Bonewit-west Test Bank

Todays Medical Assistant 4th Edition Bonewit-west Test Bank

Chapter 01: The Health Care System

Bonewit-West: Today’s Medical Assistant, 4th Edition

MULTIPLE CHOICE

• Why is Hippocrates often called the father of Western Medicine?
• He believed that disease was caused by physical and environmental factors that

could be studied.

• He developed “medications” from plant and animal sources to treat certain

diseases.

• He created a medical school using a model that resembles modern medical

schools.

• His students swore an oath called the Hippocratic Oath, which is still recited by

graduating physicians.ANS: A REF: p. 2, CAAHEP Competency (2015); ABHES Competency:

• What is the name for treatment that reduces symptoms of a disease, but does not cure the disease?
• Definitive
• Palliative
• Holistic
• Empirical

ANS: B REF: p. 2, CAAHEP Competency (2015): V.C.10; ABHES Competency: 3.c.

• When a patient comes to the office for care and then leaves and goes home, what type of care has the patient received?
• Clinic
• Extended
• Managed
• Ambulatory

ANS: D REF: p. 6, CAAHEP Competency (2015); ABHES Competency: 1.b.

• What type of insurance plan pays a physician separately for each procedure that was performed?
• Government insurance
• Capitation insurance
• Fee-for-service insurance
• Managed care insurance

ANS: C

REF: p. 3, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.

• Which of the following facilities now functions primarily to provide acute care and diagnostic services?
• Clinic
• Hospital
• Physician’s office
• Skilled nursing facility/nursing home

ANS: B REF: p. 2, CAAHEP Competency (2015); ABHES Competency: 1.a.

• What is a system by which a person (or the person’s employer) pays an insurance company a yearly amount of money in exchange

for the insurance company’s paying some or most of the person’s medical expenses for that year?

• Life insurance
• Health insurance
• Capitation
• Formulary

ANS: B

REF: p. 3, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.

• What trend in modern medicine encourages patients to become more responsible for their own care?
• Taking active steps to avoid duplication of services and medical errors
• Identifying all patients with name and date of birth before providing service
• Coaching patients to make dietary changes, stop smoking, and exercise
• Treating conditions as outpatients to avoid hospitalization

ANS: C REF: p. 2, CAAHEP Competency (2015): V.C.6.a.; ABHES Competency: 9.h.

• The insurance plan called is designed to provide health insurance for low-income people.
• Medicaid
• Medicare
• Social Security
• TRICARE

ANS: A

REF: p. 5, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c. 1 / 4

• What is the federal insurance plan that provides health insurance for the elderly, the disabled, and those with end-stage kidney

disease?

• Medicaid
• Medicare
• TRICARE
• Managed Care

ANS: B

REF: p. 5, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.

• What is the current name for the health insurance plan for dependent spouses and children of active-duty military personnel?
• Medicaid
• Medicare
• TRICARE
• CHAMPVA

ANS: C

REF: p. 5, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.

• What type of health care encourages regular checkups, immunizations, and well-child visits?
• Acute care
• Conservative care
• Diagnostic care
• Routine care

ANS: D

REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.

• What is utilization review?
• A process to determine whether health care is medically necessary
• A means to determine how much patients should pay for insurance
• Collection of statistics about the number of cases of specific diseases
• The systematic study of surgical techniques

ANS: A

REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.

• Which of the following was included in the original model for health maintenance organizations (HMOs)?
• A network of physicians in the community
• Payment only for visits resulting from illness or disease
• Full-service clinics in which the physicians were employees
• Allowing patient to obtain services at all hospitals in a given geographic area

ANS: C

REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.

• What is it called when a physician receives one monthly fee from the insurance company for each subscriber in his or her practice?
• Fee-for-service
• Indemnity
• Incentive reimbursement
• Capitation

ANS: D

REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.

• What is the name for an insurance plan’s list of approved medications?
• Formulary
• Prescription
• Premium
• Generic

ANS: A

REF: p. 6, CAAHEP Competency (2015): VIII.C.1.a.; ABHES Competency: 8.c.

• Which of the following occurs first when a patient is seen in the medical office?
• Laboratory testing
• Examination by the physician
• Referral
• Instructions for follow-up care

ANS: B REF: p. 7, CAAHEP Competency (2015); ABHES Competency: 1.a.

• When does a physician participate in a residency program?
• After completing medical school
• Immediately after completing 4 years of college (bachelor’s degree)
• Only after becoming board-certified
• At any time when it is convenient during his or her training

ANS: A REF: p. 8, CAAHEP Competency (2015); ABHES Competency: 2 / 4

• Which of the following health professionals can manage routine patient care?
• Physician
• Nurse practitioner
• Physician assistant
• All are correct

ANS: D REF: p. 9, CAAHEP Competency (2015); ABHES Competency: 1.b.

• What examination must a physician pass in order to obtain a state license to practice medicine?
• National Medical Licensing Examination (NMLE)
• National Board Certification Examination (NBCE)
• Physician Licensing Examination (PLE)
• United States Medical Licensing Examination (USMLE)

ANS: D REF: p. 8, CAAHEP Competency (2015): X.C.5.; ABHES Competency: 1.b.

• Which of the following is an important part of effective teamwork for the medical assistant?
• Discussing a patient’s symptoms with the physician before he or she makes a

diagnosis

• Pointing out the mistakes of others whenever he or she notices them
• Communicating well with all staff in the medical office
• Deciding what diagnostic tests each patient needs

ANS: C REF: p. 10, CAAHEP Competency (2015); ABHES Competency: 1.d.

• Why should doorways in the medical office be at least 3-feet wide?
• This is required for employee safety by OSHA (Occupational Safety and Health

Administration).

• This is required by the Americans with Disabilities Act so that patients in

wheelchairs have access.

• This is required by the Clinical Laboratory Improvement Act (CLIA ’88).
• This is the minimum size requirement of most local boards of health.

ANS: B

REF: p. 10, CAAHEP Competency (2015): X.C.10.c.; ABHES Competency: 4.b.

• Which of the following are not usually found in the waiting room of a physician’s office?
• Toys for children to play with
• Current magazines and/or brochures
• Patient gowns and drapes
• Chairs for patients and family members

ANS: C REF: p. 10, CAAHEP Competency (2015); ABHES Competency: 8.e.

• Which activities occur at the patient check-in window or counter?
• Patients hand in new patient information forms and health insurance cards.
• Patients describe their chief complaint and medical history.
• A patient’s height, weight, and blood pressure are measured.
• All are correct.

ANS: A

REF: p. 11, CAAHEP Competency (2015): VIII.P.2.; ABHES Competency: 8.b.

• Which law or government agency is primarily responsible for the regulation of laboratories and laboratory tests?
• Americans with Disabilities Act
• Clinical Laboratory Improvement Act (CLIA ’88)
• State Medical Practice Act
• Centers for Medicare and Medicaid Services (CMS)

ANS: B REF: p. 11, CAAHEP Competency (2015): I.C.10; ABHES Competency: 4.b.

• If the office uses paper medical records, where are medical records of patients who have been seen within the past year usually

stored?

• In a medical records area near the reception area
• In the basement of the medical office building
• In an off-site medical record storage area that is within 2 miles of the office
• In a special medical records area of the nearest local hospital

ANS: A

REF: p. 12, CAAHEP Competency (2015): VI.C.6.c.; ABHES Competency: 8.a.

• Where is patient billing usually performed?
• Almost all medical offices perform billing in a billing area within the office.
• Almost all medical offices have their billing performed at the nearest local

hospital.

• Billing may be done in an individual office, in a centralized location for several

offices, or by a private billing service.

• Billing is almost always performed by an outside agency located in another state

or country.ANS: C REF: p. 12, CAAHEP Competency (2015): VII.C.5; ABHES Competency: 8.b. 3 / 4

• Which of the following areas is found in almost every medical office?
• Surgical procedure room
• Trauma room
• Diagnostic testing room
• Examination room

ANS: D REF: p. 10, CAAHEP Competency (2015); ABHES Competency: 8.e.

• Which of the following best describes family medicine?
• Provides general medical care of children, adolescents, and adults.
• Treats patients for emergency conditions.
• Provides medical treatment to adults for conditions of various body systems.
• Specializes in the care of children and adolescents.

ANS: A REF: p. 13, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.a.

• What type of medical care is provided in a patient-centered medical home (PCMH)?
• Coordinated primary care
• Acute inpatient care
• Long-term residential care
• Emergency and urgent care

ANS: A

REF: p. 14, CAAHEP Competency (2015): VIII.C.4; ABHES Competency: 1.a.

• Which type of primary care seeks to balance the structure and function of the body through manipulation of muscles and joints?
• Podiatry
• Osteopathy
• Pediatrics
• Gynecology

ANS: B REF: p. 14, CAAHEP Competency (2015): I.C.9; ABHES Competency: 1.b.

• Which of the following types of medical practice might include a pediatrician, an internist, a dermatologist, an allergist, a

neurologist, and a general surgeon?

• Solo practice
• Family practice
• Closed-panel health maintenance organization (HMO)
• Dermatology group practice

ANS: C REF: p. 15, CAAHEP Competency (2015); ABHES Competency:

• Traditionally, what distinguished a clinic from other types of medical offices?
• Care was free or very low cost.
• A clinic was run by the federal government.
• Physicians shared equipment and personnel.
• Each physician saw only his or her own patients.

ANS: A REF: p. 15, CAAHEP Competency (2015); ABHES Competency: 1.a.

• Which of the following might be studied scientifically by the National Center for Complementary and Integrative Health?
• Acupuncture
• Biofeedback
• Massage therapy
• All are correct

ANS: D REF: p. 16, CAAHEP Competency (2015); ABHES Competency:

MATCHING

Directions: Match each medical specialty with its definition. Not all of the definitions are used.

• Branch of medical practice that seeks to balance the structure and function of the

body through manipulation of muscles and joints; given all privileges of those with MD degrees

• Specializes in conditions of the skin
• Provides anesthesia during surgery and other procedures
• Utilizes manipulative treatment of the spine and joints
• Provides general medical care of children and adolescents
• Treats those with allergies and problems of the immune system
• Treat disorders of the feet and ankles
• Specializes in the care of the ear, nose, and throat
• Treats adults and children for routine care and complaints
• Treatment of the internal organs of adults by other than surgical means
• Performs surgical treatment of the large intestine and rectum
• Specializes in surgical care of bone and joint injuries and disorders
• Internal medicine
• Family medicine
• Osteopathy
• Dermatology
• Podiatry
• Anesthesiology
• Pediatrics
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