skip to main content

Neurorehabilitation after traumatic brain injury — SCE Neurology MCQ

Instant feedback + full explanation. One question, done properly.

HardFunctional, Rehabilitation and DVLANeurorehabilitation after traumatic brain injurySCE Neurology

After moderate traumatic brain injury, a patient has persistent irritability, slowed processing and impaired planning but normal limb examination. Which rehabilitation plan is most appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: D — Multidisciplinary brain-injury rehabilitation for cognition, fatigue, mood and return to work

The best answer is “Multidisciplinary brain-injury rehabilitation for cognition, fatigue, mood and return to work”. Frontal-subcortical executive deficits after TBI require function-led multidisciplinary rehabilitation rather than a single diagnostic label or medicine. “No follow-up because structural imaging is stable” is a credible alternative elsewhere, but it fails the decisive discriminator in this case. “Long-term bed rest to prevent cognitive overload” is a credible alternative elsewhere, but it fails the decisive discriminator in this case. “Dopamine-transporter imaging as the main rehabilitation tool” is a credible alternative elsewhere, but it fails the decisive discriminator in this case. “Antiseizure medication solely for irritability” is a credible alternative elsewhere, but it fails the decisive discriminator in this case.

Reference: NICE NG211 head injury recommendations: https://www.nice.org.uk/guidance/ng232/chapter/Recommendations