Cognitive Terms
Mechanism of Injuries
Memory
RANCHO Levels
100

The patient is considered to have normal brain stem reflexes and natural sleep-wake cycles, but does not respond to stimuli. What term of consciousness best describes this patient?

Vegetative State

100

Very common in the millitary and is defined as overpressure or rattle of the brain. The injury is best defined as:

Blast Injury

100

The patient has suffered a grade 2 concussion and is unable to recall the events of the injury or what they did before the injury. This is known as:






Retrograde Amnesia

100

The patient is described as confused and has periods of day dreaming or attention response. The note previous said the patient also became agitated when he heard the mower go by the treatment room. The LCOS level presented is:

 Level 5 - Confused-Inappropriate

200

The patient has is aroused by brushing the side of the cheek with a cool cloth and also by snapping of the fingers, patient is only aroused brief by this. What is the best term to describe this?

Stupor

200

The tearing of the synapses and the axons, causing intracerebral hemorrhage is known as what type of TBI injury?

Diffuse Axonal Injury

200

Post Traumatic amnesia is also known as: 

antegrade amnesia

200

A PTA is treating a 21 y.o. patient s/p TBI. She is able to turn her head towards her mom's voice. She brigthen ups when she hears her favorite song and is able to follow a ball moving across her visual field. The LCOF is:

Level 3 - Localized Response

300

The reticular system is not functioning properly, leaving the patient on a ventilator. What term best describes the cognitive condition of the patient?

Coma

300

The patient has a single injury to the temporal lobe due to hitting the side of the head on the car. What type of injury is this?

Coup Injury

300

The state of being aware of what is around you is best known as

Consciousness

300

You are working with an individual and you notice they like to work independently, need breaks throughout the day, and also notice they become very defensive or irritable with change of correction. The most conclusion is the individual had a previous TBI and is at what LCOF level?

Level 9 - Purposeful Appropriate

400

The cognitive impairment that leaves patients sleeping often, decreased arousal when awake and decrease interest is known as:

Obtunded

400

The patient has a 9 day old TBI injury, and has now come into the clinic to be treated for a sprained ankle but reports hitting her head today when she backwards in basketball practice. This can be a serious issue, what injury best describes this:

Second Impact Syndrome

400

The patient has a GSC score of 14, the patient's memory and response is Good, Fair or Poor

Good

400

A 56 y.o. patient LCOF is describes as appropriate, Orientated x3, new learning is carried over to the next day, but has a tendency to over estimate his abilities to live independently. What LCOF is this patient?

Level 7 - Automatic - Appropriate

500

You walk into a patients room and they perceive you as a threat and become very afraid of you and yelling at you to get because they don't want you to take them away. This is defined as:

Delirium

500
Secondary injury is known as the cellular storm that occurs and contributes to brain swelling and what other sign?

Increased ICP

500

Which form of amnesia is considered a clinical indicator on how severe the TBI is?

Posttraumatic Amnesia

500

The patient has a gross response to painful stimuli and demonstrates reflex responses, her response have been delayed over the past 2 days. What is the patient's LCOF?

Level 2 - Generalized Response
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