Brain Injury

This individual is purposefully attempting to remove restraints and crawl out of bed and is unable to cooperate with treatment efforts. They have absent short term memory and cry out to a stimulus even after its removal while exhibiting aggressive or flight behavior. What Rancho level are they?

This individual demonstrates a generalized reflex response to painful stimuli and responds to repeated auditory stimuli. Their responses may be significantly delayed. What Rancho level is this?

Which of the following is an example of TBI causes?

If an individual turns their head from side to side the eyes will move in a conjugate gaze to the opposite side, what does this indicate?

This person is inconsistently oriented to person, time and place. They show some vague recognition of the staff and can use an assistive memory aide with maximum assistance. They show emerging awareness of appropriate response to self, family, and basic needs. They show carry over for relearned familiar tasks but little to no carry over for new learning. They are unaware of their impairments. What Rancho level is this person?

This individual can recall and integrate past and recent events while independently completing familiar tasks for 1 hour in distracting environments. They don't need assistance once new tasks are learned and are aware of their impairments and disabilities when they interfere with task completion. What Rancho level is this?

This is a posture where the upper extremities are flexed while the lower extremities remain extended

What level of brain injury can lead to an impaired oculocephalic reflex and decerebrate posturing?

This individual is alert and not agitated but tends to wander randomly around the room. They have brief periods of non-purposeful sustained attention. They demonstrate inappropriate use of objects without external stimulation and cannot learn new information. What rancho level are they?

Which of the following is NOT considered primary damage?

This individual is consistently oriented to person and place within highly familiar environments. They need minimal assistance for new learning and start to demonstrate carry over of new learning while carrying out steps to complete familiar personal and household routines. What Rancho level is this person?

What is the level of the brain injury that could lead to decorticate posturing and Cheyne-Stokes respirations?

Risk of seizure is present post injury but is no longer present after 5 years

Closed Head injuries are at a higher risk for infections

This individual can carry out steps to complete familiar personal and household needs with minimal supervision for safety. However, they are unable to think about the consequences of their decisions or actions and may overestimate their abilities. They can be oppositional and uncooperative with disregard for others needs or feelings.What Rancho level is this person?

Which of the following is NOT a leading cause of TBI?

This individual can purposefully shift back and forth between tasks and completes them accurately for at least two consecutive hours. They uses assistive memory devices to recall daily schedule and use "to do" lists. They can think about the consequences of their actions with assistance when requested. They can acknowledge others needs and feelings and respond appropriately with stand by assistance. What Rancho Level is this?

What can hydrocephalus be a result of?

There is a higher incidence in ______

This injury is caused when the cerebrum slides on the brain stem leading to hormonal and metabolic changes

What level of brain injury can cause flaccidity and loss of gag and cough reflexes?

This individual can handle multiple tasks simultaneously in all environments. They anticipate the impact of impairments on ability to complete daily tasks and take action to avoid problems before they occur. They show irritability and low frustration tolerance when sick, fatigued or under emotional stress. Social interaction behavior is consistently appropriate. What Rancho Level is this?

An individual with a TBI has complete absence of observable changes in behavior when presented with stimuli and needs total assistance. What Rancho level are they?

According to the Rancho Levels of Cognitive Functioning, which Level presents as Confused and inappropriate (non-agitated)?

This individual thinks about the consequences of their action with minimal assistance and may overestimate or underestimate their abilities. They acknowledge others needs and feelings and responds appropriately with minimal assistance. They can seem depressed or irritable at times and have a low frustration tolerance. What Rancho level is this person?

Children are at the highest risk for seizures, especially those under age 7

______ is when there is decreased oxygen in the blood however blood flow is still intact such as in atmospheric pressure, carbon monoxide poisoning, and severe anemia.

What level of brain injury can cause a dysconjugate gaze, impaired cold caloric stimulation, and hemiparesis?

Which of the following is NOT under the three categories of the Glasgow Coma Scale?

Which of the following would not be considered under the category of a Closed Head Injury?

Which of the following is NOT considered Secondary Damage?

Which of the following is NOT a level of responsiveness?

This individual starts to vocalize or show withdrawal to painful stimuli and may turn toward or away from auditory stimuli. They can follow moving objects passed within the visual field and may respond to discomfort by pulling tubes or restraints. They show responses to some persons but not others. What Rancho scale level is this person?

What is not an example of a cause of an ABI?

Primary brain damage is usually caused by direct impact of short duration (i.e. bullet wound, knife, etc)