Texas Medical Jurisprudence (JP) exam with 100% correct answers

quiz tips: guess 30 days for most deadlines quiz tips: guess 3rd degree felony if a crime sounds awful quiz tips: guess class A misdemeanor if a crime doesn't sound serious quiz tips: guess all of the above when available. avoid picking none of the above quiz tips: report child/elderly abuses to DFPS quiz tips: report licensing/malpractice issues to TMB, & almost everything else to DSHS DFPS = Texas department of family & protective services central place to report abuse of children, elderly, & people with disabilities DSHS = Texas department of state health services oversees hospitals & psychiatric facilities (including private) DADS = Texas department of aging & disability services regulates nursing homes, assisted living facilities ,adult day care TMB = Texas medical board Midlevesl = PA, APRN, APN, NP neglect of a child failure to provide a child medical care &u resulting in injury failure to provide a child with food, clothing, or shelter to sustain the life or health of the child (excluding failure caused primarily by financial inability unless relief services had been offered & refused) abuse of a child obscene or pornographic depiction of child failure protect a child from harm by another person mental or emotional injury to a child adult drug abuse causing injury to a child "Neglect" of an elderly person (age 65 and older) or a disabled person failure of a caretaker to provide goods or services, including medical services failure of the elderly or disabled person to provide for him- or herself the goods or services, including medical services abuse of an elderly person or disabled person any animosity from a caretaker, family member, or other individual who has an ongoing relationship with the person sexual abuse by a caretaker, family member or other individual who has an ongoing relationship with the person exploitation of an elderly person or disabled person stealing money or using resources without informed consent of the person stealing money or using resources by the person's caretaker, family member, or other individual with on-going relationship immediate license suspended if MD's a dancer to public welfare (hearing to follow < 10 days) verbally report child abuse (follow by a written report in 48 hours), abuse of elderly or disabled persons in a nursing home to DFPS notify local health department or DSHS: anthrax, smallpox, polio, diphtheria, rabies, botulism, meningitis, plague, drug overdose immediately 1 business day for TB, pertussis, hepatitis A/B, acute HIV 1 week for everything else: gonorrhea, chlamydia, chancroid, syphilis, salmonella, non-acute HIV Notify police: unnatural/unexplained death, suicide, drug overdoses, & gunshot injuries failure to report = class c misdemeanor d24 hours TMB notifies hospitals on the 1st working day of MD's restrictions or suspensions; written notification < 30 days notify local health department or DSHS: TM, pertussis, hepatitis A/B, acute HIV 48 hours reports DFPS of all suspected child abuse child abuse confirmation in writing (oral report immediately) notice to parents of unemancipated minor with impending abortion 3 dasy MD can request OPC (order or protective custody) from judge for involuntary detention of psych patient OPC lasts < 30 days, after which MD has to file for a 90-day commitment patient can request a probable cause hearing < 72 hours to try to get released MD must evaluate the patient < 12 hours pharmacacist can dispense 3-day supply of scheduled III-V medication (e.g. Xanax) if provider cannot be reached for a refill 5 days MD has to complete medical certification after receiving death certificate nursing home abuse confirmation in writing (oral report immediately) filing birth certificate 7 days - prescriptions & drugs notify local health department or DSHS for all other communicable diseases: gonorrhea, chlamydia, chancroid, syphilis, salmonella, non-acute HIV MD can discharge a patient from hospital 7 day supply of schedule II-V prescriptions MD must mail in the actual written Rx < 7 days after calling in a schedule II Rx in an emergency for an amount lasting only for the duration of the emergency 10 dasy filing death report by funeral director (MD completes medical certification < 5 days after receiving death certification) mail letter denying patinet's request for medical record due to non-payment of required mailing/processing fees (cannot be due to non-payment of medical bill) MD has to visit underserved/rural clinic run by midlevels every 10 days 15 days MD to provide requested medical records (calendar days for hospital; business days for MD) MD sends letter denying patient's request for medical records letter to TMB of adverse event causing unanticipated hospital admission > 24 hours or death of the patient < 72 hours from a procedure 21 days defendant/MD must file any objection with the court regarding malpractice lawsuit deadline schedule II Rx must be filled & cannot have refills 30 days most deadlines. so guess 30 days when in doubt `TMB <-----> MD communication regarding license/lawsuits/appeals/penalties TMB notifies healthcare facilities on the 1st working day of any MD's restrictions or suspensions; written notification < 30 days notify TMB of pending lawsuits if you're not insured; otherwise, your insurance will do it for you notify TMB <30 days if disciplinary action from the hospital affects MD's privileges > 30 days notify TMB any conviction or deferred adjudication verdict for any felony or misdemeanor involving moral turpitude, abuse of medicare/medicaid program, & narcotic violation. Do not wait until time for renewal. MD can wait until time of renewal to notify TMB for anything else Clerk of the court of record will need to forward a copy of the conviction/adjudication < 30 days regardless of whether the adjudication/finding is subsequently with-held/appealed length for appeal when investigated or suspended by TMB notify TMB any name & practice address changes provide a 30-day grace period of continued patient care until a new MD is found (i.e terminate physician-patient relationship) hospitals have < 30 days to submit a bill letter to DSHS reporting 3rd trimester abortion & emergent abortions on unemancipated minors 45 days MD provides medical records to suing attorney time for insurer to pay after receipt of bill from MD (either regular bill or worker's comp) 60 days advanced notice (letter of intent) of lawsuit sent to MD - give time for settlement 75 75 days: notice letter extends statute date limitation for lawsuit 75 miles: distance a secondary practice can be from primary practice sites 90 days length of time for which mid-levels can write Rx must consult delegating MD for refills of controlled substances after the initial 90-day supply OR when prescribing controlled substances for children < 2 yo MD can request OPC (order of protective custody) from judge for involuntary detention of psych patient OPC lasts < 30 days, after which MD has to file for a 90-day commitment 95 days deadline for MD filing worker's comp medical bills; insurance then has 45 days to respond; if denied, MD has another 45 days to appeal 120 days plaintiff must file all liability & causation issues with the medical expert findings (expert report) < 120 days of filing the malpractice claim 20 weeks fetus requires a death certification if >350 grams or > 20 weeks 10 days to submit 1 year abortion facility must submit annual report to DSHS medical license cancelled 1 year after expiration; requires reapplication 2 years patient who has been injured during the course of treatment must file suit < 2 years after the malpractice incident occured or when patinet discovered that the negligent act took place (discovery rule) minors have 2 years after turning 18 to file suit medical license renewal minimum patient age for which midlevels can write Rx without consulting MD 3 years DEA license renewal 6 years justice of the peace/medical examiner must be informed for all deaths under the age of 6 TMB = 19 people = 9MDs + 3 DOs + 7 non-physcians; appointed by the governor for 6 year terms 7 years keeping medical records for adult; 7 years for minors or until age 21, whichever is longer 10 years hospital must hold onto adult in-patient charts for 10 years & pediatic inpatient charts for 10 years or age 20, whichever is longer 16 years can admit self to psychiatric ward; can get ECT emancipated minor (living out of the family home) 50 facility with more than 50 abortions per year will need license 3 suits in 5 years requires TMB investigation 10% delegating MD must: attend alternative practice sites 10% of the hours of operations each month, review at least 10% of the electronic charts written by midlevels felonies & misdemeanors infractions: tickets for speeding, illegal parking, etc.; involve small fines, no jail, & no effect on MD's license felonies & misdemeanors misdemeanors small crimes (e.g. dangerous drug possession, DWI, 1st or 2nd offense) wiht small fines and/or < 1 year of jail, & no effect on civil rights severity is A > B> C felonies & misdemeanors felonies: serious crimes (aggravated assault, murder, 3rd offense etc) with confinement > 6 months, fine < $10,000 & loss of civil rights severity is 1st> 2nd > 3rd felonies & misdemeanors jail short term confinement run by local law enforcement; designed to hold inmates awaiting trial or serving a short sentence felonies & misdemeanors prision either state or federal long-term confinement of criminals convicted of more serious crimes, typically felony capital felony: death or life in prison without parole murder first degree felony: life or 5-99 years in prison; <$10, 000 fine aggravated sexual assault/rape of child (< 14 yo), elderly (<65 yo), or disabled person leading to serious injury or death second degree felony: 2 -20 years in prison; < &10,000fine sexual abuse of nursing home or mental institution patient (without serious injury or death) third degree felony: 2-10 years in prison; < $10,000 fine ***guess this if something sounds awful practice medicine without a license selling a child violating the medical practice act twice; once = class A misdemeanor falsifying birth/death certification state fail felony ("4" degree felony): 6 months - 2 years in state fail; < $10,000 fine promoting a suicide if the patient hurts/kills themselves -class C misdemeanor if they don't follow through maliciously reporting child abuse; additional $1000 fine class A misdemeanor: < 1 year in country jail; < $4000 fine **guess this if the crime doesnt sound serious violating the medical practice act +$5k fine, violating twice = third degree felony failure to report elderly abuse (outside or inside of a nursing home) or abuse of patients in mental health facilities maliciously reporting elderly abuse in nursing homes soliciting patients; 3rd degree felony for subsequent offense receiving kickbacks for referrals wrongful handling or abuse of a corpse