TBI TBI Acute Care & Emergency Management

Question 1

What is the primary goal of acute TBI management in the emergency setting?

Accepted Answer

Prevent secondary brain injury

Answer

The primary goal is to prevent secondary brain injury by maintaining adequate oxygenation, perfusion, and controlling intracranial pressure.

Question 2

A Glasgow Coma Scale (GCS) score at or below which value indicates severe traumatic brain injury?

Accepted Answer

8

Answer

A GCS score of 8 or below indicates severe TBI, requiring aggressive management including airway protection and ICP monitoring.

Question 3

According to Brain Trauma Foundation guidelines, what is the target intracranial pressure (ICP) in acute severe TBI management?

Accepted Answer

Less than 20-22 mmHg

Answer

Current Brain Trauma Foundation guidelines recommend maintaining ICP below 20-22 mmHg to prevent herniation and secondary brain injury.

Question 4

Which intervention is considered a simple first-line measure for reducing elevated ICP in acute TBI?

Accepted Answer

Head-of-bed elevation to 30 degrees

Answer

Elevating the head of the bed to 30 degrees promotes cerebral venous drainage and reduces ICP without significantly compromising CPP.

Question 5

According to Brain Trauma Foundation guidelines, what is the recommended cerebral perfusion pressure (CPP) target in adult severe TBI?

Accepted Answer

60-70 mmHg

Answer

The Brain Trauma Foundation recommends a CPP target of 60-70 mmHg to ensure adequate cerebral perfusion without causing excessive cerebral blood flow.

TBI - Traumatic Brain Injury Certification Practice Test

TBI - Traumatic Brain Injury Certification Practice Test

TBI TBI Acute Care & Emergency Management