Deck 45: Patients With Special Challenges

Question 1

____ disorders involve the cranial nerves that control speech and are characterized by differences in the way words are pronounced, such as substituting the "w" sound for the "r" sound (e.g., "wabbit" instead of " rabbit").

A) Fluency
B) Articulation
C) Production
D) Lapse

Answer 1

Articulation

Question 2

The average life expectancy for people with Down syndrome is now 55 years, with many living into their sixties and seventies.

Answer 2

True

Question 3

Native American medicine, which is thousands of years old, is holistic medicine that addresses imbalance on every level of life including mind, body, spirit, emotions, social group, and lifestyle.

Answer 3

True

Question 4

____ catheters are easily placed in a nonsurgical fashion through the urethra and advanced into the urinary bladder.

A) Peripherally inserted central
B) Foley
C) Suprapubic
D) Gastrostomy

Question 5

Hmong people and some other ethnic groups believe that talking about an illness is an invitation for it to appear; thus, they may be reluctant to discuss signs and symptoms.

Question 6

____ disorders may be exhibited by inappropriate pitch, tone, volume, or quality resulting from conditions affecting the vocal cords, hormonal or psychiatric disturbances, and severe hearing loss.

A) Articulation
B) Control
C) Fluency
D) Voice production

Question 7

Hearing impaired patients may be completely deaf or suffer from differing degrees of hearing loss.

Question 8

In general, the treatments that a Paramedic has to offer a patient will not change in the population of patients with special needs.

Question 9

VP shunts are most commonly placed for patients who have congenital or acquired ____, or increased production of cerebrospinal fluid.

A) hydrocephalus
B) croup
C) intussusception
D) gastroenteritis

Question 10

The patient who is pulseless and apneic with fixed and dilated pupils may or may not be a candidate for attempted resuscitation.

Question 11

Only about 15% of speech sounds are communicable by lip movement.

Question 12

Approximately 75% of patients with Down syndrome have a structural cardiac defect.

Question 13

____ catheters are surgically placed through the lower abdominal wall just superior to the pubic symphysis.

A) Analgesia
B) Foley
C) Suprapubic
D) Ventriculoperitoneal

Question 14

____ disorders include stuttering and inappropriate lapses and pauses in speech.

A) Voice production
B) Fluency
C) Volume
D) Articulation

Question 15

____ are implanted devices that provide electrical pulsations to certain nerves in an effort to control epilepsy and other seizure disorders as well as treat chronic pain.

A) Ventriculoperitoneal shunts
B) Nerve stimulators
C) Insulin pumps
D) Analgesia pulsators

Question 16

When obtaining the patient's history, using the patient's family or friends as a translator may provide the most accurate information.

Question 17

Some tracheostomy tubes are ____ tubes, or tubes that have a hole in the cannula.

A) Huber
B) fenestrated
C) cupping
D) Foley

Question 18

This implanted port can be accessed by a ____ needle, a noncoring needle with a 90-degree angle midshaft to permit easier entry.

A) jejunostomy
B) gastrostomy
C) suprapubic
D) Huber

Question 19

Tubes that are placed through the nose or mouth are feeding tubes meant for long duration of supplemental nutrition.

Question 20

____ disorders are characterized by significant impairments in social interaction and communication and the presence of unusual behaviors and interests.

A) Articulation
B) Autism spectrum
C) Language
D) Fluency

Question 21

The most common form of inherited mental retardation, caused by a mutation in a single gene, is known as ____.

A) Fragile X syndrome
B) Downs syndrome
C) Fetal alcohol spectrum disorder
D) Cerebral palsy

Question 22

Patients classified as ____________________ rely on advancing medical technologies to allow them to undergo long-term treatment at home.

Question 23

Cerebral palsy characterized by problems with balance and depth perception, causing patients to walk with unsteady gait, is known as the ____ type.

A) ataxic
B) sporadic
C) athetoid
D) dyskinetic

Question 24

____________________ disorders include fetal alcohol syndrome (FAS), fetal alcohol effects (FAE), alcohol-related neurodevelopmental disorder (ARND), and alcohol-related birth defects (ARBD).

Question 25

____________________ are small programmable pumps approximately the size of a cell phone which hold a cartridge of insulin.

Question 26

Many patients with hearing impairment use ____________________ (speaking with their hands) in addition to their writing.

Question 27

____________________ takes a variety of forms including finger spelling, or a combination of finger spelling and body movements, including facial expressions and mime.

Question 28

Patients who have an implanted vagal nerve stimulator for seizures often wear a(n) ____________________ that can activate the stimulator and treat their seizures.

Question 29

Cerebral palsy characterized by slow, writhing movements which are unable to be controlled, involving hands, arms, feet, legs, and sometimes the face and tongue, is known as the ____ type.

A) athetoid
B) spastic
C) ataxic
D) mixed

Question 30

____________________ involve a sluggish ability to understand speech and slow growth in vocabulary and sentence structure.

Question 31

Patients who had intact hearing up until age 12 or 13 will usually have ____________________ speech.

Question 32

The practice of ____ employs a vacuum created on the patient's skin by applying heated glass cups. It leaves purplish circles on the skin that may take several days to go away.

A) coining
B) cupping
C) spooning
D) abrading

Question 33

Cerebral palsy characterized by increased muscle tone, stiff movements, and awkward movements, is known as the ____ type.

A) athetoid
B) ataxic
C) spastic
D) mixed

Question 34

Instead of the normal 46 chromosomes, the Down syndrome patient will have ____ chromosomes.

A) 45
B) 47
C) 48
D) 50

Question 35

Patients who have a plugged tracheostomy tube often require aggressive ____________________ in order to clear the tracheostomy.

Question 36

Service animals, an accommodation for patients with visual impairments, are recognized by the ____________________ Act, and have legal protection.