, Question 1
Under the Wyoming Medical Practice Act, which scenario most clearly falls
outside the statutory definition of practicing medicine and therefore does not
require licensure?
A. A physician licensed in another state who electronically prescribes a
controlled substance to a patient physically located in Wyoming without
Wyoming licensure.
B. A resident physician who provides clinical care under a
Wyoming-approved training program and supervised by a licensed
Wyoming physician.
C. A retired physician who offers informal advice to a neighbor about
managing chronic pain and accepts no compensation.
D. A physician assistant who independently performs surgery without a
supervising physician.
Correct Answer: B - A resident physician who provides clinical
care under a Wyoming-approved training program and
supervised by a licensed Wyoming physician.
RATIONALE
Residents in approved Wyoming training programs are exempt from
full licensure when practicing under supervision; this is an express
statutory exception. Option A constitutes unlicensed telemedicine
prescribing, C may still constitute practice depending on the advice
and holding out, and D exceeds PA scope and supervision
requirements.
Question 2
A Wyoming physician's license renewal is due. Which combination of
requirements is most accurate under current Board rules?
A. Renewal requires 50 CME hours annually, including 10 hours in pain
management, and a PDMP query for every patient.
B. Renewal requires 30 CME hours biennially, including 2 hours in
Page 2
, opioid prescribing, and attestation of PDMP use.
C. Renewal requires 20 CME hours annually, with no specific content
requirements, and no PDMP attestation.
D. Renewal requires 40 CME hours biennially, including 4 hours in
ethics, and a criminal background check.
Correct Answer: B - Renewal requires 30 CME hours biennially,
including 2 hours in opioid prescribing, and attestation of PDMP
use.
RATIONALE
Wyoming requires 30 CME hours biennially with specific opioid
prescribing education and PDMP attestation. Options A, C, and D
misstate the CME hours, content, or additional requirements not
mandated by the Board.
Question 3
Which statement best captures the legal standard for establishing a
physician-patient relationship via telemedicine in Wyoming?
A. A relationship is established only after an in-person examination
within 12 months.
B. A relationship may be established through a real-time audio-video
encounter that meets the standard of care, with documentation and
consent.
C. A relationship is automatically established when a patient completes
an online questionnaire and pays a fee.
D. A relationship requires a prior referral from a Wyoming-licensed
physician.
Correct Answer: B - A relationship may be established through a
real-time audio-video encounter that meets the standard of care,
with documentation and consent.
Page 3
, RATIONALE
Wyoming permits telemedicine to establish a relationship when the
encounter is real-time audio-video (or other board-approved
modality), meets the standard of care, and includes proper
documentation and consent. Asynchronous questionnaires alone (C)
are insufficient; in-person exam (A) and referral (D) are not
universally required.
Question 4
A physician prescribes an opioid to a patient and queries the PDMP. Which
statement about mandatory PDMP review in Wyoming is most accurate?
A. PDMP review is required only for Schedule II opioids and only at the
first prescription.
B. PDMP review is required before prescribing any opioid or
benzodiazepine, and periodically thereafter as specified by Board rule.
C. PDMP review is discretionary and may be delegated to any staff
member without physician verification.
D. PDMP review is required only when the patient reports prior
controlled substance use.
Correct Answer: B - PDMP review is required before prescribing
any opioid or benzodiazepine, and periodically thereafter as
specified by Board rule.
RATIONALE
Wyoming mandates PDMP query before prescribing opioids or
benzodiazepines and at defined intervals. It is not limited to Schedule
II or first prescriptions (A), is not purely discretionary (C), and does
not depend on patient self-report (D).
Question 5
Which action by a Wyoming physician would most likely constitute
unprofessional conduct subject to discipline?
Page 4
Under the Wyoming Medical Practice Act, which scenario most clearly falls
outside the statutory definition of practicing medicine and therefore does not
require licensure?
A. A physician licensed in another state who electronically prescribes a
controlled substance to a patient physically located in Wyoming without
Wyoming licensure.
B. A resident physician who provides clinical care under a
Wyoming-approved training program and supervised by a licensed
Wyoming physician.
C. A retired physician who offers informal advice to a neighbor about
managing chronic pain and accepts no compensation.
D. A physician assistant who independently performs surgery without a
supervising physician.
Correct Answer: B - A resident physician who provides clinical
care under a Wyoming-approved training program and
supervised by a licensed Wyoming physician.
RATIONALE
Residents in approved Wyoming training programs are exempt from
full licensure when practicing under supervision; this is an express
statutory exception. Option A constitutes unlicensed telemedicine
prescribing, C may still constitute practice depending on the advice
and holding out, and D exceeds PA scope and supervision
requirements.
Question 2
A Wyoming physician's license renewal is due. Which combination of
requirements is most accurate under current Board rules?
A. Renewal requires 50 CME hours annually, including 10 hours in pain
management, and a PDMP query for every patient.
B. Renewal requires 30 CME hours biennially, including 2 hours in
Page 2
, opioid prescribing, and attestation of PDMP use.
C. Renewal requires 20 CME hours annually, with no specific content
requirements, and no PDMP attestation.
D. Renewal requires 40 CME hours biennially, including 4 hours in
ethics, and a criminal background check.
Correct Answer: B - Renewal requires 30 CME hours biennially,
including 2 hours in opioid prescribing, and attestation of PDMP
use.
RATIONALE
Wyoming requires 30 CME hours biennially with specific opioid
prescribing education and PDMP attestation. Options A, C, and D
misstate the CME hours, content, or additional requirements not
mandated by the Board.
Question 3
Which statement best captures the legal standard for establishing a
physician-patient relationship via telemedicine in Wyoming?
A. A relationship is established only after an in-person examination
within 12 months.
B. A relationship may be established through a real-time audio-video
encounter that meets the standard of care, with documentation and
consent.
C. A relationship is automatically established when a patient completes
an online questionnaire and pays a fee.
D. A relationship requires a prior referral from a Wyoming-licensed
physician.
Correct Answer: B - A relationship may be established through a
real-time audio-video encounter that meets the standard of care,
with documentation and consent.
Page 3
, RATIONALE
Wyoming permits telemedicine to establish a relationship when the
encounter is real-time audio-video (or other board-approved
modality), meets the standard of care, and includes proper
documentation and consent. Asynchronous questionnaires alone (C)
are insufficient; in-person exam (A) and referral (D) are not
universally required.
Question 4
A physician prescribes an opioid to a patient and queries the PDMP. Which
statement about mandatory PDMP review in Wyoming is most accurate?
A. PDMP review is required only for Schedule II opioids and only at the
first prescription.
B. PDMP review is required before prescribing any opioid or
benzodiazepine, and periodically thereafter as specified by Board rule.
C. PDMP review is discretionary and may be delegated to any staff
member without physician verification.
D. PDMP review is required only when the patient reports prior
controlled substance use.
Correct Answer: B - PDMP review is required before prescribing
any opioid or benzodiazepine, and periodically thereafter as
specified by Board rule.
RATIONALE
Wyoming mandates PDMP query before prescribing opioids or
benzodiazepines and at defined intervals. It is not limited to Schedule
II or first prescriptions (A), is not purely discretionary (C), and does
not depend on patient self-report (D).
Question 5
Which action by a Wyoming physician would most likely constitute
unprofessional conduct subject to discipline?
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