Section 7

Front 1

_____ is the leading cause of death and acquired disability in kids and adolescents in the US

Back 1

TBI

Front 2

age groups at hight rate for TBI are? And from what?

Back 2

0-4

Falls

Front 3

Kids 0-4 are susceptible to head trauma from what?

Back 3

Abuse anx shaken baby syndrome

Front 4

15-19 year olds are at highest risk of TBI due to what?

Back 4

MVA

Falls

Struck on head

Front 5

Functional recovery of previously learned skills is ____ the younger the kid is when injury is acquired

Back 5

Better

Front 6

But prognosis for acquiring new skills is ____ the younger the kid is at time of injury

Back 6

Worse

Front 7

True or false: the trauma may not be apparent because the kids brain still developing

Back 7

True

Front 8

Which Peak maturation mile posts is: 3-5

Back 8

rapid brain growth in all regions form images, use things in serial Order

Front 9

Which Peak maturation mile posts is: 8-10

Back 9

Sensory and motor system continue to mature

Frontal executive system begins to develop

Begining to understand mathematical reasoning

Front 10

Which Peak maturation mile posts is: 14-15

Back 10

Maturation of visosptial and visu audio and somatic systems

Find flaws and create new ones

Front 11

Which Peak maturation mile posts is: 17-19

Back 11

Frontal executive functions mature

Questions info, reconsiders and form new thoughts

Front 12

Brain tumor, Anoxia, hyoixiaInfections, CVA fro avm or sickle cell disease are causes of:

Back 12

Non traumatic BI

Front 13

AHT and SBS stand for what

Back 13

Abusive head trauma and shaken Baby syndrome

Front 14

AHT/SBS are most common at which age group

Back 14

0-5

More common in males

Front 15

Prevention strategies for AHT/SBS

Back 15

Educate care givers

Train on how to cope with crying babies

Info about Crisis lines

Front 16

Bleeding of the brain (subdural hemorrhage or hematoma), brain swelling, bleeding eyes are all___

Back 16

Are AHT/SBS diagnostic indicators

Front 17

Outcomes for AHT and SBS

Back 17

Long Term disability 75-80%

Front 18

Provides reasonable accommodation so they can benefit from education.

Back 18

504 rehab act of 1973

Front 19

Federal education mandate to provide public education through special education and support services to kids with eligible disability

Back 19

Individual with disabilities education (IDEA)

Front 20

Supports students from. Preschool - post secondary - employment. Can be in place while waiting for IEP

Back 20

504 accommodation plan

Front 21

Supports related to services recommended by IEP can include

Back 21

Adopted technology

Speech

OT/ PT

Councelling

Writes goals for individual

Front 22

Congnitive, psychosocial, sensoimotor are ___ needs of people who have ABI

Back 22

Educational

Front 23

Signature injury sustain in the military

Back 23

TBI

Front 24

Cause sof injury in military are

Back 24

GSW

Explosives

Front 25

Issues unique to military population is

Back 25

Mechanism of injury

Co-occuring deployment

Military culture

Front 26

56% of people in military have _____ only

Back 26

MTBI

Front 27

44%of people in the military have _____

Back 27

Mtbi and PTSD

Front 28

Most relevant cause of injury in military is

Back 28

Blast

Falls

Gunshot wounds

Front 29

Type of injuries to military people

Back 29

Closed head injury

Open- penetrating cutting through dura mater

Front 30

There are _____ levels of blast injury

Back 30

4

Front 31

Types of blast injury are

Back 31

Primary

Secondary

Tertiary

Quatemary

Front 32

This is a characteriatic of _____ stage of blast injury.

Results from Impact of over pressurization wave with body surface

Back 32

Primary

Front 33

Primary affects what body part?

Back 33

lungs, GI tract and middle ear

Front 34

Primary types of injury

Back 34

Blast lung

Middle ear damage

Eye rupture (abnormal hemorrhage and perforation)

Concussion

Front 35

Results from flying or falling debris and bomb fragments

Back 35

Secondary

Front 36

Secondary can affect _____ body part

Back 36

Any

Front 37

Type of injury caused by secondary

Back 37

Penetrating ballistic or blunt injury

Front 38

Individual being thrown by blast wind, body impacts ground or object

Back 38

Tertiary

Front 39

Body part affect is ____

Back 39

Any

Front 40

Injury from tertiary is

Back 40

Fracture and traumatic amputation

Close or open BI

Front 41

Explosion related, illness or disease not due to the other levels of blast injuries

Back 41

Quatemary

Front 42

Can affect ____ body part

Back 42

Any

Front 43

Quatemary injuries include

Back 43

Burns, crush injuries, closed /open BI, asthma, COPD

Front 44

Tests that are used by first responders/ medics for triage to higher level of care is ____

Back 44

TBI screening

Front 45

Military acute concussion evaluation (MACE) developed by DVBIC provides gross measures of cognitive domains

Back 45

Orientation

Immediate Memory

Concentration

Memory recall

Front 46

_____ diagnosis made whenever alertation in consciousness exists

Back 46

TBI

Front 47

Neuropsychological testing

Back 47

Dod doesn't prescribe specific batteries of tests

Front 48

Neurobehavioural symptom inventory(NSI)

Back 48

Can access the most common symptoms experienced following tbi

Front 49

Mood/ sleep scales, which provide focused assessment of mood and anxiety disturbances

Back 49

The state trait anxiety inventory (STAI) & automated neuropsychological assessment metric (ANAM)

Front 50

ANAM simple reaction time and continuous performance subtests

Back 50

Which objective measure cognitive performance

Front 51

Treatment for concussion and MTBI initial treatment

Back 51

Rest

Therapy

Education of signs and symptoms, strategies

Symptom management

Front 52

____ are all considerations for return to duty

Back 52

No one is clear to return until symptom free

Rest and ready to work considerations are very important

Front 53

People may have fears, anxiety acute stress reaction and ___ pre injury of may follow TBI

Back 53

PTSD

Front 54

_____ % of militatary ppl with concussion may meet diagnostic criteria for PTSD

Back 54

44

Front 55

Chronic pain, PTSD, depression, anxiety, substance misuse. Treatment focuses on symptom relief

Back 55

Co-occuring disorders with MTBI

Front 56

A process that involves 2 boards

Medical and physical evaluation board

Back 56

Medical discharge

Front 57

Physician determines if service member is able to meet medical retention standards. This is informal Process

Back 57

Medical. Evaluation board

Front 58

This is a formal fitness for duty and disability, and eligibility for disability compensation

Back 58

Physical evaluation board

Front 59

True or false: do military ppl have a hard time with role identifying and relationships as they settle in at home

Back 59

True

Front 60

True or false: challenges aren't complicated by physical, cognitive, and behaviour deficits from Tbi.as well as other factors such as PTSD and pain

Back 60

False.

The challenges are complicated

Front 61

DVBIC

Back 61

Defense and veterans brain injury center.

Front 62

DVBIC developed brain injury rehab through ____ partnerships programs for model community reintegration of service

Back 62

Civil

Front 63

CIR

Back 63

Community integrated rehab

Front 64

Improved functional outcomes

Reduced social dependency

Increased participation

Improved self and family ratings are all outcomes of what___

Back 64

CIR programs

Front 65

An unpaid individual who provides care services to those who can't care for themselves

Back 65

Care giver

Front 66

True or false: Caregivers of people with a TBI are at lower levels of distress when compared to caregivers of other populations

Back 66

False

Caregivers are at higher distress levels

Front 67

Families may feel like the person with a TBI is a burden because:

A) overall demands

B) Lack of appropriate social Supports

C) limited access to important resources and services

D) all of the above

Back 67

D) All of the above.

Front 68

______ burden and start in the acute phase of injury when family emotionally deals with catastrophe

Back 68

Caregiver burden

Front 69

True or false: Caregivers are uncertain of their role and looming pressures in the rehab phase

Back 69

True

Front 70

Post discharge stressors include

A) social isolation

B) caregiver depression

C) anxiety

D) all of the above

Back 70

D) All of the above

Front 71

When relief is factored into treatment approaches and families learn coping strategies, negative outcomes _____

Back 71

Decrease

Front 72

When helping families address

Back 72

Help develop realistic goals for recovery

Help families come up with hopeful or progress focused attitude

Front 73

Grounded in the notion that whole is greater than sum. Assumes families have strength and capacity to solve problems

Back 73

Family systems theory (FST)

Front 74

About mutual respect, information sharing, participation between families and survivors

Back 74

Family centred service (FC'S)

Front 75

This therapy is structured with the person attending a limited number of sessions.

Helps the individual become aware of inaccurate zor negative thinking.

Change in belief can result in changes in feelings and outcomes

Back 75

Cognitive behaviour therapy

Hint 75

Front 76

This therapy is is based on the notion that no matter the catastrophe or the event, there are always ppl and families who rise above the expected negative outcomes "beat the odds".

Can be taught

Back 76

Resilience theory

Front 77

Support intimate relationships by providing accurate information, instill hope and help with plans for respite is the focus of ____

Back 77

Rehab for families

Front 78

Couples after TBI struggle with:

Back 78

Sex satisfaction

Communication

Parenting struggles

Devorce may happen

Front 79

Spouses report feelings of

Back 79

Depression, decrease marital satisfaction which Impacts family

Front 80

True or false: Parents of adults with BI must return to authority.

Back 80

True

Front 81

True or false: adult child has peers and friends for social outlet

Back 81

False: often time parents become the social outlet as peers pull away

Front 82

True or false: due to stress parents have a decrease in life span

Back 82

True

Front 83

Listen to caregiver concerns, provides comprehensive training for in home care, identify respite and facilitate opportunities for peer support for individual

Back 83

Rehab fucus for parents

Front 84

Siblings may feel ____toward the survivor

Back 84

Resentment

Front 85

True or false: siblings needs are often overlooked, increased conflict, role changes

Back 85

True

Front 86

They require support, info, guidance, and ability to participate in family decisions. Parents are encouraged to maintain normalcy in routines and activities

Back 86

Rehab focus for siblings

Front 87

Considerations for military families:

A) military culture living in base can cause confusion for ppl with BI

B) have pre injury stressors even before the rehab process(relocation, deployment)

C) rehab professionals should be aware of militatary family stressors, possible poly- traumatic injuries, PTSD, and military systems of care

D) all of the above

Back 87

D) All of the above

Front 88

These are all _____:

A number of interventions for family and survivors in literature

Intervention target psychological support, education, problem solving, and skills training

Back 88

Brain injury family intervtions (BIFI)

Front 89

True or false: BIFI is created to assist families in meeting the complex needs of a family member with TBI

Back 89

True

Front 90

Bifi is manualized with fact sheets, guides and readings broken into ___to ____ minute sessions

Back 90

90-120 minute sessions

Front 91

BI has a dramatic impact of family

People do best when well informed

Each family member has a voice and deserves to speak

Back 91

Professionals working with families

Front 92

Joining with family members and individuals.

Active listening

Normalizing can best be described as the process of letting families know that their concerns and experiences are both valid and typical

Back 92

Techniques working with families aftrt BI