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Question 1 ) Telehealth uses four modalities

Health Science

Question 1 )

Telehealth uses four modalities. Which of the following is an asynchronous modality?

 

Store and forward

 

Mobile health

 

 

Live video

 

Remote patient monitoring (RPM)

 

 

Question 2

Which of the following has evolved from many sources to address needs of population groups afflicted by specific diseases or types of conditions such as asthma, diabetes, multiple sclerosis, and cerebral palsy?

 

Federally qualified health centers

 

Not-for-profit ambulatory services

 

 

Retail clinics

 

Public health ambulatory services

 

 

Question 3

Which of the following provides health care on a walk-in, no-appointment basis for acute illness or injury that is not life- or limb-threatening, and is either beyond the scope or availability of the typical primary care practice or retail clinic?

 

Public health ambulatory service

 

Federally qualified health center

 

 

Urgent care center

 

Ambulatory surgery center

 

 

Question 4

The ACA included many provisions to support primary care and development of the:

 

Patient-Centered Medical Home’s Cost and Quality (PCPCC) model.

 

Patient-Centered Primary Care Collaborative (PCPCC) model.

 

 

Agency for Health Research and Quality (AHRQ) model.

 

Patient-Centered Medical Home (PCMH) model.

 

 

 

 

 

 

 

Question 5

Beginning in the early 1980s, hospitals reorganized and expanded outpatient services that focused heavily on primary care. Which of the following was one of the influences that had an impact on how hospital outpatient clinic services were organized and delivered?

 

De-emphasis on primary medicine

 

Increasing fiscal pressures

 

 

Decreasing fiscal pressures

 

Increasing inpatient revenue

 

 

Question 6

A group of providers and suppliers involved in patient care that work together to coordinate care for the patients they serve under the traditional Medicare fee-for-service program is referred to as a(n):

 

Patient-Centered Medical Home (PCMH)

 

Urgent Care Center

 

 

Accountable Care Organization (ACO)

 

Federally Qualified Health Center (FQHC)

 

 

Question 7

Which of the following is the leading cause of disability in the United States?

 

Cardiovascular disease

 

Unintentional injuries

 

 

Neuropsychiatric disorders

 

Cancer

 

 

Question 8

Which of the following is not suggested as a possible reason for the sometimes contentious relationship between public health leadership and private medicine?

 

Public health requirements for communicable disease reporting were viewed as an infringement upon the private physician-patient relationship

 

Public health services such as disease screening were viewed as intrusions into physicians’ domains and income

 

 

As medicine became more highly specialized, public health viewed clinical medicine as disconnected from the social determinants of health

 

Substandard training of public health physicians compared with training of private physicians

 

 

 

 

Question 9

There are many examples of how private practice physicians have played a pivotal role in public health. Which of the following is not an example?

 

The link of workplace exposure to carcinogenic vinyl chloride

 

Discovery of the link between firearm violence and domestic abuse

 

 

A pediatrician’s report of increases in children’s lead exposure through contaminated water supplies

 

Recognition of toxic shock syndrome

 

 

Question 10

The major difference between public health ethics and medical ethics is that while medical ethics have an individual and clinical focus, public health ethics:

 

are concerned with institutions’ interactions with communities.

 

have government support for health care as the core focus.

 

 

focus primarily on community organizing efforts.

 

focus primarily on legislative lobbying to improve population health status.

 

 

Question 11

A primary purpose of the Prevention and Public Health Fund created by the ACA is to:

 

support the education of entry-level education for future public health practitioners

 

encourage more primary care doctors to pursue public health careers.

 

 

eliminate unpredictable federal budget appropriations for public health and prevention programs.

 

ensure that health disparities are addressed in every federally-funded public health program.

 

 

Question 12

Public health workforce development, particularly for medically underserved areas, is a major goal of the ACA. An ACA provision to support this goal included:

 

loan forgiveness for medical students agreeing to work in underserved areas for three years following completion of a residency in an internal medicine specialty.

 

) full-tuition scholarships for minority students in master of public health programs.

 

 

a new program to support nurse-managed health centers operated by advanced practice nurses working in underserved areas.

 

financial incentives for private practice primary care physicians to work in medically-underserved areas.

 

 

 

 

 

 

 

Question 13

The vast majority of U.S. health spending is devoted to medical care, but there is strong evidence that personal behaviors and the environment are responsible for more than what percentage of avoidable mortality?

 

70

 

15

 

 

30

 

45

 

 

Question 14

CDC’s Behavioral Risk Factor Surveillance System (BRFSS) is a frontline public health program to:

 

identify communicable disease risks at the local level in a timely manner to assist with planning interventions.

 

monitor statewide levels of acute conditions on an annual basis.

 

 

provide states with sources of data on health and health risk behavior related to chronic disease to assist with development of prevention strategies

 

highlight community collaborations to address emerging population health issues.

 

 

Question 15

As a core function of public health, assessment is best defined as:

 

governmental public health agency responsibility to ensure that basic components of the healthcare delivery system are in place.

 

developing state and local databases highlighting contrasts between incidences of acute and chronic diseases.

 

 

collecting and analyzing data to define population health status and quantify existing or emerging health problems.

 

maintaining active surveillance of communicable diseases.

 

 

Question 16

Prior to the AMA identifying firearm-associated deaths as a “critical public health issue,” firearm deaths were considered only in the domains of:

 

criminal justice.

 

mental health.

 

 

personal safety.

 

All of these are correct.

 

 

 

 

Question 17

CDC funding for research on firearms-related morbidity and mortality has been stopped due to lobbying efforts by which of the following organizations?

 

American Association of Retired Persons (AARP)

 

National Rifle Association (NRA)

 

 

American Association of Health Plans (AAHP)

 

America’s Health Insurance Plans (AHIP)

 

 

Question 18

Investigations of the Flint, Michigan lead poisoning crisis revealed that:

 

Flint, Michigan’s crisis was an isolated incident in the United States.

 

the Flint, Michigan crisis yields few public health consequences for the affected population.

 

 

damaging effects of the Flint, Michigan crisis cannot be cured and will entail enormous future human and economic costs.

 

in certain circumstances, political expediency outweighs public health concerns.

 

 

Question 19

Experts suggest that the U.S. epidemic of opioid addiction has resulted from:

 

pharmaceutical companies’ and professional societies’ pressure on physicians to prescribe pain-relieving drugs.

 

inadequate physician-patient communication about alternative, non-addictive pain treatments.

 

 

physicians’ ignorance of opioids’ addictive properties.

 

All of these are correct.

 

 

Question 20

Prescription drug monitoring programs (PDMPs) are best described as programs using:

 

electronic databases which track prescription and dispensing of controlled drugs so pharmacists and prescribers can track individual patients’ use history.

 

electronic databases which require opioid users to report drug refills via apps.

 

 

state laws to penalize physicians and other opioid prescribers for failing to report the number of opioid prescriptions by calendar year quarter.

 

insurance company data to track pain-relief prescription drug use by subscribers over specified time periods.

 

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