1) There is an imbalance between primary and specialty care services in the U.S. health
care delivery system.
2) Given the aging of the population, training in geriatrics is on the rise among
physicians
and nurses.
3) Secondary prevention refers to rehabilitative therapies and the monitoring of health
care processes to prevent complications or to prevent further illness, injury, or
disability.
4) Less than 2% of all active physicians are osteopaths (DOs).
5) An understanding of the forces of future change can help health care executives in
developing strategies for their organizations.
6) Access, quality, and cost are three unrelated components.
7) Educational attainment varies very little among Asian American subgroups.
8) The utilization of technology has a greater impact on total health care expenditures
than the cost of acquiring technology.
9) Generally, people with better education have higher incomes and better health status.
10) By definition, a public hospital is one that is open to the general public.
11) In a general sense, what is the primary purpose of insurance?
a.Predicting risk
b.Risk assessment
c.Protection against risk
d.Underwriting
12) Should the Affordable Care Act get repealed,
a.health care reform will become a dead issue
b.the main provisions of the ACA will be scrapped
c.it will be replaced by a single-payer system
d.some provision of the ACA will be retained
13) What are administrative costs?
a. Costs associated with management of the financing, insurance, delivery, and payment
functions of health care
b. Costs associated with financing and insurance only
c. Costs associated with delivery and payment functions only
d. None of the above
14) Most of the funding for meals-on-wheels is authorized under
a.Section 1915(c)waivers
b.the Older Americans Act
c.the Affordable Care Act
d.Medicaid
15) The Employee Retirement Income Security Act (ERISA), 1974
a.exempts self-insured plans from certain mandatory benefits
b.mandates that employers provide comprehensive health coverage under their health
insurance benefits
c.requires that low-income individuals be charged a lower premium than those in
high-income categories
d.outlawed discrimination in health insurance and retirement benefits
16) The Safe Medical Devices Act, 1990 requires
a.that injuries, illness, or death from any device be reported
b.premarket approval of devices
c.safety testing of devices before and after they have been marketed
d.that all problems and potential problems be reported to the FDA
17) Long-term care should be delivered according to
a.the biomedical model of health
b.a person’s ability to perform his or her social roles
c.the holistic model of health
d.the guidelines established by the World Health Organization
18) Primary care physicians will need to become comprehensivists mainly because of
a.advances in medical technology
b.a growing number of people with complex chronic conditions
c.a greater emphasis on patient-centered care
d.the adoption of the medical home model in health care delivery
19) Fill in the blank: The percentage of medical school graduates choosing careers in
primary care is ______________.
a. Increasing
b. Decreasing
c. Remaining steady
d. Unknown
20) Incidence is:
a. The number of new cases occurring during a specified period divided by the total
population
b. The total number of cases at a specific point in time divided by the specified
population
c. The number of new cases occurring during a specified period divided by the
population at risk
d. The total number of cases at a specific point in time divided by the population at risk
21) In which country are employers required by law to contribute toward health
insurance for their employees?
a.Germany
b.United States
c.Great Britain
d.Canada
22) The first voluntary hospitals in the United States were financed
a.through general taxes
b.by physicians
c.by private insurers
d.through local philanthropy
23) What does MUA stand for?
a. Metropolitan Utilization Area
b. Medically Underserved Area
c. Metropolitan Underserved Area
d. Medical Utilization Area
24) Generally, at the start of medical treatment
a.benefits exceed costs
b.cost-efficiency is minimum
c.costs exceed benefits
d.safety is not a major concern
25) Which primary factor was the trigger that made hospitals limit care to the more
acute periods of illness rather than the full course of the disease?
a.Technology
b.Physician training
c.Shortage of beds
d.Pressure to contain costs
26) What does the federal Ryan White CARE Act fund?
a. Care for underserved rural and urban populations
b. Skin cancer screening programs
c. School-based health services in predominantly minority neighborhoods
d. Development of treatment and care options for persons with HIV and AIDS
27) Which racial/ethnic group is most likely to drink alcohol?
a. White
b. Black or African American
c. Asian or Pacific Islander
d. Hispanic
28) Ethics committees are
a.fiduciary
b.legally bound
c.multidisciplinary
d.regulatory
29) A multiple payer system is more cumbersome than a single payer system for all of
the following reasons except:
a. There are numerous health plans, which is difficult for providers to handle
b. Payments are not standardized across health plans
c. Some healthcare services are covered for people in the north, but not in the south
d. Government programs require extensive documentation proving services were
provided before paying providers
30) The basic source of the physician distribution problem in the U.S. is:
a. Lack of health care coverage for all
b. The need-based model
c. Lack of awareness that there is a problem
d. A shortage of MDs
31) To receive payment for services delivered, providers must file a ____ with
third-party payers.
a.bill
b.claim
c.fee-schedule
d.charge
32) During the World War II period, the US Supreme Court ruled that
a.health insurance must be employer-based
b.all large employers must provide health insurance to their employees
c.health insurance could be part of union-management negotiations
d.health insurance must cover major medical expenses
33) When a profession’s services are generally accepted and are legitimized, they impart
_____ to the profession
a.specialization
b.organized strength
c.cohesiveness
d.cultural authority
34) How is case mix determined for an inpatient facility?
a.A comprehensive assessment of each patient is done
b.Patients are classified according to case-mix groups
c.A case-mix index is created
d.Case mix is determined by the principal diagnosis of each patient
35) PPOs differentiated themselves by offering _____ option to enrollees.
a.point of service
b.no out-of-pocket payment
c.open-panel
d.discount