When I was in nursing school, we had a girl who had already worked as a patient care tech for a couple years and therefore, thought she already knew everything. She had a comment about everything, often contradicting or expanding on what the teacher said. We all got so sick of her!
I like the idea brought up in the reading about having participation cards, where a student can only speak as many times as he had cards. I will employ this tactic if I ever have a student like this!