1.

A state of unconsciousness characterized by a state of sleep, reduced alertness to arousal and delayed
responses to stimuli
a. Coma
b. Stupor
c. Delirium
d. Obtunded
e. Clouding of consciousness
2. A direct lesion of the brain under the point of impact is known as:
a. Countercoup
b. Coup
c. Epidural hematoma
d. Subdural hematoma
3. A 36 y/o male sustained TBI after falling forward. He presents with inability to remember new memory,
poor attention, distractibility and impaired perception to stimuli. This type of memory impairment is
known to last to recover after a comatose state.
a. Post traumatic amnesia
b. Retrograde amnesia
c. Anterograde amnesia
d. Mixed amnesia
4. The Gold standard measure for TBI:
a. GOS
b. GCS
c. RLA
d. Hoehn- Yahr
5. A PT attempts to examine the extent of ataxia in a patient’s UE. The preferred method to examine and
document ataxia is:
a. MMT
b. Sensory test for light touch
c. Functional assessment of rolling in bed
d. Finger to nose
6. A PT employed in an acute care facility attempts to identify standardized instrument to measure
consciousness. The most appropriate standardized tool to be used is:
a. Barthel index
b. Mini mental state examination
c. Glasgow coma scale
d. Ranchos Los Amigos
7. This is a result of hemispheric or internal capsule lesion resulting to disruption of corticospinal tract:
a. Decerebrate
b. Decorticate
c. Spasticity
d. Rigidity
8. This occurs as a widespread stetching white matter shearing secondary to highspeed acceleration-
deceleration forces usually as a result of a motor vehicular accident:
a. Epidural hematoma
b. Subdural hematoma
c. Diffuse axonal injury
d. Cerebral concussion
9. A patient sustained an accident while driving a four wheeler truck. He had a TBI and currently presents
with periodic perspiration over the face and shoulder. This is an example of which dysfunction post TBI?
a. Central dysautonomia
b. Pituitary dysfunction
c. Thalamic pain syndrome
d. NOTA
10. PT intervention to increased ICP
a. VP shunt
b. Head elevation 60 degrees
c. Head elevation to 30 degrees
d. Exercises are contraindicated
11. If the patient presents with alteration of pulse, respiration, and blood pressure, which cerebral structures
will probably be herniated?
a. Cerebellar peduncles
b. Vestibular nuclei
c. Cerebral tonsils
d. Occipital lobe
12. Manong, after being hit by a high-speed golf ball, miraculously experiences only mild dizziness. He cam still
follow commands, carry a conversation correctly with his fans and opens yes when directed to. His GCS
score after the accident is:
a. 11
b. 15
c. 12
d. 14

13. There was considerable increase in muscle tone and passive movement is difficult:
a. Grade 2 Ashworth
b. Grade 4 Ashworth
c. Grade 3 Ashworth
d. Grade 1 Ashworth
14. A patients limb is moved into flexion and extension. Slight increase in muscle tone manifested by catch and
release. A minimal resistance at the end of ROM was likewise observed. How would you classify these
according to Ashworth’s grading spasticity?
a. 0
b. 1
c. 1+
d. 2
15. The patient was observed to have no ability to speak or follow commands, with decreased level of
awareness with intact eye opening and sleep wake cycles. This type of consciousness is known as:
a. Akinetic mutism
b. Vegetative state
c. Comatose
d. A & B
e. B & C
16. The patient appears to be resting quietly and makes gross movements in response to noxious stimulation.
He is said to be in which level?
a. Generalized response
b. Localized response
c. No response
d. Confused-agitated
17. Grade 3 Tardieu scale:
a. No resistance throughout PROM
b. Nonfatiguable clonus, >10 seconds when maintaining pressure angle
c. Slight resistance throughout PROM
d. Clear catch at a precise angle, resisted PROM followed by release
e. Fatiguable clonus, <10 seconds when maintaining pressure at precise angle
18. A modification of the GCS that adds the assessment of the brainstem reflexes in the examination:
a. Glasgow-Liege
 b. Glasgow-Paragon
c. Glasgow-Ford
d. Glasgow-Sickle
19. Most common technique of measuring PTA:
a. West Mead PTA Scale
b. GOAT (Galveston Orientation and Amnesia Test)
c. Rappaport’s Disability Rating Scale
d. NOTA
20. Jun-Jun, after recovering from a work-related brain injury is re-employed because he can work in a
sheltered workshop and is ADL independent including traveling with public transport. She is said to be in
which Glasgow Outcome level:
a. II
b. III
c. IV
d. V
21. A score of 3 in GCS corresponds to:
a. Good recovery
b. Severe disability
c. Moderate disability
d. Death
22. All are primary brain injury, except:
a. Contusions
b. Lacerations
c. DAI
d. Diffuse vascular injury
e. Hydrocephalus
23. Your patient’s PTA lasted for 3 weeks. You can classify his injury severity as:
a. Moderate
b. Severe
c. Very severe
d. Mild
24. Modified Ashworth scale 2:
a. No increase in muscle tone
b. Affected parts in rigid flexion/extension
c. Slight increase in muscle tone, manifested by a catch followed by minimal resistance throughout the
remainder of the ROM
d. Slight increase in muscle tone, manifested by a catch followed by minimal resistance at the end of the
ROM
e. More marked increase in mm tone
25. GCS score if the patient says inappropriate words, withdraws to pain, and spontaneously opens eyes:
a. 8
b. 9
c. 10
d. 11
e. NOTA
26. A therapist employed in an acute care hospital attempts to identify a standardized instrument that
measures level of consciousness. The most appropriate standardized instrument is the
a. Glasgow Leige Scale
b. Barthel Index
c. Glasgow Coma Scale
d. Rankin Scale
27. Glasgow-Liege scale 4:
a. Fronto-ocular
 b. Vertical oculovestibular
c. PLR
d. Horizontal

28. A direct lesion of the brain under the opposite point of impact is known as:
a. Countercoup
b. Coup
c. Epidural hematoma
d. Subdural hematoma
29. Normal ICP
a. <20 mmHg
b. >20mmHg
c. 4-15 mmHg
d. 3mmHg
30. Brain herniation at foramen magnum, a progression of uncal herniation. This causes neck pain, stiffness,
flaccidity, coma and alteration of pulse, RR and BP
a. uncal
b. tonsillar
c. central
d. central and tonsillar
31. The lowest score that one can give in using the Glasgow coma scale is
a. 10
b. 1
c. 3
d. 0
32. Using the GCS, if a TBI patient can open eyes on his own, has localized movement to pain and can converse
but is disoriented, he has a score of
a. 11
b. 12
c. 10
d. 13

33. A therapist examines a patient rehabilitating from a traumatic brain injury. The therapist makes
the following entry in the medical record. The patient is able to respond to simple commands
fairly consistently, however has difficulty with increasingly complex commands or lack of any
external structure. Responses are non-purposeful, random and fragmented. According to the
Ranchos Los Amigos Cognitive Functioning Scale the patient is most representative of level
a. III – localized responses
b. IV – confused agitated
c. V – confused inappropriate
d. VI – confused appropriate

34. Which statement best describes a traumatic brain injured patient who is at level VII ”Automatic-
Appropriate”, of the Ranchos Los Amigos levels of cognitive functioning?
a. The patient is in a heightened state of activity with a severe impairment in the ability to
process information.
b. The patient has gross attention to the environment, is highly distractible, and lacks ability
to focus on a task without redirection
 c. The patient is able to go through their daily routine in a robot like fashion with little to no
confusion and has an increased awareness of the environment
d. The patient shows goal directed behavior but relies on external input for direction.
35. This is a characteristic of mild traumatic brain injury
a. post traumatic amnesia of 24 mins
b. None of these
c. loss of consciousness of 30hours
d. initial Glasgow coma scale of 10-13
36. In a Glasgow outcome extensted scale, a score of 2 would mean:
a. good recovery
b. death
c. mod. recovery
d. persistent vegetative stage
37. A patient with head injury has a Glasgow coma scale of 15. He is classified as
a. Comatose
b. Normal
c. Obtunded
d. Stupor
38. The following parameters are used in GCS, EXCEPT:
a. verbal output
b. papillary reflex
c. eye opening
d. response to pain