CBIS Assessment and Diagnosis 3

Question 1

When using the Functional Independence Measure (FIM), which score indicates that the patient requires minimal assistance and performs at least 75% of the task independently?

Accepted Answer

FIM score of 5

Answer

A FIM score of 5 (supervision) means the patient needs stand-by assistance or cueing but does ≥75% of the effort.

Question 2

Which of the following best describes the distinction between coup and contrecoup injuries in TBI assessment?

Accepted Answer

Coup is injury at the impact site; contrecoup is injury opposite the impact site

Answer

Coup injury occurs directly at the site of impact, while contrecoup occurs on the opposite side due to brain rebound within the skull.

Question 3

A patient exhibits difficulty recognizing familiar faces despite intact visual acuity. This presentation is most consistent with damage to which brain region?

Accepted Answer

Right fusiform face area in the temporal lobe

Answer

Prosopagnosia (inability to recognize faces) is associated with bilateral or right fusiform gyrus damage in the temporal lobe.

Question 4

In TBI rehabilitation assessment, 'spasticity' is most accurately defined as:

Accepted Answer

Velocity-dependent increase in tonic stretch reflexes

Answer

Spasticity is specifically a velocity-dependent hypertonic state caused by upper motor neuron lesions, distinguishing it from rigidity.

Question 5

Which screening tool is most commonly recommended for identifying depression in the TBI population during routine clinical assessment?

Accepted Answer

Patient Health Questionnaire-9 (PHQ-9)

Answer

The PHQ-9 is widely validated for depression screening in TBI populations and is brief, standardized, and easy to administer.

(CBIS) Certified Brain Injury Specialist Practice Test

(CBIS) Certified Brain Injury Specialist Practice Test

CBIS Assessment and Diagnosis 3