Part of the Pediatrics, Geriatrics, and Special Populations practice questions exam area.
This page holds 200 free practice questions for Chapter 46, Patients With Special Challenges, covering intimate partner violence and sexual assault, hearing and visual impairment and service animals, speech and intellectual disabilities, autism and Down syndrome, cerebral palsy, spina bifida, muscular dystrophy, MS, and other neuromuscular conditions, bariatric patients, home ventilators, tracheostomies, LVADs, and other medical technology, hospice and terminal illness, poverty, health care disparities, and homelessness, cultural and language barriers, and respectful care for patients with mental illness, substance use histories, and LGBTQ identities. They are written for paramedic and EMT students working through Nancy Caroline's Emergency Care in the Streets, 9th edition. Every question shows the correct answer with a short explanation as soon as you tap, so you learn while you test rather than waiting until the end.
Study it two ways: the 10 Question Blitz, a quick round where every right answer lights a siren and any misses lead into Lights & Sirens, a 5-in-a-row drill on that section, or the full 100-question test drawn at random from the whole chapter. After each test you get a score and a section-by-section breakdown. Progress on the full test is saved on your device, so you can stop and pick up later.
Intimate partner violence is best defined as:
Answer: C. Abuse by a current or former partner or spouse
IPV is physical, sexual, or psychological harm by a current or former intimate partner, whether or not they live together. Location alone does not define it; an assault by a stranger at home is not IPV.
Conductive hearing loss is caused by a problem in the:
Answer: B. External ear canal or middle ear
Conductive loss means sound cannot reach the inner ear, as with impacted cerumen, otitis media, or a ruptured eardrum. Damage to the cochlea or auditory nerve is sensorineural loss, which is usually permanent.
A 68-year-old man has had expressive aphasia since a stroke 2 years ago. His wife says his speech is his usual today, but he cannot lift his right arm, which is new. You should:
Answer: A. Treat the new weakness as a possible stroke
Old deficits set his baseline, and any new deficit is a possible new stroke: perform a stroke assessment, establish the last known well time, check glucose, and go to a stroke center. Blaming the weakness on the old stroke is diagnostic overshadowing. Waiting for his speech to change wastes treatment time, since a new stroke may spare speech. A clinic visit next week would miss the window for thrombolysis or thrombectomy. (AHA/ASA 2019 stroke guideline.)
Most students use the 10 Question Blitz for daily practice and take the full 100-question test in the days before a class exam or NREMT practice. Lights & Sirens after a blitz is the fastest way to close gaps the night before a test.
Every question in this chapter is also listed by section, with answers, on the topic pages above. See all paramedic topics or take the NREMT paramedic practice test.
Ch. 1 Ch. 2 Ch. 3 Ch. 4 Ch. 5 Ch. 6 Ch. 7 Ch. 8 Ch. 9 Ch. 10 Ch. 11 Ch. 12 Ch. 13 Ch. 14 Ch. 15 Ch. 16 Ch. 17 Ch. 18 Ch. 19 Ch. 20 Ch. 21 Ch. 22 Ch. 23 Ch. 24 Ch. 25 Ch. 26 Ch. 27 Ch. 28 Ch. 29 Ch. 30 Ch. 31 Ch. 32 Ch. 33 Ch. 34 Ch. 35 Ch. 36 Ch. 37 Ch. 38 Ch. 39 Ch. 40 Ch. 41 Ch. 42 Ch. 43 Ch. 44 Ch. 45 Ch. 46 Ch. 47 Ch. 48 Ch. 49 Ch. 50 Ch. 51 Ch. 52 Ch. 53
These practice questions were written for this site. They are not the publisher's test bank and are not affiliated with or endorsed by Jones & Bartlett Learning, the American Academy of Orthopaedic Surgeons, or the National Registry of Emergency Medical Technicians. Use them alongside your textbook and your instructor's objectives.