Brain Injury Knowledge Check!

A GCS (Glasgow Coma Scale) score of 5 indicates which severity of brain injury?

• Mild

• Moderate

• Severe

• Complete brain death/inactivity

Agitation = Aggression

• TRUE

• FALSE

A patient who is nonverbal is demonstrating increasing agitation during your session and pulling at his brief/pants . He is typically calm and presents as a Rancho V/VI. The most likely cause of this behavior may indicate:

• He is being sexually inappropriate/explicit towards you.

• He may need to use the restroom/is soiled.

• He is regressing to Rancho IV level and may need to return to an enclosure bed.

• He doesn't want to wear pants.

A patient is classified as DOC. He is exhibiting chewing/chomping motions with his mouth and intermittent swallowing. These behaviors somewhat increase in frequency when he is brought up to standing on the tilt table. This likely indicates:

• He is hungry and may do well with a bolus of pudding.

• A possible increase in neural activity during a positional change but not necessarily a change in level of presentation or functional performance.

• Nothing. Since this patient is DOC you can expect to see no changes from this patient.

At which Rancho level can you expect to start seeing the beginnings of retention and new learning?

• Rancho IV

• Rancho V

• Rancho VI

• Rancho VII

Which of the following tests can be used to gauge Rancho Los Amigos scale?

• Disability Rating Scale

• Berg Balance Scale

• Glasgow Coma Scale

• Agitated Behavior Scale

Which test is the gold standard of assessing emergence into full consciousness?

• IQBA

• JFK/CRS-R

• Rappaport Coma Near Coma

• FIST

FLACC stands for

• Face

  Limbs

  Agitation

  Cry

  Consolability

• Face

  Legs

  Agitation

  Confusion

  Consolability

• Face

  Limbs

  Activity

  Confusion

  Consolability

• Face

  Legs

  Activity

  Cry

  Consolability

When involving family members for training with a patient with ABI, you should typically wait for several weeks in order to see how the patient performs independently.

• TRUE

• FALSE

The handler and facility therapy dog arrive midway through your session and ask if your DOC patient would like to pet the dog. The patient's husband has told you the patient is a huge dog lover and was involved in multiple rescues and shelters prior to her injury. The most appropriate response is:

• "Sure! Do you think we could get the dog on the mat next to her dominant hand to facilitate petting and sensory input?"

• "She loves dogs, but unfortunately I can't bill for that time. Can you can come to visit her later?"

• "No, thank you. A dog is not part of this patient's physical therapy goals at this time.