NCA 622 FINAL EXAM REVIEW POINTS | NCA 622 FINAL EXAM STUDY GUIDE |
PRACTICE QUESTIONS & ANSWERS 2026/2027
What is a value based system? - ANS ✔✔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 - ANS ✔✔Inpatient coverage, SNF, nursing home care, home health, hospice. Also
defines limits of Medicare usage
Medicare Part B - ANS ✔✔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 - ANS ✔✔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 - ANS ✔✔Medicare prescription drug reimbursement plans that cover at least two
drugs in the most commonly prescribed categories and classes.
Who qualifies for Medicare? - ANS ✔✔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? - ANS ✔✔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? - ANS ✔✔* 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? - ANS
✔✔Bacterial
What type of rewarming is most beneficial to elderly experience hypothermia? - ANS ✔✔Pulmonary and
peritoneal
What is the first line treatment for ankylosing spondylitis? - ANS ✔✔NSAIDS
T/F: Patients with lupus can often have psychological issues. - ANS ✔✔True
, Neuropsychiatric conditions include headaches, seizures, psychosis, and mood disorders like depression
MMSE Scoring in dementia - ANS ✔✔Intact > 25
Mild 21 - 24
Moderate 10-20
Severe < 10
What are the side effects of cholinesterase medications used for dementia? - ANS ✔✔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? - ANS ✔✔Amyloid-related imaging
abnormalities
Headaches
Falls
Diarrhea
Confusion
What are the side effects of levodopa for Parkinson's? - ANS ✔✔Nausea and vomiting
Hypotension
Dyskinesia
Cardiac dysrhythmias
What are the side effects of dopamine agonists for Parkinson's? - ANS ✔✔Nausea vomiting
Somnolence
Fatigue
Peripheral edema
Postural hypotension
Confusion
Dyskinesias
*rotifotine, pramipexole, ropinirole
What are the side effects of MAOIs for Parkinson's? - ANS ✔✔Nausea
Headache
Confusion
Hallucinations
* rasagiline, selegiline, safinamide
What are the side effects of amantadine for Parkinson's? - ANS ✔✔Restlessness
Confusion
Depression
PRACTICE QUESTIONS & ANSWERS 2026/2027
What is a value based system? - ANS ✔✔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 - ANS ✔✔Inpatient coverage, SNF, nursing home care, home health, hospice. Also
defines limits of Medicare usage
Medicare Part B - ANS ✔✔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 - ANS ✔✔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 - ANS ✔✔Medicare prescription drug reimbursement plans that cover at least two
drugs in the most commonly prescribed categories and classes.
Who qualifies for Medicare? - ANS ✔✔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? - ANS ✔✔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? - ANS ✔✔* 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? - ANS
✔✔Bacterial
What type of rewarming is most beneficial to elderly experience hypothermia? - ANS ✔✔Pulmonary and
peritoneal
What is the first line treatment for ankylosing spondylitis? - ANS ✔✔NSAIDS
T/F: Patients with lupus can often have psychological issues. - ANS ✔✔True
, Neuropsychiatric conditions include headaches, seizures, psychosis, and mood disorders like depression
MMSE Scoring in dementia - ANS ✔✔Intact > 25
Mild 21 - 24
Moderate 10-20
Severe < 10
What are the side effects of cholinesterase medications used for dementia? - ANS ✔✔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? - ANS ✔✔Amyloid-related imaging
abnormalities
Headaches
Falls
Diarrhea
Confusion
What are the side effects of levodopa for Parkinson's? - ANS ✔✔Nausea and vomiting
Hypotension
Dyskinesia
Cardiac dysrhythmias
What are the side effects of dopamine agonists for Parkinson's? - ANS ✔✔Nausea vomiting
Somnolence
Fatigue
Peripheral edema
Postural hypotension
Confusion
Dyskinesias
*rotifotine, pramipexole, ropinirole
What are the side effects of MAOIs for Parkinson's? - ANS ✔✔Nausea
Headache
Confusion
Hallucinations
* rasagiline, selegiline, safinamide
What are the side effects of amantadine for Parkinson's? - ANS ✔✔Restlessness
Confusion
Depression
