Texas Medical Jurisprudence (JP) exam questions and
answers : {LATEST 2026/ 2027 UPDATE} COMPLETE REAL
AND AUTHENTIC EXAM {100% CORRECT} RATED A+!!!
1. A physician in Texas receives a written request from a patient's attorney for the patient's
complete medical records, accompanied by a signed patient authorization that is undated. The
physician's office calls the attorney and is told the authorization was signed 'sometime last
week.' Under the Texas Medical Records Privacy Act and the Texas Medical Practice Act, what
is the physician's BEST course of action?
A. Release the records promptly because the patient signed the authorization, and the attorney's confirmation
of the date is sufficient
B. Withhold the records until a validly dated authorization is provided, because an undated authorization is not
compliant with state law
C. Release the records only if the attorney provides a notarized affidavit confirming the date of signing
D. Provide a summary of the records instead of the full records to protect patient privacy
Answer: B. Withhold the records until a validly dated authorization is provided, because an
undated authorization is not compliant with state law
2. A Texas physician is treating a patient who has just been diagnosed with terminal cancer.
The patient asks the physician to withhold the diagnosis from the patient's spouse, stating, 'I
don't want my husband to worry.' The spouse later calls the office and demands to know the
test results. The patient has not designated a healthcare proxy or medical power of attorney.
Under Texas law, what is the physician's BEST action?
A. Disclose the diagnosis to the spouse because family members of terminally ill patients have a right to be
informed
B. Refuse to disclose any information to the spouse and reaffirm the patient's confidentiality, explaining that
the patient's wishes control
C. Tell the spouse the diagnosis but only if the spouse agrees not to tell the patient
D. Release the information because the spouse is the patient's next of kin and can make medical decisions
Answer: B. Refuse to disclose any information to the spouse and reaffirm the patient's
confidentiality, explaining that the patient's wishes control
3. A physician in Texas has been treating a patient for chronic pain with opioid prescriptions.
The physician is approached by a pharmaceutical sales representative who offers the physician
a free lunch and a $500 gift card to 'listen to a presentation' about a new non-opioid pain
medication. The physician has no financial interest in the company. Under the Texas Medical
Practice Act and board rules regarding professional boundaries and gifts, what is the BEST
action for the physician?
A. Accept the lunch and the gift card because the medication is not an opioid and the physician's prescribing
behavior will not be influenced
B. Decline the gift card but accept the lunch because meals are allowed under industry standards
C. Politely decline both the lunch and the gift card, because the value of the gift exceeds what is allowed by
Texas law and board rules
D. Accept both the lunch and the gift card but disclose the arrangement to the patient
Answer: C. Politely decline both the lunch and the gift card, because the value of the gift
exceeds what is allowed by Texas law and board rules
,4. A Texas physician is treating a 17-year-old patient who is pregnant. The patient requests that
the physician not share her pregnancy test results with her parents. Under Texas law, which of
the following is the BEST course of action for the physician?
A. Inform the parents because the patient is a minor and they have a right to know
B. Respect the minor's confidentiality because minors may consent to prenatal care, and do not disclose
without her permission
C. Disclose the results only if the pregnancy poses a risk to the patient's health
D. Require the minor to bring a parent to the next appointment before providing any further care
Answer: B. Respect the minor's confidentiality because minors may consent to prenatal care,
and do not disclose without her permission
5. A physician in Texas receives a subpoena duces tecum from a court in a civil lawsuit
requesting the medical records of a patient who is not a party to the lawsuit. The patient has
not signed an authorization, but the physician has been ordered to produce the records. The
physician's patient has not been notified of the subpoena. What is the BEST action for the
physician?
A. Produce the records immediately because the subpoena is a court order and failure to comply may result in
contempt
B. Object to the subpoena or file a motion to quash, and provide notice to the patient so the patient can assert
privacy rights
C. Produce only the portions of the records that are related to the litigation
D. Contact the attorney who issued the subpoena and ask for a patient authorization
Answer: B. Object to the subpoena or file a motion to quash, and provide notice to the patient
so the patient can assert privacy rights
6. A Texas physician has a romantic relationship with a patient that began after the physician
provided the patient with a routine physical examination. The physician wants to continue the
relationship and also continue seeing the patient for medical care. Under the Texas Medical
Practice Act and board rules regarding professional boundaries, what is the physician's BEST
course of action?
A. Terminate the physician-patient relationship and refer the patient to another physician before pursuing the
romantic relationship
B. Continue the medical relationship but document the romantic relationship in the patient's chart
C. Continue the romantic relationship but avoid any physical examinations to maintain boundaries
D. End the romantic relationship immediately and ask the patient to seek care elsewhere
Answer: A. Terminate the physician-patient relationship and refer the patient to another
physician before pursuing the romantic relationship
7. A physician in Texas prescribes a controlled substance to a patient for chronic pain. The
physician is made aware that the patient has been 'doctor shopping' and receiving duplicate
prescriptions from other physicians without informing them. Under the Texas Medical Practice
Act and the Texas Prescription Monitoring Program (PMP) requirements, what is the
physician's BEST immediate action?
A. Continue prescribing as usual because the physician cannot be held responsible for other doctors' actions
B. Check the Prescription Monitoring Program database, counsel the patient about the risks, and consider
terminating the patient-physician relationship if necessary
C. Immediately report the patient to law enforcement and stop all prescribing
D. Ask the patient to sign a controlled substance agreement before issuing any further prescriptions
, Answer: B. Check the Prescription Monitoring Program database, counsel the patient about the
risks, and consider terminating the patient-physician relationship if necessary
8. A physician in Texas is asked by a patient to prescribe a medication for a condition that the
physician does not have sufficient knowledge to treat. The physician has no experience with
the medication and does not know its contraindications. Under the Texas Medical Practice Act,
what is the BEST course of action?
A. Prescribe the medication because the patient insists and the physician can look up the information later
B. Consult with a specialist or refer the patient to another physician who has the necessary expertise
C. Prescribe the medication but at a lower dose to minimize potential harm
D. Refuse to prescribe the medication and tell the patient to find another physician immediately
Answer: B. Consult with a specialist or refer the patient to another physician who has the
necessary expertise
9. A Texas physician is treating a patient who has been diagnosed with a reportable sexually
transmitted disease (STD). Under Texas law, the physician is required to report the case to the
local health department. The patient pleads with the physician not to report because of the
social stigma. What is the BEST action for the physician?
A. Honor the patient's request and not report, because reporting would violate patient confidentiality
B. Explain the legal requirement to report and submit the case to the health department
C. Report the case only if the patient's sexual partners are at risk
D. Delay reporting until the patient completes treatment to reduce the risk of transmission
Answer: B. Explain the legal requirement to report and submit the case to the health
department
10. A physician in Texas is subject to a complaint filed with the Texas Medical Board. The
physician is notified of the complaint and is required to respond. The physician's attorney
advises the physician to submit a written response but not to include certain facts that may be
incriminating. Under the Texas Medical Practice Act, what is the physician's BEST course of
action?
A. Follow the attorney's advice and omit the incriminating facts to avoid self-incrimination
B. Provide a complete and truthful response to the board, including all relevant facts, because the physician
has a duty to cooperate with the investigation
C. Refuse to respond until the board provides a promise of confidentiality
D. Submit a response that is drafted by the attorney without the physician's direct involvement
Answer: B. Provide a complete and truthful response to the board, including all relevant facts,
because the physician has a duty to cooperate with the investigation
11. A patient with a history of opioid use disorder is being treated by a Texas physician for
chronic pain. The patient asks the physician to prescribe a higher dose of opioids, but the
physician believes the patient may be diverting the medication. Under the Texas Medical
Practice Act and professional standards for boundaries, what is the physician's BEST action?
A. Prescribe the higher dose because the patient has a legitimate pain condition
B. Refuse to increase the dose and discuss concerns about diversion with the patient, and if necessary,
discharge the patient from the practice following proper procedures
C. Prescribe the higher dose but give the patient a drug screen to ensure compliance
D. Slowly taper the patient off opioids immediately and refer to a pain specialist
Answer: B. Refuse to increase the dose and discuss concerns about diversion with the patient,
answers : {LATEST 2026/ 2027 UPDATE} COMPLETE REAL
AND AUTHENTIC EXAM {100% CORRECT} RATED A+!!!
1. A physician in Texas receives a written request from a patient's attorney for the patient's
complete medical records, accompanied by a signed patient authorization that is undated. The
physician's office calls the attorney and is told the authorization was signed 'sometime last
week.' Under the Texas Medical Records Privacy Act and the Texas Medical Practice Act, what
is the physician's BEST course of action?
A. Release the records promptly because the patient signed the authorization, and the attorney's confirmation
of the date is sufficient
B. Withhold the records until a validly dated authorization is provided, because an undated authorization is not
compliant with state law
C. Release the records only if the attorney provides a notarized affidavit confirming the date of signing
D. Provide a summary of the records instead of the full records to protect patient privacy
Answer: B. Withhold the records until a validly dated authorization is provided, because an
undated authorization is not compliant with state law
2. A Texas physician is treating a patient who has just been diagnosed with terminal cancer.
The patient asks the physician to withhold the diagnosis from the patient's spouse, stating, 'I
don't want my husband to worry.' The spouse later calls the office and demands to know the
test results. The patient has not designated a healthcare proxy or medical power of attorney.
Under Texas law, what is the physician's BEST action?
A. Disclose the diagnosis to the spouse because family members of terminally ill patients have a right to be
informed
B. Refuse to disclose any information to the spouse and reaffirm the patient's confidentiality, explaining that
the patient's wishes control
C. Tell the spouse the diagnosis but only if the spouse agrees not to tell the patient
D. Release the information because the spouse is the patient's next of kin and can make medical decisions
Answer: B. Refuse to disclose any information to the spouse and reaffirm the patient's
confidentiality, explaining that the patient's wishes control
3. A physician in Texas has been treating a patient for chronic pain with opioid prescriptions.
The physician is approached by a pharmaceutical sales representative who offers the physician
a free lunch and a $500 gift card to 'listen to a presentation' about a new non-opioid pain
medication. The physician has no financial interest in the company. Under the Texas Medical
Practice Act and board rules regarding professional boundaries and gifts, what is the BEST
action for the physician?
A. Accept the lunch and the gift card because the medication is not an opioid and the physician's prescribing
behavior will not be influenced
B. Decline the gift card but accept the lunch because meals are allowed under industry standards
C. Politely decline both the lunch and the gift card, because the value of the gift exceeds what is allowed by
Texas law and board rules
D. Accept both the lunch and the gift card but disclose the arrangement to the patient
Answer: C. Politely decline both the lunch and the gift card, because the value of the gift
exceeds what is allowed by Texas law and board rules
,4. A Texas physician is treating a 17-year-old patient who is pregnant. The patient requests that
the physician not share her pregnancy test results with her parents. Under Texas law, which of
the following is the BEST course of action for the physician?
A. Inform the parents because the patient is a minor and they have a right to know
B. Respect the minor's confidentiality because minors may consent to prenatal care, and do not disclose
without her permission
C. Disclose the results only if the pregnancy poses a risk to the patient's health
D. Require the minor to bring a parent to the next appointment before providing any further care
Answer: B. Respect the minor's confidentiality because minors may consent to prenatal care,
and do not disclose without her permission
5. A physician in Texas receives a subpoena duces tecum from a court in a civil lawsuit
requesting the medical records of a patient who is not a party to the lawsuit. The patient has
not signed an authorization, but the physician has been ordered to produce the records. The
physician's patient has not been notified of the subpoena. What is the BEST action for the
physician?
A. Produce the records immediately because the subpoena is a court order and failure to comply may result in
contempt
B. Object to the subpoena or file a motion to quash, and provide notice to the patient so the patient can assert
privacy rights
C. Produce only the portions of the records that are related to the litigation
D. Contact the attorney who issued the subpoena and ask for a patient authorization
Answer: B. Object to the subpoena or file a motion to quash, and provide notice to the patient
so the patient can assert privacy rights
6. A Texas physician has a romantic relationship with a patient that began after the physician
provided the patient with a routine physical examination. The physician wants to continue the
relationship and also continue seeing the patient for medical care. Under the Texas Medical
Practice Act and board rules regarding professional boundaries, what is the physician's BEST
course of action?
A. Terminate the physician-patient relationship and refer the patient to another physician before pursuing the
romantic relationship
B. Continue the medical relationship but document the romantic relationship in the patient's chart
C. Continue the romantic relationship but avoid any physical examinations to maintain boundaries
D. End the romantic relationship immediately and ask the patient to seek care elsewhere
Answer: A. Terminate the physician-patient relationship and refer the patient to another
physician before pursuing the romantic relationship
7. A physician in Texas prescribes a controlled substance to a patient for chronic pain. The
physician is made aware that the patient has been 'doctor shopping' and receiving duplicate
prescriptions from other physicians without informing them. Under the Texas Medical Practice
Act and the Texas Prescription Monitoring Program (PMP) requirements, what is the
physician's BEST immediate action?
A. Continue prescribing as usual because the physician cannot be held responsible for other doctors' actions
B. Check the Prescription Monitoring Program database, counsel the patient about the risks, and consider
terminating the patient-physician relationship if necessary
C. Immediately report the patient to law enforcement and stop all prescribing
D. Ask the patient to sign a controlled substance agreement before issuing any further prescriptions
, Answer: B. Check the Prescription Monitoring Program database, counsel the patient about the
risks, and consider terminating the patient-physician relationship if necessary
8. A physician in Texas is asked by a patient to prescribe a medication for a condition that the
physician does not have sufficient knowledge to treat. The physician has no experience with
the medication and does not know its contraindications. Under the Texas Medical Practice Act,
what is the BEST course of action?
A. Prescribe the medication because the patient insists and the physician can look up the information later
B. Consult with a specialist or refer the patient to another physician who has the necessary expertise
C. Prescribe the medication but at a lower dose to minimize potential harm
D. Refuse to prescribe the medication and tell the patient to find another physician immediately
Answer: B. Consult with a specialist or refer the patient to another physician who has the
necessary expertise
9. A Texas physician is treating a patient who has been diagnosed with a reportable sexually
transmitted disease (STD). Under Texas law, the physician is required to report the case to the
local health department. The patient pleads with the physician not to report because of the
social stigma. What is the BEST action for the physician?
A. Honor the patient's request and not report, because reporting would violate patient confidentiality
B. Explain the legal requirement to report and submit the case to the health department
C. Report the case only if the patient's sexual partners are at risk
D. Delay reporting until the patient completes treatment to reduce the risk of transmission
Answer: B. Explain the legal requirement to report and submit the case to the health
department
10. A physician in Texas is subject to a complaint filed with the Texas Medical Board. The
physician is notified of the complaint and is required to respond. The physician's attorney
advises the physician to submit a written response but not to include certain facts that may be
incriminating. Under the Texas Medical Practice Act, what is the physician's BEST course of
action?
A. Follow the attorney's advice and omit the incriminating facts to avoid self-incrimination
B. Provide a complete and truthful response to the board, including all relevant facts, because the physician
has a duty to cooperate with the investigation
C. Refuse to respond until the board provides a promise of confidentiality
D. Submit a response that is drafted by the attorney without the physician's direct involvement
Answer: B. Provide a complete and truthful response to the board, including all relevant facts,
because the physician has a duty to cooperate with the investigation
11. A patient with a history of opioid use disorder is being treated by a Texas physician for
chronic pain. The patient asks the physician to prescribe a higher dose of opioids, but the
physician believes the patient may be diverting the medication. Under the Texas Medical
Practice Act and professional standards for boundaries, what is the physician's BEST action?
A. Prescribe the higher dose because the patient has a legitimate pain condition
B. Refuse to increase the dose and discuss concerns about diversion with the patient, and if necessary,
discharge the patient from the practice following proper procedures
C. Prescribe the higher dose but give the patient a drug screen to ensure compliance
D. Slowly taper the patient off opioids immediately and refer to a pain specialist
Answer: B. Refuse to increase the dose and discuss concerns about diversion with the patient,
