Exam 1 practice questions Flashcards by Morgan Evans

What was the last US territory to authorize PA practice?
a) U.S. Virgin Islands (2019)
b) Guam (2019)
c) Puerto Rico (2019)
d) American Samoa (2019)

c) Puerto Rico (2019)

How well did you know this?

Not at all

Perfectly

The first PA Graduating Class graduated when? (hint: it’s national PA day)
Oct 6, 1967
Oct 6, 1965
Oct 8, 1967
Oct 8, 1965

a) Oct 6, 1967

How well did you know this?

Not at all

Perfectly

True or false: A PA’s license renewal cycle and NCCPA certification cycle may differ greatly.

True

How well did you know this?

Not at all

Perfectly

Granting approval for an individual to perform a specific procedure or specific set of privileges based on documented competence in the specialty in which privileges are requested is called what?
a) Credentialing
b) Privileging
c) Accreditation
d) Giving permission

b) Privileging

How well did you know this?

Not at all

Perfectly

21st Century Cures Act “Open chart” did what?
Made HIPAA legislation law
Gave anyone access to patient’s charts if they request access
Gave providers the right to keep charts open
Gave patients the right to access their medical records

Gave patients the right to access their medical records

How well did you know this?

Not at all

Perfectly

True or false: Memory deficits always impact a patient’s capacity to give informed consent.

False

How well did you know this?

Not at all

Perfectly

Which of the following correctly matches the term to the definition?
a) Appreciation: recognize that the information applies to oneself
b) Understanding: ability to apply logic, weigh merits & consequences of various choices
c) Reasoning: verbally or otherwise (must distinguish between refusal & inability to express)
d) Expressing a choice: comprehending information

a) Appreciation: recognize that the information applies to oneself

How well did you know this?

Not at all

Perfectly

Define assent
a) Agreement from a parent to perform a medical procedure on their minor child
b) It’s the same as consent
c) Agreement from the person selected in an advanced directive for medical procedures
d) Agreement from minor child for medical procedures

d) Agreement from a minor child for medical procedures

How well did you know this?

Not at all

Perfectly

True or false: PAs are not expected to ignore their own personal values, scientific or ethical standards, or the law, but they should not allow their personal beliefs to restrict patient access to care.

True

How well did you know this?

Not at all

Perfectly

Does medicare cover a patient living in a nursing home for multiple years?
Yes
No
Sometimes

How well did you know this?

Not at all

Perfectly

Which act required hospitals upon admission to ask the pt if they have an advance directive?
a) 21st Century Cures Act (2021)
b) HIPAA Act (1996)
c) Patient Self-Determination Act (1999)
d) Emergency Medical Treatment and Labor Act (EMTALA) (1986)

c) Patient Self-Determination Act (1999)

How well did you know this?

Not at all

Perfectly

Which type of advance directive acts as a living will?
a) Proxy directives
b) Instructive directives
c) Complete directives
d) Total directives

b) Instructive directives

How well did you know this?

Not at all

Perfectly

True or false: You may verbally revoke the designation of your agent/ proxy from your advance directive.

False

How well did you know this?

Not at all

Perfectly

There are multiple uses for the term _________, including the philosophy of care for the dying.
a) hospice
b) palliative
c) comfort
d) nursing

a) hospice

How well did you know this?

Not at all

Perfectly

What is the difference between an advance directive and a POLST?
a) They are the same thing
b) One is kept in a safe, one is portable
c) An advance directive is a legal document; a POLST is not a legal document
d) An advance directive describes the pts general treatment preferences; a POLST is an enforceable medical order that is specific

d) An advance directive describes the pts general treatment preferences; a POLST is an enforceable medical order that is specific

How well did you know this?

Not at all

Perfectly

Hospice is appropriate when which of the following 2 conditions are met? Select 2
a) Patients are entering the last weeks to months of life.
b) They want to forego chemotherapy for both pain management and curative/ life-prolonging intent.
c) They want to forego disease-modifying therapies with curative/life-prolonging intent.
d) Patients are entering their last months to years of life.

a) Patients are entering the last weeks to months of life.
c) They want to forego disease-modifying therapies with curative/life-prolonging intent.

How well did you know this?

Not at all

Perfectly

When is TAPA advocating for us?

Always

How well did you know this?

Not at all

Perfectly

Which of the following does TAPA do? Select all that apply
a) Advocacy
b) Legal advice
c) State laws
d) Networking
e) Discounts

a) Advocacy
b) Legal advice
c) State laws
d) Networking
e) Discounts

How well did you know this?

Not at all

Perfectly

True or false: A copy of the General Rules Governing the Practice of Physician Assistants can be found on the TAPA website.

True

How well did you know this?

Not at all

Perfectly

TAPA is divided into ______ geographical regions. Each region has a director who serves on the Board of Directors.
3
4
5
6

How well did you know this?

Not at all

Perfectly

Which of the following is a goal of TAPA that has NOT already been enacted?
a) Elimination of legal requirement for a specific relationship bet PA and MD (SP) for PA to practice to the full extent of their education, training and experience.
b) Create a majority-PA board to regulate PAs or add PAs/MDs who work with PAs.
c) Allow for PAs to work without any restrictions or constraints.
d) Authorize PAs to be eligible for direct payment by all public and private insurers.

c) Allow for PAs to work without any restrictions or constraints.

How well did you know this?

Not at all

Perfectly

What does the PA Compact allow for?
a) Elimination of legal requirement for a specific relationship bet PA and MD (SP) for PA to practice to the full extent of their education, training and experience.
b) Authorize PAs to be eligible for direct payment by all public and private insurers.
c) Allows PAs to practice in multiple states once they get licensure for one of those states.
d) Allows PAs to practice at the same levels as NPs.

c) Allows PAs to practice in multiple states once they get licensure for one of those states.

True or false: The physician: PA ratio in Tennessee is 3:1

False, there is no ratio

True or false: In TN, PAs have full prescriptive authority (DEA license Controlled Substances II-V)

True

In Tennessee, a collaborating physician must be what? Select all that apply a) MD b) DO c) Podiatrist (sometimes) d) Chiropractor (sometimes)

a) MD b) DO c) Podiatrist (sometimes)

How many days do you have to wait to retake the PANCE if you fail? 30 days 60 days 90 days 1 year

90 days

How much does the PANCE cost?

$500

he NCCPA requires 100 hours of CME every ______ years. 2 4 6 8

In Tennessee, the renewal due date of your license is what? a) December 31st (Q 2yrs) b) The last day of your birth month (Q 2yrs) c) January 1st (Q 2yrs) d) The last day of your birth year (Q 2yrs)

b) The last day of your birth month (Q 2yrs)

True or false: PAs are both professionally and legally obligated to keep abreast of changes in medicine

True

Which of the following are limitations of a temporary license? Select all that apply a) The physician must be on site at all times b) The physician must co-sign at least 85% of patient charts c) The physician must co-sign 100% of patient charts d) The physician must supervise all procedures

a) The physician must be on site at all times c) The physician must co-sign 100% of patient charts

What is a PA-C Emeritus?

A PA who has retired (w. 20+ yrs of clinical experience) or is disabled.

You will likely submit insurance credentialing through what? (hint: it is a nonprofit alliance of America’s leading health plans) a) NCCPA b) CAQH c) TAPA d) HIPAA

b) CAQH

What are included in the oath we will swear at PA school graduation? Select all that apply a) Medical confidentiality b) Nonmaleficence c) Justice d) Beneficence

a) Medical confidentiality b) Nonmaleficence c) Justice d) Beneficence

The strongest predictor of a positive rating is what? a) Perception of communication with the provider b) Perception of communication with the MA and receptionist c) Quality of care d) Perception of quality of care

a) Perception of communication with the provider

Which of the following is NOT more common in African Americans, Alaska Natives, and Native Americans? a) Diabetes b) Bacterial diseases c) CV disease d) Asthma

b) Bacterial diseases

True or false: A family member is an appropriate translator.

False

What is Earned Income Tax Credit? a) A refundable tax credit for low- to moderate-income working individuals with children. b) A complete tax break for low- to moderate-income working individuals with children. c) A complete tax break for low-income working individuals with children. d) A refundable tax credit for low- to moderate-income working individuals and couples, particularly those with children.

d) A refundable tax credit for low- to moderate-income working individuals and couples, particularly those with children.

Which of the following is NOT among the most important known determinants of health? a) Smoking b) Lack of exercise c) Diet d) Shared environment

d) Shared environment

Firearm incidents are the ___ leading cause of death in youth.

2nd

1) True or false: Patients have the right to know if they’re a part of a clinical trial or research. 2) True or false: 21st Century Cures Act “Open chart” did NOT make a part of the AHA Bill of Rights a law.

1) True 2) False

True or false: If a physician assistant is going to certify transfer of an unstable patient to another emergency department, the law requires that the PA first consult with a physician before ordering the transfer.

True

True or false: You must tell a parent if you report them to CPS.

True

True or false: some patients might not remember explanations, but still be able to make reasonable decisions

True

Which of the following does NOT keep a patient from making an informed decision? a) Duress b) Stress c) Fraud d) Force

b) Stress

Inpatient care is defined by Medicare as what? A) At least 1 midnight B) At least 1 day C) At least 2 midnights D) At least 2 days

C) At least 2 midnights

Passage of OBRA 87 required each State to establish what?

State-approved nurse aide training programs and to establish minimum requirements for nurse aide competency.

1) True or false: The MMSE or MiniCog can determine competency. 2) True or false: An instructive directive (living will) supersedes any instructions given by proxy

1) False 2) True

1) True or false: Mental illness is explicitly addressed by advanced directives 2) True or false: You may revoke all or part of your advance directive, except for the designation of an agent, at any time you have capacity

1) False 2) True

Which of the following situations would revoke the power of attorney from your spouse if they’re your agent (unless specified otherwise in your advance directive)? a) Annulment b) Divorce c) Dissolution of marriage d) Legal separation e) All of the above

e) All of the above

Which of the following can begin while the patient is still being treated? a) Palliative care b) Hospice c) Both

a) Palliative care

Which of the following typically occurs in a hospital? a) Palliative care b) Hospice c) Both

a) Palliative care

What percentage of US patients use hospice? a) ~15% b) ~20% c) ~25% d) ~30%

b) ~20%