2020 Pennsylvania Medical Licensure Program

 
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Self-Assessment Answers for Section 1: Child Abuse Recognition and Reporting in Pennsylvania
1 . The difference between General Protective Services (GPS) and Child Protective Services (CPS) is that _____________ .
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B.
C.
D.
2 . In 2018,_______________ was the leading category of substantiated child abuse reports in Pennsylvania.
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B.
C.
D.
3 . With changes in Pennsylvania law, the term “perpetrator” now includes __________________:
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B.
C.
D.
4 . The term “child abuse” does not apply to situations in which ____________________:
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B.
C.
D.
5 . Child-on-child contact resulting in harm or injury may be considered child abuse unless:
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B.
C.
D.
6 . The definition of child abuse has been amended to require that acts or failures to act be committed __________________.
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B.
C.
D.
7 . Bruises resulting from physical abuse typically appear ____________ initially and change color as they heal.
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B.
C.
D.
8 . Approximately what percentage of child sexual abuse cases are perpetrated by strangers?
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B.
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D.
9 . What is the most common form of child maltreatment?
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D.
10 . What is one possible way to increase the identification in health care settings of people who are being trafficked?
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B.
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D.
Self-Assessment Answers for Section 2: Prescriber Education for Opioid Analgesics
11 . When evaluating patients for treatment with extended-release/long-acting (ER/LA) opioid analgesics, which is an important risk to consider?
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B.
C.
D.
12 . Which of the following is true of methadone?
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B.
C.
D.
13 . Nonpharmacologic therapies for pain treatment:
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B.
C.
D.
14 . For which of the following pain conditions are ER/LA opioids indicated?
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B.
C.
D.
15 . According to assessment tools, which of the following factors heighten risk for opioid-use disorder?
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B.
C.
D.
16 . Name one method by which patients should be encouraged to dispose of unused opioids:
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B.
C.
D.
17 . Name one way patients should be monitored for adherence to medical direction during long-term opioid therapy:
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B.
C.
D.
18 . Which of the following is true of potential drug-drug interactions with opioids?
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B.
C.
D.
19 . In which of the following clinical scenarios may a patient be discontinued from opioids without taper and management of withdrawal symptoms?
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B.
C.
D.
20 . Which of the following is one indication for take-home naloxone with opioid prescription?
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B.
C.
D.
21 . Increased monitoring of patient response is essential during opioid dose initiation, upward titration, rotation, and addition of other central-nervous system depressants because:
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B.
C.
D.
22 . Urine drug testing as a monitoring measure can tell the clinician which of the following:
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B.
C.
D.
23 . Which of the following factors increases a patient’s risk of opioid misuse?
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B.
C.
D.
24 . Recommended frequency to check the prescription drug-monitoring database is:
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B.
C.
D.
25 . Which of the following influences the amount of dopamine released and the degree of reward experienced by an opioid user?
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B.
C.
D.
Self-Assessment Answers for Section 3: Suicide Assessment & Prevention
26 . In 2017, what was the rank of suicide as a cause of death in the United States?
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B.
C.
D.
27 . About how much higher is the suicide rate among Veterans as compared to the non-Veteran population?
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B.
C.
D.
28 . The three levels of strategies for suicide prevention are _________, _________, and ____________.
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B.
C.
D.
29 . What is the name of the conceptual model that frames suicide risk as a balance between protective factors and risk factors at different levels?
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B.
C.
D.
30 . Which of the following is a tenet of the Patient-Centered Care model for suicide prevention?
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B.
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D.
31 . What is one of the advantages of adopting a Patient-Centered Care model of suicide prevention?
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B.
C.
D.
32 . Which of the following is a true statement about suicide risk?
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B.
C.
D.
33 . Which of the following is a true statement about suicide risk in Veteran and non-Veteran populations?
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B.
C.
D.
34 . Which of the following is a direct warning sign of acute suicide risk?
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B.
C.
D.
35 . Which of the following is true about asking patients about suicide or suicidal thinking?
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B.
C.
D.
36 . When attempting to elicit suicidal ideation from a patient, it is best if clinicians ________________?
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B.
C.
D.
37 . What would be an appropriate course of action for a patient determined to be at an intermediate level of acute suicide risk?
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B.
C.
D.
38 . Which non-pharmacological treatment modality has been shown to reduce the risk of suicide attempts by helping patients identify and change problematic thinking and behavioral patterns?
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B.
C.
D.
39 . Which non-pharmacological treatment modality focuses on helping patients cope with stressful life experiences by actively working on difficulties?
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B.
C.
D.
40 . Which pharmacological therapy has been shown to improve acute suicidal symptoms for up to a week after only a single dose?
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B.
C.
D.
41 . Which pharmacological therapy has been shown to reduce suicidal behaviors in patients with schizophrenia or schizoaffective disorder?
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B.
C.
D.
42 . What post-acute care modality has been shown to reduce the rate of suicide death following a psychiatric hospitalization for suicidal ideation/attempt?
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B.
C.
D.
43 . Which therapeutic modality may allow treatment for suicidal thoughts and behaviors regardless of geographic location or access to traditional care facilities?
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B.
C.
D.
44 . Which kind of suicide-prevention initiative has not been found to improve population-level suicide rates, either in the general U.S. population or among Veterans?
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B.
C.
D.
45 . In an effort to dispel stigma and foster a culture of support throughout the Department of Defense, which policy has been put into place?
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B.
C.
D.
Self-Assessment Answers for Section 4: Preventing Clinician Burnout
46 . What is the prevalence of burnout among physicians as in the United States when assessed using a rigorous definition of burnout?
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B.
C.
D.
47 . The estimated prevalence of suicidal ideation among physicians is approximately ____________?
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B.
C.
D.
48 . The prevalence of suicide is significantly higher among what subpopulation of physicians, compared to the general population?
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B.
C.
D.
49 . Which of the following statements most accurately describes an important aspect of burnout among physicians?
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B.
C.
D.
50 . Which component of physician workload has been shown to be particularly taxing and associated with higher levels of burnout?
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B.
C.
D.
51 . According to one study, for every hour physicians spend in face-to-face time with patients, how many hours do they spend using electronic health records or doing desk work?
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B.
C.
D.
52 . Roughly what percentage of patients could be classified as “difficult” and, hence, contribute to physician stress and emotional exhaustion?
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B.
C.
D.
53 . Although income levels are not associated with burnout, what aspect of physician compensation does appear to increase the risk of burnout?
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B.
C.
D.
54 . Which of the following is an example of systems-level intervention to help reduce physician burnout?
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B.
C.
D.
55 . What was the goal of the AMA’s Joy in Medicine Recognition Program?
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B.
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D.
56 . Which of the following is a component of the Patient-Centered Medical Home model that could help reduce burnout?
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B.
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D.
57 . Which type of technology has been the focus of literature about the relationship of physician burnout and technology?
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B.
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D.
58 . What occurred in 2009 that spurred the adoption of electronic health records across the country?
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B.
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D.
59 . How much time do primary care physicians typically spend using electronic health records?
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B.
C.
D.
60 . Which of the following is an example of an artificial-intelligence-based tool to facilitate better provider/patient encounters?
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B.
C.
D.
61 . What is one proposed solution to the problem posed by the increasing time demands of electronic health records?
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C.
D.
62 . What individual-based practice has been shown to be an independent predictor of lower risk of burnout and higher quality of life among medical students?
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B.
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D.
63 . What is the name of an intervention consisting of group trainings for doctors about using patient-centered approaches with the aim of improving the doctor-patient relationship?
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B.
C.
D.
64 . _______________ is an example of a discussion-group intervention aimed at reducing symptoms of burnout among internal medicine physicians.
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B.
C.
D.
65 . A web-based Cognitive Behavioral Therapy program has been shown to _________________?
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B.
C.
D.