Primary Care: A Collaborative Practice 5th Edition Test Bank

Part 9: Evaluation and Management of Oropharynx Disorders
95.Dental Abscess
96.Diseases of the Salivary Glands
97.Epiglottitis
98.Oral Infections
99.Parotitis
100.Peritonsillar Abscess
101.Pharyngitis and Tonsillitis

Part 10: Evaluation and Management of Pulmonary Disorders
102.Acute Bronchitis
103.Asthma
104.Chest Pain (Noncardiac)
105.Chronic Cough
106.Chronic Obstructive Pulmonary Disease
107.Dyspnea
108.Hemoptysis
109.Lung Cancer
110.Pleural Effusions and Pleurisy
111.Pneumonia
112.Pneumothorax
113.Pulmonary Embolism  NEW!
114.Pulmonary Hypertension
115.Sarcoidosis
Part 11: Evaluation and Management of Cardiovascular Disorders
116.Cardiac Diagnostic Testing: Noninvasive Assessment of Coronary Artery Disease
117.Abdominal Aortic Aneurysm
118.Cardiac Arrhythmias
119.Carotid Artery Disease
120.Chest Pain and Coronary Artery Disease
121.Heart Failure
122.Hypertension
123.Infective Endocarditis
124.Myocarditis
125.Peripheral Arterial and Venous Insufficiency
126.Valvular Heart Disease and Cardiac Murmurs
Part 12: Evaluation and Management of Gastrointestinal Disorders
127.Abdominal Pain and Infections
128.Anorectal Complaints
129.Cholelithiasis and Cholecystitis
130.Cirrhosis
131.Constipation
132.Diarrhea, Noninfectious
133.Diverticular Disease
134.Dysphagia  NEW!
135.Gastroesophageal Reflux Disease
136.Gastrointestinal Hemorrhage
137.Hepatitis
138.Inflammatory Bowel Disease
139.Irritable Bowel Syndrome
140.Jaundice
141.Nausea and Vomiting
142.Pancreatitis
143.Tumors of the Gastrointestinal Tract
144.Peptic Ulcer Disease
Part 13: Evaluation and Management of Genitourinary Disorders
145.Incontinence
146.Prostate Cancer
147.Prostatic Hyperplasia (Benign)
148.Proteinura and Hematuria
149.Renal Failure
150.Sexual Dysfunction (Male)
151.Testicular Disorders
152.Urinary Calculi
153.Urinary Tract Infections and Sexually Transmitted Infections
154.Uropathies (Obstructive) and Tumors of the Genitourinary Tract (Kidneys, Ureters, and Bladder)
Part 14: Evaluation and Management of Gynecologic Concerns
155.Amenorrhea
156.Bartholin’s Gland Cysts and Abscesses
157.Breast Disorders
158.Chronic Pelvic Pain
159.Dysmenorrhea
160.Dyspareunia
161.Ectopic Pregnancy
162.Fertility Control
163.Genital Tract Cancers
164.Infertility
165.Menopause
166.Pap Test Abnormalities
167.Pelvic Inflammatory Disease
168.Sexual Dysfunction (Female)
169.Unplanned Pregnancy
170.Vulvar and Vaginal Disorders
Part 15: Evaluation and Management of Musculoskeletal and Arthritic Disorders
171.Ankle and Foot Pain
172.Bone Tumors
173.Bursitis
174.Elbow Pain
175.Fibromyalgia and Myofascial Pain Syndrome
176.Gout
177.Hand and Wrist Pain
178.Hip Pain
179.Infectious Arthritis
180.Knee Pain
181.Low Back Pain
182.Metabolic Bone Disease: Osteoporosis and Paget’s Disease of the Bone
183.Neck Pain

Buttaro: Primary Care, A Collaborative Practice, 5th Ed.

Chapter 1: The Evolving Landscape of Collaborative Practice
Test Bank
Multiple Choice
1. Which assessments of care providers are performed as part of the Value Based Purchasing
initiative?
Select all that apply.
a. Appraising costs per case of care for Medicare patients
b. Assessing patients’ satisfaction with hospital care
c. Evaluating available evidence to guide clinical care guidelines
d. Monitoring mortality rates of all patients with pneumonia
e. Requiring advanced IT standards and minimum cash reserves
ANS: A, B, D
Value Based Purchasing looks at five domain areas of processes of care, including efficiency of
care (cost per case), experience of care (patient satisfaction measures), and outcomes of care
(mortality rates for certain conditions. Evaluation of evidence to guide clinical care is part of
evidence-based practice. The requirements for IT standards and financial status are part of
Accountable Care Organization standards. REF: Value Based Purchasing
2. What was an important finding of the Advisory Board survey of 2014 about primary care
preferences of patients?
a. Associations with area hospitals
b. Costs of ambulatory care
c. Ease of access to care
d. The ratio of providers to patients
ANS: C
As part of the 2014 survey, the Advisory Board learned that patients desired 24/7 access to care,
walk-in settings and the ability to be seen within 30 minutes, and care that is close to home.
Associations with hospitals, costs of care, and the ratio of providers to patients were not part of
these results. REF: The New Look of Primary Care
3. A small, rural hospital is part of an Accountable Care Organization (ACO) and is designated
as a Level 1 ACO. What is part of this designation?
a. Bonuses based on achievement of benchmarks

b. Care coordination for chronic diseases
c. Standards for minimum cash reserves
d. Strict requirements for financial reporting
ANS: A
A Level 1 ACO has the least amount of financial risk and requirements, but receives shared
savings bonuses based on achievement of benchmarks for quality measures and expenditures.
Care coordination and minimum cash reserves standards are part of Level 2 ACO requirements.
Level 3 ACOs have strict requirements for financial reporting. REF: Accountable Care
Organizations

Multiple Choice
1. To reduce adverse events associated with care transitions, the Centers for Medicare and
Medicaid Service have implemented which policy?
a. Mandates for communication among primary caregivers and hospitalists
b. Penalties for failure to perform medication reconciliations at time of discharge
c. Reduction of payments for patients readmitted within 30 days after discharge
d. Requirements for written discharge instructions for patients and caregivers
ANS: C
As a component of the Affordable Care Act, the Centers for Medicare and Medicaid Service
developed the Readmissions Reduction Program reducing payments for certain patients
readmitted within 30 days of discharge. The CMS did not mandate communication, institute
penalties for failure to perform medication reconciliations, or require written discharge
instructions. REF: Transitional Care
2. According to Naylor’s transitional care model, which intervention has resulted in lower costs
and fewer rehospitalizations in high-risk older patients?
a. Coordination of post-hospital care by advanced practice nurses
b. Frequent post-hospital clinic visits with a primary care provider
c. Inclusion of extended family members in the outpatient plan of care
d. Telephone follow up by the pharmacist to assess medication compliance
ANS: A
Naylor’s transitional care model provided evidence that high risk older patients who had posthospital care coordinated by an APN had reduced rehospitalization rates. It did not include clinic
visits with a primary care provider, inclusion of extended family members in the plan of care, or
telephone follow up by a pharmacist. REF: Transitional Care
3. Which approaches are among those recommended by the Agency for Healthcare Research
and Quality to improve health literacy in patients?
Select all that apply.
a. Empowering patients and families
b. Giving written handouts for all teaching