Certified Brain Injury Specialist Exam 2023

4 Ts - Answer- Elements affecting sexual energy within a marriage. Time together; talking together; trusting each other; touching each other 504 Plan Section 504 of the Rehabilitation Act of 1973 - Answer- A written plan developed by a general education school committee outlining accommodations to be made by a K-12 or post-secondary school that receives federal funds for a student with a disabling condition that substantially limits a major life activity. Chronic Traumatic Encephalopathy (CTE) - Answer- Also known as dementia pugilistica, refers to a condition, diagnosed after death, relative to multiple concussions caused by significant force. A progressive degenerative disease that is most often sustained by athletes participating in contact sports, where it is sometimes termed punch drunk. May also be observed in domestic violence victims or abused children who have sustained numerous blows to the head. It begins very slowly with deterioration in concentration, attention, memory, judgment, and insight, occasionally accompanied by dizziness and headaches. Severe symptoms of eventually show symptoms of Parkinsonism, including disturbed coordination, slowed gait, slurred speech, masked facies, difficulty swallowing and tremors. Acquired Brain Injury (ABI) - Answer- An injury to the brain that is not hereditary, congenital, degenerative, or induced by birth trauma Traumatic Brain Injury (TBI) - Answer- an alteration in brain function, or other evidence of brain pathology, caused by an external force closed injuries - Answer- Can cause brain lacerations and contusions, or intracerebral hemorrhage within the brain causing focal injuries. i.e. coup-countercoup, and/or diffuse injury resulting from tearing or shearing of axons i.e. Diffuse axonal injury (DAI) Open injuries - Answer- Breach of the skull or a breach of the meninges. These injuries often result in focal injuries (such as epidural or SDH, or ICH) or penetrating injury i.e. gunshot wound Mild TBI (mTBI) - Answer- Can have either brief or no loss of consciousness and its presentation may demonstrate vomiting, lethargy, dizziness, and inability to recall what just happened. Moderate TBI - Answer- Will be marked by unconsciousness for any period of time up to 24hours, will have neurological signs of brain trauma, including skull fractures with contusion or bleeding, and may have focal findings on an electroencephalograph (EEG)/computed tomography (CT) scan. Normal or abnormal structural imaging; LOC 30min and 24 hr; AOC 24 hr severity based on other criteria; PTA 1 and 7 days; GCS = 9-12 Severe TBI - Answer- Marked by a period of loss of consciousness of 24 hours or greater. Normal or abnormal structural imaging; LOC 24 hr; PTA 7 days; GCS = 3-8 Incidence - Answer- occurrence; i.e. a certain number of brain injuries within a given year. Prevalence of Injury - Answer- The number of people with a given condition (i.e. ABI) at a specific point in time