Public Health 2.0, Renal, Heme

Question 1

Medical Insurance Plan Restricted to limited panel, except emergencies

Answer 1

Exclusive Provider Organization

Question 2

Medical Insurance Plan Restricted to limited panel, except emergencies Deny for any service that does not meet established evidence-based guidelines

Answer 2

Health Maintenance Organization

Question 3

Medical Insurance Plan Patient can see providers outside network I need a referral Higher copays and deductible for out of network services

Answer 3

Point of Service

Question 4

Medical Insurance Plan Patient can see providers outside network I do not need a referral Higher copays and deductibles for all services

Answer 4

Preferred Provider Organization

Question 5

Medical Insurance Plan Providers voluntarily enroll Medicare

Answer 5

Accountable Care Organization

Question 6

Disease prevention, what type is this? Prevent disease before it occurs

Answer 6

Primary Disease Prevention

Question 7

Disease prevention, what type is this? Screen early for and manage existing but asymptomatic disease (Pap Smear)

Answer 7

Secondary Disease Prevention

Question 8

Disease prevention, what type is this? Treatment to reduce complications from disease that is ongoing or has long term effects

Answer 8

Tertiary Disease Prevention

Question 9

Disease prevention, what type is this? Identifying patients at risk of unnecessary treatment, protecting from the harm of new interventions?

Answer 9

Quaternary Disease Prevention

Question 10

Healthcare Payment Models Healthcare organization receives a set amount per service, regardless of ultimate cost, to be divided among all providers and facilities involved

Answer 10

Bundled Payment

Question 11

Healthcare Payment Models Physicians receive a set amount per patient assigned to them per period of time, regardless of how much the patient uses the healthcare system, used by HMO

Answer 11

Capitation

Question 12

Healthcare Payment Models Patient Pays for each individual service at a discounted rate predetermined by providers and payers

Answer 12

Discounted Fee for Service

Question 13

Healthcare Payment Models Patient pays for each individual service

Answer 13

Fee-for-Service

Question 14

Healthcare Payment Models Patient pays for all expenses associated with a single incident of care with a single payment. Most commonly used during elective surgeries, as it covers the cost of surgery as well as the necessary pre and postoperative visits

Answer 14

Global Payment

Question 15

Who uses…. Medicare? Medicaid?

Answer 15

Medicare is Elderly Medicaid is Destitute

Question 16

Medicare parts, which one is? Hospital Insurance, home hospice care

Answer 16

Part A

Question 17

Medicare parts, which one is? Basic medical Bills, doctor’s fee, and diagnostic testing

Answer 17

Part B

Question 18

Medicare parts, which one is? Combo of hospital insurance, home hospice care, and basic medical bills

Answer 18

Part C

Question 19

Medicare parts, which one is? Prescription Drugs

Answer 19

Part D

Question 20

PDSA Cycle, what does it stand for? Plan? Do?

Answer 20

Plan-define a problem Do-test a new process

Question 21

PDSA Cycle, what does it stand for? Study? Act?

Answer 21

Study: Measure and analyze data Act: Integrate new process into workflow

Question 22

What quality measure looks at Physical Equipment, resources, facilities?

Answer 22

Structural

Question 23

What quality measure looks at Performance of system as planned?

Answer 23

Process

Question 24

What quality measure looks at Impact on Patients

Answer 24

Outcome

Question 25

What quality measure looks at Impact on other systems/outcomes

Answer 25

Balancing

Question 26

What health care model focuses on systems and conditions rather than an individuals's error?

Answer 26

Swiss cheese model

Question 27

What type of medical error occurs at level of frontline operator, has an immediate impact?

Answer 27

Active Error

Question 28

What type of medical error occurs in processes indirect from operator put impacts patient care, considered an "accident waiting to happen"?

Answer 28

Latent error

Question 29

Medical Care analysis Retrospective approach, applied after failure event to prevent recurrence?

Answer 29

Root Cause Analysis

Question 30

Medical Care Analysis Forward looking approach. Applied before process implementation to prevent failure occurrence?

Answer 30

Failure Mode and Effects Analysis

Question 31

What equation is for the urine anion gap? What equation is for the plasma anion gap?

Answer 31

Urine Anion Gap = Na + K - Cl Plasma Anion Gap = Na - Cl - HCO3-

Question 32

When there is a metabolic acidosis, what happens to the urine anion gap? Why

Answer 32

Urine anion gap is negative The equation Na+K-Cl = UAG is used. The increase in acid secretion will increase the Cl indirectly due to an increase in NH4+. Therefore, the UAG is negative

Question 33

When there is a RTA type 1, what is a hallmark sign on xray and the UAG?

Answer 33

UAG is positive, cannot secrete H+, therefore, there wont be an increase in Cl, therefore, the UAG will be positive There will be bilateral calcium renal stones, usually an autoimmune disease with hypokalemia DDX RTA type IV has hyperkalemia

Question 34

What drug can cause an increase or ensue a Type 1 RTA, think sketchy?

Answer 34

Amophotericin B, lose K, Mg via the drug, there is one test tube in the sketchy video too

Question 35

What drug blocks the release of glutamate and norepi? This is used in fibromylagia

Answer 35

pregabalin

Question 36

What class of drugs are used in Cardio, no effect on AP or ERP, therefore? Not to mention they are not allowed for structurally abnormal hearts What drug of this class is not in first aid?

Answer 36

Class 1c Morioizine

Question 37

What does milrinone decrease?

Answer 37

afterload and preload

Question 38

What drug inhibits late sodium currents, reducing diastolic wall tension and O2 consumption?

Answer 38

Ranolazine

Question 39

What drug, cousin of heparin, can be given in order to not measure PTT?

Answer 39

Low Molecular Weight Heparin

Question 40

What drug only acts on factor Xa, via antithrombin III?

Answer 40

Fondaparinux

Question 41

what does cilostazol inhibit in the treatment of claudication?

Answer 41

Cyclic AMP phospodiesterase III lost the ball in baseball sketchy video right hand side

Question 42

What is the MOA for dipyridamole?

Answer 42

inhibit cyclic GMP phosphosdiesterase

Question 43

What goes through the opening of T8? What goes through the opening of T10?

Answer 43

Vena Cava Oesophagus

Question 44

What goes through the opening of T12? name 3

Answer 44

Aortic hiatus thoracic duct azygos vein

Question 45

What is a normal A-a gradient that has hypoxemia? (Think Respiratory)

Answer 45

High altitude, hypoventilation

Question 46

What drug can be given for granulocyte colony stimulating factor? This treats neutropenia and neutropenic fever

Answer 46

Filgrastim

Question 47

What does metformin decrease? What organ are we worried about with metformin?

Answer 47

gluconeogenesis kidney

Question 48

What does Sargramostim do?

Answer 48

GM-CSF, increase monocyte and granulocytes

Question 49

What does Oprelevekin (IL-11) and Romiplostim do?

Answer 49

Increases thrombopoietin, increase platlet production