Jurisprudence Exam- PA

Which of the following are true? A person is not required to hold a Texas PA license: 1. To practice as a technician, assistant or employee of a Physician who performs delegated tasks but does not act as a PA represent that the person is a PA 2.to practice as any other licensed health care worker acting within the scope of that person's license if the person does not use the tittle PA or the initials PA and is not otherwise represented or designated as a PA

1 and 2 are both correct

Regarding the membership for the PA board which of the following are true 1. The board consists of 9 members appointed by the governor with the advice and consent of the senate 2. All members of the board must be practicing PA 3. At least 1 member of the board must be a Physician who supervises PA 4. At least 3 members of the board must be public members who are not licensed as either a PA or Physician

1 and 4

Which of the following are required in order for a licensed PA to renew his or her license? !. Payment of the required fee 2. Documentation that required CME has been completed 3. submission of the required form and other documents required by the board

1.2. and 3 are all correct

Which of the following are true?At any authorized practice site the physician may delegate prescribing authority to a pa 1. as authorized through a physician order. a standing medical order. a standing delegation order or another order or protocol as defined by the medical board 2 by a common understanding between the physician and the pa of the scope of rx authority delegated tot eh pa 3. but only if the pa is acting under adequate physician supervision as prescribed by law for the particular practice site 4. but only if the physician has been the supervising physician for the pa for no less than 5 years A. 1. 3 B. 2.4 C. 1, 2, 3, D. 1, 3, 4 E. None of the above

A, 1 and 3 RX through authority and order but must act in proper law by supervising authority

if a PA license has been cancelled solely for failure to renew within the specified time after its expiration date A. The PA may obtain a new license by complying with the requirements and procedures for obtaining an original license B.The PA may obtain a new license by complying with the requirements and procedures for renewal of a license C. The PA may obtain a new license only after passing the JP exam, paying an additional fee and by complying with the requirements and procedures for renewal of a license D, The PA may obtain a new license in TX aftwer his or her license has been cancelled E. Non of the above

A, Comply with process of an original license

With respect to physician supervision of the carrying out and signing of rx orders at the physician primary practice site, which of the following is true? the supervision; 1. Must conform to what a reasonable, prudent physician would find consistent with sound medical judgment 2. may vary with the education and experience of the particular PA 3. may not vary with the education and experience of the particular PA A. 1,2 B. 1.3 C. none of the above

A. Must conform to what a reasonable prudent physician would find consistent with sound medical judgments and may vary with the education and experience of the particular PA

A Supervising Physician must A. Notify the Medical board of the physicians intent to supervise a PA B. Appear before a committee of the Medical Board to obtain approval of a request to supervise a PA C. Notify the PA board of intent to supervise a PA and obtain board approval D. Appear before a committee to the PAboard to obtain approval of a request to supervise a PA E. None of the above

A. Notify the Medical Board

A physicians authority to delegate the carrying out or signing of a prescription drug order at the physicians primary practice site is limited to which of the following? 1. a combined number of 4 pa or NP or their full time equivalents practicing at the physicians primary practice site or alternate practice site 2. a combined number of 5 pa or np or their full time equivalents practicing at the physicians primary practice site or alternate practice site 3. the patients with whom the physician has established or will establish a physician patient relationship A. 1 B. 2 C. 3 D. 1 and 3 E. 2 and 3

A. Primary practice site is 4 PAs

The authority of a PA with appropriate delegation by a physician to prescribe the CS whose prescription may be delegated to a PA is limited as follows A. with regard to refills, the refill may only be authorized after consulting with delegating physician B. with regard to refills, only one refill for a period not to exceed 30 days may be authorized with out consutation of delegating physician C. With regard to a child of less than 5 years of age, rx make only after consulting with physician D .with regard to a child of less than3 years of age, rx can only be made after consulting with physician E. none of the above

A. Refill authorized after consulting with physician

A PA shall inform the board of address changes A. Within 2 weeks of the effective date of the address change B. At least 2 weeks before the effective date of the address change C. Within 30 days of the effective date of the address change D. Within a reasonable time after the effective date of the address change E. None of the above

A. Within 2 weeks of the effective address change

in addition to, or in place of, an administrative penalty imposed by the board against a pa who violates the pa act or a board rule adopted under the act the board may; A. order the pa to pay a refund to a pt in an amount not to exceed the amount the pt paid for the service provided B. order the pa to pay a refund to a pt in an amount not to exceed twice the amount the pt paid for the service provided C.order the pa to pay a refund to a pt in an amount not to exceed 3 times the amount the pt paid for the service provided D. the board may not order a pa to refund money to a pt E. none of the above

A. board cant ask to refund more than what the pt paid. must be same amount

which of the following entities is not an appropriate place for a pa to report suspected child abuse? A. the tx pa board B. the tx department of family and protective services C. any local or state law enforcement agency D. if the abuse or neglect occur in a facility that is operated license certified or registered by a state agency ; that agency E. none of the above

A. dont report abuse to the pa board

if a pa has caused to believe that a child has been abused or neglected or may be abused or neglected which of the following is true A. the pa must report not later than 48 hours after he or she first suspects the childs abuse or neglect B. if the pa knows that another person in his place of practice such as a nurse or ma is aware of the abuse or neglect he or she may rely on that person to make the report C. the pa may deligate to another responsible person the reporting the the abuse or neglect D. the pa must report not later than 12 hour after he or she first suspects that the child has been abused or neglected E. none of the above

A. no later than 48 hours of knowledge about childs abuse and must report

If a delegating physician will be unavailable to supervise the PA as required by law. arrangements shall be made for another physician to provide supervision on a temporary basis. with respect to the alternative or substitute physician which of the following is not true? A. the PA is responsible for verifying that the alternate physician is a licensed tx physician qualified to practice in the same or similar specialty as the regular delegating physician B. The PA is responsible for verifying that the alternate physician is a licensed tx physician holding an unrestrictive and active license C. the alternate physician providing that supervision must document through a permanent record kept at the practice site of the PA that he or she is familiar with the proticals or standing delegations that are in use D. the alternate physician must document that he or she is accountable for adequate supervising rx delegation providing pursuant to the protocal or standing delegation orders E. none of the above

A. the PA not responsible for verifying the alternate physician license

Regarding eligiblility to be licensed as a PA whch of the following are true? 1. There is a requirement of passing the JP exam of 75 within 3 attempts 2. An applicant who is unable to pass the JP in 3 attempts must appear infront of committee to evaluate why not pass 3. It is at the discression of the commitee to allow additional atttempts to take exam

All 3 are true

PA Licensed under the PA act must register and pay a fee A. Biennially B. Semi-annually C. Annually on a staggered basis D Annually by December31 E. Non of the above

Annually on a staggered basis

A PA: A. shall when in engaged in the PA professional activities wear a name tag B. shall when in engaged in pa professional activities wear a name tag identifying they are a pa C. shall when in engaged in the PA professional activities wear a white lab coat with a name tag identifying him or her as a pa D. need not wear a name tag E. none of the above

B wear a name tag identifying name and PA when engaged in professional activities

"neglect" of an elderly person (65 and older) or a disabled person as defined by law includes which of the following 1. failure of a care taker to provide to the elderly or disabled person the goods or services including medical services that are necessary to avoid physical or emotional harm or pain 2. failure of the elderly or disabled person to provide for him or herself the goods or services including medical services that are necessary to avoid physical or emotional harm or pain 3. failure of a care taker to provide to the elderly or disabled person the goods or services excluding medical services that are necessary to avoid physical or emotional harm or pain A. 1 B. 1.2 C. 1,3 D. 1.2.3 E. none of the above

B. 1 and 2

An alternate physician may provide supervision to a PA A. for a period of up to 7 days if both the alternate physician and the pa comply with the requirements of the PA act and board rules B. For a period of up to 14 days if both the alternate physician and the PA comply with the requirements of the PA act and board rules C. For a period of up to 30 days if both the alternate physician the the PA comply with the requirements of the PA act and the board rules D. A PA may not be supervised by an alternate physician but must be supervised by his or her supervising physicin E. none of the above

B. 14 days and both comply with PA act and board rules

using the recourses of an elderly person (65 and older) or a disabled person as defined by law for monetary or personal benefit or profit or gain constitutes "exploitation" if which of the following are true 1. if the person using the resources of the elderly or the disabled person has received benefits profits or gains that are more than insignificant as determined by the court of law 2. if the person using the resources of the elderly or the disabled person is the natural heir of the elderly or disabled person 3. if the person using the resources of the elderly or the disabled person is a care taker family member or other individual who has an ongoing relationship with rhe elderly or disable person 4. if the person using the resources did not obtain the informed consent of the elderly or disabled person A. 1.2 B. 3.4 C. 1,3.4 D. .2.3.4 E. 1.2.3.4.

B. 3 and 4

Which of the following physicians can be a supervising physician of PA 1. a physician who has an active license and has never been disciplined by the texas med board 2. a physician who has an active license but was disciplined (pay administrative penalty of 500)by the TX med board for failing to timely provide properly requested medical records to a patient 3. a physician who has an active license but was disciplined (required to give up his schedule 11 and 111 prescribing authority) for prescribing to patients with drug seeking behavior 4. a physician who has an active license but was disciplined (required to give up his prescribing authority for all scheduled drugs) for prescribing to patients with drug seeking behavior A.1 B. 1,2 C. 1,2,3 D. 2,3,4 E. 1,2,3,4

B. Active license and administrative fee penalty can be supervising physicians

If a supervising physician will be unable to supervise the PA as required by the PA act and board rules A. The PA must stop practicing and will not be able to resume practicing until the supervising physician is again available B. An alternative physician may provide the required supervision as provided by board rules C. As long as there is a physician at the practice site the supervising physician is not required to be available to supervise D. As long as the supervising physician will be available within a 2 week period the practice of the PA is not affected E> None of the above

B. An alternative can be provided by board rules

The scope of practice of a PA includes providing A. All Medical Services that are within the education, training and experience of the PA B. All Medical services that are delegated by a supervising physician that are within the education training and experience of the PA C. All medical services that are delegated by a supervising physician D. All Medically necessary services that are delegated by a supervising physician E. Non of the above

B. Delegated by supervising physician that is within the education , training and experience of the PA

The supervision of a PA A. Requires the constant physical presence of the supervising physician where PA services are being performed B. Does not require the constant physical presence of the supervising physician but if not present the supervising physician must be easily available by radio telephone or another telecommunication device C. Requires the constant physical presence of the supervising physician if the PA has been delegated the authority to prescribe dangerous drugs D. Does not require the constant physical presence of the supervising physician if the supervising physician oversees the activityof and accepts responsibility for medical services provided by the PA E. Non of the above

B. Have to be able to reach physiian

Except for Rx medications medical services if within the scope of practice of the PA may be performed by a PA A. Only in a clinic , hospital. ambulatory surgical center, patient home, nursing home, or other institutional setting B. in any place authorized by a supervising physician C. Only in a clinic. hospital, ambulatory surgical center . patient home nursing home or other institutional setting and only if authorized by a supervising physician D, Only in a clinic, hospital ambulatory surgical center and only if authorized by a supervising physician E. None of the above

B. In any place authorized by a supervising physician

With respect to the supervision of a PA by a physician which of the following are true 1. a PA may not have more than one supervising physician 2. a PA may have more than one supervising physician3. supervision of a PA by a supervising physician need not be continuous if the period of discontinuity is less than 1 week and occurs no more than once per year A. 1 B. 2 C. 3 D. 1, 3 E. 2, 3

B. May have more than 1 supervising Physician

a PA who;s license has expired A. May continue practicing for up to 30 days after the expiration date of the license B May not practice after the expiration date of the license C. May continue practicing if the PA notifies the board of his or her intention to renew within 30 days D. May not practice after a 15 day grace period for renewal E. Non of the above

B. May not practice after expiration date

Which of the following are reasons for which a PA may be exempt, subject to approval by the licensure committee of the Board from the annual minimum CME requirements? 1. Catastrophic illness 2. military service of at least 6 months in length 3. residence of longer than one year outside of tX 4. For good cause showing that the PA is unable to comply with the requirements A. 1.2.3 B. 1,3,4 C.2,3,4 D. 2,4 E.1,2,3,4,

B. Military service needs to be at least 1 year

The places a supervising physician may delegate to a PA the authority to rx or supply medication include which of the following A. any of the locations specified in the order or protocol under which the pa practices B. The physician primary practice site and physicians alternative practice site C. within a 10 mile radius of either the physicians primary practice or alternative practice D. the practice site designated by the PA as his or her practice site E. none of the above

B. Primary practice site and physicians alternative site

Medical services provided by a PA may, if within the scope of practice of the PA include all of the following except A. Distributing pharmaceutical sample RX medication to pt in a specific practice setting in which the PA is authorized to RX meds and sign drug orders B. Exercising independent medical judgment C. Monitoring the effectiveness of therapeutic interventions D. Making appropriate referrals E. RX scheduled drugs III, IV, V if authorized by protocol or standing order

B. exercise independent medical judgment

with regard to patient billing which of the following are true A. the pa is responsible for the accuracy of billing by the pa for any independent services B. the pa may not independently bill services provided by pa except where provided by law c. the supervising physician remains responsible for the accuracy of billing for the patients independently billed by the pa D .the supervising physician and pa are both responsible for the accuracy of billing for patients independently billed by pa E. none of the above

B. pa cant do anything independently except were provided by law

a pa who treats a person for injuries that he or she has reason to believe were caused by family violence is required to do which of the following? 1. counsel the person on ways to avoid provoking violence 2. advise the pt that you are going to report the injury to the police 3. immediately provide the person with info regarding the nearest family violence shelter and document this in the persons medical record 4. document in the persons medical record the reasons for the belief the persons injuries were caused by family violence and provide to the person the notice in the form specified in the texas family code regarding their rights and how they may be protected from family violence A. 1.2 B, 3.4 C. 1.3.4 D. 2,3,4, E. 1,2,3,4

B. provide person with info of safe shelter and document and give pt form of tx safe family against violence

A PA shall notify the board of changes regarding his or her supervising physician A. at each renewal of his or her licensee B. not later than the 30th day after the date any change or addition occurs C. within a reasonable time after the date any change or addition occurs D. if the change results in the PA having no supervising physician E. None of the above

B> No later than the 30th day of the change ocurring or addition

Which of the following does not qualify as category !! CME A. Attendance at hospital lectures B. Attendance at case conferences C.Providing volunteer medical services at the site where the PA practices if it is a site serving a medically underserved population D. attendance at grand rounds E. informal self study

C

a pa has a duty to report relevant info to the board related to the acts of another pa in this state in which of the following situations: A. he or she is aware that the pa is a questionable moral character B. in his or her opinion the pa is monetarily defrauding the supervising physician through inaccurate billing records C. in his or her opinion the pa posses a continuing threat to the public welfare as practice as a pa D. in his or her opinion the pa posses a continual threat to the public welfare unless his or her contract with the place of employment provides that such reports shall be made only to the clinic administrator or supervising physician E. none of the above

C posses a continuing threat to the public welfare as practice as a pa

if following an investigation the board determines to officially proceed on a complaint which of the following are true? 1. a panel consisting of at least 2 bard representatives will conduct and informal mtg or hearing after giving the pa at least 30 days notice to consider whether an act subject to disciplinary action has been committed 2. the pa will be allowed to be present at the hearing and to be heard but will not be allowed to have an attorney or another representative at the hearing 3. both the pa and the complainant will be provided an opportunity to be heard at the hearing 4. after the conclusion of the informal proceeding the panel will attempt to mediate the disputed matters and make a recommendation regarding the disposition of the case without proceeding to a formal contested case hearing A.1.2 B. 1.2.3. C. 1.3.4 D. 2.3.4. E. 1.2.3.4

C. 1, 3, 4 - give pa 30 day notice and the pa and complainant will be heard and then after proceedings will meet and make recommendations before going to a formal case

At a physicians primary practice site which of the following are true?The physician may delegate prescribing authority to a pa 1. only as authorized through a physicians order a standing medical order a standing delegation order or another order or protocol as defined by the medical board 2. only if the pa is acting under adequate physician supervision by having the physician present at the site at all times that the pa is authorized to rx 3. only if the pa is acting under continuous physician supervision but constant physical presence of the physician is not required 4. only as specifically authorized for each patient by the treating physician A. 1, 2 B. 1, 3 C, 1. 4 D. 1, 2, 4 E. 1, 3, 4

C. 1. and 4. RX requires a previous order, or delegation and can rx if specifically authorized for each patient but physical presence is not required

" neglect" of a child as defined by law includes which of the following? 1. the failure to seek obtain or follow through with medical care for a child with the failure resulting in or presenting a substantial risk of death disfigurement or bodily injury or with the failure resulting in an observable and material impairment to the growth development or function of the child 2. the failure to provide the child with food, clothing or shelter necessary to enable the child to participate in school and other functions and activities at a level equal to the average of other children in the lowest economic quartile 3. the failure to provide the child with food, clothing or shelter necessary to sustain the life or health of the child excluding failure caused primarily by financial inability unless relief services have been offered and refused A. 1 B. 1.2. C. 1.3 D. 2,3 E none of the above

C. 1.3

The amount of CME that must be completed and documented for renewal of the PA license is A. 40 hours at least 30 of which must be from formal courses that are designated for category 1by CME sponsor or approved by the AAPA B. 30 Hours at least 20 of which must be from formal courses that are designated for category 1 by CME sponsor or approved by the AAPA C. 40 Hours at least 20of which must be from formal courses that are designated for category 1 by CME sponsor or approved by the AAPA. D. 40 Hours, with no requirement as to how many must be from Category1 courses that are approved by the AAPA E. None of the above

C. 40 hours of CME and 20 must be from formal courses that are designated for Category 1 and approved by AAPA

the PA board may take action against the PA who does which of the following? 1. is rude and inconsiderate in dealing with colleges and co workers 2. violates any state of law 3. violates the pa act or any rule adopted under the act 4. is fired from his or her position by his or her supervising physician A. 1 B. .2 C. 3 D. 2.3 E. 2.3.4

C. Action can be taken place if a pa violates the pa act or any rule adopted by that act

Which of the following are true? A Person who is otherwise eligible to renew a license may 1. Renew an unexpired license by paying the required renewal fee before the expiration date of the license 2. if the person's license has been expired for 90days or less, renew the license by paying a fee in an amount equal to one and one half times the required renewal fee 3.if the person's license has been expired for longer than 90 days but less than 1 year the person may renew the license by paying the medical board a fee in the amount 2 times the required fee 4. if the person's license has been expired for 1 year or longer the person may not renew the license and it is automatically cancelled unless an investigation is pending A. 1,2,4 B. 1,3,4 C. 1,2,3,4, D. 2,3,4 E. 3,4,

C. All 4 choice are true

a dangerous drug includes: A. Only drugs classified as controlled substances by federal or state law B. all drugs that may only be dispensed by prescription under federal or state law C. All drugs other than controlled substances that may only be dispensed by prescription under federal or state law D. All drugs that have addictive potential or potential for abuse E. None of the above

C. All drugs other than controlled substances that require RX

Medical services provided by a PA may if within the scope of practice of the PA include all of the following except A. ordering or performing diagnostic and therapeutic procedures B. Formulating a working diagnosis C. Prescribing a controlled substance for a period of up to 60(120) days D. Assisting at surgery E. Developing and implementing a treatment plan

C. Can only RX controlled substance III, IV and V for up to 30(90)days

HIPAA is the acronym for the federal act relating to limitations on the use and disclosure of a pt health info. HIPPA stands for A. Health info privacy accountability act B. health insurance privacy and accountability act C. health insurance portability and accountability act D. It is not HIPAA its HIPPA and it stands for Health info portability and privacy act E. None of the above

C. Health insurance portability and accountability act

A PA shall A. post his or her PA license in a prominent place in primary work of business B. post his or her license in a prominent place of business and keep a legible copy of the license available for inspection at each practice C. keep the pa license available for inspection at the pa primary place of business D. keep the pa license in a secure place that may be accessed by the supervising physician during supervising hours E. none of the above

C. Keep it available for inspection at primary place of buisness

Under which of the following is physician supervision adequate for purposes of delegating rx authority at a facility based practice site? A. if it meets the requirements for a physician supervision of a primary practice site B. If it meet the requirements for a physician supervision at an alternate practice site C. only if it meet specific requirements set by the law for such site D. there are no separate legal provisions for delegating rx authority for a facility base practice site including such sites as a hospital or long term

C. Meet specific requirements for such sites by the law

Under which of the following is physician supervision adequate for purposes of delegating rx authority at an alternant practice site? if the delegating physician 1. is on site with the PA at least 10 % of the time 2. is on site with the PA at least 20% of time 3. reviews at least 10% of medical charts at the site 4. is available through direct telecommunication for consultation, patient referral, or assistance with med emergency A. 1.3 B, 1.4 C. 1,3,4 D.2,3 E. 2,3,4,

C. On site at least 10% and reviews 10% of charts and is available for consultation through telecomunication

Under which of the following is physician supervision adequate for purposes of delegating rx authority at a site serving a medically underserved population? A. If it meets the requirements for a physician supervision at a primary practice site B. If it meet the requirements for a physician supervision at an alternate practice site C. Only if it meet specific requirements set by the law for such site D. There is no seperate site designation for a "site servinging a medicaly underserved population" E. none of the above

C. Only set out for requirements following the LAW for such sites

which of the following persons may not consent to medical tx of a child when the person having the right to consent as provided by law can not be contacted A. an adult brother or sister of the child B. a grandparent of the child C. a 16 year old brother or sister of the child D. the school of the child if the school has valid written authorization to consent E. an adult aunt or uncle of the child

C. a minor - which is under the age of 18 can not consent

the PA board may take action against the PA who does which of the following? 1. is related in the second degree of consanguinity or affinity to a board or staff member and does not report this to the board 2. has a physical or mental condition even if this condition does not affect his or her ability to practice as a pa 3. acts in an unprofessional or dishonorable manner that is likely to deceive defraud or injure the public A. 1 B. 2 C. 3 D. 1,2 E. 1,2,3

C. acts in a conduct that is unprofessional, dishonest and could injure the public

the board shall provide a pa who is the subject of a formal complaint with access to all info in its possession subject to certain exceptions. the board is not required which of the following 1. any info deemed to be too sensitive to be in the public domain 2. board investigative reports 3. the identity of the complaint if they are not going to testify at the hearing A. 1 B. 1.2 C. 2,3 D. 1.2.3 E. none of the above

C. does not need to provide investigative reports or the identity of the complaint if not going to testify

a person working in a pa office may be called a pa only if A. that is the official job title assigned to his or her position by the physician B. he or she has completed the equivalent of 2 years of medical training and are working in he office of a physician under the physician direct and constant supervision C. he or she holds a pa license issued by the tx pa board D. he or she has a medical license from another state or country or a suspended medical license from tx E. none of the above

C. he or she holds a license for tx

if a person holds himself or herself out as a pa acts as a pa or uses some combination of the term pa without meeting the legal requirements for the use of that term which of the following are true? the person; 1. may be subject to discipline by the board of nurse examiners if he or she has a nursing license 2. commits a misdemeanor punishable by a fine 3. commits a felony of the 3rd degree A.1 B.1.2 C. 1.3. D. 1.2.3. E. none of the above

C. nursing board if license and if felony of the 3rd degree

Each PA and the PA supervising physician are required to ensure which of the following 1. that the pa scope of function is identified 2. that the delegation of medical tasks is appropriate to the pa level of competence 3. that the hours of practice of the PA are posted at the practice site 1 week in advance A. 1 B, 3 C. 1,2 D. 1. 3 E. 1, 2, 3,

C. pa scope identified and medical tasks delegated are within pa competence

Which of the following is true regarding the disciplinary actions that may be taken by the board against a pa? the disciplinary action: A. may be made effective immediately upon the receipt of a letter notifying the pa that the board has investigated a complaint and is taking the specified action B. May, if the board possesses sufficient info be made effective 2- days following a show cause notice delivered to the pa last know address C, May, except in the special case of a temporary suspension be taken only after an informal hearing before at least 2 members of the board after due notice and with opportunity for the pa to respond to allegations D.May, if revocationis under consideration, be taken only after a hearing before at least 3 membersof the board after due notice and with opportunity for the pato respond to the allegations E. none of the above

C. proper hearing and at least 2 members of the board present and the pa must have opportunity to respond to allegations

if a person has cause to believe that an elderly person ( 65 or older) or a disabled person is in a state of abuse, neglect, or exploitation which of the following is true? A. the person has a duty to report to the tx family and protective services only if the person is a physician B. the person has a duty to report to the tx family and protective services only if the person is a physician assistant or advanced practice nurse C. the person without regard to any professional medical training has a duty to report to the tx department of family protective services D. the person without regard to any professional medical training has a duty to report to the tx department of aging and disability services E. none of the above

C. report to the tx family protective services regardless of medical training

Which of the following are required for an alternate physician to provide supervision of a PA 1. the alternate physician must affirm in writing and document through a log where the PA is located that he or she is familiar with the protocols or standing delegation orders in the use and is accountable for adequately supervising care provided pursuant to those protocols or standing delegation orders 2. the log is kept with the protocols or standing orders and contains dates of the alternate physician supervision and is signed by he alternate physician acknowledging these responsibility 3. the PA must verify that the alternate physician is a licensed RX physician holding an unrestricted and active license 4. a PA may not be supervised by an alternate physician but must be supervised by hi or her supervising physician A. 1 B. 1,2 C. 1,3 D.1,2,3 E. 4

D

During a disaster under the state emergency management plan or a disaster declared by the governor or the US government which of the following are true? 1. A PA may perform medical tasks under the supervision of any physician who is also performing volunteer work in the disaster 2. a PA may perform medical tasks without the supervision of a physician: 2a. if a physician is not available to provide supervision 2b. only if the medical tasks performed by the PA are within the scope of tasks assigned to the PA during his or her regular work hours 2c. only if the medical tasks performed by the PA are not performed for compensation or other remuneration A. 1. 2a B. 2a. 2b C. 1. 2a. 2b D. 1,2a.2c E. 1. 2a. 2b. 2c

D. 1. 2a, and 2c- perform tasks under volunteer physician and if no physician available can perform medical tasks if within the scope or practice

Which of the following are true? Practicing after the expiration of a license and any grace period 1. May subject the PA to a written warning 2. May subject the PA to disciplinary action by the board 3. May subject the PA to criminal penalties for practicing without a license A. 1 B. 2 C. 3 D. 2 and 3 E 1 and 2 and 3

D. 2 and 3

The authority of a PA with appropriate delegation by a physician to RX CS in the authorized schedules is limited to RX for a period not to extend A. 30 days B. 45 days C. 60 days D. 90 Days E. none of the above

D. 90 days is the max

the PA board may take action against the PA who does which of the following? 1. is fired from his or her position by his or her supervising physician 2. writes a false or fictitious prescription for a dangerous drug 3. has had disciplinary action taken by another state regarding practice as a pa A. 1 B. 2 C.1,2 D. 2.3 E. 1,2,3

D. Action can take place if pa writes a false rx and if there has been disciplinary action taken place in another state as a pa

A Physician by following the procedures and in the circumstances prescribed by law may delegate to a PA the authority to RX which of the following A. Controlled substances listed in schedules II, III, and IV B. Dangerous drugs excluding those with addictive potential or potential for abuse C. Controlled substances excluding those with addictive potential or potential for abuse D. Dangerous drugs and controlled substances listed in schedule III, IV, and V E. None of the above

D. Can RX dangerous drugs and CS III, IV, And V

in determining whether a pa has committed an act subject to disciplinary action the board will do which of the following? 1. the board will conduct a prelim investigation of a complaint filled with the board 2. on the completion of the prelim investigation the board will determine whether to officially proceed on the complaint 3. the boar will keep the complaint and the investigation file confidential A.1 B.1.2 C. 1.3. D. 1.2.3. E. none of the above

D. all above the board will investigate, decide to move forward and keep the files confidential

consent for emergency care is not required under which of the following situations? 1. the individual is unable to communicate because of an injury accident or illness or is unconscious and is suffering from what reasonably appears to be a life threading injury or illness 2. a court of record orders a tx of an individual is in an imminent emergency to prevent the individuals serious bodily injury or loss of life 3. the individual is a minor who is suffering from what reasonable appears to be a life threatening injury or illness and whos parents managing or possessory conservator or guardian is not present A. 1 B. 1.2 C. 1,3 D. 1.2.3 E. none of the above

D. all of the above

regarding the protocol that may be used to delegate RX authority to a PA as described as medical board rules? the protocol 1. may authorize dx of pt condition and treatment but can not authorize the independent medical judgment by the pa 2. may state the types or categories of meds that may be rx or the types or categories of meds that may not be rx by the pa 3. must be documented in writing and maintained as a permanent record 4. does not change the fact that the pa remains professionally responsible for the acts performed under the scope of his or her own license A. 1.2 B. 1.2.4 C. 2.3.4 D. 1.2.3.4. E. None of the above

D. all the above PAs cant do anythign

To be a physicians alternate site for purposes of delegating rx authority a practice site must be 1. located within 100 miles of the physicians primary residence or practice site 2. located within 75 miles of the physicians residence or practice site 3. where services similar to the services provided at the delegated primary practice site A. 1 B. 2 C. 1 and 3 D, 2 and 3 E. None of the above

D. alternating is within 75 miles and must be familiar services

the PA board may take action against the PA who does which of the following? 1. fraudulently alters a pa license certificate or diploma uses a pa license certificate or diploma that has been fraudulently purchased issued or counterfeited or that has been materially altered 2. directly or indirectly aids or abets a person no licensed to practice as a pa in practicing as a pa 3. unlawfully advertises in a false misleading or deceptive manner A. 1 B. .1,2 C. 2.3 D. 1,2.3 E. none of the above

D. fraud, aids someone to falsely be a pa, and unlawful advertisment

The board may impose an administrative penalty against the pa who violates the pa act or a board rule adopted under the act. the amount of the penalty; A. may not exceed 1000 per violation B. may not exceed for all violations that are the subject for 1 investigation total of 5000 C. may not exceed 5000 per violation and may not exceed a total of 25000 D. may not exceed 5000 per violation tho each day a violation continues or occurs is considered a separate violation in purposes of imposing a penalty E. none of the above

D. may not exceed 5000 per penalty but each day can occur its own violation

a pa who has cause to believe that a resident of a nursing home or similar institution has been or may be adversely effected by abuse or neglect; A. has a moral duty but no legal duty to report info B. if he or she works at the nursing home has a duty to report info to owners or administrators of the home but has no further duty to report after this C. has a duty to report the info immediately to the department of health services or state or local law enforcement agency tho there are no legal sanctions for failing to so report D. has a duty to report the info immediately to the department of health services or state or local law enforcement agency and may be subject to a criminal penalty for failing to so report E. none of the above

D. must report immediately and may be subject to criminal penalty if fail to do so

given that a communication between a physician and a pt relative to or in connection with any professional services as a physician to the pt is confidential and privileged and may not be disclosed except in certain circumstances. which of the following is true regarding the regard of the identify, diagnosis, evaluation or treatment of a patient by a physician that is created or maintained by a physician? the record A. may be disclosed with certain exceptions by a pa b/c the privilege is only between the pt and the physician B .may not be disclosed by a pa with certain exceptions as long as the pa is contractually bound by an agreement with his or her supervising physician C. is confidential and privileged by law and may not be disclosed by a pa D. is confidential and privileged by law and may not be disclosed by a pa except to the extent that disclosure is consistent with the authorized purposes in which the info was obtained E. none of the above

D. not allowed to be disclosed by pa except if authorized

a PA may call in a RX to the pharmacy A. in his or her own name after consulting with the physician B. in his or her own name but only dangerous drugs and only after consulting with the physician C. in his or her own name with appropriate delegation by a physician in accordance with a standing delegation order D. Only on behalf of the physician and after consultation with and as directed by the physician E. Only for those patients with whom the PA has previously treated

D. on behalf of physician

Before beginning practice each PA licensed by the state must notify the PA board. the notice is sufficient A. if it specifies the PA business address and phone B. If it specifies business address and phone number of both he PA and the supervising physician C. Only if it is on the form prescribed by the national association of PA and provides the information requested by that form D. only if it is on the form prescribed by the PA board and provides the information requested by that form E. None of the above

D. only if it is on the form prescribed by the PA board and has info requested on that form

which of the following persons may consent to medical tx of a child when the person having the right to consent as provided by law can not be contacted 1. an adult 1st cousin of the child 2. a police officer who has lawfully taken custody of the child if the police officer has reasonable ground to believe the child is in need of immediate medical tx 3. an adult aunt or uncle of the child 4. an adult who has actual care control and posession of the child and has written authorization to consent from a person having the right to consent A. 1.2. B. 3,4 C.1,3,4 D. 2,3,4 E. 1.2.3.4.

D. police officer, adult aunt or uncle and an adult with written permission can consent for the child

Each pa and the pa supervising physician are require to insure which of the following 1. that the hours of practice of the pa are agreed to by the physician and the pa subject to emergencies or other situations 2. that the relationship between the pa and supervising physician and the access between the 2 are defined 3. that a process is established for evaluating the pa performance. A. 1 B, 2 C. 1,2 D. 2. 3 E. 1, 2, 3,

D. relationship between the pa and supervising physician are defined and there is a process for evaluation of pa

a PA shall report relevant info to the pa board related to the acts of another pa in this state A. if the info relates to use of alcohol or drugs by pa B. if the info relates to rx practices of the other pa C. if the info relates to the quality of care giving by pa D. if in the pa opinion the other pa poses a continuing threat to the public welfare through practice as pa E. a pa may report info as provided above but is not under a duty or requirement to do so

D. report other pa if in opinion the pa is posing a continual threat to public wealfare

Under HIPAA or HIPPA which of the following is true? a pt protected health info can not be disclosed; A. without the pt authorization unless the info is more than 5 years old B. without the pt authorization C. without the pt authorization or the authorization of the pt insurance company D. without the pt authorization with limited exceptions for tx, payment and healthcare operations E. none of the above

D. without pt authorization with limited exception for tx , payment or healthcare operations

the board may temporarily suspend the license of a pa A. if a disciplinary panel finds that the pa would by his or her continuation of practice constitute a continuing threat to the public welfare and the pa received 30 day notice of the hearing B. only if the pa agrees to an order of voluntary suspinsion after a hearing before a disciplinary panel appointed by the presiding offer of the board C. only if the pa has committed a felony related to his or her practice or has caused pt harm D. immediately if a disciplinary panel appointed by the presiding officer of the board finds that the pa by continuing in practice constitute a continuing threat to the public welfare E. None of the above

D.temporarly immediate suspension if board finds threat to public welfare

The pa board may take action against a pa who meets which of the following criteria 1. has had the persons license or other authorization to practice as a pa suspended revoked or restricted or who has had other disciplinary action taken by another state regarding practice as a pa 2. has repeated or recurring meritorious health care liability claims that in the opinion of the board evidence professional incompetence likely to harm the public 3. through his or her practice as a pa sexually abuses or exploits another person 4. is removed or suspended or has disciplinary action taken by his or her peers in any professional association or society or is being disciplined by a licensed hospital or medical staff of a hospital if that action in the opinion of the board was based on unprofessional conduct or professional incompetence that was likely to harm the public A. 1.2 B. 1.2.3 C. 1.3.4 D. 2.3.4 E. 1.2.3.4

E.

For purposes of delegating rx authority physicians primary site includes which of the following? 1. the practice location of a physician at which the physician spends the majority of the physicians time 2. a licensed hospital, a licensed long term care facility or a licensed adult care center where both the physician and PA are authorized to practice 3. the residence of an established patient 4. another location at which the physician is physically present with the pa or advanced practice nurse A. 1 and 2 B. 2 and 3 C. 3 and 4 D. 1, 3, 4 E. 1,2,3,4,

E. All are defined as a primary location

if a pa or an applicant for a pa license is found to have committed an act that is subject to disciplinary action the pa board may take which of the following actions? 1. denny the persons application for a license or renewal or revoke the persons license or other authorization 2. require the person to complete additional training 3. suspend limit or restrict the persons license 4. assess an administrative penalty A. 1.2 B. 1.2.3 C. 1.3.4 D. 2.3.4 E. 1.2.3.4

E. All the above

if a pa or an applicant for a pa license is found to have committed an act that is subject to disciplinary action the pa board may take which of the following actions? 1. limit the practice of the pa to 1 or more specified activities or exclude from the practice of the pa 1 or more specified activities 2. require the person to submit to the care counseling or tx of a healthcare practitioner designated by the pa board 3. order the person to perform public service 4.. administer public reprimand A. 1.2 B. 1.2.3 C. 1.3.4 D. 2.3.4 E. 1.2.3.4

E. All the above

the PA board may take action against the PA who does which of the following? 1. violates state law if the violation is connected with practice as a pa 2. fails to keep complete and accurate records of the purchased and disposal of drugs as required by chapter 483 health and safety code or any subsequent rules 3. represents that he or she is a physician 4. habitually uses drugs or intoxicating liqueurs to the extent that in the option of the board the person can not safely perform as a pa A. 1.3 B. 1.2.3 C. 1.3.4 D. 2.3.4 E. 1.2.3.4

E. Cant break the law, pretend to be a physician, do drugs , and not record of rx and disposal of drugs as stated in health code 483

the PA board may take action against the PA who does which of the following? 1. violates the pa act or a rule adapted under that act 2. is convicted of a felony, placed on deferred adjudication or placed in a pretrial diversion program 3. violates state law if the violation is connected with practice as a pa A. 1 B. 3 C. 1.3 D. 2.3 E. 1.2.3

E. Cant violate the law, commit a crime or violate the pa board act

How many supervising physicians may a pa have at any one time? A. 1 B. 2 C. 3 D. 5 E. There is no limitation on the number of supervising physicians a pa may have at any one time

E. No limit of supervising physicians

A Physician who becomes a supervising physician A. Is responsible for supervising the PAbut assumes no legal liability for the services rendered by the PA B. If he or she complies with applicable provisions of the PAact assumes no legal liability for the services rendered by the PA C. If he or she complies with applicable provisions of the PA act is responsible for supervising the PA D. Assumes responsibility and legal liability for the services rendered by the PA E. Non of the above

E. The supervising Physician assumes responsibility and legal liability for the services rendered by the PAbut is not liable for an act of the PA solely because the physician signed an order or protocol authorizing the PA to provide, carry out or sign a drug RX

"abuse" of an elderly person (65 and older) or a disabled person as defined by law includes which of the following 1. injury unreasonable confinement intimidation or cruel punishment inflicted on the elderly or disabled person by the persons care taker 2. injury unreasonable confinement intimidation or cruel punishment inflicted on the elderly or disabled person by a family member or other individual who has an ongoing relationship with the person 3. sexual abuse of the elderly or disabled person including any involuntary or nonconsensual sexual conduct committed by the persons care taker 4. sexual abuse of the elderly or disabled person including any involuntary or nonconsensual sexual conduct committed by a family member or other individual who has an ongoing relationship with the person A. 1.2 B. 3.4 C. 1,3.4 D. .2.3.4 E. 1.2.3.4.

E. all of the above

"abuse" of a child as defined by law includes which of the following? 1. causing permitting encouraging engaging in or allowing the photo filming or depicting of the child if the person knew or should have known that the resulting photo film or depiction of the child is obscene or pornographic 2. failure to make a responsible effort to prevent any action by another person that results in physical injury that results in substantial harm to the child 3. mental or emotional injury to a child that results in an observable and material impairment of the childs growth develoopment or physchological functioning 4. the current use by a person of a controlled substance in a manner or to the extent that the use results in physical mental or emotional injury to a child A. 1.2. B. 3,4 C.1,3,4 D. 2,3,4 E. 1.2.3.4.

E. all the above

the PA board may take action against the PA who does which of the following? 1. fraudulently or deceptively uses a license 2. falsley represents that the person is a physician 3. acts in unprofessional or dishonorable manner which that is likely to deceive , defraud or injure the public A. 1 B. 2 C. 3 D. 1,2 E. 1,2,3

E. all the above

the PA board may take action against the PA who does which of the following? 1. has a mental or physical condition that renders the person unable to safely perform as a pa 2. has committed an act of moral turpitude 3. has failed to practice as a pa in an acceptable manner consistent with public health and welfare 4. rx dispenses or administers a drug or treatment that is nontherapeutic in nature or nontherapeutic in the manner the drug or tx is rx dispensed or administered A. 1.2 B. 1.2.3 C. 1.3.4 D. 2.3.4 E. 1.2.3.4

E. cant practice if no mentally or physically safe. committed a moral turpitude, failed to practice in appropriate manner, and abuse rx abilities

In relation to a pa pt care activities which of the following is true 1. the pa is legally responsible for his or her pt care activities and the supervising physician is not legally responsible 2. each supervising physician retains legal responsibility for a pa pt care responsibilities including the provision of care and tx in a pt in a health care facility 3. if a pa is employed by an entity including a health care facility the entity shares the legal responsablitly for the pa acts or omissions with the pa supervising physician A. 1 B. 2 C. 3 D. 1,2, E. 2, 3,

E. each supervising physician retains legal responsibility and the health care facility the pa is employed at

If an adult pt in a hospital or nursing home is comatose incapacitated or otherwise mentally or physically incapable of communication certain adults may act as a surrogate for the pt in order to give consent to medical tx. under state law who of the following has the 1 priority to consisting to medical tx if available? A. the pt nearest living relative B. the pt parents C. a member of the clergy identified to act for the pt D. a majority of the pt children E. the pt spouse

E. the pt spouse

A person may not practice as a PA in TX unless the person ?

Is Licensed as a PA in TX

To be eligible to be licensed as a PA an applicant must meet several requirements. Which of the following is not a requirement for licensure?

Succsesfull completion of a 4 year program at an accreditated college or university is not a requirement for licensure

The state entity that issues PA licenses who have met all requirements for this license is?

The Texas PA board

A physicians authority to supervise a pa (without regard to the physicians authority to delegate rx authority) is limited to which of the following? A. a combined number of 3 pa or np or their full ime equivalent practicing at their physicians primary practice site or an alternate practice site B. a combined number of 5 pa or np or their full time equivalent practicing at their physicians primary practice site or an alternate practice site C. except as otherwise provided board rule for certain situations up to 5 pa or their full time equivalents D. except as otherwise provided board rule for certain situation up to 3 pa or their full time equivalents E. None of the above

c. Certain situations up to 5 pas