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Population Health > Midterm Exam > Flashcards

Midterm Exam Flashcards

1
Q

The managed care version of Medicare is which of the following?
A. Part A
B. Part B
C. Part C
D. Part D

A

C. Part C

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2
Q

The major reason for the implementation of managed care strategies to health care is:
A. to collect data to make a pop decision
B. control ever rising costs
C. improve outcomes
D. improve accessibility to health care

A

B. control ever rising costs
(C got 1/2 points)

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3
Q

Accountable Care Organizations assume some financial risks if the cost of care is greater than the negotiated price with the payor.
A. true
B. false

A

A. true

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4
Q

During the past 15 years, there has been a major shift towards which if the following types of health care plans for covered workers?
A. conventional insurance
B. HMOs
C. PPOs
D. high deductible health plans

A

D. high deductible health plans

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5
Q

Specialty drugs are most likely to be placed in which of the following tiers of a prescription drug plan?
A. tier 5
B. tier 4
C. tier 3
D. tier 2
E. tier 1

A

B. tier 4 (according to iClicker points)
A. tier 5 (and 6) (according to lecture slides)

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6
Q

Which of the following groups is the fastest growing segment of the U.S. population?
A. asian
B. black
C. native american
D. hispanic
E. white

A

D. hispanic

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7
Q

Which of the following racial groups in the US (and IN) has the highest incidence of maternal mortality per 100K of the population?
A. asian
B. black
C. hispanic
D. white

A

B. Black

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8
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, especially in the south?
A. Hill-Burton Act
B. Medicare
C. Civil Rights Act
D. None of the above

A

B. Medicare

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9
Q

According to the author of the podcast and assigned article last week, one means to help assure pharmacoequity is to make the RIGHT choice in the EHR, the ______ choice in the EHR.
A. least expensive
B. easy
C. most techinical
D. difficult

A

B. easy

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10
Q

The 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 within the same health system.
A. True
B. False

A

A. True

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11
Q

87 YO pt w/ 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 pre-discharge conference except:
A. pharmacist
B. primary caregiver
C. hospital VP for pt services
D. physical therapist
E. nurse care coordinator

A

C. hospital VP for pt services

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12
Q

following the discharge of previously mention 87YO pt from a 7 day hospital stay, someone from the TOC team should followup with the pt within:
A. 1-2 days
B. 5-7 days
C. 2 weeks
D. 4 weeks
E. no F/U necessary

A

A. 1-2 days

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13
Q

which of the following is commonly performed by RPh/tech/student when a pt is admitted to the hospital to verify the current list of meds?
A. med history
B. MTM
C. med rec
D. pt counseling

A

C. med rec

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14
Q

higher income populations are more insulated from the impacts of SDOH and tend to have better health outcomes.
A. true
B. false

A

A. true

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15
Q

Which of the following changed Dr. Pastakia’s career direction?
A. grad school at Harvard
B. a course on global health at Temple
C. the AIDS epidemic
D. a particular DM pt during IPPE

A

C. the AIDS epidemic

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16
Q

Which of the following has the greatest impact on health and life expectancy?
A. socioeconomic factors
B. physical environment
C. choices and behaviors
D. healthcare
E. none of the above

A

A. socioeconomic factors

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17
Q

Life expectancy for pts with T1DM is lowest in which of the following geographic regions?
A. north america
B. south america
C. europe/asia
D. africa
E. australia

A

D. africa

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18
Q

When implemented in 1966, Medicare only provided coverage for which of the following?
A. dental care
B. in-pt hospital care
C. eyeglasses
D. outpt prescription drugs

A

B. in-pt hospital care

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19
Q

The Affordable Care Act expanded the eligibility of individuals to be covered by Medicaid and has been sdopted in most states EXCEPT in which region of the US?
A. New England
B. South
C. Midwest
D. Central Plains
E. West Coast

A

B. South

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20
Q

The percentage of pts on Medicare that choose the managed care option (Medicare Advantage) has grown significantly over the past 10 yrs.
A. True
B. False

A

A. True

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21
Q

In contrast to enrollment numbers, Medicaid per enrollee spending is significantly greater for the elderly and individuals with disabilities compared to children and adults.
A. True
B. False

A

A. True

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22
Q

Which of the following factors currently accounts for the largest number of preventable deaths in the US?
A. alcohol related deaths
B. suicides
C. drug overdoses
D. deaths from communicable diseases

A

C. drug overdoses

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23
Q

Which of the following is NOT one of the major identity discourses identified in the discussion paper by Keeler, et al?
A. dispenser
B. apothecary
C. health care provider
D. druggist
E. merchandiser

A

D. druggist

24
Q

Except during the pandemic, the largest portion of public health financing and services comes from the federal gov.
A. True
B. False

A

A. True

25
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. True
B. False

A

B. False

26
Q

The US spends significantly more on healthcare than other comparable countries but has far worse outcomes.
A. True
B. False

A

A. True

27
Q

Retail prescription drugs constitute the largest share (%) of all categories associated with national health expenditures.
A. True
B. False

A

B. False

28
Q

Individuals >50 YO consume the largest share (~50%) of health care spending in the US.
A. True
B. False

A

A. True

29
Q

Which of the following is not a strength of the US health care system?
A. well equipped health care facilities
B. exceptionally trained health care professionals
C. choice in providers
D. transparency with respect to cost to pts
E. new tech and therapeutic entities

A

D. transparency with respect to cost to pts

30
Q

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

A
31
Q

RCTs have a higher degree of external validity than do pragmatic trials.
A. True
B. False

A
32
Q

Which of the following is the most common type of insurance coverage in the US?
A. self insurance
B. employer provided
C. medicaid
D. medicare
E. medicare + private insurance

A
33
Q

Pharmacovigilance studies typically use observational data from a single database from a small targeted population.
A. True
B. False

A

B. False

34
Q

Which of the following complications associated with use of fluoroquinolones was teased out from data in post marketing pharmacovigilance studies:
A. blood dyscrasias
B. electrolyte abnormalities
C. disabling peripheral neuropathies/myopathies
D. skin rash

A

C. disabling peripheral neuropathies/myopathies

35
Q

The study of the utilization and effects of drugs in large numbers of people is best defined as:
A. pharmacovigilance
B. comparative effectiveness research
C. pharmacoepidemiology
D. pharmacoeconomics

A

C. pharmacoepidemiology

36
Q

Which of the following is least likely to identify how a drug or therapy will perform in a real world setting?
A. randomized controlled trial
B. comparative effectiveness research
C. pragmatic clinical trials

A

A. randomized controlled trial

37
Q

Pharmacovigilance studies are used to identify undetected ADRs or safety related aspects of marketed drugs not observed in pre-marketing studies.
A. True
B. False

A

A. True

38
Q

Pharmacoepidemiologic and pharmacovigilance studies are primarily:
A. experimental
B. non-experimental (observational)
C. neither of the above

A

B. non-experimental (observational)

39
Q

A cost effectiveness analysis is commonly used to compare a new treatment to a standard treatment.
A. True
B. False

A

A. True

40
Q

When comparing two therapeutic agents in a pharmacoeconomic analysis, all costs associated with the drug (not just acquisition cost) should be taken into account.
A. True
B. False

A

A. True

41
Q

Which of the following types of PE analysis is used when you want to measure the quality of outcome produced and is usually measured in QALY?
A. cost-benefit analysis
B. cost-minimization analysis
C. cost-utility analysis
D. cost-effectiveness analysis

A

C. cost-utility analysis

42
Q

Which of the following is NOT a surrogate endpoint that is used to evaluate the potential benefits of using tirzepatide to treat pts with DM?
A. reduction in CV mortality
B. A1c
C. weight loss
D. FBG

A
43
Q

Dr. Zillich would be a great resource if you wanted to do which of the following?
A. pastry chef
B. write novel
C. BEER
D. garden

A

C. BEER

44
Q

Costs of pain and suffering are examples of intangible costs and are difficult to measure.
A. True
B. False

A

A. True

45
Q

Cost minimization analysis is only useful when the outcomes are equal.
A. True
B. False

A

A. True

46
Q

Which of the following is NOT an example of direct medical costs?
A. medications
B. lab tests
C. travel costs to hospital or clinic
D. provider charges
E. hospital charges

A

C. travel costs to hospital or clinic

47
Q

The easiest kind of data to acquire to use to identify population health issues is which of the following?
A. claims data
B. EHR data
C. satisfaction survey data
D. medication adherence data
E. socioeconomic data

A

A. claims data

48
Q

According to healthy people 2020 data, the access to health services is NOT impacted by family income.
A. true
B. false

A

B. false

49
Q

In 2020, the leading cause of mortality for children ages 1-19 in the US was ____.
A. cancer
B. motor vehicle accidents
C. heart disease
D. firearms
E. congenital disorders

A

D. firearms

50
Q

Life expectancy, maternal mortality, and infant mortality data in the US is superior to most other industrialized countries in the world.
A. true
B. false

A

B. false

51
Q

Dr. Scott practiced clinically at _____.
A. IU Arnett
B. Walgreens
C. Riley
D. IU hospital
E. CVS

A

C. Riley

52
Q

All of the following about Dr. Scott is true except:
A. likes reading history
B. enjoys fishing
C. enjoys Purdue sports
D. enjoys classical music
E. has 4 grandchildren

A

B. enjoys fishing

53
Q

Dr. Scott has served as president of _____.
A. American pharmacists association
B. ASHSP
C. American hospital association
D. AACP

A

D. AACP

54
Q

Population health looks for differences in health outcomes among groups of pts in the general population or a population subset.
A. true
B. false

A

A. true

55
Q

Health promotion and wellness programs (nutrition, exercise, medication) are most appropriate and useful to implement on which of the following groups of pts on the care continuum?
A. no or low risk pts
B. moderate risk pts
C. high risk pts

A

A. no or low risk pts

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