomss-
sAscomplexsdisordersfollowingsasconcussion,slastingsforsweekssorsmonths,sconsistingsofssym
ptomsssuchsassheadachessorsdizziness,sNausea,spostsTrumaticsamnesiasandsGCSsofs13/14
Mustsbesdiagnosedsbysneuropsychologist
Somatizations-sThesexpressionsofspsychologicalsdistresssthroughsphysicalssymptoms
Chronicstraumaticsencephalopathys-sCTEs-
sRare,sprogressive,sdegenerativesconditionsofscentralsnervousssystemsthatsissseensandsrepeti
tivesbrainstrauma
Dementia,smemorysloss,saggression,sconfusion,sdepression
HebbiansLearnings-sNeuronssthatsfirestogether,swirestogether
Experiencesindependentslearnings-s"susesitsorslosesit"
, Synaptogenesiss-sThesprocesssbyswhichsneuronssformsnewsconnections
Disorderssofsconsciousnesss-sComa,sVegetativesState,sminimallysconscioussstate
Comas-s*snosevidencesofsarousal
*snosresponsestosinternalsorsextrnalsstimuli
*sMayshavesreflexivesresponse
*sresolvessins2stos4sweeks
Vegetativesstates-
sTransitionsofsseverelysbrainsdamagedspatientssfromsascomastoswakefulnessswithoutsawaren
esss
Cansbesmonthsstosyearssinsthissstate
Minimallysconscioussstates-
sconditionsinswhichssomeoneshassbriefsperiodssofspurposefulsactionssandsspeechscomprehen
sion
EmergencesfromsDOCs-sRequiressatsleastsonescriteria:s
*sfunctionalscommunicationsbysverbalsorsgesturalsY/Nsresponses
*sfunctionalsusesofs2sorsmoresobjects
Automaticsdysfunctionssyndromes-
sEpisodessof:sdystonias(abnormalsmusclestone), stachycardia,sdiaphoresiss(sweating),shypert
hermia,shypertension,stachypneas(rapidsbreathing)s
*occurssins15%-33%sofsseveresTBI
SleepsComplicationss-sHypogenicshallucinationss-
svividsdreamslikesauditory,svisual,sorstactilessensationssonsexperiencessbetweenssleepsandsw
ake
Cataplexys-
sfeaturesofsnarcolepsy.sSuddenslosssofsmusclestone.sConsciousnesssremainssclear,smemorysn
otsimpairedsandsrespirationssintact
ImmediatespostsTrumaticsconvulsionss(seizures)s-
sLOCs&sinvoluntarysmovementsswithinssecondssofsimpact
*cansbesasymmetrical,sshortsperiodsofsAMSs&sretrogradesamnesia
EarlyspostsTrumaticsseizuress-s*occursswithinsthesfirstsweek
*resultssfromsprimarysdirectseffectsofstraumas
*risksfactors:sseveresTBI,sdepressedsskullsfxs,spenetratingsheadsinjury,ssubsduralshematoma,s
entercerebralshematoma,sepiduralshematoma,sportablescontusion
LatespostsTrumaticsseizuress-s*swithins18stos24smonthsshoweverscansbesyearsslater
*salsoscalledspostsdramaticsepilepsy
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