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Florida Physician Update: First Renewal

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Self-Assessment Answers for Section 1: Medical Errors (2 Credits)

1 . Which of the following is not currently included in the list of wrong site/patient surgery/ procedures as determined by the Boards of Medicine and Osteopathic medicine?

A.Failing to diagnose pre-existing conditions prior to prescribing contra indicated medications.

B.Stroke and related Cranial Conditions

C.Cardiac

D.Acute Abdomen

2 . Which statement is true regarding root-cause analysis?

A.Focuses primarily on individual performance

B.Progresses from common causes to special causes

C.Focuses primarily on systems and processes

D.Exclude possible occurrences of a sentinel event

3 . The reporting requirements contained in Chapter 395 of the Florida Statutes define “adverse event” as resulting in any of the following injuries EXCEPT:

A.Dislocation of a joint.

B.Requires surgical repair of damage that was a recognized risk and disclosed to the patient during informed consent.

C.Limitation of sensory function.

D.Brain or spinal damage.

4 . Of the 1,541 total sentinel events reported to the JCAHO, which was the most prevalent?

A.Medication Error.

B.Wrong-site surgery.

C.Patient Suicide.

D.Delay in treatment.

5 . What percentage of the sentinel events occurred in general and psychiatric hospitals (including psychiatric units within a general hospital)?

A.6.4%

B.13.4%

C.62.8%

D.83.1%

6 . Due to their lack of mobility and interference, comatose patients do not need to be considered as part of the special populations of patients at risk for medical errors.

A.True

B.False

7 . Research has shown that individuals that are more involved in their own health care get better results and are more satisfied with their care and treatment.

A.True

B.False

8 . In the legal proceedings outlined in the article, which costs is the respondent responsible for repaying?

A.Any administrative costs incurred in the investigation and prosecution of the case.

B.Costs of obtaining supervision or monitoring of the practice.

C.Cost of quality assurance reviews

D.The Board’s administrative cost directly associated with the respondent’s probation.

9 . In Case 5, what stipulation of “Community Service” differed from the other cases in which community service was required?

A.Must be completed within one year of the date of filing the final order.

B.Must be performed outside the physician’s regular practice setting.

C.Shall not include the delivery of medical services directly to patients.

D.Requires a written plan for performing and completing the community service be submitted to the probation committee.

Self-Assessment Answers for Section 2: HIV/AIDS (1 Credit)

10 . Which of the following statements is true regarding AIDS cases reported in 2007?

A.More females than males were exposed through injection drug use.

B.African-Americans accounted for over 50% of newly-reported AIDS diagnoses.

C.Fewer cases were reported among Hispanics than among white non-hispanics.

D.New diagnoses among females outnumbered those among males for the first time.

11 . Which of the following statements is true regarding AIDS cases reported among individuals exposed through heterosexual contact?

A.Cumulatively through 2007, more males than females were exposed through heterosexual contact.

B.In 2007, more females than males were exposed through heterosexual contact.

C.In 2007, more females were exposed through injection drug use than through heterosexual contact.

D.Cumulatively through 2007, more males were exposed through heterosexual contact than through injection drug use.

12 . Florida’s HIV infection rate in 2006 was 60% higher than the U.S. national average.

A.True

B.False

13 . Almost all HIV-infected children in the U.S. acquire HIV from their mothers before or during birth. What percentage of pregnant HIV-infected women not receiving antiretroviral therapy have passed on the virus to their babies?

A.25%

B.37%

C.50%

D.61%

14 . Which of the following properly indicates the minimal viral load considered to be statistically significant during monitoring?

A.Twofold, 0.25 log5 copies/mL

B.Threefold, 0.5 log10 copies/mL change.

C.Fourfold, 0.75 log10 copies/mL change.

D.Twofold, 0.5 log10 copies/mL change.

15 . Current studies cited in the article suggest what level of prevalence of HIV drug resistance in antiretroviral treatment- naïve patients?

A.5-10%.

B.8-15%.

C.6-16%.

D.14-22%.

16 . Antiretroviral therapy should be started regardless of CD4 cell count in HIV-positive pregnant women.

A.True

B.False

17 . Prospective studies of health-care workers have estimated that the average risk for HIV transmission after a percutaneous exposure to HIV-infected blood is approximately:

A.0.1%

B.0.3%

C.1%

D.3%

18 . Which of the drugs used in a basic regimen for HIV postexposure prophylaxis has activity against certain thymidine analogue mutations?

A.Zidovudine.

B.Lamivudine.

C.Emtricitabine.

D.Tenofovir.

19 . Florida law requires mandatory HIV testing for which of the following:

A.Blood, sperm, tissue, bone and organ donors.

B.Persons with a history of IV drug use.

C.Persons being treated for tuberculosis.

D.Anyone who has received a blood transfusion.

Self-Assessment Answers for Section 3: Self Directed Learning (1 Credit)

20 . All of the following describe self-directed learning (SDL) EXCEPT:

A.Learning is always done alone

B.Includes a wide variety of formats

C.Learner defines educational objectives

D.Learner selects the educational activity

21 . The primary emphasis of the Maintenance of Competence (MOC) program is on

A.Expansion of number of CME credits required

B.Completion of certification examination

C.Continuous professional development

D.Creation of mentoring programs

22 . Many states are adding the requirement that CME include which of the following components?

A.Attendance at least one professional meeting per year.

B.Specific focus in the physician’s area of practice.

C.Patient satisfaction data.

D.Independent learning.

23 . Point of Care (PoC) learning is a CME format that makes use of which of the following resources?

A.Internet

B.Journal clubs

C.Patient consultation

D.Consultation with peers

24 . Directus serves as a CME tool for Internet searches by doing which of the following?

A.Providing a form for the learner to cut and paste URL sites visited

B.Tracking and documenting the search process

C.Creating a post-test for searches

D.Blocking commercial sites

25 . In order to claim a CME activity using Directus, the learner must do all of the following EXCEPT:

A.Identify the purpose of the search

B.Identify the outcome of the search

C.Complete the search in a single sitting

D.Evaluate the success of the search process

26 . When using Directus for CME credit the learner must:

A.Claim only the time calculated by the computer

B.Write a brief description of the learning plan

C.Deduct time of commercial sites visited

D.Visit a specified set of sites

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