Acute Care — Flashcards

Flashcard 1: Patient is angry abou the amout of time spent in the waiting room.

Answer: Acknowledge the patient's frustration and apologize for any inconvenience. Stay away from efforts to explain.

Flashcard 2: Patient is upset about the way they were treated by another doctor or member of office staff.

Answer: Suggest that the patient speak directly with that physician. If problem with a member of office staff, tell the patient that you will speak to the individual.

Flashcard 3: A patient requires a treatment not covered by their insurance.

Answer: Never limit or deny care because of the expense in time or money. Discuss all options even if some are not covered by their insurance.

Flashcard 4: Phase 1

Answer: Small number of healthy volunteers

Extra: Safety, toxicity, pharmacokinetics

Flashcard 5: Which major medical insurance plan limits patients to a network of doctors, specialists, and hospitals without requirement of referrals? _____

Answer: Exclusive provider organization (EPO)

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 6: Can patients with preferred provider organization (PPO) insurance plans see providers outside their network? _____

Answer: Yes

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 7: Medi-care is for: - patients > _____ years - patients with _____ disease - patients with Amyotrophic lateral sclerosis - patients < 65 with certain disabilities

Answer: 65

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 8: Which part of medicare provides basic medical bills and hopistal insurance/home hospice care? _____

Answer: Part C (Combo of A + B)

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 9: Do patients with preferred provider organization (PPO) insurance plans require PCP referral for specialist visits? _____

Answer: No

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 10: Which major medical insurance plan has the cheapest monthly premiums and copays/deductibles? _____

Answer: Health maintenance organization

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 11: Which healthcare payment model involves patients paying for each individual service at a pre-determined, discounted rate? _____

Answer: Discounted fee-for-service

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 12: Which healthcare payment model involves physicians receiving a set amount per patient assigned to them per period of time? _____

Answer: Capitation

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 13: Can patients with health maintenance organization (HMO) insurance plans see providers outside their network? _____

Answer: No

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 14: Which healthcare payment model involves patients paying for each individual service? _____

Answer: Fee-for-service

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 15: The _____ setting is the best place to begin a conversation about advanced care planning

Answer: outpatient

Extra: Watch associated Bootcamp video [https://app.bootcamp.com/med-school/gross-anatomy/videos/foot?index=7] https://onlinemeded.org?ref=anki 

Flashcard 16: Medi-_____ is state/federal assistance for people with limited income/resources

Answer: caid

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 17: What is the best treatment of cancer? _____

Answer: Early detection

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 18: Which healthcare payment model involves patients paying for all expenses associated with a single incident of care with a single payment? _____

Answer: Global payment

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 19: Which part of medicare provides insurance for prescription drugs? _____

Answer: Part D

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 20: Capitation is the payment structure underlying _____ provider networks

Answer: health maintenance organization (HMO)

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 21: PSA can be used as a surveillance marker for recurrent disease after _____

Answer: prostatectomy

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 22: Which major medical insurance plan has the most expensive monthly premiums and copays/deductibles? _____

Answer: Preferred provider organization

Extra:   https://onlinemeded.org?ref=anki 

Flashcard 23: The two goals of cancer screening are: (1) To catch _____ before it becomes carcinoma (2) To detect carcinoma before clinical symptoms arise

Answer: dysplasia

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 24: Are psychiatric notes included when a patient asks for access to their protected health information? _____

Answer: No

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 25: How do you handle patients who smoke: _____

Answer: Advise them to stop → get them in counseling and on FDA-approved pharmacotherapy for cessation

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 26: Epidural blood patch is indicated for post-lumbar puncture _____

Answer: headache

Extra:  https://onlinemeded.org/spa/neurology?ref=anki 

Flashcard 27: Joint custody of child, how many parental consents required to proceed with treatment? _____

Answer: One

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 28: Treatment of psoas abscess is _____

Answer: drainage and antibiotics

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 29: Diverticulitis and abscess > 3 cm is managed with _____ Diverticulitis and abscess < 3 cm is managed with _____

Answer: CT-guided percutaneous drainage

Extra:  https://onlinemeded.org/spa/gastroenterology/diverticula/acquire?ref=anki 

Flashcard 30: _____

Answer: C

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 31: What patient populations are eligible for varicella-zoster immunoglobulin (VZIG)? (3) _____

Answer: Neonates Pregnant women Immunocompromised

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 32: What is tx if CIS is found on pathology of polyp? _____

Answer: More frequent screening

Extra:  https://onlinemeded.org/spa/surgery-general/colorectal/acquire?ref=anki 

Flashcard 33: Patients with a positive BRCA risk assessment screen should first receive: _____

Answer: Genetic counseling

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 34: Patients should be placed with the _____ lung in the dependent position

Answer: bleeding

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 35: Do most states allow a minor to have an abortion without parental consent? _____

Answer: No

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 36: First line feeding is _____ feeding

Answer: oral

Extra:  https://onlinemeded.org/spa/surgery?ref=anki 

Flashcard 37: Minors are considered emancipated if they are self-supporting, _____, _____, or _____

Answer: in the military

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 38: What is the next step in management for a patient with a 3-day history of fever and increasing unilateral knee erythema, pain, and swelling? _____

Answer: Synovial fluid analysis

Extra:  https://onlinemeded.org/spa/rheumatology/monoarticuloarthropathy/acquire?ref=anki 

Flashcard 39: What is the next step in management for a patient with suspected mild carpal tunnel syndrome? There is no thenar or hypothenar atrophy on physical exam. _____

Answer: Wrist splinting

Extra:  https://onlinemeded.org/spa/surgery-subspecialty/ortho-hand/acquire?ref=anki 

Flashcard 40: What are the four exceptions to informed consent? _____

Answer:

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 41: What is the next step in management for a patient with a cat bite after thorough wound cleaning? _____

Answer: Amoxicillin and clavulanate (prophylaxis)

Extra:  https://onlinemeded.org/spa/surgery?ref=anki prophylactic for possible Pasteurella multocida infection (amoxicillin), as well as oral anaerobes (clavulanate); wound closure should be avoided 

Flashcard 42: Treatment for tick paraylsis? _____

Answer: Locate and remove tick

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 43: _____ disease prevention = Screen to prevent progression of disease (mammogram, pap smear) Primary disease prevention = Prevent onset of disease (vaccination) Tertiary disease prevention = Treat to prevent complications of disease (chemotherapy)

Answer: Secondary

Extra:  https://onlinemeded.org/spa/epidemiology-and-stats/prevention/acquire?ref=anki 

Flashcard 44: Solitary brain metastasis = _____ Multiple brain metastases = _____

Answer: Surgical resection

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 45: What is management of suspected elder abuse? _____

Answer: Report to adult protective services or other governmental agency

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 46: What is the next step in management of lymphoma after a pt has been diagnosed via excisional biopsy? _____

Answer: Staging

Extra:  https://onlinemeded.org/spa/hematology-oncology/lymphoma/acquire?ref=anki 

Flashcard 47: Surgical abortion should be accompanied with _____ to prevent infection

Answer: antibiotics

Extra:  https://onlinemeded.org/spa/obgyn?ref=anki 

Flashcard 48: The biggest problem with mini-pills is that they require _____

Answer: daily compliance down to the hour

Extra:  https://onlinemeded.org/spa/obstetrics/contraception/acquire?ref=anki 

Flashcard 49: The NEXUS criteria provide indications for _____ - Neurologic deficit - Spinal tenderness - Altered mental status - Intoxication - Distracting injury

Answer: cervical spine imaging

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 50: What is the initial management for all patients with acute asthma exacerbations? _____

Answer: ICS and SABA

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 51: All STIs _____ diseases to the health department

Answer: are

Extra:  https://onlinemeded.org?ref=anki 

Flashcard 52: Which healthcare payment model involves patients paying for all expenses associated with a single incident of care with a single payment? _____

Answer: Global payment

Flashcard 53: Which part of medicare provides basic medical bills and hopistal insurance/home hospice care? _____

Answer: Part C (Combo of A + B)

Flashcard 54: Which part of medicare provides hospital insurance and home hospice care? _____

Answer: Part A

Flashcard 55: Medi-_____ is state/federal assistance for people with limited income/resources

Answer: caid

Flashcard 56: Which part of medicare provides basic medical bills (e.g. doctor's fees, diagnostic testing)? _____

Answer: Part B

Flashcard 57: Can patients with point of service (POS) insurance plans see providers outside their network?_____

Answer: Yes*

Flashcard 58: Which part of medicare provides insurance for prescription drugs? _____

Answer: Part D

Flashcard 59: Do patients with exclusive provider organization (EPO) insurance plans require PCP referral for specialist visits?_____

Answer: No

Flashcard 60: What is the most common cause of hospital readmission in patients with private insurance?_____

Answer: Maintenance of chemo-/radiotherapy

Flashcard 61: Which major medical insurance plan has the cheapest monthly premiums and copays/deductibles?_____

Answer: Health maintenance organization

Flashcard 62: Do patients with point of service (POS) insurance plans require PCP referral for specialist visits?_____

Answer: Yes

Flashcard 63: Which major medical insurance plan limits patients to a network of doctors, specialists, and hospitals without requirement of referrals?_____

Answer: Exclusive provider organization (EPO)

Flashcard 64: Disinfestation of Scabies is achieved by laudering clothing and bedding in _____ water

Answer: hot

Flashcard 65: Do patients with preferred provider organization (PPO) insurance plans require PCP referral for specialist visits?_____

Answer: No

Flashcard 66: Is IDR a dynamic measure? _____

Answer: Yes

Flashcard 67: Which major medical insurance plan has the most expensive monthly premiums and copays/deductibles?_____

Answer: Preferred provider organization

Flashcard 68: Which major medical insurance plan denies payment for any service that does not meet evidence-based guidelines?_____

Answer: Health maintenance organization

Flashcard 69: Which healthcare payment model involves physicians receiving a set amount per patient assigned to them per period of time? _____

Answer: Capitation

Flashcard 70: Compared to other plans, point of service insurances plans have _____ monthly premiums (cost)

Answer: more expensive

Flashcard 71: Which healthcare payment model involves patients paying for each individual service at a pre-determined, discounted rate?_____

Answer: Discounted fee-for-service

Flashcard 72: Can patients with health maintenance organization (HMO) insurance plans see providers outside their network?_____

Answer: No

Flashcard 73: Can patients with preferred provider organization (PPO) insurance plans see providers outside their network?_____

Answer: Yes

Flashcard 74: Do patients with health maintenance organization (HMO) insurance plans require PCP referral for specialist visits?_____

Answer: Yes