Combo with SPED 129- Chapter 13 and 14 – Flashcards

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What percentage of the population is affected by low-incidence, severe, and multiple disabilities?
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fewer than 1% of the population
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What is the number one cause of TBI in children under 5 years old?
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accidental falls
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What other things cause substantial injuries?
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vehicular accidents/child abuse/gunshot wounds/assalts
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What is the greatest complicating factor in most students' return to school following TBI?
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language or speech disorders
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Brain injury may be accompanied by a variety of serious ______ and________ effects
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social and emotional
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The emotional and behavioral effects of TBI are determined by more than the physical damage; they also depend on the student's______ at the time of the injury and the social_____ before and after the injury.
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age and enviornment
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Many of the typical behavior_____ or behavior management strategies that are used with other students who have emotional or behavioral difficulties are appropriate for use with students who have TBI.
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modification
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Why is this formerly "low incidence disability" now discussed as a "high incidence disability"?
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because the prevalence has increased so much in recent years
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C-H-A-R-G-E means
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Coloboma, Heart Defects, Atresia, Retardation, Genital, Ear
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What syndrome is characterized by a number of physical anomalies present at birth?
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CHARGE Syndrome
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3 Categories of causes of deaf-blindness
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genetic/chromosomal syndromes prenatal conditions postnatal conditions
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What number of students age 6-11 received special education services in 2007 with deaf-blindness?
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529 students
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Problems with vision and hearing cause extreme difficulty in attaining________ in daily life activities.
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independence
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What is the biggest problem faced by people with deaf-blindness?
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problems accessing information (life experiences reduced)
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Inherited condition causing deaf-blindness; low prevalence, includes hearing impairment with balance problems (deaf,profound, normal hearing deteriorates, hard of hearing); vision problems in low light, narrowing of the field of vision/tunnel vision, retinis pigmentosa
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Usher syndrome
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Child born with abnormally shaped pupil/or abnormalities of the retina or optic nerve/visual problems/visual acuity and extreme sensitivity to light; the facial muscles may have a weakness or paralysis, and they may have swallowing problems
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Coloboma Condition
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Central visual acuity of 20/200 of less in the better eye with correction of a field or vision; no greater than 20 degrees; or a progressive visual loss
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definition of deaf-blindness pertaining to visual acuity
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Chronic hearing impairment so severe most speech cannot be understood with amplification or a progressive hearing loss having a prognosis leading to this condition
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definition of deaf-blindness pertaining to hearing impairment
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Sometimes associated with deaf-blindness results from damaged chromosomal material; also the cause of intellectual disabilities
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Down Syndrome
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In addressing communication and O&M, practicioners and parents should keep in mind what two principles?
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direct teaching and structured routines
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What is any manual or electronic means by which such a person expresses wants and needs, shares information, etc.?
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Augmentative and Alternative Communication (AAC)
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What is any repetetive, stereotyped behavior that seems to have no apparent purpose other than providing sensory stimulation?
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self-stimulation
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What is the process used for finding out why and under what circumstances problem behavior is exhibited?
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functional behavioral assessment
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this is creating an environment that supports appropriate behavior, it is the vehicle for teaching a student how to behave more appropriately
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Positive Behavior Intervention and Support (PBIS)
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What two principles of transition programming reflect the change in philosophy toward treating people with severe disabilities with more dignity?
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self-determination and natural recommended supports
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Are the effects of TBI always severe and permanent?
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No but they can be
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Who is more prone to TBI, males or females?
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males
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What pre-trauma history do a disproportional number of students with TBI have?
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learning problems or delayed speech or language(motor-speech disorder)
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Are all augmentative communication devices/systems always very expensive?
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no
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What techniques/principles do people with severe and multiple disabilities need to aspire to work alongside persons with disabilities and to live independently or semi-independently?
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extensive/intensive instruction and support of professional/community
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List the 4 commonly accepted specifics of the TBI definition:
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-neurological or neurobehavioral dysfunction results from injury -there is injury to the brain caused by an external force -the injury is not caused by a degenerative or congential condition -there is a diminished or altered state of consciousness
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List the educational characteristics essential features of appropriate education for students with TBI:
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-transition to school from hospital -team approach -IEP concerned with cognitive social/behavioral, sensorimotor domains -educational procedures to help students solve problems in focusing and sustaining attention for long periods, remembering previously learned facts and skills -emphasis on the cognitive processes through which academic skills are learned - plans for addressing long-term needs in addition to immediate and annual IEP goals
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Brain damage acquired by trauma after a period of normal neurological development
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traumatic brain injury
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Evaluation that consists of finding out the consequences, antecedents and setting events that maintain inappropriate behavior
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functional behavioral assessment
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Loss or impairment of the ability to understand or formulate language because accident or illness
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motor-speech disorder
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Brain injury where there is an open wound in the head (gunshot/object penetration)
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open head injury
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Most frequently occurring viral infection in newborns, can result in variety of disabilities, especially hearing impairment
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congenital cytomegalovirus (CMV)
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Damage to the brain occurs without penetration of the skull, might be caused by shaking or a blow to the head
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closed head injury
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Resources in a persons environment that can be used for support; like friends, family and co-workers
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natural supports
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Absence or closure of a part of the body that is normally open
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atresia
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Serious viral disease, which likely is to cause deformity in the fetus during the first trimester of pregnancy
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rubella (german measels)
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Hereditary condition resulting in degeneration of the retina; narrow field of vision and affects night vision
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retinitis pigmentosa
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Tactile learning style for persons who are deaf-blind, teacher guides students by placing hands on theirs to navigate
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hand-over-hand guidance
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Suggests that persons with disabilities should have educational and living environments that are as similar as possible to those who do not have disabilities
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normalization
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Involves the adult gently slipping their hands underneath part of the child's hand while the child is exploring an object
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hand-under-hand guidance
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The use of tactual signals that can convey a number of messages depending on the situation or context
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touch cues
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An abnormally shaped pupil and or abnormalities of the retina or optic nerve
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coloboma
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Involves three different syndromes varying with respect to the type and time of occurrence of the major symptoms or hearing loss, vision loss, and balance problems
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Usher syndrome
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Any manual or electronic means by which a person communicates
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AAC
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Any repetitive stereotyped behavior that seems to have no apparent purpose other than providing sensory stimulation
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self-stimulation
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Using educational methods that are at the developmental level for the child and that meet the child's individual needs
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developmentally appropriate practice
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Requires that the family be central in the decision-making process for the child
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individualized family service plan
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Repeated physical self-abuse such as biting, scratching, poking oneself, or head banging
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self-injurious behavior
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The available resources that already exist in the workplace or community that provide assistance and support to an individual with disabilities
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natural supports
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Creating an environment that supports appropriate behavior
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positive behavioral supports
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Multiple disabilities means_______ impairments
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concomittant
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By the time they graduate from high school nearly_______ of students may have TBI
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4 %
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TBI is a special case of_______impairment, in which there is a sudden alteration in abilities
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neurological
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Among the most common postnatal conditions that can cause deaf-blindness are________ and_________.
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meningitis and traumatic brain injury
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Most authorities believe that the biggest obstacle faced by persons with deaf-blindness is____________
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communication/ accessing information
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There are now over_______ genetic/chromosomal syndromes associated with deaf-blindness
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fifty
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TBI is most likely to occur for both males and females during_______
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late adolescence and early adulthood years
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An irregularity (anomally) that is present at birth, might or might not be due to genetic factors
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Congenital Anomalies
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Method of integrating people with disabilities who cannot work independently into competitive emplyoment
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Supported Employment
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Device designed to restore partially or completely, a lost function of the body (brace/crutch)
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Orthosis
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Special tools of common items to make accomplishing self-care/activities easier for those with disabilities
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Adaptive Devices
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A condition in which both legs are paralyzed
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Paraplegia
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Brain damage acquired by trauma after a period of normal neurological development
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Traumatic Brain Injury (TBI)
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Sudden alteration of consciousness; usually accompanied by motor activity and/or sensory phenomena; caused by an abnormal discharge of electrical energy in the brain
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Seizure
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Condition in which all four limbs are paralyzed
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Quadraplegia
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Paralysis, weakness, lack of coordination and/or other motor dysfunction because of the damage to the brain before maturing
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Cerebral Palsy
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The insertion of a tube into the urethra to drain the bladder
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Catheterization
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An abnormal curvature of the spine
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Scoliosis
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A pattern of repeated seizures
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Epilepsy
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Hereditary disease characterized by progressive weakness caused by degeneration of muscle fibers
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Muscular Dystrophy
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Congenital midline defect resulting from failure of the bony spinal column to close completely during fetal development
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Spina Bifida
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Lung disease characterized by episodic difficulty in breathing/particularly exhaling due to inflammation or obstruction of air pathways/passages
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Asthma
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Systematic disease with major symptoms involving the muscles and joints
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Juvenile Rheumatoid Arthritis
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Virus caused illness resulting in a breakdown of the immune system
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AIDS
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Substances known to damage nerve cells
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Neurotoxins
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Causes malformations and intellectual disabilities when mothers drink while pregnant
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Fetal Alcohol Syndrome
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Device designed to replace partially or completely a part of the body (teeth/limbs)
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Prosthesis
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Services for young children with disabilities and their families, similar to an IEP but used for those under the age of 3
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Individualized Family Service Plan
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Deficits they are born with, like physical disabilities
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Congenital Anomalies
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Serious or severe; with treatment it resolves
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Acute Condition
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Permanent condition, ongoing; doesn't resolve/ incureable
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Chronic Condition
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Occurring in episodes, a temporary condition that will pass but may reoccur
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Episodic Condition
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More and more complication or deterioration; gets worse over time
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Progressive Diseases
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Caused by injury to the brain or spinal cord (neurological damage) that also affects the ability to move parts of one's body (motor impairment)
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Neuromotor impairments
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Not contagious or progressive, movement and posture disorder
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Cerebral Palsy
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Floppiness or lack of muscle tone
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Atonic
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Stiffness or tenseness of muscles and inaccurate voluntary movement
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Spasticity
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Abrupt involuntary movements and difficulty maintaining balance
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Choreoathetoid movements
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How is Cerebral Palsy classified?
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By the limbs involved and the type of motor disability
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Is Cerebral Palsy a progressive disorder?
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No, it is not contagious or progressive; it is a movement and posture disorder
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When in a child's life can Cerebral Palsy occur?
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Before, during, or the first few years after birth (caused by a brain injury)
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Lack of oxygen (hypoxia) low blood sugar (hypoglycemia) infections and physical trauma are all considered to be ______.
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Causes of seizures
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Other dimensions that seizures can differ with include________.
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Duration (length) Frequency (often) Onset (triggers) Movements, causes, associated disabilities, control
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What percentage of children will have a seizure in his/her lifetime?
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1 out of 10 children (10%)
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What areas of the nervous system can a neural tube defect (malformation) affect?
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Spine, brain, or spinal cord
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Can catheterization be used/ performed in a school setting?
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Yes, teachers need to be educated
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Rheumatoid Arthritis can be debilitating because it can cause pain in and around what body parts?
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Muscles and Joints
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Is the intelligence of students with musculoskeletal disabilities affected if no other disabilities are present?
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NO
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Have chronic diseases/ health conditions of children increased or decreased dramatically in recent decades?
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Increased dramatically
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Are many or most physical disabilities preventable?
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Yes
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Preventing teen pregnancy, immunizations, increasing diet/exercise/lowering obesity are all ways to_______
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Prevent physical disabilities
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Why are children who have any type of disability more at risk for abuse?
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They are more vulnerable, dependent, and easy targets
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What inborn metabolic disorder requires a life long special diet?
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PKU (Phenylketonuria)
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What happens if the special diet isn't followed for PKU?
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Neurotoxins may build up and can cause any disability associated with brain damage
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Why do many children with physical disabilities or other health impairment have academic difficulties?
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Because of erratic school attendance (hospital visits, etc.)
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Why do children react to their own disabilities as they do?
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Because it is largely a reflection on how others respond to them
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What principles need to be followed when considering a prosthesis or orthosis?
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Use of residual function/ simplicity and reliability
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What is the greatest challenge in using technology for people with physical disabilities?
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Accurately evaluating to determine what will be best and also the availability
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Should objectives for autonomy and self-advocacy be included in teaching those with physical disabilities?
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YES
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Should attention to environmental changes that allow more effective responses be addressed as well?
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YES
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When special education talks about transition they are referring to movement from school to_________
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Work (or adolescence to adulthood)
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Method of integrating people with disabilities who cannot work independently into competitive employment (job specialist/coach to help them work on the job)
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Supported Employment
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Are physical disabilities declining or increasing due to medical advances?
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Increasing
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Is CP contagious?
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NO
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Is CP progressive?
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NO
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Do seizures occur more in children with developmental disabilities or without disabilities?
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Children with Developmental Disabilites
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Are children with epilepsy more disposed to learning disabilities?
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YES
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Who is more likely to give birth to premature/low weight babies? older women or teenage mothers
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Teenage Mothers
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In general do children with physical disabilities achieve academically above, at the same level, or below peers without disabilties
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At the Same Level
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Should you teach motor skills in isolation?
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No; they should be taught as part of daily living and learning activities that will increase communication, independence, motivation and future learning.
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Should self-help skills be included in education for many children with physical disabilities?
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YES
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The primary distinguishing characteristic of children with physical disabilities is______
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they are varied (interrupting school learning)
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______ is the result of injury to the brain that also affects the ability to move parts of one's body; may be associated with injury to the brain before, during or after birth
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Neuromotor Impairment
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_____ can be considered part of a syndrome that includes motor dysfunction, seizures or emotional or behavioral disorders due to brain damage
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Cerebral Palsy
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Stiffness or tenseness of muscles and inaccurate voluntary movement is known as_______
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Spasiticity
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A person has a ______when there is an abnormal discharge of electrical energy in specific brain cells
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Seizure
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______ results when the spinal column fails to close completely during fetal development
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Spina Bifida
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Lack of bowl or bladder control in some children will require periodic________
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Catheterization
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_________ is a painful an potentially debilitating disease that affects the muscles and joints of children
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Juvenile Rheumatoid Arthritis
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______ is a lung disease characterized by episodic inflammation or obstruction of the air passages such that the person has difficulty breathing
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Asthma
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A teacher who fails to report child abuse or neglect may be held legally________
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Liable
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________ is one of the most common syndromes involving physical malformations and intellectual disabilities
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Fetal Alcohol Syndrome
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A missing part of the body is replaced by a _______
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Prosthesis
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The partial functioning of a body part is enhanced with an______
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Orthosis
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What is the primary goal of adaptive physical education?
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Allows access to activities with physical, recreational, and leisure goals
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What does an occupational therapist provide?
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Daily living skills and fine motor skills
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