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Population Health > iclickers > Flashcards

iclickers Flashcards

1
Q

Dr. Scott practiced clinically at which of the following

A

IU hospital

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2
Q

all of the following is true about Dr. Scotts interests except

A

enjoys fishing (does like to read, purdue sports, classical music, 4 grandkids)

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3
Q

Dr. Scott served as president of which of the following organizations

A

American Association of Colleges of Pharmacy

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4
Q

Population health looks for differences in health outcomes among groups of patients in the general population or a population subset

A

true

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5
Q

health promotion and wellness programs (nutrition, exercise, medication) are the most appropriate and useful to implement in which of the following groups of patients on the patient care continuum

A

No-or low risk patients

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6
Q

Easiest kind of data to acquire to use identify population health issues is

A

claims data

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7
Q

according to healthy people 2020 data, the access to health services is not impacted by family income

A

false

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8
Q

2020 the leading cause of mortality for children in US was

A

firearms

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9
Q

life expectancy, maternal mortality, and infant mortality data in US is superior to most other nations

A

false

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10
Q

Dr. Zillich would be a great resource if you wanted to

A

learn how to brew your own beer

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11
Q

cost of pain and suffering are examples of intangible costs and are difficult to measure

A

true

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12
Q

cost minimization analysis is only useful when the outcomes are equal

A

ture

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13
Q

which of the following is example of direct medical cost

A

medications, lab tests, provider charges, hospital charges

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14
Q

cost effectiveness analysis is commonly used to compare a new treatment to a standard treatment

A

true

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15
Q

when comparing two therapeutic agents in a pharmacoeconomic analysis, all cost associated with the drug should be taken into account

A

true

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16
Q

which of the following types of PE analysis is used when you want to measure the quality of outcomes produced and is usually measured in quality adjusted life year

A

cost-utility analysis

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17
Q

which of the following is not a surrogate endpoint that is used to evaluate the potential benefits of using tirzepatide to treat patients with DM

A

deduction in CV mortality

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18
Q

Study of the utilization and effects of drugs in large numbers of people is best defined as

A

pharmacoepidemiology

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19
Q

which is likely to identify a drug or therapy that will perform in real world settings

A

comparative effectiveness research, pragmatic clinical trials

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20
Q

pharmacovigilance studies are used to identify undetected AFRs or safety related aspects of marketed drugs

A

true

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21
Q

pharmacoepidemiologic and pharmacovigilance studies are.

A

non-experimental (observational)

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22
Q

typical randomized controlled trial may determine the efficacy of a drug but may not determine if the drug will achieve its desired effect in a real world setting

A

true

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23
Q

RCTs have a higher degree of external validity than pragmatic trials

A

false

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24
Q

pharmacovigilance studies typically uses observational data from a single database from a small targeted population

A

false

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25
Q

which of the following complications associated with use of fluoroquinolones was teased out from data in post marketing pharmacovigilance studies

A

Disabling peripheral neuropathies/myopathies

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26
Q

Retail prescription drug constitute the largest share (as a percentage) of all categories associated with national health expenditure

A

false

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27
Q

individuals >50 years old consume the largest share of health care spending in the US (50%)

A

true

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28
Q

strength of the US healthcare system

A

well equipped healthcare facilities, exceptionally trained healthcare professionals, choice in providers, new technologies

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29
Q

Which accounts for the largest number of preventable deaths in the US

A

Drug overdose

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30
Q

major identity discourses identified in the discussion paper by Keeler

A

dispenser, apothecary, healthcare provider, merchandiser

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31
Q

except during the pandemic the largest portion of public health financing and services comes from the federal government

A

true

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32
Q

one of the reasons why drug costs are higher in the US than in other comparable countries is share of the prescriptions dispensed that are generic is FAR LESS in the US than in other countries

A

false

33
Q

Which of the following is the most common type of insurance coverage

A

employer provided

34
Q

when implemented in 1966, Medicare, only provided which coverage

A

in-patient hospital care

35
Q

Affordable Care Act expanded the eligibility of individuals to be covered by Medicaid and has been adopted in most states except which region

A

South

36
Q

The percentage of patients on Medicare that choose the managed care option (Medicare Advantage) has grown significantly over the last 10 years

A

true

37
Q

Medicaid per enrollee spending is significantly greater for the elderly and individuals with disabilities compared to children and adults

A

true

38
Q

which of the following changed Dr. Pastakia’s career projection

A

the AIDs epidemic

39
Q

which of the following has the greatest impact on health and life expectancy

A

socioeconomic factors

40
Q

life expectancy for type 1 diabetics is lowest in which region

A

africa

41
Q

Higher income populations are more insulated from the impacts of SDOH and tend to have better outcomes

A

true

42
Q

routine use of EMRs in health systems has made the transmission of medical information about a patient less burdensome for providers as long as they are in the same health system

A

true

43
Q

for 87 yo patients with multiple chronic diseases and medications, who lives alone, and has mobility issues, all of the following individuals are logical to include in a transitions of care and pre-discharge conferences

A

pharmacist, primary caregiver, physical therapist, nurse care coordinator

44
Q

someone from the transitions of care team should follow up with the patient within

A

1-2 days

45
Q

which of the following is commonly performed by pharmacists/technicians/Rx students when a patient is admitted to a hospital to verify the current list of medications a patient is taking

A

Medication reconciliation

46
Q

which of the following groups is the fastest growing segment of the US population

A

hispanic

47
Q

which of the following racial groups in the US has the highest incidence of maternal mortality per 100K of the population?

A

black

48
Q

which of the following pieces of legislation passed by congress played the greatest role in desegregating hospitals and opening medical care to people of color

A

Medicare

49
Q

according to the author of the podcast and assigned article, one means to help assure pharmaco equity is to make the RIGHT choice in the EHR the____ choice in the ENR

A

easy

50
Q

the managed care version of Medicare is which of the following

A

Part C

51
Q

The major reason for the implementation of managed care strategies to health care is

A

improve outcomes

52
Q

Accountable care organizations assume some financial risks if the cost of the care is greater than the negotiated price with the payor

A

true

53
Q

during the past15 years, there has been a major shift towards which of the following types of health care plans for covered workers

A

high-deductible health plans

54
Q

specialty drugs are most likely to be placed in which tier

A

tier 5

55
Q

in addition to obtaining certification in diabetes Dr. Fields has obtained certification in which of the following

A

Cardiology

56
Q

interventions by clinical pharmacists at Cummins have resulted in a significant cost saving for metformin

A

true

57
Q

the percentage of diabetics at Cummins with a A1c <8% is significantly greater than the national average

A

true

58
Q

Approval of individual PAs for Indiana Medicaid by which of the following

A

pharmacist

59
Q

Mr. Musial uses data analytics extensively in his work with respect to formulary and coverage decisions

A

true

60
Q

which of the following drug categories consumes the largest dollar amount of drug expenditures for pediatric patients covered by IN medicaid

A

drugs for behavioral health

61
Q

which of the following drug categories will likely consume the largest dollar amount of drug expenditures for IN medicaid moving forward

A

specialty medications

62
Q

The industry standard for sharing healthcare cost between employers and employees is now

A

employer 75% employee 25%

63
Q

purdue employees have to meet their deductible each year before any preventative medical service or medication is covered

A

false

64
Q

which of the following is true about self insured health plans

A

allows for more customization of plans

65
Q

employers typically pay___ of total annual salary each year for employee benefits

A

25-30%

66
Q

The veteran population served by VA is younger and more diverse than previous decades

A

true

67
Q

most prescriptions in the VA system are processed in which of the following locations

A

VA mail order facilities

68
Q

prior authorizations in the VA system are approved or denied by which of the following

A

pharmacists at individual VA facilities

69
Q

Pharmacist in primary and specialty care clinics at VA facilities can prescribe as mid-level practitioners

A

True

70
Q

The government impacts all aspects of supply chain via regulations

A

true

71
Q

which of the following classifications of drugs have been hit hardest by the drug shortage crisis

A

generic injectables

72
Q

based on the best aggregate data, the causes of drug shortages in 2023 in the US is which of the following

A

unknown/wouldnt provide information

73
Q

manufacturers of brand name products typically reduce the price of their drug product during the 6 month period prior to end of their products market exclusivity

A

false

74
Q

which of the following is not consistent with most specialty medications

A

easy reimbursement mechanism

75
Q

specialty medication now account for >50% of the drug spend in the US

A

true

76
Q

Walgreens has both centralized specialty pharmacies (telehealth based) and community based walk in specialty pharmacies

A

True

76
Q

the FDA determines if a specialty medication will be available via an open or a controlled distribution model

A

false

77
Q

Specialty pharmacies typically employ more pharmacists and technicians than the typical community pharmacy

A

True

78
Q

Patients on Medicare and Medicaid can use Co-Pay cards to defray some of their costs associated with specialty medications

A

False

Population Health (2 decks)

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