Quiz 1 Flashcards

1
Q

AAPA

A

American Academy of Physician Assistants
Recognized as the national voice for PAs in medical and surgical specialties

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2
Q

AAPA HOD

A

The American Academy of Physician Assistants House of Delegates
Establishes the policies that are implemented by Board of Directors of the American Academy of Physician Assistants
Meets annually during the annual AAPA Conference
Consists of representatives from the charted chapters, the officially recognized specialty organizations, caucuses, and the Student Academy of the American Academy of Physician Assistants (SAAAPA)

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3
Q

ARC-PA

A

Accreditation review commission on education of the physician assistant

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4
Q

What does the ARC-PA do

A

Approves and revises Accreditation Standards for Physician Assistant Education, reviews applications for accreditation, appoints site visitors, awards accreditation, imposes sanction and advises programs and institutions on accreditation issues

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5
Q

ADA

A

American with Disables Act

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6
Q

AMA

A

American Medical Association

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7
Q

CME

A

Continuing MedicalEducation

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8
Q

DO

A

Doctor of Osteopathy
Professional doctorate degree for physicians and surgeons offered by medical schools in the United States

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9
Q

Notable difference between DO and MD training

A

DO training adds 300-500 hours studying techniques for hands-on manipulation of the human musculoskeletal system

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10
Q

Generalist

A

Physician trained in general practice who has not has specialty training

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11
Q

MD

A

Medical doctor
Terminal medical degree for practitioners of medicine

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12
Q

Latin- Medicinae Doctor

A

Meaning “teacher of medicine”

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13
Q

MEDEX

A

Medicine Extension

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14
Q

MEDEX termed coined by

A

Richard Smith, MD

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15
Q

Medic

A

Technician trained to proved basic medical care in combat conditions

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16
Q

Medicaid

A

Program operated by the state provides medical care to low income persons
The state Medicaid programs receive federal funding and they must comply with federal guidelines

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17
Q

Medicare

A

Program that is part if the Social Security Administration
It provides the funds for the elderly and some other population to receive medical care

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18
Q

Nurse

A

Person who has been trained in the field of nursing, and who meets nursing standards in education and medical competencies
Different designations of nurses exist

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19
Q

A licensed practical nurse may practice under the direction of a

A

Register nurse or physician

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20
Q

NCCPA

A

National Commission on Certification of Physician Assistants

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21
Q

only credentialing organization for physician assistants in the United States

A

NCCPA

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22
Q

NCCPA is dedicated to

A

assuring the public that certified physician assistants meet established standards of knowledge and clinical skills upon entry into practice and throughout their careers

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23
Q

PAEA

A

Physician Assistant Education Association

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24
Q

PAEA’s mission

A

to pursue excellence, foster faculty development, advance the body of knowledge that defines quality education and patient-centered care, and promote diversity in all aspects of physician assistant education

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25
Q

PA

A

physician assistant

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26
Q

PA-C

A

physician assistant-certified

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27
Q

PA-C is a title that can be used by

A

PAs who have obtained and maintained national certification requirements established by the NCCPA

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28
Q

PA-C is a mark of

A

professional accomplishment, indication the achievement and maintenance of established levels of knowledge and clinical skills

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29
Q

the PA-C credential is recognized___ and is requires___

A

within the medical professions, required in all 50 states, DC and American territories for licensure or registration as a PA

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30
Q

PANCE

A

physician assistant national certifying exam

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31
Q

to attain their initial certification and the PA-C designation, graduates of ARC-PA accredited programs must pass the

A

PANCE

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32
Q

PANCE is administered almost year-round by the

A

NCCPA

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33
Q

PANCE is a

A

computer-based, MC test comprised of 300 questions that assess general medical and surgical knowledge

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34
Q

PANRE

A

physician assistant national rectifying examination

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35
Q

to maintain NCCPA certification, PA certificate holders must pass the

A

PANRE before their certificate expires at the end of the 6th year of their certification maintenance cycle

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36
Q

PANRE exam consists of

A

240 MC questions designed to assess general medical and surgical knowledge

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37
Q

profession

A

an occupation that requires prolonged training and qualification

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38
Q

SAAPA

A

student academy of the American academy of physician assistants

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39
Q

SAAPA has its own structure within

A

the AAPA and includes representation from each PA Program’s student society

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40
Q

specialist

A

a physician who has undergone generalist training, and has continued on to specialty training

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41
Q

specialty training usually involves a

A

3-5 year residency

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42
Q

gastroenterology

A

specialty
treat diseases of the digestive organs, including the stomach, bowels, liver, and gallbladder

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43
Q

general practice

A

specialty
provides primary care
treat illnesses, provide preventive care, and coordinate the care provided by other health professionals

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44
Q

general surgery

A

specialty
take care of patients who may need surgery

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45
Q

geriatric medicine

A

specialty
provides primary care for elderly patients

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46
Q

gynecological oncology

A

specialty
treat cancers of the female reproductive organs

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47
Q

hand surgery

A

speciality
perform surgery for patients with problems that affect the hand, wrist, or forearm

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48
Q

hematology

A

specialty
treat diseases of the blood, spleen, and lymph
(examples include anemia, sickle cell disease, hemophilia, and leukemia)

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49
Q

hospice and palliative care

A

specialty
manage pain and other distressing symptoms of serious illnesses

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50
Q

hospice care is

A

palliative care for patients who are expected to have 6 months or less to live

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51
Q

infectious diseases

A

specialty
treat patients with all types of infectious diseases

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52
Q

internal medicine

A

specialty
treat diseases of the internal organs that don’t require surgery
provide primary care for teenagers, adults, and elderly people

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53
Q

interventional cardiology

A

specialty
heart and circulatory system specialists who use minimally invasive catheterization techniques to diagnose and treat coronary arteries, the peripheral vascular system, heart valves, and congenital heart defects

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54
Q

interventional pain management

A

specialty
use special procedures to treat and manage pain
(example- they may use cryoablation to stop a nerve from working for a long period of time)

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55
Q

interventional radiology

A

specialty
perform procedures guided by various types of imaging
(example- they may use imaging to find a clogged spot in an artery and to guide a procedure to unclog it)

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56
Q

maxillofacial surgery

A

specialty
perform surgery on the teeth, jaws, and surrounding tissues

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57
Q

medical oncology

A

specialty
treat cancer with chemotherapy, hormonal therapy, biological therapy, and targeted therapy
they may also coordinate cancer care given by other specialists

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58
Q

nephrology

A

specialists
treat disorders of the kidneys

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59
Q

neurology

A

specialty
treat diseases of the brain, spinal cord, and nerves

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60
Q

neuropsychiatry

A

specialty
treat patients with behavioral disturbances related to nervous system problems

61
Q

neurosurgery

A

specialty
perform surgery to treat problems in the brain, spine, and nerves

62
Q

nuclear medicine

A

speciality
use radioactive materials to diagnose and treat diseases

63
Q

obstetrics

A

speciality
take care of women during pregnancy and childbirth

64
Q

gynecology

A

specialty
take care of women during pregnancy and treat disorders of the female reproductive system

65
Q

ophthalmology

A

specialty
specialize in the care of the eyes
they prescribe glasses and contact lenses, diagnose and treat eye conditions, and perform eye surgery

66
Q

optometry

A

specialty
eye care professionals who perform eye examinations, prescribe corrective lenses, diagnose and treat some eye diseases that don’t require surgery

67
Q

oral surgery (dentist only)

A

specialty
dentists who use surgery to treat problems in the mouth and nearby areas

68
Q

orthopedic surgery

A

specialty
treat diseases, injuries, and deformities of the bones and muscles

69
Q

osteopathic manipulative medicine

A

specialty
osteopathic physicians often use a treatment called osteopathic manipulative treatment
hands-on approach to make sure that the body is moving freely

70
Q

otolaryngology

A

specialty
treat conditions of the ear, nose, and throat (ENT) and related areas of the head and neck

71
Q

pain management

A

specialty
take care of patients with pain

72
Q

pathology

A

specialty
examine body tissues and interrupt lab test results

73
Q

pediatric medicine

A

specialty
provides primary care for infants, children, and teenagers

74
Q

peripheral vascular disease

A

specialty
treat diseases of the circulatory system other than those of the brain and heart

75
Q

physical medicine and rehabilitation

A

specialty
treat patients with short-term and long-term disabilities

76
Q

plastic and reconstructive surgery

A

perform procedures to improve the appearance or function of parts of the body

77
Q

podiatry

A

specialty
care for the foot and treating foot disease

78
Q

preventative medicine

A

specialty
work to promote the health and well-being of individuals or groups of people

79
Q

primary care

A

treat illnesses, provide preventative care, and coordinate the care provided by other health professionals
family practice, general practice, geriatric medicine and internal medicine provide primary care

80
Q

psychiatry

A

specialty
treat mental, addictive, and emotional disorder

81
Q

psychiatry (geriatric)

A

specialty
treat mental and emotional disorders in elderly people

82
Q

pulmonary disorder

A

specialty
treat diseases of the lungs and airways

83
Q

radiation oncology

A

specialty
use radiation to treat cancer

84
Q

rheumatology

A

specialty
treat problems involving joints, muscles, bones, and tendons

85
Q

sleep medicine

A

specialty
treat problems related to sleep or the sleep-wake cycle

86
Q

sport medicine

A

specialty
treat problems related to participants in sports or exercise

87
Q

surgical oncology

A

specialty
specialize in the surgical diagnosis and treatment of cancer

88
Q

thoracic surgery

A

specialty
treat problems in the chest, including problems affecting the heart, lungs, or windpipes

89
Q

urology

A

specialty
treat problems in the male and female urinary tract and the male reproductive system

90
Q

vascular surgery

A

specialty
treat diseases of the circulatory system, other than the brain and heart

91
Q

anesthesiologist assistant

A

health profession
work under the direction of an anesthesiologist as part of the anesthesia care team

92
Q

audiology

A

health profession
have advanced training and evaluate hearing or balance problems
provide hearing aids and counsel people about how to cope with hearing loss

93
Q

certified nurse midwife (CNM)

A

health profession
registered nurses who have earned a master’s degree in nursing and met other requirements
practice in hospitals and medical clinic, they may also deliver babies in birthing centers and attend home births

94
Q

certified registered nurse anesthetist (CRNA)

A

registered nurses who earned a master’s degree in nursing and met other requirements
provide anesthesia, working with other health care professionals

95
Q

clinical nurse specialist (CNS)

A

health profession
registered nurses who have earned a master’s degree in nursing and meth other requirements
handle a range of physical and mental health problems

96
Q

clinical psychologists

A

health profession
have a doctorate in psychology and have advanced training in promoting mental health and helping people cope with problems

97
Q

clinical social worker (CSW)

A

health profession
earned a master’s degree, and help people deal with life changes and challenges, including mental disorders

98
Q

nurse practitioner (NP)

A

registered nurses who have earned an advanced degree in nursing and met other requirements
provide primary and preventative care, prescribe medicines, and treat common minor illnesses and injuries

99
Q

occupational therapy (OT)

A

health profession
-help people who are recovering from injuries to regain skills
-support people who are going through changes related to aging
-provide home assessments, teach people to use adaptive equipment (such as devices to help with bathing or dressing), and work with family members and caregivers
-state licensed and nationally certified to practice

100
Q

physical therapy (PT)

A

health profession
-provide rehabilitation to help people move, reduce pain, restore function, and prevent disabilities
-state licensed and nationally certified to practice

101
Q

physician assistant (PA)

A

health profession
-graduates of accredited PA educational programs
-licensed to practice medicine with physician’s supervision
-examine patients, diagnose and treat illnesses, order lab tests, prescribe medicines, perform procedures, assist in surgery, and counsel patients

102
Q

registered dietitian (RD)/ nutrition professional

A

health profession
teach patients about nutrition and provides medical nutrition therapy

103
Q

speech-language pathology (SLP)

A

health profession
-sometimes called speech therapists
-treat communication and swallowing disorders
-state licensed and nationally certified in speech-language pathology

104
Q

what are some variables affecting the healthcare environment in 2022

A

product shortage, science advances, covid, insurance/cost, etc.

105
Q

who were the first physician assistant

A

former military corpsmen

106
Q

when did the PA profession start

A

first class in 1965 and graduated in 1967

107
Q

feldshers

A

developed some degree of medical training and helped in rural military places
-early 1540s

108
Q

barefoot doctors

A

healthcare providers in rural areas (China in the 1960s)
-primary job in the rice fields (barefoot) and help when needed
-1/3 of doctors later had a background as a barefoot doc

109
Q

changing the face of American Medicine

A

through major events in the early 1900s (industrial revolution, WW1, prohibition, etc)
-improved standards of medical education
-shift from home/office to hospital based health care

110
Q

the Flexner report impact on medical education

A

-1910
-evaluates medical schools (wasn’t standardized)
-50% closure of medical schools
-reduced diversity

111
Q

medicine and healthcare during the first half of the 20th century

A

-physicians were predominately white males
-more generalists than specialist
-health insurance didn’t really exist (paid mostly in cash)

112
Q

rapid decline in generalists after WWII

A

-shifted generalists to specialists
-physician after WWII used their GI benefits to become specialists
- 50:50 ratio now
-declined access to heath care in rural communities

113
Q

impact of WWII on medicine

A

-medics
-antibiotics
-blood products

114
Q

national health insurance

A

-Roosevelt and Truman attempt to pass National Health Insurance- they are opposed by the AMA and conservative politicians who view socialized medicine as un-American
-LBJ signs Medicare Act 1965
-Affordable Care Act in 2010 (“healthcare for all”)

115
Q

demand for health care services soar

A

-shift from office to hospital w/ enhance technology, increased insurance access and federal Medicaid causes demand for health care services to skyrocket
-shortage of health care professionals

116
Q

civil unrest 1960s

A

physician assistant concept emerges at a time of great social awakening (signing civil rights act and MLK Jr)

117
Q

demands for equality and human rights

A

equal access to education and health care became viewed as a right for all Americans

118
Q

medicare

A
  • 65 years or older
    -disabilities
    -dialasis
119
Q

Medicaid

A

-children
-low income

120
Q

Johnson and Treadwell

A

-Johnson trained Treadwell to do more and more things
-wasn’t a physician to formally trained
-could do most things and well trained
-“first PA”

121
Q

the PA profession started in the _ profession

A

pediatric, because they couldn’t keep up

122
Q

expand clinical knowledge and skills of nurses

A

-wanted to train nurses more (before NP)
-dr. Eugene stead and nurse thelma ingles developed an advanced clinical nurse educational program at Duke in the late 1950s
- program was denied

123
Q

founders of the PA profession

A

Dr. Eugene Stead

124
Q

the first time former students were all

A

former Navy Hospital Corpsmen at Duke University

125
Q

corpsmen enrolled in the PA program couldn’t enroll full-time because

A

they were desperately needed in the medical units

126
Q

one of the first PAs still living

A

Ken Ferrell, PA-C

127
Q

MEDEX

A

-another way to use former military corpsmen
-Dr. Smith trained non-physician personal in Nigeria to meet the needs of indigent patients
-believed he could use a similar approach in isolated communities in the northwest

128
Q

MEDEX is associated with what college

A

University of Washington

129
Q

PA programs were caution not to become overly reliant on formed corpsmen since the number would decrease after the Vietnam war
-to expand the future needs

A

the PA profession needed to diversify

130
Q

in 1968, Dr. Hu Meyers at Alderson-Broadus College established

A

the first 4-yr baccalaureate program for PAs that was open for everyone (helped to diversify the program)

131
Q

Physician’s Assistant Chipper of Gasoline Alley

A

comic that helped move the PA profession forward

132
Q

the accreditation standards adopted in 1971 allowed

A

flexibility for programs to award credentials (certification or degree) based in institutional affiliations and local health workplace needs

133
Q

in 1987 at the AAPA Conference in Cincinnati

A

the bachelor’s degree was endorsed by the AAPA House of Delegates as the appropriate entry level for PA

134
Q

within 20 years, the demographics of the PA profession

A

changed to include diversity and higher admission standards for students
-PAs were educated as generalist to work in primary care settings after graduation

135
Q

Internation Development: Canada

A

-370 Canadian Certified PAs
-first developed in the military as an advanced medical technician
-utilization various from providence to providence
-highest in Ontario

136
Q

International Development: Australia

A

-shortage of physicians
-43% of physicians are foreign born
-PA growth slow by concerns for quality of care and patient safety
-limited resources
-varying PA experiences

137
Q

International Development: UK

A

-PA have steadily increased
–PA aren’t recognized or registered by government
-150 PAs in UK (20 Americans, 1 Canadian)
-has initial qualifying exam

138
Q

International Development: Northern Europe

A

more alike to American PAs

139
Q

recognized as the national voice for PAs in medical and surgical specialities

A

AAPA
American Academy of Physician Assistants

140
Q

approved and revises Accreditation Standards for Physician Assistant Education, reviews applications for accreditation, appoints site visitors, awards accreditation, imposes sanctions and advises programs and institutions on accreditation issues

A

ARC-PA

141
Q

the only credentialing organization for PAs in the US

A

NCCPA

142
Q

mission is to pursue excellence, foster faulty development, advance the body of knowledge that defines quality education and patient-centered care, and promote diversity in all aspects of PA education

A

PAEA

143
Q

use technical procedures to evaluate heart rhythms

A

cardiac electrophysiology

144
Q

treat problems in the male and female urinary tract and the male reproductive system

A

urology
-nephrology looks at function of kidneys

145
Q

treat diseases of the lower digestive tract

A

colorectal surgery

146
Q

treat diseases that involve the internal glans

A

endocrinology

147
Q

specialize in the care of the eyes

A

ophthalmology

148
Q

treat diseases of the lungs and airways

A

pulmonology