254. CCA Practice Quiz: Types and Causes of Developmental Disorders and Disabilities

The questions ask you to compare related developmental disorders and disabilities, recognize terminology, and apply what you know in short situations. You will review causes, features, risks, support considerations, safety, and Nova Scotia CCA role distinctions across areas such as ADHD, autism spectrum disorder, cerebral palsy, seizures, intellectual disabilities, and spina bifida.

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#1. Which supports may be part of care for a client with cerebral palsy?

Correct answer: A. Physiotherapy, occupational therapy, speech therapy, glasses, or hearing aids

Explanation: Depending on individual needs, care may include physiotherapy, occupational therapy, speech therapy, eyeglasses, and hearing aids.

Why B is wrong: Care is not limited to these measures.
Why C is wrong: This does not match the range of supports identified.
Why D is wrong: This does not match the support list described.

#2. What does intelligence refer to in this context?

Correct answer: A. Learning, thinking, and reasoning

Explanation: Intelligence is described in terms of learning, thinking, and reasoning. Intellectual disability affects these areas of cognitive functioning.

Why B is wrong: These abilities relate more closely to physical and motor functioning.
Why C is wrong: These are sensory functions rather than the stated meaning of intelligence.
Why D is wrong: These are different functional abilities.

#3. Which statement best describes treatment of nerve damage caused by spina bifida?

Correct answer: A. There is no known cure for the nerve damage

Explanation: There is no known cure for the nerve damage caused by spina bifida. Treatment focuses on preventing additional damage and managing the effects of the condition.

Why B is wrong: Surgery does not guarantee restoration of damaged nerves.
Why C is wrong: Medication is not identified as a cure for the nerve damage.
Why D is wrong: Physical activity does not reverse the underlying damage.

#4. Which finding may be visible over an area of spina bifida occulta?

Correct answer: A. A dimple or tuft of hair

Explanation: Although the occulta defect is covered by skin, a dimple or tuft of hair may appear on the back. The spinal cord and nerves remain normal in the described form.

Why B is wrong: Head enlargement is associated with hydrocephalus.
Why C is wrong: These features are associated more closely with fragile X syndrome.
Why D is wrong: These features are associated more closely with FASD.

#5. What are the meninges?

Correct answer: A. Connective membranes that cover and protect the brain and spinal cord

Explanation: The meninges are connective membranes surrounding and protecting the brain and spinal cord. The term meningo refers to these membranes.

Why B is wrong: Vertebrae are the bones protecting the spinal cord.
Why C is wrong: Nerves carry messages but are not meninges.
Why D is wrong: Meninges are membranes rather than muscles.

#6. What can happen when athetoid cerebral palsy affects the tongue, face, or neck?

Correct answer: D. Drooling and grimacing

Explanation: Involvement of the tongue, face, or neck can cause drooling and grimacing.

Why A is wrong: These are not the described effects of facial or neck involvement.
Why B is wrong: These are not the effects being tested.
Why C is wrong: Walking is not the specific facial and neck effect described.

#7. Which statement best matches the described onset and frequency of ASD?

Correct answer: C. It often appears between 18 months and 3 years, affects about 1 in 94 Canadian children, and is more common in boys

Explanation: ASD is described as becoming apparent between about 18 months and 3 years of age. About 1 in 94 Canadian children is described as having ASD, with boys affected more often than girls.

Why A is wrong: The onset and frequency do not match the described pattern.
Why B is wrong: The described onset is not limited to recognition at birth, and boys are affected more often.
Why D is wrong: ASD is described as appearing much earlier and as being more common in boys.

#8. Which event can cause intellectual disability through acquired brain injury after birth?

Correct answer: A. An accident, disease, or abuse

Explanation: Acquired brain injury caused by accidents, disease, or abuse is identified as a possible cause of intellectual disability after birth.

Why B is wrong: Community recreation is not an identified cause.
Why C is wrong: Skill learning does not cause intellectual disability.
Why D is wrong: Occupational therapy is a support service rather than a cause.

#9. Which group consists entirely of possible effects of a severe acquired brain injury?

Correct answer: C. Personality changes, vision impairment, speech challenges, muscle-control issues

Explanation: A severe acquired brain injury can produce lasting changes in personality, vision, speech, and muscle control. Acquired brain injuries may be both permanent and severe.

Why A is wrong: Delayed growth is associated with congenital heart disease rather than the listed acquired brain injury effects.
Why B is wrong: Fatigue does not belong to the listed acquired brain injury effect pattern.
Why D is wrong: Head enlargement is associated with untreated hydrocephalus.

#10. Which statement best describes congenital heart disease?

Correct answer: B. Heart structure or function is abnormal before birth

Explanation: Congenital heart disease involves abnormalities in the heart’s structure or function that exist before birth. Affected babies who survive may tire easily or have delayed growth.

Why A is wrong: This describes one mechanism of acquired brain injury.
Why C is wrong: This describes the mechanism of PKU.
Why D is wrong: This describes fragile X syndrome.

#11. Which group contains additional features that may occur with ASD?

Correct answer: B. Short attention span, avoidance of eye contact, spending time alone, and little response to pain

Explanation: ASD may involve a short attention span, avoiding eye contact, spending substantial time alone, and showing little reaction to pain.

Why A is wrong: This reverses several of the described ASD features.
Why C is wrong: This also reverses the described pattern.
Why D is wrong: ASD can affect several areas beyond speech development.

#12. When epilepsy is controlled, what is usually true?

Correct answer: A. Learning and ADL ability are usually unaffected

Explanation: Controlled epilepsy usually does not interfere with learning or the ability to perform activities of daily living. The effects can differ when seizures remain difficult to control.

Why B is wrong: Controlled epilepsy does not automatically prevent independence.
Why C is wrong: Intellectual disability is not described as an expected result of controlled epilepsy.
Why D is wrong: Progressive muscle-control loss is not the stated outcome.

#13. Which pair correctly links severe cerebral palsy with possible complications?

Correct answer: A. Poor posture with breathing problems, and immobility with pressure injuries

Explanation: Poor posture can contribute to breathing problems, while immobility can increase the risk of pressure injuries.

Why B is wrong: These are not the described cause-and-effect links.
Why C is wrong: These links are not described.
Why D is wrong: The relationships are reversed.

#14. Which statement best defines spina bifida?

Correct answer: A. A congenital disorder caused by improper closing of the spine before birth

Explanation: Spina bifida is a congenital disorder in which the spine does not close properly before birth. The name reflects spina, meaning backbone, and bifida, meaning split in two parts.

Why B is wrong: An extra chromosome describes Down syndrome.
Why C is wrong: Brain injury affecting motor control describes cerebral palsy more closely.
Why D is wrong: Recurrent seizures characterize epilepsy.

#15. Which learning-related challenges may occur with spina bifida?

Correct answer: A. Difficulties involving attention, language, reading, or mathematics

Explanation: People with spina bifida may have conditions or difficulties affecting learning, attention, language, reading, and mathematics. These challenges can exist alongside physical effects.

Why B is wrong: The identified learning-related concerns extend beyond hearing and vision.
Why C is wrong: Muscle tone and posture are physical rather than the learning concerns tested.
Why D is wrong: The described difficulties are not limited to later-life memory.

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