Management

Question 1

Medical record keeping:
Why do you have to keep a medical record?
Select one or more:
a. For billing purposes
b. It is compulsory to keep a record
c. It is an ethical and legal requirement
d. To refer to later for an “aide memoir”
e. For teaching purposes

Answer 1

a. For billing purposes
b. It is compulsory to keep a record
c. It is an ethical and legal requirement
d. To refer to later for an “aide memoir

Question 2

2. Marketing:
   What should a healthcare professional refrain from in marketing?
   Select one or more:
   a. Self promotion
   b. Misleading advertising
   c. Advertising preferential tariffs
   d. Professional achievements
   e. Professional/academic qualifications

Answer 2

a. Self promotion
b. Misleading advertising
c. Advertising preferential tariffs
d. Professional achievements

Question 3

3. Perverse Incentives:
   Which of these are perverse incentives?
   Select one or more:
   a. Share holding in a private hospital
   b. Financial gain or other valuable consideration in referring patients
   c. Endorsement of a product or a health related service
   d. Over servicing
   e. Best treatment practices principles (evidence based practice)

Answer 3

a. Share holding in a private hospital
b. Financial gain or other valuable consideration in referring patients
c. Endorsement of a product or a health related service
d. Over servicing

Question 4

4. Legal Framework
   Which Acts are relevant to the profession?
   Select one or more:
   a. National Health Act
   b. Provision of Land and Assistance Act
   c. Health Professional Act
   d. Promotion to Access of Information Act
   e. Patients Rights Charter

Answer 4

a. National Health Act
c. Health Professional Act
d. Promotion to Access of Information Act
e. Patients Rights Charter

Question 5

5. Naming of practices
   What may you call yourself/practice?
   Select one:
   a. Sport and rehabilitation centre
   b. Health and Wellness clinic
   c. Van Der Merwe and Mbeki Registered Physiotherapists
   d. Physiofirst

Answer 5

c. Van Der Merwe and Mbeki Registered Physiotherapists

Question 6

6. Informed consent:
   What does the patient have to consent to?
   Select one or more:
   a. Clinical treatment
   b. Account rendering procedures
   c. Sharing of the information with a third party
   d. Life saving emergency procedures
   e. The use of ICD 10 coding as required by medical schemes

Answer 6

6. Informed consent:
   What does the patient have to consent to?
   Select one or more:
   a. Clinical treatment
   b. Account rendering procedures
   c. Sharing of the information with a third party
   d. Life saving emergency procedures

Question 7

7. Privacy and confidentiality:

What should be considered as private and confidential?
Select one or more:
a. Communication to the referring doctor or other healthcare providers involved
b. Medical information supplied by the patient or obtained by special investigations
c. Diagnosis
d. Patient’s dietary requirement
e. Patient’s personal information like telephone number, address etc

Answer 7

a. Communication to the referring doctor or other healthcare providers involved
b. Medical information supplied by the patient or obtained by special investigations
c. Diagnosis
e. Patient’s personal information like telephone number, address etc

Question 8

8. Medical Information:
   Who does the information belong to?
   Select one or more:
   a. The patient
   b. The health care provider
   c. The public sector
   d. To the teacher at the school (In the case of a scholar)
   e. To the parents (In the case of a minor)

Answer 8

a. The patient
b. The health care provider
e. To the parents (In the case of a minor)

Question 9

9. Practice styles
   Which practice styles are allowed for health care providers?
   Select one or more:
   a. Closed corporation (CC)
   b. Incorporated section 54 A company
   c. Partnership
   d. Association
   e. Solus practice

Answer 9

b. Incorporated section 54 A company
c. Partnership
d. Association
e. Solus practice

Question 10

10. Professional status
    What gives one professional status?
    Select one or more:
    a. Your financial status in the community
    b. Your standard of training
    c. Adhering to an ethical code of conduct
    d. Being professionally accountable and responsible
    e. Being on a register for professionals and having a professional Board

Answer 10

b. Your standard of training
c. Adhering to an ethical code of conduct
d. Being professionally accountable and responsible
e. Being on a register for professionals and having a professional Board

Question 11

11. In order to establish the private practice you will require the following:
    Select one or more:
    a. Workers
    b. Capital
    c. Buildings
    d. Patients
    e. Infrastructure

Answer 11

a. Workers
b. Capital
c. Buildings
d. Patients

Question 12

12. The prime motive for establishing the private practice is to:
    Select one:
    a. Meet the needs of patients
    b. Make a profit
    c. Create employment
    d. Contribute to economic growth
    e. Enable workers to be more productive

Answer 12

a. Meet the needs of patients

Question 13

13. The Market environment
    Select one or more:
    a. Is where the company does its business
    b. Includes the suppliers of goods/services
    c. Has a limited effect on the company
    d. Poses opportunities and threats to the business
    e. Includes the needs, demands and purchasing power of the consumers

Answer 13

a. Is where the company does its business
b. Includes the suppliers of goods/services
d. Poses opportunities and threats to the business
e. Includes the needs, demands and purchasing power of the consumers

Question 14

14. In order to manage the private practice the correct statement(s) regarding the
    essential management functions is/are:
    Select one:
    a. Planning, this includes the division of duties and determining the procedures for
    realising goals
    b. Controlling is the process of comparing results with set standards
    c. Leading means setting up an organisational structure.
    d. Organising involves formulating the mission and objectives

Answer 14

a. Planning, this includes the division of duties and determining the procedures for
realising goals
or
d. Organising involves formulating the mission and objectives
(not sure)

Question 15

15. The factors that are likely to result in an increase in the number of people visiting
    your private practice include:
    Select one:
    a. An increase in the size of families/population
    b. An increase in the subscription rates of the medical aid company
    c. An increase in the number of medical aid companies
    d. An increase in the unemployment rate
    e. An increase in the prime interest rates

Answer 15

a. An increase in the size of families/population

Question 16

16. Your private practice is busy, but you do not think that all the money is coming into
    the practice.
    The correct order in your decision-making would be to:
    a) Assess the status of accounts outstanding.
    b) Decide on appropriate intervention.
    c) Set a standard for the percentage (of the total amount billed for consultations) of
    outstanding debt that is acceptable.
    d) Evaluate the difference between the current and desired standard.
    Select one:
    a, b, c, d
    c, a, d, b
    d, c, a, b
    d, a ,c, b

Answer 16

cadb
or
dcab

Question 17

17. Internationally the most dominant cause of business failure has been found to be:
    Select one:
    a. Managerial incompetence
    b. Lack of managerial experience
    c. Unbalanced experience
    d. Fraud
    e. Poor location

Answer 17

a. Managerial incompetence

Question 18

18. Which of the following would you use to determine whether your practice made a
    profit or a loss?
    Select one:
    a. Balance sheet
    b. Income statement
    c. Cash flow statement
    d. Statement of retained earnings and equity

Answer 18

b. Income statement

Question 19

19. All other things being equal, a decision by government to allocate only a small percentage of its entire health
    budget for allied medical services implies that:
    Select one or more:
    a. Resources are poorly allocated
    b. Government needs to be informed about the importance of physiotherapy
    c. There is a scarcity of resources
    d. The opportunity costs incurred with employing more allied medical personnel are too
    high
    e. There is poor decision- making by the government

Answer 19

c. There is a scarcity of resources
OR
d. The opportunity costs incurred with employing more allied medical personnel are too
high

Question 20

20. Regarding Gross Domestic Product (GDP):
    Select one or more:
    a. It is the total value of goods and services produced in the boundaries of a country in
    any period
    b. Is used to measure economic growth
    c. Nominal GDP takes the effect of inflation into account
    d. Real GDP takes the effects of price increases into account
    e. The population growth rate plays no role in the use of GDP to measure the economic
    growth rate

Answer 20

c. Nominal GDP takes the effect of inflation into account
d. Real GDP takes the effects of price increases into account

Question 21

21. Regarding inflation
    Select one or more:
    a. It is a rate
    B. It is defined as a significant increase in prices of goods/services in general
    C. Can affect the competitiveness of a country compared to other countries supplying the
    same goods/services
    d. Is always bad
    e. Is defined as an increase in the cost of medical services

Answer 21

a. It is a rate
B. It is defined as a significant increase in prices of goods/services in general
C. Can affect the competitiveness of a country compared to other countries supplying the
same goods/services

Question 22

22. A dismissal during a probationary period:
    Select one:
    a. Does not require the employer to conduct an investigation
    b. Can proceed without an evaluation, instruction or training
    c. Must be fair with a proper investigation
    d. May proceed without the employer having to consider other alternatives short of dismissal

Answer 22

c. Must be fair with a proper investigation

Question 23

23. The statutory annual leave requirement is:
    Select one:
    a. Two weeks
    b. Fifteen days
    c. Fifteen working days
    d. Twenty-one consecutive days

Answer 23

c. Fifteen working days

Question 24

24. The statutory entitlement for Maternity Leave is:
    Select one:
    a. Two months
    b. Four months
    c. Three months
    d. Three months paid and one month unpaid

Answer 24

b. Four months

Question 25

25. The legislated maximum number of working hours for South African employees,
    other than professionals and senior management are:
    Select one:
    a. 45 hours a week
    b. 40 hours a week
    c. 37,5 hours a week
    d. 35 hours a week

Answer 25

a. 45 hours a week

Question 26

26. The Basic Conditions of Employment Act, applies to:
    Select one:
    a. All employees
    b. All employees who have an employment contract or formal letter of appointment
    c. All employees except Civil Servants
    d. All employees except members of the Defence Force, National Intelligence Agency and the
    South African Secret Service, and unpaid volunteers working for charity

Answer 26

d. All employees except members of the Defence Force, National Intelligence Agency and the
South African Secret Service, and unpaid volunteers working for charity

Question 27

27. A personal brand is:
    Select one:
    a. The emotive perception that emerges when we buy goods or services
    b. The way that we dress
    c. The total emotive perception that others experience in their relationships with you
    d. Made up of a number of dimensions
    e. C and D

Answer 27

e. C and D
(c. The total emotive perception that others experience in their relationships with you
d. Made up of a number of dimensions)

Question 28

28. It is important to brand yourself in order:
    Select one:
    a. To be top of mind and memory
    b. To differentiate yourself
    c. To achieve promotion and success
    d. To be successful in non-linear career management
    e. All of the above

Answer 28

e. All of the above
(a. To be top of mind and memory
b. To differentiate yourself
c. To achieve promotion and success
d. To be successful in non-linear career management)

Question 29

29. How would you demonstrate the value of your brand?
    Select one:
    a. By always looking good
    b. Through behaviour and personality
    c. Through behaviour, personality, strengthened by the relationship that I have with others
    d. By communicating my brand to everyone in verbal and written communication
    e. By moving from one career to another

Answer 29

c. Through behaviour, personality, strengthened by the relationship that I have with others

Question 30

30. In overcoming the major barriers to communication, the best solution is to:
    Select one:
    a. Use ambiguous language
    b. Have a face-to-face discussion with the person involved
    c. Send an email
    d. Engage in emotional behaviour
    e. Use a defensive attitude

Answer 30

b. Have a face-to-face discussion with the person involved

Question 31

· 31. Choose one answer per question
Match the theory or principle with the descriptive statement that describes it best. (5
marks)
Autonomy
Answer 1
Choose…Requires of us that we not intentionally harm or injure the patient.
Beneficence
Answer 2
Choose..Interfering with the patient against her will on the basis that it will promote her welfare
Paternalism
Answer 3
Choose…The patient has the capacity to act intentionally, with understanding,and without controlling influences that would mitigate against a free and voluntary act.
Justice
Answer 4
Choose..Treat each patient in accordance with what is fair and just.
Nonmaleficence
Answer 5
Choose…Duty of health care providers to act in the patient’s best interests

Answer 31

Nonmaleficence= Requires of us that we not intentionally harm or injure the patient.

Autonomy= The patient has the capacity to act intentionally, with understanding,and without controlling influences that would mitigate against a free and voluntary act.

Beneficence= Duty of health care providers to act in the patient’s best interests

Paternalism= Interfering with the patient against her will on the basis that it will promote her welfare

Justice= Treat each patient in accordance with what is fair and just.

Question 32

32. Healthcare is narrower than health.
    Select one:
    True
    False

Answer 32

false ?

Question 33

33. The functions of the education committee of the Professional Boards are:

Select one:
a. Operate as Standard Generating Body (SGB)
B. Develop policy documents to guide the profession
C. A and B
D. Control private practice licensure
E. All of the above

Answer 33

C. A and B
not sure

Question 34

34. The scope of physiotherapy includes the following core skills:
    Select one:
    a. Electrotherapy
    b. Massage and mobilisation
    c. Exercise and movement therapy
    d. A and B
    e. A, B and C

Answer 34

e. A, B and C
(a. Electrotherapy
b. Massage and mobilisation
c. Exercise and movement therapy)

Question 35

35. Of the following options, which are values and standards for health care practitioners
    registered with the Health Professions Council of South Africa?
    Select one:
    a. Community and human rights
    b. Democracy and human rights
    c. Ethics and community
    d. Democracy and Non-discrimination
    e. Ethics and non discrimination

Answer 35

a. Community and human rights
OR
e. Ethics and non discrimination

Question 36

36. The benefits of registering with the Health Professions Council of SA (HPCSA) are:
    Select one:
    a. Conferring of the professional status and the right to practice
    B. Confirming credibility of a professional as a competent practitioner who may demand
    reward for services provided
    c. Protection against mal-practice
    d. A and C
    e. A and B

Answer 36

e. A and B
(a. Conferring of the professional status and the right to practice
B. Confirming credibility of a professional as a competent practitioner who may demand)

Question 37

37. The attributes to be gained from clinical education include:
    Select one or more:
    Knowledge
    Communication skills
    Management skills
    Professional skills
    Caring skills

Answer 37

Knowledge
Communication skills
Management skills
Professional skills
Caring skills

Question 38

38. The factors affecting the clinical learning environment include:
    Select one or more:
    The physical environment
    The current political environment
    Psycho-social factors
    Accessibility issues

Answer 38

The physical environment
The current political environment
Psycho-social factors
Accessibility issues