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CASE MANAGER CERTIFICATION EXAM
2026|COMPLETE EXAM SET WITH
QUESTIONS AND VERIFIED SOLUTIONS
case management - correct-answer -the dynamic and systematic collaborative
approach to providing and coordinating health care services to a defined
population.
- participative process to identify and facility options and services for meeting
individual healthcare needs while decreasing fragmentation and duplication of
care and increasing quality and cost effective clinical outcomes.
standards of care - correct-answer -parameters to measure the quality of
healthcare
clinical guidelines - correct-answer -statements to help make decisions about
health specific circumstances.
clinical pathway - correct-answer -structured multi-disciplined plan of care to
support clinical guidelines and protocol to improve continuity and coordination.
4 parts of clinical pathway - correct-answer -1. timeline
2. categories of care/activities and interventions
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3. intermediate and long term outcome criteria
4. variance tracking
are 4 parts of what?
decision tree - correct-answer -used to select the best course of action in
decisions where there is no clear decisions.
descriptive screening tool - correct-answer -identifies characteristics about a
population to show health prevention.
predictive screening tool - correct-answer -shows what may happen to a specific
population.
evaluative screening tool - correct-answer -evaluates the
understanding/effectiveness
SF-36 - correct-answer -predictive screening tool to assess functional health and
well being. Assesses physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
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-scored 00-100, lower score-> incr. disability
patient activation measure - correct-answer -13 item predictive screening tool to
evaluate patient's knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
health risk assessment - correct-answer -predictive screening tool: patient's self
assessment of their health and how likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse condition.
- examples: PHQ-9, etc.
rose Q - correct-answer -health risk assessment for angina, MI, coronary heart
disease.
defined angina pectoris as, "a chest pain or discomfort with these characteristics:
(a) the site must include either the sternum (any level) or the left arm and left
anterior chest (defined as the anterior chest wall between the levels of clavicle
and lower end of sternum),
(b) it must be provoked by either hurrying or walking uphill (or by walking on the
level, for those who never attempt more),
(c) when it occurs on walking it must make the subject either stop or slacken
pace, unless nitroglycerin is taken, (d) it must disappear on a majority of occasions
in 10 min or less from the time when the subject stands still."
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Possible myocardial infarction1 was defined as, "one or more attacks of severe
pain across the front of the chest lasting for 30 min or longer."
seattle angina questionnaire - correct-answer -19-item self-administered health
risk assessment for angina and functional artery disease measuring five
dimensions of coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4 treatment
satisfaction and 5 disease perception.
-score of 0 to 100, where higher scores indicate better function (eg, less physical
limitation, less angina, and better quality of life).
arthritis impact measurement scales - correct-answer -health risk assessment:
Disease-specific measure of physical, social, and emotional well-being designed as
a measure of outcome in arthritis.
-scales: mobility, physical activity (walking, bending, lifting), dexterity, household
activity (managing money and medications, housekeeping), social activities,
activities of daily living, pain, depression, and anxiety.
Score range: Range is 0-10 for each section. Total health score 0-60.
--> Zero represents good health status, 10 and 60 represent poor health status.
functional living index-cancer - correct-answer -health risk assessment: Cancer-
specific, functionally-oriented quality of life instrument.
CASE MANAGER CERTIFICATION EXAM
2026|COMPLETE EXAM SET WITH
QUESTIONS AND VERIFIED SOLUTIONS
case management - correct-answer -the dynamic and systematic collaborative
approach to providing and coordinating health care services to a defined
population.
- participative process to identify and facility options and services for meeting
individual healthcare needs while decreasing fragmentation and duplication of
care and increasing quality and cost effective clinical outcomes.
standards of care - correct-answer -parameters to measure the quality of
healthcare
clinical guidelines - correct-answer -statements to help make decisions about
health specific circumstances.
clinical pathway - correct-answer -structured multi-disciplined plan of care to
support clinical guidelines and protocol to improve continuity and coordination.
4 parts of clinical pathway - correct-answer -1. timeline
2. categories of care/activities and interventions
,2|Page
3. intermediate and long term outcome criteria
4. variance tracking
are 4 parts of what?
decision tree - correct-answer -used to select the best course of action in
decisions where there is no clear decisions.
descriptive screening tool - correct-answer -identifies characteristics about a
population to show health prevention.
predictive screening tool - correct-answer -shows what may happen to a specific
population.
evaluative screening tool - correct-answer -evaluates the
understanding/effectiveness
SF-36 - correct-answer -predictive screening tool to assess functional health and
well being. Assesses physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
,3|Page
-scored 00-100, lower score-> incr. disability
patient activation measure - correct-answer -13 item predictive screening tool to
evaluate patient's knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
health risk assessment - correct-answer -predictive screening tool: patient's self
assessment of their health and how likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse condition.
- examples: PHQ-9, etc.
rose Q - correct-answer -health risk assessment for angina, MI, coronary heart
disease.
defined angina pectoris as, "a chest pain or discomfort with these characteristics:
(a) the site must include either the sternum (any level) or the left arm and left
anterior chest (defined as the anterior chest wall between the levels of clavicle
and lower end of sternum),
(b) it must be provoked by either hurrying or walking uphill (or by walking on the
level, for those who never attempt more),
(c) when it occurs on walking it must make the subject either stop or slacken
pace, unless nitroglycerin is taken, (d) it must disappear on a majority of occasions
in 10 min or less from the time when the subject stands still."
, 4|Page
Possible myocardial infarction1 was defined as, "one or more attacks of severe
pain across the front of the chest lasting for 30 min or longer."
seattle angina questionnaire - correct-answer -19-item self-administered health
risk assessment for angina and functional artery disease measuring five
dimensions of coronary artery disease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4 treatment
satisfaction and 5 disease perception.
-score of 0 to 100, where higher scores indicate better function (eg, less physical
limitation, less angina, and better quality of life).
arthritis impact measurement scales - correct-answer -health risk assessment:
Disease-specific measure of physical, social, and emotional well-being designed as
a measure of outcome in arthritis.
-scales: mobility, physical activity (walking, bending, lifting), dexterity, household
activity (managing money and medications, housekeeping), social activities,
activities of daily living, pain, depression, and anxiety.
Score range: Range is 0-10 for each section. Total health score 0-60.
--> Zero represents good health status, 10 and 60 represent poor health status.
functional living index-cancer - correct-answer -health risk assessment: Cancer-
specific, functionally-oriented quality of life instrument.
