PMED CH46 Patients w/Special Challenges ACTUAL COMPLETE
EXAM|WITH ACCURATE QUESTIONS AND VERIFIED
ANSWERS|GRADED A
1. When determining the optimal method to communicate with, assess,
treat, and transport a patient with a special health care challenge, the
paramedic should:
A) routinely call medical control before talking to a caregiver.
B) demonstrate confidence and enlist the expertise of the patient.
C) recall that caregivers are often upset and therefore unreliable.
D) remain professional and obtain initial information from a caregiver.
Ans✓✓✓ B) demonstrate confidence and enlist the expertise of the
patient.
2. Approximately 70% of all child abuse or neglect cases involve:
A) females over 8 years of age.
B) an otherwise healthy child.
C) males under 6 years of age.
D) substance abuse by the perpetrator. Ans✓✓✓ D) substance abuse by
the perpetrator.
3. Which of the following patient populations is at GREATEST risk for
abuse or neglect?
A) Females between 6 and 12 years of age
B) Children with chronic medical conditions
C) Adolescents who rebel against their parents
,D) Males between 2 and 14 years of age Ans✓✓✓ B) Children with
chronic medical conditions
4. Which of the following types of maltreatment is perhaps the MOST
common?
A) Neglect
B) Physical abuse
C) Sexual abuse
D) Abandonment Ans✓✓✓ A) Neglect
5. Which of the following types of maltreatment involves isolating the
victim from others, resulting in a substantial change in the victim's
behavior or cognitive function?
A) Neglect
B) Abandonment
C) Emotional abuse
D) Sexual exploitation Ans✓✓✓ C) Emotional abuse
6. A man leaves his 4-year-old child home alone while he plays golf
with his friends. This is an example of:
A) assault.
B) neglect.
C) abandonment.
D) emotional abuse. Ans✓✓✓ C) abandonment.
,7. Which of the following behaviors or actions should make you the
MOST suspicious that a caregiver has abused his or her child?
A) Asking other siblings to leave the room while the child is examined
B) Demanding that you take the child to the hospital as soon as possible
C) Difficulty recalling the last time the child was seen by a physician
D) Offering unsolicited explanations for abnormal physical exam
findings Ans✓✓✓ D) Offering unsolicited explanations for abnormal
physical exam findings
8. Which of the following injury patterns is MOST suggestive of child
abuse?
A) Burns with splash marks
B) Bruises on the abdomen
C) Bruises on the lower leg
D) Laceration to the chin Ans✓✓✓ B) Bruises on the abdomen
9. Difficulty walking or sitting, nightmares, and bedwetting are MOST
suggestive of:
A) neglect.
B) sexual abuse.
C) physical abuse.
D) emotional abuse. Ans✓✓✓ B) sexual abuse.
, 10. Which of the following statements regarding Mongolian spots is
correct?
A) They resemble bruises and are found most commonly on the back
and buttocks.
B) They are abnormal bruising patterns on the back and are an indicator
of abuse.
C) They indicate abnormal bleeding and are associated with a high
mortality rate.
D) They are bruiselike patterns that most often appear in severely
premature infants. Ans✓✓✓ A) They resemble bruises and are found
most commonly on the back and buttocks.
11. You are assessing a 6-year-old Asian child who presents with a
fever. During your assessment, you note red, flat, rounded lesions on the
child's torso. This finding is MOST indicative of:
A) cupping.
B) coining.
C) physical abuse.
D) phytophotodermatitis. Ans✓✓✓ A) cupping.
12. During your assessment of a 4-year-old female, you find injury
patterns that are highly suggestive of abuse. The child's mother is
present; she is apprehensive and is hesitant to allow you to transport her
daughter. Your MOST appropriate action should be to:
A) ask the mother to leave the room so that you can ask the girl if the
injuries that she has were intentionally inflicted by someone else.
EXAM|WITH ACCURATE QUESTIONS AND VERIFIED
ANSWERS|GRADED A
1. When determining the optimal method to communicate with, assess,
treat, and transport a patient with a special health care challenge, the
paramedic should:
A) routinely call medical control before talking to a caregiver.
B) demonstrate confidence and enlist the expertise of the patient.
C) recall that caregivers are often upset and therefore unreliable.
D) remain professional and obtain initial information from a caregiver.
Ans✓✓✓ B) demonstrate confidence and enlist the expertise of the
patient.
2. Approximately 70% of all child abuse or neglect cases involve:
A) females over 8 years of age.
B) an otherwise healthy child.
C) males under 6 years of age.
D) substance abuse by the perpetrator. Ans✓✓✓ D) substance abuse by
the perpetrator.
3. Which of the following patient populations is at GREATEST risk for
abuse or neglect?
A) Females between 6 and 12 years of age
B) Children with chronic medical conditions
C) Adolescents who rebel against their parents
,D) Males between 2 and 14 years of age Ans✓✓✓ B) Children with
chronic medical conditions
4. Which of the following types of maltreatment is perhaps the MOST
common?
A) Neglect
B) Physical abuse
C) Sexual abuse
D) Abandonment Ans✓✓✓ A) Neglect
5. Which of the following types of maltreatment involves isolating the
victim from others, resulting in a substantial change in the victim's
behavior or cognitive function?
A) Neglect
B) Abandonment
C) Emotional abuse
D) Sexual exploitation Ans✓✓✓ C) Emotional abuse
6. A man leaves his 4-year-old child home alone while he plays golf
with his friends. This is an example of:
A) assault.
B) neglect.
C) abandonment.
D) emotional abuse. Ans✓✓✓ C) abandonment.
,7. Which of the following behaviors or actions should make you the
MOST suspicious that a caregiver has abused his or her child?
A) Asking other siblings to leave the room while the child is examined
B) Demanding that you take the child to the hospital as soon as possible
C) Difficulty recalling the last time the child was seen by a physician
D) Offering unsolicited explanations for abnormal physical exam
findings Ans✓✓✓ D) Offering unsolicited explanations for abnormal
physical exam findings
8. Which of the following injury patterns is MOST suggestive of child
abuse?
A) Burns with splash marks
B) Bruises on the abdomen
C) Bruises on the lower leg
D) Laceration to the chin Ans✓✓✓ B) Bruises on the abdomen
9. Difficulty walking or sitting, nightmares, and bedwetting are MOST
suggestive of:
A) neglect.
B) sexual abuse.
C) physical abuse.
D) emotional abuse. Ans✓✓✓ B) sexual abuse.
, 10. Which of the following statements regarding Mongolian spots is
correct?
A) They resemble bruises and are found most commonly on the back
and buttocks.
B) They are abnormal bruising patterns on the back and are an indicator
of abuse.
C) They indicate abnormal bleeding and are associated with a high
mortality rate.
D) They are bruiselike patterns that most often appear in severely
premature infants. Ans✓✓✓ A) They resemble bruises and are found
most commonly on the back and buttocks.
11. You are assessing a 6-year-old Asian child who presents with a
fever. During your assessment, you note red, flat, rounded lesions on the
child's torso. This finding is MOST indicative of:
A) cupping.
B) coining.
C) physical abuse.
D) phytophotodermatitis. Ans✓✓✓ A) cupping.
12. During your assessment of a 4-year-old female, you find injury
patterns that are highly suggestive of abuse. The child's mother is
present; she is apprehensive and is hesitant to allow you to transport her
daughter. Your MOST appropriate action should be to:
A) ask the mother to leave the room so that you can ask the girl if the
injuries that she has were intentionally inflicted by someone else.
