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Texas MD Jurisprudence Exam – Key Questions with Rationales 2026

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Prepare effectively for the Texas MD Jurisprudence Exam with this Key Questions with Rationales guide, updated for 2026. This comprehensive resource includes verified questions, answers, and detailed rationales to help physicians and medical students understand essential legal concepts, regulatory requirements, and exam strategies. The guide covers all critical topics such as state medical laws, professional responsibilities, ethical standards, and case-based scenarios. It is ideal for exam preparation, professional review, and practical application of Texas medical jurisprudence.

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Texas MD Jurisprudence Exam - Key Questions
Texaswith
MDRationales
Jurisprudence Exam - Key Questions with Rationales.pdf Page 1




Texas MD Jurisprudence Exam - Key Questions
with Rationales

Q: What criteria is needed for licensure? A: 60 credit hours college + MD/DO +
Pass USMLE 1-3 (within 7 years) + Texas JP exam + Complete PGY1
Rationale: This ensures minimum competency before independent practice. The 7-year
USMLE window prevents people from using outdated exam passes. Requiring intern
year ensures you've actually practiced medicine supervised before going solo. Memory
trick: 60-7-1 (credit hours-year limit-intern year).
Q: When to report child abuse/neglect? A: Within 48 hours Rationale: Texas law
requires immediate phone reporting plus written documentation within 48 hours for
licensed professionals. This timeframe ensures child safety while allowing proper
documentation. Missing this deadline = Class A misdemeanor (up to 1 year jail/$4,000
fine). Memory trick: 48 = 2 days, 2 reports (phone + written).
Q: When to report birth certificate? A: 5 days Rationale: Vital statistics need
timely documentation for legal identity establishment. Birth certificates enable the child
to access services, healthcare, and legal protections. Failure to file = Class C
misdemeanor. Memory trick: 5 fingers = 5 days for a new baby.
Q: When to report death certificate? A: 10 days Rationale: Death certificates are
needed for estate settlement, insurance claims, and public health tracking. The 10-day
window allows time for autopsy results if needed. Delays can hold up legal/financial
matters for families. Memory trick: Death = 10 days (double birth's 5 days).
Q: When to report most communicable diseases? A: 7 days (1 day for TB and
pertussis) Rationale: Disease prevention trumps privacy. TB and pertussis spread
rapidly and are deadly, requiring immediate 24-hour reporting to prevent outbreaks.
Other diseases get 7 days for standard epidemiological tracking. This protects public
health while allowing proper documentation. Memory trick: 7 days = 1 week standard,
but TB/pertussis = 1 day because they're TOO contagious.
Q: When must you supply medical records? A: 15 days Rationale: Patients have a
right to their records, but providers need reasonable time to compile and redact if
necessary. 15 days balances patient access with administrative practicality. You CAN




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charge for copies but cannot deny records for non-payment (except therapeutic
privilege). Memory trick: 15 = halfway through the month.
Q: How many people compose the Texas Medical Board and what are their
roles? A: 19 total (12 physicians: 9 MD, 3 DO; 7 laypersons; 6-year terms) Rationale:
The board needs physician expertise but also public accountability, hence the layperson
requirement. Governor appointment ensures state oversight. 6-year terms provide
continuity while allowing regular turnover. This structure balances medical expertise
with public interest protection. Memory trick: 19 = 12 docs + 7 regular people; think
"lucky 7" citizens watching the docs.


Q: What is the renewal schedule for Texas medical license? A: Every 2 years;
<30 days = no fine; <90 days = $75; <365 days = $145; >1 year = canceled Rationale:
Regular renewal ensures active practitioners maintain standards. Escalating fines
incentivize timely renewal. After 1 year it's assumed you've abandoned practice.
Practicing >30 days expired = 3rd degree felony (practicing without license). Memory
trick: 30-90-365 = month-quarter-year escalation.
Q: How much CME is required to renew your license? A: 48 hours (1/2 formal,
1/2 informal, including 2 hours ethics) Rationale: Continuing education keeps docs
current with medical advances. Half formal ensures quality education; half informal
recognizes self-directed learning value. 2 hours ethics mandatory because ethical
violations are common TMB complaints. 48 hours over 2 years = 24/year = 2
hours/month (manageable). Memory trick: 48 hours = matches the 48-hour reporting
rule.
Q: When must you inform TMB of name/practice address changes? A: 30
days Rationale: TMB needs current contact info for complaints, investigations, and
public safety. 30 days is reasonable time to update after a move. Note: You DON'T need
to report malpractice insurance changes (insurance company reports restrictions
automatically). Memory trick: 30 = standard month for most TMB notifications.
Q: When must you notify TMB about receiving a lawsuit? A: Insurance does it
for you; if uninsured, you report in 30 days Rationale: TMB tracks patterns of
malpractice. Insurance companies automatically report, but if you're uninsured (risky!),




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you must self-report to avoid additional penalties. 3 lawsuits in 5 years triggers license
review. Memory trick: Have insurance? They handle it. No insurance? You're already in
trouble, now you have 30 days more.
Q: When must TMB be notified if a hospital takes disciplinary action? A: If
restriction lasts >30 days Rationale: Short restrictions (<30 days) might be
administrative or minor. Longer restrictions suggest serious competency/conduct issues
requiring board oversight. This protects patients while avoiding TMB overwhelm with
minor issues. Memory trick: 30 days = serious enough to matter.
Q: What do you need to practice telemedicine in Texas? A: Special Texas
telemedicine license (requires JP exam) + full license in good standing in another state
+ board certified in specialty + NOT physically practicing in Texas Rationale:
Telemedicine crosses state lines but serves Texas patients, so Texas wants to ensure
competency (JP exam) and accountability. Must be board certified to ensure expertise.
If you're physically in Texas seeing patients, you need a full Texas license, not
telemedicine license. Memory trick: Telemedicine = Texas wants to TEST you even from
far away.
Q: What states are contiguous with Texas and what can these doctors
order? A: OK, AR, LA, NM; they can order home health and hospice services for Texas
patients Rationale: Border-state coordination for continuity of care. Patients living near
state lines may have out-of-state doctors. Limiting to home health/hospice (non-acute)
reduces risk while improving access. Can't do telemedicine or direct care without proper
license. Memory trick: ORAL-NM (Oklahoma-Arkansas-Louisiana-New Mexico).
Q: How does worker's comp work in Texas? A: No-fault system; need "certificate
of registration" to evaluate and get paid; Texas Department of Insurance (TDI) oversees
Rationale: No-fault means injured workers get paid regardless of blame, reducing
litigation. Certificate requirement ensures docs know worker's comp rules. Any doc can
do initial visit (emergency), but ongoing care requires registration. Protects both
workers and employers. Memory trick: TDI = Texas Department of Insurance =
worker's comp boss.
Q: The physician in training permit is tied to what? A: The institution; must
apply for new PIT 90 days before changing residency Rationale: PIT permits ensure




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