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Aaron-Exit: Championship Rounds > Public Health 2.0, Renal, Heme > Flashcards

Public Health 2.0, Renal, Heme Flashcards

1
Q

Medical Insurance Plan Restricted to limited panel, except emergencies

A

Exclusive Provider Organization

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2
Q

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

A

Health Maintenance Organization

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3
Q

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

A

Point of Service

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4
Q

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

A

Preferred Provider Organization

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5
Q

Medical Insurance Plan Providers voluntarily enroll Medicare

A

Accountable Care Organization

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6
Q

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

A

Primary Disease Prevention

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7
Q

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

A

Secondary Disease Prevention

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8
Q

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

A

Tertiary Disease Prevention

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9
Q

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

A

Quaternary Disease Prevention

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10
Q

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

A

Bundled Payment

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11
Q

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

A

Capitation

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12
Q

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

A

Discounted Fee for Service

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13
Q

Healthcare Payment Models Patient pays for each individual service

A

Fee-for-Service

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14
Q

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

A

Global Payment

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15
Q

Who uses…. Medicare? Medicaid?

A

Medicare is Elderly Medicaid is Destitute

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16
Q

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

A

Part A

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17
Q

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

A

Part B

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18
Q

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

A

Part C

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19
Q

Medicare parts, which one is? Prescription Drugs

A

Part D

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20
Q

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

A

Plan-define a problem Do-test a new process

21
Q

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

A

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

22
Q

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

A

Structural

23
Q

What quality measure looks at Performance of system as planned?

24
Q

What quality measure looks at Impact on Patients

25
Q

What quality measure looks at Impact on other systems/outcomes

26
Q

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

A

Swiss cheese model

27
Q

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

A

Active Error

28
Q

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

A

Latent error

29
Q

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

A

Root Cause Analysis

30
Q

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

A

Failure Mode and Effects Analysis

31
Q

What equation is for the urine anion gap?

What equation is for the plasma anion gap?

A

Urine Anion Gap = Na + K - Cl

Plasma Anion Gap = Na - Cl - HCO3-

32
Q

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

A

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

33
Q

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

A

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

34
Q

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

A

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

35
Q

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

A

pregabalin

36
Q

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?

A

Class 1c Morioizine

37
Q

What does milrinone decrease?

A

afterload and preload

38
Q

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

A

Ranolazine

39
Q

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

A

Low Molecular Weight Heparin

40
Q

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

A

Fondaparinux

41
Q

what does cilostazol inhibit in the treatment of claudication?

A

Cyclic AMP phospodiesterase III

lost the ball in baseball sketchy video right hand side

42
Q

What is the MOA for dipyridamole?

A

inhibit cyclic GMP phosphosdiesterase

43
Q

What goes through the opening of T8?

What goes through the opening of T10?

A

Vena Cava

Oesophagus

44
Q

What goes through the opening of T12?

name 3

A

Aortic hiatus

thoracic duct

azygos vein

45
Q

What is a normal A-a gradient that has hypoxemia?

(Think Respiratory)

A

High altitude, hypoventilation

46
Q

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

A

Filgrastim

47
Q

What does metformin decrease?

What organ are we worried about with metformin?

A

gluconeogenesis

kidney

48
Q

What does Sargramostim do?

A

GM-CSF, increase monocyte and granulocytes

49
Q

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

A

Increases thrombopoietin, increase platlet production

Aaron-Exit: Championship Rounds (27 decks)

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