question

Which of the following statements regarding patients with developmental disabilities is correct?

answer

Patients with developmental disabilities are susceptible to the same disease processes as other patients.

question

Autism is MOST accurately defined as a:

answer

pervasive developmental disorder characterized by impairment of social interaction.

question

Patients with autism:

answer

have extreme difficulty with complex tasks that require many steps.

question

Which of the following statements regarding autism is correct?

answer

Most cases of autism are diagnosed by 3 years of age.

question

Characteristic anatomic features of Down syndrome include:

answer

a round head with a flat occiput.

question

2/3 of children born with Down Syndrome have

answer

congenital heart disease

question

airway management can be challenging in patients with down syndrome because their

answer

teeth are misaligned and they have a large tongue

question

You respond to a residence for a 9 year old female with Down syndrome who is sick. When you arrive at the scene and assess the patient, you determine that she is unresponsive and has gurgling respirations. You should:

answer

open her airway with a manual maneuver, suction her oropharynx, and insert a simple airway adjunct.

question

An important aspect in the assessment of a patient who experienced a previous brain injury involves:

answer

speaking with the patient and family to establish what is considered normal for the patient.

question

Which of the following conditions would MOST likely cause a patient to slur words, speak very slowly, or speak in a monotone?

answer

Parkinsons

question

Which of the following would be the MOST practical method of communicating with a hearing-impaired patient until his or her hearing aids can be located?

answer

using a piece of paper and writing utensil to ask questions

question

General techniques for communicating with hearing-impaired patients include:

answer

positioning yourself approximately 18? directly in front of the patient.

question

Because hearing-impaired patients typically have more difficulty hearing high-frequency sounds, it is important for you to:

answer

lower the pitch of your voice.

question

When enlisting the help of an interpreter who signs, it is important for you to ask the interpreter to:

answer

report exactly what the patient signs and not to add any commentary.

question

By placing one hand on top of your head and the other hand over your abdomen, you are asking a hearing-impaired patient if he or she:

answer

is sick

question

Cerebral palsy is characterized by poorly controlled ________ movement.

answer

body

question

Cerebral palsy is a condition that results from damage or injury to the

answer

brain

question

Which of the following statements regarding cerebral palsy is correct?

answer

Conditions such as brain injury at birth, postpartum infections, and fetal hypoxia can cause cerebral palsy.

question

A significant number of pt with cerebral palsy also have

answer

Seizure disorders

question

Common associated conditions in patients with spina bifida include all of the following, EXCEPT:

answer

spastic limb movement

question

According to the "E" in the DOPE mnemonic, which of the following actions should you perform to troubleshoot inadequate ventilation in a patient with a tracheostomy tube?

answer

Check the mechanical ventilator for malfunction.

question

General care for a patient with a tracheostomy tube includes all of the following, EXCEPT:

answer

removing the tube if the area around it appears to be infected.

question

If suctioning of the tracheostomy tube is necessary, the EMT should:

answer

attempt to use the patient's suction device first because it is probably already sized correctly.

question

A 13-year-old child is on a home ventilator. The parents called because the ventilator is malfunctioning and the child has increasing respiratory distress. You should:

answer

disconnect the ventilator and use a bag-mask device.

question

You receive a call to a residence for an apneic 2-month-old male. When you arrive at the scene, the infant's mother tells you that her son was born prematurely and that his apnea monitor has alarmed 4 times in the past 30 minutes. Your assessment of the infant reveals that he is conscious and active. His skin is pink and dry, and he is breathing at an adequate rate and with adequate tidal depth. His oxygen saturation reads 98% on room air. You should:

answer

transport the infant to the hospital and bring the apnea monitor with you.

question

In contrast to an automated implanted cardioverter/defibrillator, an internal cardiac pacemaker:

answer

regulates the patient's heart rate if it falls below a preset value.

question

Common complications associated with central venous catheters include all of the following, EXCEPT:

answer

rupture of a central vein

question

Which of the following statements regarding gastronomy tubes is correct?

answer

Pt with a gastronomy tube may still be at risk for aspiration

question

For which of the following conditions would you MOST likely encounter a ventricular peritoneum shunt?

answer

hydrocephalus

question

The purpose of a ventricular peritoneum shunt is to:

answer

prevent excess cerebrospinal fluid from accumulating in the brain.

question

Vagal nerve stimulators may be an alternative treatment to medication for patients with:

answer

chronic seizure disorders

question

According to the Emergency Medical Treatment and Active Labor Act (EMTALA):

answer

all health care facilities must provide a medical assessment and required treatment, regardless of the patient's ability to pay.

EMT Chapter 36: Patients With Special Challenges – Flashcards

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