NCA 622 Final Exam Review Points, NCA 622 Comprehensive Exam
Playposits/Quiz/Buppert|Exam Questions with Correct Answers 100% Verified By Experts|
2025/2026 Latest Update
What is a value based system? Value-based healthcare is a delivery framework that
incentivizes providers to focus on the quality of services rendered as opposed to quantity. It
reduces cost by improving outcomes.
Medicare Part A Inpatient coverage, SNF, nursing home care, home health, hospice. Also
defines limits of Medicare usage
Medicare Part B B covers medically necessary services, preventative services, clinical
research, ambulance services, DME, mental health, and a limited number of preventative or
maintenance drugs.
- Medically necessary services are those needed to diagnose or treat a condition and that meets
accepted standards of medical practice.
- Preventative services are those that prevent illness or detect it at an early stage.
Medicare Part C Medicare Advantage plan is a program through which Medicare
beneficiaries may have their benefits administered by managed healthcare organizations
(MCOs), similar to a HMO or PPO. MA covers vision, hearing, dental, and/or health and wellness
programs.
Medicare Part D Medicare prescription drug reimbursement plans that cover at least two
drugs in the most commonly prescribed categories and classes.
Who qualifies for Medicare? People who are 65 years old & have paid in to Social Security,
and patients younger than 65 with a disability, ESRD, and ALS.
Who qualifies for Medicaid? Children, pregnant women, parents, seniors, and individuals
with disabilities. Those with insufficient income up to 133% of the federal poverty level, and
those who are indigent, blind, mentally or physically handicapped
,What would you see on XRs in a 40yo woman with rheumatoid symptoms? * Periarticular
erosions
Decreased bone density
Soft tissue swelling
Narrowing of the joint spaces
In the elderly, a febrile response is more likely to indicate and viral or a bacterial infection?
Bacterial
What type of rewarming is most beneficial to elderly experience hypothermia? Pulmonary
and peritoneal
What is the first line treatment for ankylosing spondylitis? NSAIDS
T/F: Patients with lupus can often have psychological issues. True
Neuropsychiatric conditions include headaches, seizures, psychosis, and mood disorders like
depression
MMSE Scoring in dementia Intact > 25
Mild 21 - 24
Moderate 10-20
Severe < 10
What are the side effects of cholinesterase medications used for dementia? Nausea and
diarrhea
Anorexia and weight loss
Bradycardia and hypotension
,Sleep disturbances
Syncope and cardiac dysrhythmia
* donepazil, rivastigmine, galantamine
What are the adverse effects of aducanumab for dementia? Amyloid-related imaging
abnormalities
Headaches
Falls
Diarrhea
Confusion
What are the side effects of levodopa for Parkinson's? Nausea and vomiting
Hypotension
Dyskinesia
Cardiac dysrhythmias
What are the side effects of dopamine agonists for Parkinson's? Nausea vomiting
Somnolence
Fatigue
Peripheral edema
Postural hypotension
Confusion
Dyskinesias
*rotifotine, pramipexole, ropinirole
, What are the side effects of MAOIs for Parkinson's? Nausea
Headache
Confusion
Hallucinations
* rasagiline, selegiline, safinamide
What are the side effects of amantadine for Parkinson's? Restlessness
Confusion
Depression
Skin rashes
Constipation
Anorexia
Postural hypotension
What is the confirmatory test for HIV? HIV 1/2 differentiation assay
Pneumocystis jirovenci is a ______ while Mycobacterium is a ______. Fungus; Bacteria
PJP: CD4 < 200, dry cough and dyspnea; Bactrim, dapsone, clinda + primaquine, plus
corticosteroids for patients with PaO2 < 70
MAC: CD4 < 50, fever, night sweats, weight loss, cutaneous nodules; clarithromycin or
azithromycin
A common cause of reversible hearing loss in the elderly is: Cerumen impaction
COPD Gold Guidelines, FEV1 of stages 1-4 In patients with a postbronchodilator of FEV1/FEV
ratio < 0.7:
Playposits/Quiz/Buppert|Exam Questions with Correct Answers 100% Verified By Experts|
2025/2026 Latest Update
What is a value based system? Value-based healthcare is a delivery framework that
incentivizes providers to focus on the quality of services rendered as opposed to quantity. It
reduces cost by improving outcomes.
Medicare Part A Inpatient coverage, SNF, nursing home care, home health, hospice. Also
defines limits of Medicare usage
Medicare Part B B covers medically necessary services, preventative services, clinical
research, ambulance services, DME, mental health, and a limited number of preventative or
maintenance drugs.
- Medically necessary services are those needed to diagnose or treat a condition and that meets
accepted standards of medical practice.
- Preventative services are those that prevent illness or detect it at an early stage.
Medicare Part C Medicare Advantage plan is a program through which Medicare
beneficiaries may have their benefits administered by managed healthcare organizations
(MCOs), similar to a HMO or PPO. MA covers vision, hearing, dental, and/or health and wellness
programs.
Medicare Part D Medicare prescription drug reimbursement plans that cover at least two
drugs in the most commonly prescribed categories and classes.
Who qualifies for Medicare? People who are 65 years old & have paid in to Social Security,
and patients younger than 65 with a disability, ESRD, and ALS.
Who qualifies for Medicaid? Children, pregnant women, parents, seniors, and individuals
with disabilities. Those with insufficient income up to 133% of the federal poverty level, and
those who are indigent, blind, mentally or physically handicapped
,What would you see on XRs in a 40yo woman with rheumatoid symptoms? * Periarticular
erosions
Decreased bone density
Soft tissue swelling
Narrowing of the joint spaces
In the elderly, a febrile response is more likely to indicate and viral or a bacterial infection?
Bacterial
What type of rewarming is most beneficial to elderly experience hypothermia? Pulmonary
and peritoneal
What is the first line treatment for ankylosing spondylitis? NSAIDS
T/F: Patients with lupus can often have psychological issues. True
Neuropsychiatric conditions include headaches, seizures, psychosis, and mood disorders like
depression
MMSE Scoring in dementia Intact > 25
Mild 21 - 24
Moderate 10-20
Severe < 10
What are the side effects of cholinesterase medications used for dementia? Nausea and
diarrhea
Anorexia and weight loss
Bradycardia and hypotension
,Sleep disturbances
Syncope and cardiac dysrhythmia
* donepazil, rivastigmine, galantamine
What are the adverse effects of aducanumab for dementia? Amyloid-related imaging
abnormalities
Headaches
Falls
Diarrhea
Confusion
What are the side effects of levodopa for Parkinson's? Nausea and vomiting
Hypotension
Dyskinesia
Cardiac dysrhythmias
What are the side effects of dopamine agonists for Parkinson's? Nausea vomiting
Somnolence
Fatigue
Peripheral edema
Postural hypotension
Confusion
Dyskinesias
*rotifotine, pramipexole, ropinirole
, What are the side effects of MAOIs for Parkinson's? Nausea
Headache
Confusion
Hallucinations
* rasagiline, selegiline, safinamide
What are the side effects of amantadine for Parkinson's? Restlessness
Confusion
Depression
Skin rashes
Constipation
Anorexia
Postural hypotension
What is the confirmatory test for HIV? HIV 1/2 differentiation assay
Pneumocystis jirovenci is a ______ while Mycobacterium is a ______. Fungus; Bacteria
PJP: CD4 < 200, dry cough and dyspnea; Bactrim, dapsone, clinda + primaquine, plus
corticosteroids for patients with PaO2 < 70
MAC: CD4 < 50, fever, night sweats, weight loss, cutaneous nodules; clarithromycin or
azithromycin
A common cause of reversible hearing loss in the elderly is: Cerumen impaction
COPD Gold Guidelines, FEV1 of stages 1-4 In patients with a postbronchodilator of FEV1/FEV
ratio < 0.7:
