Week 4 Quiz (TBI only)

Aimee is a 36-year-old female who was hit by a dumpster truck while biking to work, sustaining a left frontal subdural hemoatoma. Which statement is accurate regarding this type of TBI?

• Injury presentation includes an initial loss of consciousness, followed by a brief period of alertness, and then an eventual deterioration

• This is the most acutely dangerous type of focal TBI

• This type of TBI is highly correlated with post-injury vasospasms

• The associated bleeding is due to a rupture to the cortical bridging veins

Your patient demonstrates a cognitive presentation most consistent with frontal convexity syndrome, which is associated with which of the following?

• Euphoria

• Emotional lability

• Poor insight

• Pseudo-psychotoic behavior

• Apathy and indifference

There are various groups of individuals that have been identified as being at an increased risk for traumatic brain injury, including which of the following?

• Females

• Caucasians

• Suburban area dwellers

• Prisoners

What area of the cortex are common sites of focal TBIs?

• Superior-medial frontal lobe

• Anterior-inferior temporal lobes

• Superior-lateral parietal lobe

• Posterior-inferior occipital lobe

Which of the following would be an inconsistent characteristic with decerebrate posturing?

• Elbow extension

• Flexed wrists

• Flexed fingers

• Hip external rotation

While touching base with your patient's nurse in the neuro ICU, she says that at rounds the MD mentioned that they remain at moderate risk for increased intracranial pressure. You receive the OK to work with the patient, but what activities or positions should you absolutely avoid to keep the patient safe?

• Head of bed maintained in fully elevated position

• Cervical extension or rotation

• Stair training

• Chest percussion or vibration

What statement is true regarding language impairments associated with traumatic brain injury?

• Wernicke's aphasia is more common than Broca's apashia

• True language impairment is uncommon, language is instead more so impacted by cognition

• Common deficits include non-fluent speech and word substitutions

• If a patient has difficulties with language, it tends to be mild

Which of the following is considered to be the most socially limiting impairment associated with TBI?

• Language impairments

• Cognitive impairments

• Motor impairments

• Behavioral impairments

Considering the most common somatosensory impairments associated with traumatic brain injury, which intervention would be most appropriate?

• Searching for specific objects in a bin

• Mirror training while performing knee flexion and extension

• Therapuddy activities

• Utilizing anchor techniques to reach for objects on the left

Your patient demonstrates facial weakness after a traumatic brain injury. What should be true regarding this examination finding?

• The entire face will likely be impacted, due to this impairment presentation commonly presenting as a LMN injury from facial damage

• Only the lower face will be impacted, due to this impairment presentation commonly presenting as an UMN injury

• Only the upper face will be impacted, due to this impairment presentation commonly presenting as an UMN injury

• Both sides of the face will likely be weak, due to TBIs often being widespread injuries