exam one review AK copy

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School

Brooklyn College, CUNY *

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Course

105

Subject

Medicine

Date

Apr 3, 2024

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pptx

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100

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1. A 45 year old male with a history of diabetes and hypertension smokes a pack of cigarettes a day. He disregards his health practices because he believes the healthcare system will be there if something goes wrong. This is known as: A. Self Deprecation B. Moral insufficiency C. Moral Hazard D. Medical indifference
1. A 45 year old male with a history of diabetes and hypertension smokes a pack of cigarettes a day. He disregards his health practices because he believes the healthcare system will be there if something goes wrong. This is known as: A. Self Deprecation B. Moral insufficiency C. Moral Hazard D. Medical indifference
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2.A monthly fee that a subscriber of health insurance pays is called a: A. Premium B. Co-pay C. Deductible D. Co-insurance
2.A monthly fee that a subscriber of health insurance pays is called a: A. Premium B. Co-pay C. Deductible D. Co-insurance
3.According to the article "Mirror, mirror on the wall, how the US ranks internationally", how does the U.S. Healthcare system rank among the developed countries it was compared to? A. First B. Last C. The United States was not included in this survey D. The U.S. Ranked somewhere in the middle
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3.According to the article "Mirror, mirror on the wall, how the US ranks internationally", how does the U.S. Healthcare system rank among the developed countries it was compared to? A. First B. Last C. The United States was not included in this survey D. The U.S. Ranked somewhere in the middle
4. Accountable care organizations provide all of the following care except: A. In patient rehabilitative services B. Primary care C. Specialty care D. In-Patient Hospital Care
4. Accountable care organizations provide all of the following care except: A. In patient rehabilitative services B. Primary care C. Specialty care D. In-Patient Hospital Care
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5.All of the following are expectations of students in this course except: A.Punctuality B.Participation C. Engaging in private conversation via electronic device D.Respect for other students responses and points of view
5.All of the following are expectations of students in this course except: A.Punctuality B.Participation C. Engaging in private conversation via electronic device D.Respect for other students responses and points of view
6.All of the following are hospital CEO's concerns except: A. Insurance reimbursements and financial well being of hospital B. Patient safety and quality C. Long term health outcomes of discharged patients D. Government mandates
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6.All of the following are hospital CEO's concerns except: A. Insurance reimbursements and financial well being of hospital B. Patient safety and quality C. Long term health outcomes of discharged patients D. Government mandates
7. All of the following are reasons for the trend of physicians switching from solo practice to group practice except A.Greater autonomy in medical decision making B. Less overhead costs (equipment, staffing) C.Cost of malpractice usually covered or split by the organization D. Introduction of newer technology that may enhance the delivery of care given
7. All of the following are reasons for the trend of physicians switching from solo practice to group practice except A.Greater autonomy in medical decision making B. Less overhead costs (equipment, staffing) C.Cost of malpractice usually covered or split by the organization D. Introduction of newer technology that may enhance the delivery of care given
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8. Multiple Choice: All of the following are tips for successes in this class except A. Cram extremely hard the night before an exam so the information is fresh in your mind B. Arranging and participating in study groups C. Reading assigned chapters ahead of the lesson D. Budgeting your time for study and other activities
8. Multiple Choice: All of the following are tips for successes in this class except A. Cram extremely hard the night before an exam so the information is fresh in your mind B. Arranging and participating in study groups C. Reading assigned chapters ahead of the lesson D. Budgeting your time for study and other activities
9.All of the following are valid arguments against penalizing hospitals for readmission except: A.Many reason for readmission occur for reasons outside of the hospital's control B.Medicare does not adjust for patient's race or socioeconomic factors, despite evidence that poor and minority patients have less access to follow up care and have higher readmission rates C.Decreased readmission rates are a good indicator of quality and have been proven to improve good outcomes D. Penalties are usually calculated on "all cause admissions" even if they are unrelated to the original condition
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9.All of the following are valid arguments against penalizing hospitals for readmission except: A.Many reason for readmission occur for reasons outside of the hospital's control B.Medicare does not adjust for patient's race or socioeconomic factors, despite evidence that poor and minority patients have less access to follow up care and have higher readmission rates C.Decreased readmission rates are a good indicator of quality and have been proven to improve good outcomes D. Penalties are usually calculated on "all cause admissions" even if they are unrelated to the original condition
10.Behavioral economics is: A.The cost of treating the mentally ill B.The study of how medical economist set policy C.The spending habits of healthcare organizations D. Imperfect science to determine who is more risky to insure
10.Behavioral economics is: A.The cost of treating the mentally ill B.The study of how medical economist set policy C.The spending habits of healthcare organizations D. Imperfect science to determine who is more risky to insure
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11.How has the affordable care act addressed the ability of individuals to obtain health insurance? A. Made individual plans more affordable through organizing marketplaces B. Mandated coverage with pre existing conditions C. Offered subsidies if making less than 400% FPL D. All of the above
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11.How has the affordable care act addressed the ability of individuals to obtain health insurance? A. Made individual plans more affordable through organizing marketplaces B. Mandated coverage with pre existing conditions C. Offered subsidies if making less than 400% FPL D. All of the above
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12.Straight Medicare (Medicare A) covers - A. Primary care B. Hospital stays C. Prescription drugs D. Preventative services
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12.Straight Medicare (Medicare A) covers - A. Primary care B. Hospital stays C. Prescription drugs D. Preventative services
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13.The affordable care act may worsen the primary care shortage in which way? A. Cutting reimbursement to PCPs B. Increasing demand for primary care that outweighs supply C. Shorter wait times for appointments D. Increased reimbursement form Medicare and Medicaid
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13.The affordable care act may worsen the primary care shortage in which way? A. Cutting reimbursement to PCPs B. Increasing demand for primary care that outweighs supply C. Shorter wait times for appointments D. Increased reimbursement form Medicare and Medicaid
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14. The original types of medical insurance were ___________ plans A.HMO B.Indemnity C.self pay D.PPO
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14. The original types of medical insurance were ___________ plans A.HMO B.Indemnity C.self pay D.PPO
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15.To be eligible for medicare, a person must have any (not all) of the following except: A. Income below federal poverty level B. Over the age of 65 C. Permanent disability D. Be a US citizen of permanent resident for at least five years
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15.To be eligible for medicare, a person must have any (not all) of the following except: A. Income below federal poverty level B. Over the age of 65 C. Permanent disability D. Be a US citizen of permanent resident for at least five years
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16. What are some of the objectives of this course? A. To better understand the structure of the U.S. Healthcare system B. To understand what works and what doesn't in our present health care system C. To think of ways to improve the U.S. Health care system D. All of the above
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16. What are some of the objectives of this course? A. To better understand the structure of the U.S. Healthcare system B. To understand what works and what doesn't in our present health care system C. To think of ways to improve the U.S. Health care system D.All of the above
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17.What is the driving force that dictates most of the healthcare policy in the United States? A. Altruism B. Profit C. Charity D. Research
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17.What is the driving force that dictates most of the healthcare policy in the United States? A. Altruism B. Profit C. Charity D. Research
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18. Multiple Choice: What is the most common way to get medical insurance in the United States? A. Through employer B. Through Government programs C. Through individual purchase D. Through Charitable organizations
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18. Multiple Choice: What is the most common way to get medical insurance in the United States? A. Through employer B. Through Government programs C. Through individual purchase D. Through Charitable organizations
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19. What type of facility is referred to as a boutique hospital? A. Critical access hospitals B. Skilled nursing facilities C. Physician-owned specialty hospitals D. Behavioral hospitals
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19. What type of facility is referred to as a boutique hospital? A. Critical access hospitals B. Skilled nursing facilities C. Physician-owned specialty hospitals D. Behavioral hospitals
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20. What type of facility provides care to patients with clinically complex problems who need acute care for long time periods? A. Long-term care hospitals B.Short-term care hospitals C.General acute care hospitals D. Rehabilitative hospitals
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20. What type of facility provides care to patients with clinically complex problems who need acute care for long time periods? A. Long-term care hospitals B.Short-term care hospitals C.General acute care hospitals D. Rehabilitative hospitals
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21. What type of facility provides inpatient care with highly technical tertiary or services for specific conditions, such as cancer or pediatrics? A.Specialty hospitals B.Skilled nursing facilities C.General acute care hospitals D. Rehabilitative hospitals
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21. What type of facility provides inpatient care with highly technical tertiary or services for specific conditions, such as cancer or pediatrics? A.Specialty hospitals B.Skilled nursing facilities C.General acute care hospitals D. Rehabilitative hospitals
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22. What type of facility specializes in treating individuals with a mental health diagnosis? A. Critical access hospitals B. Skilled nursing facilities C. Physician-owned specialty hospitals D. behavioral hospitals
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22. What type of facility specializes in treating individuals with a mental health diagnosis? A. Critical access hospitals B. Skilled nursing facilities C. Physician-owned specialty hospitals D. behavioral hospitals
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23. When one side of a transaction has more information than another it is known as A. Information symmetry B. Information asymmetry C. Moral Hazard D. Information overload
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23. When one side of a transaction has more information than another it is known as A. Information symmetry B. Information asymmetry C. Moral Hazard D. Information overload
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24. When purchasing new high tech equipment for a hospital based system, which of the following questions would more likely be asked by an administrator rather than a surgeon? A. "Will this improve my patient's outcome?" B. "Will this make surgeries quicker and easier for me?" C. "What is the learning curve for this equipment and will my support staff be properly trained?" D. " Is this equipment worth the cost or could the money be spent elsewhere for hospital needs? "
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24. When purchasing new high tech equipment for a hospital based system, which of the following questions would more likely be asked by an administrator rather than a surgeon? A. "Will this improve my patient's outcome?" B. "Will this make surgeries quicker and easier for me?" C. "What is the learning curve for this equipment and will my support staff be properly trained?" D. " Is this equipment worth the cost or could the money be spent elsewhere for hospital needs? "
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25.Which of the following are benefits of increased primary care coverage? A. Areas with higher levels of PCP providers have less overall healthcare cost B. Easier access to the healthcare system C. Better health outcomes D. All of the above
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25.Which of the following are benefits of increased primary care coverage? A. Areas with higher levels of PCP providers have less overall healthcare cost B. Easier access to the healthcare system C. Better health outcomes D. All of the above
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26. Which of the following are considered plagiarism? A. Copying and pasting an article word for word B. Failing to cite references C. resubmitting an assignment from a previously completed course D. All of the above
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26. Which of the following are considered plagiarism? A. Copying and pasting an article word for word B. Failing to cite references C. resubmitting an assignment from a previously completed course D. All of the above
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27.Which of the following are goals of patient centered medical homes? A. Comprehensive team based care B. Coordinated care C. Improved quality and safety D. All of the above
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27.Which of the following are goals of patient centered medical homes? A. Comprehensive team based care B. Coordinated care C. Improved quality and safety D. All of the above
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28. Which of the following are potential penalties for breach of academic integrity? A. Failure of course B. Permanent mark on transcript C. Suspension from university D. All of the above
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29.Which of the following describes a type of ambulatory care? A. Hospice care for the terminally ill B. Surgical care requiring an overnight stay C. Physical therapy delivered in freestanding centers or outpatient hospital clinics D. Admission to a psychiatric ward for evaluation and therapy
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29.Which of the following describes a type of ambulatory care? A. Hospice care for the terminally ill B. Surgical care requiring an overnight stay C. Physical therapy delivered in freestanding centers or outpatient hospital clinics D. Admission to a psychiatric ward for evaluation and therapy
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30. Which of the following describes the largest percentage of hospitals in the United States? A. Nongovernmental and not-for-profit B. For-profit and privately subsidized C. Governmental and for-profit D. Nongovernmental and for-profit
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30. Which of the following describes the largest percentage of hospitals in the United States? A. Nongovernmental and not-for-profit B. For-profit and privately subsidized C. Governmental and for-profit D. Nongovernmental and for-profit
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31.Which of the following has not been a contributing factor in the shortage of primary care providers in the United States? A. Higher pay for specialists B. Reduction of residency slots in hospitals for primary care C. Increased reimbursement policies D. Increase administrative workload
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31.Which of the following has not been a contributing factor in the shortage of primary care providers in the United States? A. Higher pay for specialists B. Reduction of residency slots in hospitals for primary care C. Increased reimbursement policies D. Increase administrative workload
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32.Which of the following is NOT a function of the board of directors in a hospital? A. It selects the CEO of the hospital. B. It is responsible for licensing physicians. C. It reviews major managerial decisions and performance. D. It raises funds.
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32.Which of the following is NOT a function of the board of directors in a hospital? A. It selects the CEO of the hospital. B. It is responsible for licensing physicians. C. It reviews major managerial decisions and performance. D. It raises funds.
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33. Which of the following is NOT an advantage experienced by physicians in a group practice? A. Autonomy B. Less financial risk C. More flexible work schedules D. Lower overhead costs
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33. Which of the following is NOT an advantage experienced by physicians in a group practice? A. Autonomy B. Less financial risk C. More flexible work schedules D. Lower overhead costs
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34.Which of the following is NOT an advantage experienced by physicians in a solo practice? A. Autonomy B. Better personal relationships with patients C. Longer on-call hours D. Lower financial risk
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34.Which of the following is NOT an advantage experienced by physicians in a solo practice? A. Autonomy B. Better personal relationships with patients C. Longer on-call hours D. Lower financial risk
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35.Which of the following is a reason why the use of ambulatory care, especially ambulatory surgical care, has increased since the 1980s? A. New medical and diagnostic procedures and better technology have enabled providers to perform more procedures safely in an outpatient setting. B. There is consumer demand for convenient and accessible services that do not necessitate an inpatient stay. C. Changes in reimbursement. D. All of the above
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35.Which of the following is a reason why the use of ambulatory care, especially ambulatory surgical care, has increased since the 1980s? A. New medical and diagnostic procedures and better technology have enabled providers to perform more procedures safely in an outpatient setting. B. There is consumer demand for convenient and accessible services that do not necessitate an inpatient stay. C. Changes in reimbursement. D. All of the above
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36.Which of the following is a valid suggestion for expanding primary care coverage? A.Reduce or subsidize medical education debt for PCPs B.Increase number of primary care residencies C.Utilize more mid level practitioners (Nurse practitioners. Physician Assistants) D.All of the above
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36.Which of the following is a valid suggestion for expanding primary care coverage? A.Reduce or subsidize medical education debt for PCPs B.Increase number of primary care residencies C.Utilize more mid level practitioners (Nurse practitioners. Physician Assistants) D.All of the above
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37.Which of the following is not a characteristic of an HMO? A. Primary care provider serves as Gatekeeper to further services B. Procedures need preauthorization C. Patients have freedom to see any provider they choose as long as they are licensed D. Doctors are often employed by the HMO itself
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37.Which of the following is not a characteristic of an HMO? A. Primary care provider serves as Gatekeeper to further services B. Procedures need preauthorization C. Patients have freedom to see any provider they choose as long as they are licensed D. Doctors are often employed by the HMO itself
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38. Which of the following statements regarding the U.S. Healthcare is false? A.Americans only receive about 55-70% of the healthcare they need B. There are huge disparities in health outcome depending on insurance, income, race, and location C. The U.S. Ranks poorly among other developed nations in terms of infant and maternal mortality D. Life expectancy is rising at a faster rate than other developed countries
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38. Which of the following statements regarding the U.S. Healthcare is false? A.Americans only receive about 55-70% of the healthcare they need B. There are huge disparities in health outcome depending on insurance, income, race, and location C. The U.S. Ranks poorly among other developed nations in terms of infant and maternal mortality D. Life expectancy is rising at a faster rate than other developed countries
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39.Which of the following types of treatment are NOT included with hospice care? A. Legal needs of family B. Emotional needs of family C. Relief of pain D. Curative care
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39.Which of the following types of treatment are NOT included with hospice care? A. Legal needs of family B. Emotional needs of family C. Relief of pain D. Curative care
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40. What type of facility provides emergency care, general surgery, and admits patients for a wide range of conditions and procedures? A.Specialty hospitals B.Skilled nursing facilities C.General acute care hospitals D.Rehabilitative hospitals
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40. What type of facility provides emergency care, general surgery, and admits patients for a wide range of conditions and procedures? A.Specialty hospitals B.Skilled nursing facilities C.General acute care hospitals D.Rehabilitative hospitals
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41. The_____________ Act ensures that all patients presenting to and emergency room that receives government funds are entitled to a screening examination, emergency treatment, and appropriate disposition regardless of ability to pay A. HIPPA B. EMTALA C. HITECH D. Patient Bill of Rights
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41. The_____________ Act ensures that all patients presenting to and emergency room that receives government funds are entitled to a screening examination, emergency treatment, and appropriate disposition regardless of ability to pay A. HIPPA B. EMTALA C. HITECH D. Patient Bill of Rights
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42.Which of the following contributes to poor health literacy? A. Misinformation on the internet B. Unreliable magazine, news and journal articles C. Direct to consumer advertising D. All of the above
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42.Which of the following contributes to poor health literacy? A. Misinformation on the internet B. Unreliable magazine, news and journal articles C. Direct to consumer advertising D. All of the above
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43.When individuals are often asked to account for costs in their medical decision making the following barriers stand in their way except A.Patients have many ways to compare their healthcare providers via national database B.hospitals and physicians do not provide up front information about prices and billing C.patients usually don't understand how medical billing Works D.patients lack the clinical knowledge and compare any added value of more expensive treatment
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43.When individuals are often asked to account for costs in their medical decision making the following barriers stand in their way except A.Patients have many ways to compare their healthcare providers via national database B.hospitals and physicians do not provide up front information about prices and billing C.patients usually don't understand how medical billing Works D.patients lack the clinical knowledge and compare any added value of more expensive treatment
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44.Lack of coordination in healthcare may lead to which of the following problems? A. Readmissions B. Increased administrative costs C. Lack of medication reconciliation D. All of the above
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44.Lack of coordination in healthcare may lead to which of the following problems? A. Readmissions B. Increased administrative costs C. Lack of medication reconciliation D. All of the above
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45.Which is the most common way people receive medical insurance in the United States? A. Through government-sponsored programs B. Individual purchases on the market C. Through charitable organizations D. Through their employers
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45.Which is the most common way people receive medical insurance in the United States? A. Through government-sponsored programs B. Individual purchases on the market C. Through charitable organizations D. Through their employers
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46.All of the following are reasons Health Care in the United States cost so much except A.Use of insurance as "insulation" to cover even small, predictable costs of medical care B. Lack of transparency for healthcare costs C. Lack of standardization between healthcare entities D. Increased coordination between hospitals, doctors, insurance companies, and patients
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46.All of the following are reasons Health Care in the United States cost so much except A.Use of insurance as "insulation" to cover even small, predictable costs of medical care B. Lack of transparency for healthcare costs C. Lack of standardization between healthcare entities D. Increased coordination between hospitals, doctors, insurance companies, and patients
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47.Which group of people or most likely to overuse emergency room services due to lack of insurance or primary care? A. The homeless B. The elderly C. Medicaid recipients D. All of the above
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47.Which group of people or most likely to overuse emergency room services due to lack of insurance or primary care? A. The homeless B. The elderly C. Medicaid recipients D. All of the above
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48.All of the following are valid proposals to reduce emergency room overcrowding except A. Refuse service to patients requesting evaluation for non- life-threatening or chronic conditions B. Expand more community-based outpatient centers C. Reduce the overuse of costly hi-tech interventions that provide very little medical utility D. Increase access to primary care providers through the use of midlevel providers such as physician assistants and nurse practitioners
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48.All of the following are valid proposals to reduce emergency room overcrowding except A. Refuse service to patients requesting evaluation for non-life-threatening or chronic condition s B. Expand more community-based outpatient centers C. Reduce the overuse of costly hi-tech interventions that provide very little medical utility D. Increase access to primary care providers through the use of midlevel providers such as physician assistants and nurse practitioners
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49.Which of the following are reasons why physicians may overtreat or overuse prescriptions or technologies that contribute to higher medical cost but negligible medical outcome? A.Patient demand for unnecessary interventions such as antibiotics and imaging B. The monetary incentive to self-refer for imaging or procedures that the practice owns (I.E. Orthopedic doctors ordering MRI in his own office) C. The practice of defensive medicine to avoid lawsuits D. All of the above
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49.Which of the following are reasons why physicians may overtreat or overuse prescriptions or technologies that contribute to higher medical cost but negligible medical outcome? A.Patient demand for unnecessary interventions such as antibiotics and imaging B. The monetary incentive to self-refer for imaging or procedures that the practice owns (I.E. Orthopedic doctors ordering MRI in his own office) C. The practice of defensive medicine to avoid lawsuits D.All of the above
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50. Which country spends the highest amount of its gross domestic product (GDP) on health care? A.Belgium B.United Kingdom C.United States D.Canada
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50. Which country spends the highest amount of its gross domestic product (GDP) on health care? A.Belgium B.United Kingdom C.United States D.Canada
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