TBI
T/F: A disease is considered an external force that can cause a TBI.
False
T/F: Patients have to go through every Rancho level to reach a full recovery.
True
T/F: Some with RHD has right side paresis or paralysis.
False; left side
T/F: Dementia affects an individual's performance of ADLs (activities of daily living).
True
T/F: Amyotrophic lateral sclerosis causes sudden paralysis.
False; progressive paralysis
Coup-contrecoup is considered a ____ brain injury.
diffuse
Persons who have shorter periods of unconsciousness likely had ______ brain injuries initially.
less severe
Would someone with RHD understand this: "I completed the report and submitted it by the skin of my teeth."?
No (figurative language)
Name one characteristic of dementia.
•Forgetfulness of recent events
•Getting lost
•Repeated falls
•Odd, repetitive or inappropriate behaviors
•Apathy and personality changes
•Changes in hygiene and eating habits
Which type of bacterial meningitis needs immediate medical attention or it may result in death?
bacterial meningitis
Name the three categories in the Glasgow coma scale.
eye opening, motor movement and verbal response
Rancho levels IV-VI are called the ____ states.
confusional
Describe how long distance dependencies in a conversation can be a challenge for someone with RHD.
Cannot track/follow a conversation (how or why a conversation moves from different topics)
Name the 4 things dementia is not.
•Delirium
•Normal aging
•Mild cognitive impairment
•Intellectual Disability (dementia is acquired loss of function)
Encephalitis is inflection of the _____.
brain
Name the three mechanisms of injury.
high speed/low speed
open/closed head
focal/diffuse
Name this Rancho Level:Carter can say yes and no when asked questions. He sometimes says his name clearly. He often tries to grab a cup to drink from it.
Rancho level III (minimally conscious state)
Cleo is a high school freshman who suffered a TBI after a gymnastics accident. During therapy, I show her a picture of her friends. She can identify her friends, but when I ask her what I am holding she says, "I don't know" (she cannot identify that I am holding a photo or picture). What is Cleo demonstrating here?
Agnosia (inability to identify objects)
Name this stage of dementia: Betty becomes restless at night. She tends to have sudden outbursts of anger towards her caregiver. Betty tends to perseverate on the question, "Why?".
VI (severe decline)
What is the first part of a seizure?
aura
Parker had a gunshot wound to the head. Is this an open/closed head injury? Focal/diffuse? High/low speed?
open, focal, high speed
Name this Rancho Level:Gina claims she can drive although she has a broken leg. She is able to hold a conversation for about 5 minutes. Although Gina maybe hungry, she needs help with initiation (asking for food).
Name one way to test visual neglect.
copying, drawing, cancellation tasks, cross out tasks, and reading text
Name two characteristics of Stage 5 (moderately severe)
•Be unable to recall their own address, telephone number or high school
•Become confused about where they are or what day it is
•Have trouble with less challenging mental arithmetic
•Need help choosing proper clothing for the season or the occasion
•Still remember significant details about themselves and their family
•Still require no assistance with eating or toileting
Describe Guillian-Barre Syndrome.
Autoimmune neurological disease affecting peripheral nerves
Usually preceded by upper respiratory infection Ascending muscle weakness or paralysis, then descending recovery
May ascend as far as muscles of respiration, speech and swallowing
Usually good recovery